Every organization faces tough choices about which projects or products to take on. Doug Bourkott’s talk breaks down a clear way to navigate these decisions, by recognizing and balancing the four enemies of governance:1. Bureaucracy: layers of process that slow progress and stifle innovation.2. Anarchy: lack of structure that leads to chaos, confusion, and wasted effort.3. Mediocrity: settling for average work that drains potential and fails to inspire.4. Toxicity: harmful cultures or behaviors that erode trust and drive talent away.Doug shares how organizations can find the right balance by:1. Building just enough structure to guide decisions without choking creativity.2. Encouraging ownership and accountability to avoid chaos.3. Raising standards to push past “good enough.”4. Fostering a healthy, supportive culture that strengthens teams.This talk offers leaders a practical framework to make smarter choices, drive meaningful projects forward, and protect their organizations from these common pitfalls. Doug Burkott is a healthcare IT expert with experience in Healthcare Systems Architecture, Strategy & Planning, Technology Business Management. He has a proven track record of leading cross-functional teams to achieve strategic objectives. Doug is passionate about driving innovation and fostering collaborative environments to deliver exceptional results. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at https://www.ted.com/tedx