Atul Gawande MD, the CEO of the healthcare startup formed by Amazon, Berkshire Hathaway and JPMorgan Chase has apparently engaged Monitor Group, a global consulting branch of Deloitte to help him develop the strategy to care for patients with chronic illness. Dr. Gawande, the Harvard professor and surgeon, is an insightful student of healthcare and a brilliant author. Using an established consulting group is a far cry from the launch of the company, when Jeff Bezos proclaimed: “We said at the outset that the degree of difficulty is high and success is going to require an expert's knowledge, a beginner's mind, and a long-term orientation … Atul embodies all three.” If the engagement of Monitor Group is true, I can guess what Dr. Gawande would write if he were reporting on the story: “Nothing original or game-changing will come from a consulting firm. This is a recipe for creating a generic health service. This may even signal the death knell of this company.” Well, let’s wait and see.