April 28, 2025

Fix What You Break: The Real Test of Leadership

When Aetna missed its financial target, the fallout was costly—and revealing. Instead of deflecting blame, President Mark Bertolini confronted the failure head-on, asking why he hadn’t been fired. The response from CEO Ron Williams became a masterclass in leadership: great executives own the mess and the fix. This article explores the vital leadership principle of accountability, and why empowering others to solve the problems they create isn’t just wise—it’s essential for growth.

Aetna Insurance had promised Wall Street a 13.25% increase for 2008–2009.

They failed to deliver.

The economy cratered.

To counter that, Aetna released 2,800 employees.

But hidden in the details was COBRA health insurance.

Mark Bertolini was then president of Aetna and writes,

“COBRA is the federal law that requires employers to continue health coverage of terminated employees, who are also motivated to use additional medical care before that coverage is gone.”

As a result, costs exploded.

To finish reading this blog, click here:
https://www.chrisadamsofficial.com/post/fix-what-you-break-leadership-lessons-in-accountability

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