Earlier this month, SN&R CEO Jeff vonKaenel sat down for a wide-ranging conversation with Secretary Diana S. Dooley, leader of the California Health and Human Services Agency. The former head of the California Children’s Hospital Association is a key figure in the state’s much-anticipated installment of the Affordable Care Act, a sweeping attempt to reform and improve America’s existing health-care system. The following is an edited version of a much longer conversation.