Podcasts about american medicine

Your doctor may have never asked what you eat. Not because they didn't care — but because nobody ever taught them to ask. Today on Health Talk America, Dr. Bob Martin and Dr. Adam Brockman respond to a seismic moment in American healthcare: both RFK Jr. and Dr. Oz are publicly naming a 60-year failure at the heart of our medical system — the near-total absence of nutrition from medical school training. And the chronic disease epidemic surrounding us today is the direct consequence. This is the conversation your doctor's education never made room for. It's happening now — on this show, in this moment — because you deserve the truth your fifteen-minute appointment was never designed to deliver.

Dr. Anthony “Mazz” Mazzarelli brings a rare combination of perspectives to American healthcare: physician, executive, lawyer, bioethicist, author and media voice. As co-president and CEO of Cooper University Health Care and associate dean of clinical affairs at Cooper Medical School, Mazzarelli leads a major safety-net health system while continuing to see patients himself. He is also co-author of Compassionomics, a book that makes the evidence-based case that compassion in medicine improves outcomes, lowers costs and reduces clinician burnout. That combination makes him an ideal guest for Fixing Healthcare with cohosts Dr. Robert Pearl and Jeremy Corr. This season's guests are being asked what they are hearing from patients, clinicians and the public right now. For Mazzarelli, three themes rise to the top: Growing concern over Medicaid cuts and rising uninsurance Excitement about generative AI and other new technologies Awe at the speed of change healthcare leaders will need to manage Key episode highlights include: Medicaid cuts will hit safety-net patients hardest. At Cooper, roughly one-third of patients are covered by Medicaid or are self-pay. Mazzarelli explains that many of these patients live paycheck to paycheck or depend on coverage to manage chronic disease. When they lose access, prevention disappears and patients often delay care until they show up sicker in emergency departments and hospitals. Generative AI is a promising tool for rethinking how care is delivered. Ambient listening and automated notes are helpful, he says, but the larger opportunity lies in decision support, preventive outreach, chronic disease management, medication adherence and giving clinicians more time to connect with patients. Fraud prevention should not become a barrier to legitimate care. Mazzarelli supports catching fraud and abuse in Medicaid and Medicare, but argues that AI should be used to identify bad actors more precisely so the system can reduce unnecessary checkboxes. Employer-based healthcare has hidden the true cost crisis. Employers and government programs have absorbed much of the rising cost of care, preventing individuals from feeling the full impact. That delay has reduced pressure for major reform, even as the system becomes increasingly unaffordable. Payment reform remains the real lever for change. While Mazzarelli supports incremental improvements, he says the biggest changes will require addressing the way care is paid for, including the misaligned incentives that shape nearly every part of American healthcare. AI can help clinicians reconnect with patients. Compassion is not a soft concept. Stronger patient connection has been linked to better outcomes, lower costs, fewer unnecessary tests and less burnout among clinicians. Technology should redesign care, not automate bad workflows. Mazzarelli cautions that healthcare does not simply need better AI models. It needs leaders willing to redesign workflows in an “AI-native” way rather than layering technology on top of broken processes. Convenience must be balanced with human connection. Jeremy raises concerns about the broader health consequences of modern convenience, including loneliness and isolation. Mazzarelli agrees, noting that loneliness is a major public health risk and that healthcare organizations have a responsibility to address it. Burnout requires more than wellness programs. Mazzarelli argues that yoga, walks and wellness initiatives are not enough if clinicians feel disconnected from the work itself. The real antidote, he says, is restoring meaning at the point of care by helping clinicians connect with patients and see the difference they make. There's much more in this conversation, including Cooper's co-president model, the impact of private equity on physician practice, the future of 24/7 access and how policymakers should think about AI safety without slowing progress. Tune in to hear what one of healthcare's most thoughtful physician-executives believes patients, clinicians and leaders should expect from the next era of medicine. * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post FHC #218: Dr. Anthony Mazzarelli on healthcare’s next burning platform appeared first on Fixing Healthcare.

In this Diving Deep episode, Dr. Robert Pearl and Jeremy Corr examine the rapid advance of generative AI, along with the growing conflict between medicine's mission to heal and doctors' need for financial security. The conversation begins with a question now echoing across every profession: Will AI replace highly trained workers? In medicine, Dr. Pearl argues, the answer is less about replacement than redefinition. Drawing on recent changes in software development, he explains how “vibe coding” has allowed programmers to stop writing much of the code themselves and instead use generative AI to build, test and refine applications from plain-language instructions. Rather than feeling diminished, many coders report greater satisfaction because AI has taken over the repetitive, error-prone work and left them more time for problem-solving. Pearl sees a similar possibility in healthcare. Like coding, medicine relies on years of training, structured reasoning and repeatable processes. Chronic disease management offers the clearest example. Hypertension, diabetes and high cholesterol are leading causes of heart attacks, strokes and kidney failure, yet proven treatments often fail because doctors lack the time to monitor patients continuously and adjust medications quickly. With home devices, physician-set targets and generative AI support, care could shift from occasional office visits to ongoing management, helping more patients achieve control while freeing physicians to focus on complex cases. The second half of the episode turns from technology to mission. Using Tim Cook's legacy at Apple as a case study, Pearl examines what happens when values and financial incentives collide. Cook's tenure produced extraordinary business results, but critics have questioned whether some of his choices conflicted with his own values and Apple's public statements around privacy, dignity and human-centered technology. Pearl uses that as background for a similar question about medicine: What happens when doctors, who train to help and heal others above all else, feel increasingly forced to make career decisions shaped by money? For generations, medicine was understood as a calling. Today, most physicians no longer own their practices. Many now work for hospitals, health systems, insurers or private equity-backed groups, while others have moved into concierge or direct primary care models. Pearl stresses that these choices are rational. But the financial upside comes with psychological and moral consequences that are rarely discussed — and that may shape the future of physician fulfillment. For more, tune into this month's episode and check out the links below. Helpful links The AI Revolution In Coding Offers A Preview Of Medicine's Future (Forbes) What Tim Cook's Legacy Teaches Doctors About Money And Mission (Forbes) Monthly Musings on American Healthcare (RobertPearlMD.com) * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post FHC #217: GenAI, physician fulfillment & the future of medical practice appeared first on Fixing Healthcare.

In this week's episode of Medicine: The Truth, hosts Jeremy Corr and Dr. Robert Pearl probe the facts beneath healthcare's biggest headlines. Today's show examines the accelerating progress of generative AI, the political turmoil inside America's leading health agencies and the infectious disease threats testing the nation's public health readiness. The conversation opens with a listener question about how close generative AI is to matching clinicians. Dr. Pearl explains that the technology is advancing faster than he predicted in ChatGPT, MD, with recent research showing an OpenAI model outperforming experienced physicians on emergency room triage and management in text-based clinical cases. He cautions that medicine is more complicated than written scenarios but argues that the trajectory is clear: before today's incoming medical students finish training, generative AI tools are likely to be used in emergency rooms across the country From there, the episode turns to the resignation of former FDA commissioner and Dr. Marty Makary, a two-time Fixing Healthcare guest. Pearl describes Makary as a respected clinician and patient-safety expert who found himself caught between scientific rigor, political pressure, industry opposition and public health critics. His departure, along with other leadership upheaval at FDA, CDC, NIH and HHS, raises a larger concern about whether America's once-trusted scientific agencies can regain their independence and credibility. Here are the other major storylines from episode 107: RFK Jr. removes preventive-care leaders. Pearl criticizes the firing of two respected co-chairs of the U.S. Preventive Services Task Force, warning that prevention policy may be pushed away from scientific evidence. The surgeon general nomination moving toward confirmation. Nicole Safier appears more confirmable than Dr. Casey Means because her vaccine views are closer to the scientific mainstream. A hantavirus outbreak raises public health concerns. A cruise ship outbreak involving the Andes virus appears to have spread person-to-person, causing at least 13 cases, several severe illnesses and three deaths. The U.S. remains vulnerable to fast-moving outbreaks. Pearl says the slow federal response to hantavirus shows how weakened public health capacity could become dangerous if a highly lethal virus were also easily transmissible. Tick bites are rising sharply. ER visits related to tick bites have climbed well above typical levels, driven in part by warmer temperatures and the spread of deer ticks into the Midwest and South. Ebola exposes the cost of global health cuts. A new Ebola strain in the Democratic Republic of Congo has no vaccine or effective treatment, and the outbreak was recognized only after spreading for weeks. USAID and WHO cuts increase risk to Americans. Pearl argues that reducing global public health support does not put “America first” because viruses ignore national borders. Patients should be more concerned when doctors avoid AI entirely. Pearl says he would worry more about clinicians who refuse to use reliable generative AI tools than those who consult them regularly. Opioid overdose deaths are falling but remain devastating. New CDC data show overdose deaths down for the third straight year, but annual fatalities still total roughly 70,000, with overdoses remaining the leading cause of death among adults ages 18 to 44. Vaccine safety data are being suppressed. Pearl closes by describing blocked FDA and CDC research showing COVID and shingles vaccines to be safe and effective, warning that political censorship undermines trust and harms patients. Tune in for more fact-based analysis and practical perspective on the healthcare policies, technologies and trends shaping medicine today. * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine” about the impact of AI on the future of medicine. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post MTT #107: How politics is weakening America's public health defenses appeared first on Fixing Healthcare.

Ohio's Medicaid program covers more than three million people, but major policy and funding changes now underway could reshape how care is delivered across the state. This week, healthcare leaders, policy experts, and lawmakers examine what proposed Medicaid changes could mean for hospitals, providers, and the families who rely on the program every day. From healthcare access and rising costs to the long-term sustainability of Ohio's healthcare system, we unpack one of the most consequential public policy debates facing Ohio today. Featuring: State Senator Louis W. Blessing, III (R-Colerain Township) John McCarthy, Founding Partner, Speire HealthCare Strategies, and former Director of the Ohio Department of Medicaid Amy Rohling McGee, President, Health Policy Institute of Ohio Dr. Buhari Mohammed, Chief Executive Officer, Heart of Ohio Family Health The host is Laura A. Bischoff, Ohio Politics and State Government Reporter, The Columbus Dispatch. The presenting sponsors of CMC's long-running Optimal Health Series are Nationwide Children's Hospital, OhioHealth, and The Ohio State University Wexner Medical Center. This forum was also sponsored by Planned Parenthood of Greater Ohio. The presenting sponsor of the CMC livestream was The Center for Human Kindness at the Columbus Foundation. CMC's livestream and promotional partner was The Columbus Dispatch. This forum was also supported by Downtown Columbus, Inc. and The National Veterans Memorial and Museum. If you'd like to keep exploring this week's forum topic, our fantastic partners at The Columbus Metropolitan Library recommend reading Your Money or Your Life: Debt Collection in American Medicine, by Luke Messac (2024).  This forum was recorded before a live audience at The National Veterans Memorial and Museum in Columbus, Ohio on June 3, 2026.

There is a particular kind of authority that comes only from having been inside something for fifty years — from having seen it at its best, trained its practitioners, published its science, and then watched it hollow itself out from within.Dr. Peter Kowey has that authority. He holds the William Wickoff Smith Chair in Cardiovascular Research at the Lankenau Institute for Medical Research, is a professor of medicine and clinical pharmacology at Thomas Jefferson University, and spent years as chief of cardiovascular diseases at the Lankenau Heart Institute. He has published more than 450 scientific papers, trained hundreds of cardiology fellows, and served on FDA advisory panels. He has also, in the past several years, become someone who cannot stay quiet.His new book, Failure to Treat: How a Broken Healthcare System Puts Patients and Providers at Risk, is built from twenty short stories — each a fusion of real composite cases, each naming a different fracture in American medicine. Fragmented care with no coordinating physician. An electronic medical record redesigned to serve billing rather than patients. Defensive medicine that orders unnecessary tests because the malpractice system makes not ordering them dangerous. Private equity that purchases hospitals to strip and sell them. Primary care physicians asked to address four chronic conditions, review a medication list, conduct an exam, and dictate a note — in ten minutes.The book was born from a charge. Kowey's mentor was Dr. Bernard Lown: Nobel Peace Prize laureate, inventor of the defibrillator, one of the most morally serious physicians of the twentieth century. When Lown himself became a patient near the end of his long life, he encountered fragmented care, indifferent nurses, and cavalier doctors. He lived to 99, but not easily. In the years before his death, he told Kowey: "I'm really relying on you to try to do something about this."In this conversation, Kowey does not soften the diagnosis. The current administration, he says, has taken a broken system and made it exponentially worse: NIH funding running at half last year's levels, the CDC's expert panels cleared of independent scientists, vaccine skepticism in positions of authority, and cuts to Medicaid, Medicare, and veterans' healthcare that will take years to repair even if reversed tomorrow. He is blunt about what the fix requires: universal coverage, a salaried physician model, restored professional status for nurses, and loan relief tied to primary care service.He also holds out something harder to sustain than outrage: genuine hope. The people who go into medicine still go into it to help. That instinct, he believes, will outlast the systems that are trying to exploit it.The book is available on Amazon and wherever books are sold.Website:peterkoweyauthor.comIn this episode:Why fragmentation of care is the single most dangerous feature of modern American medicineHow the electronic medical record became an instrument of billing rather than careDefensive medicine, malpractice reform, and the billions they costPrivate equity in healthcare and the creation of hospital desertsThe ten-minute primary care visit and why physicians are leaving the fieldDirect-to-consumer drug advertising: the United States and New Zealand against the worldNIH, CDC, vaccines, and the public health erosion under the current administrationThe case for universal healthcare — and what getting there actually requires

Fixing Healthcare hosts Jeremy Corr and Dr. Robert Pearl are revisiting a past episode of Diving Deep while Dr. Pearl travels and keynotes events around the world. And like last week's replay, this conversation was selected for a reason. Originally recorded more than three years ago, this episode explores two issues that remain central to the future of American medicine: how healthcare leaders respond to technological change and whether the nation can finally move beyond fee-for-service reimbursement. Looking back now, the discussion feels strikingly current. Many of the opportunities Dr. Pearl identified at the time still exist today. Generative AI has advanced dramatically. Remote monitoring tools are more powerful and accessible than ever. And healthcare leaders continue to acknowledge the need for better chronic disease management, prevention and lower-cost care delivery. Yet despite these advances, many of the nation's biggest healthcare problems remain unresolved. U.S. quality outcomes still lag peer nations. Life expectancy remains years shorter than in comparable countries. And healthcare costs continue rising at rates that far exceed inflation, wage growth and GDP. Throughout the episode, Dr. Pearl argues that these failures are not primarily technological. The tools to improve care already existed — and continue to improve rapidly today. The greater challenge is leadership itself: helping clinicians embrace change, aligning incentives around patient outcomes and building the operational systems required to make better care possible at scale. The conversation also revisits capitation and value-based care, themes that have resurfaced repeatedly in recent Fixing Healthcare episodes. Dr. Pearl explains why fee-for-service reimbursement continues to reward volume over outcomes and why meaningful progress in affordability will require shifting financial incentives toward prevention, chronic disease control and long-term patient health. Revisiting this episode now offers a useful perspective on the past several years of healthcare transformation: technology has accelerated, but the deeper structural changes required to improve affordability and outcomes have moved far more slowly. Helpful links The Anatomy Of Healthcare Leadership: A Mind For Technology (Forbes) Healthcare Leadership: Following The Money Can Lead To Positive Change (Forbes) Monthly Musings on American Healthcare (RobertPearlMD.com) * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #215: Revisiting healthcare leadership, technology & capitation appeared first on Fixing Healthcare.

For the next two weeks, Fixing Healthcare hosts Jeremy Corr and Dr. Robert Pearl will be replaying past episodes of Diving Deep while Dr. Pearl travels and keynotes events around the world. But these aren't random reruns. They were selected for a reason: to highlight just how quickly technology is advancing and how slowly healthcare is adapting. This week's flashback revisits a July 2024 conversation recorded shortly after OpenAI released GPT-4o, a major leap forward in generative AI at the time. Less than two years later, the pace of change is striking. Capabilities that once felt groundbreaking now seem primitive compared to what today's AI tools can accomplish for patients, physicians and healthcare organizations. At the same time, the episode's broader themes remain remarkably current. Dr. Pearl and Jeremy discuss the future role of generative AI in medicine, how these tools could improve diagnosis and patient monitoring and why healthcare institutions often struggle to embrace transformative technology quickly. The episode also examines another issue that remains unresolved today: the high cost of GLP-1 medications like Wegovy and Ozempic. Dr. Pearl explains why these highly effective obesity treatments remain financially out of reach for many Americans despite growing demand and expanding clinical use. Revisiting this conversation now offers a useful reminder: technology can advance extraordinarily fast, but healthcare systems, incentives and policies often lag far behind. Helpful links:  OpenAI's Rule-Shattering GPT-4o Update Will Be Lifesaving, Too (Forbes) Wegovy And Ozempic Are Overpriced By 400-500% — Here's A Quick Solution (Forbes) Monthly Musings on American Healthcare (Robert Pearl's newsletter) * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post FHC #214: Revisiting GLP-1 prices and ChatGPT’s early leap forward appeared first on Fixing Healthcare.

In this Diving Deep episode, Dr. Robert Pearl and Jeremy Corr dissect two issues that are often discussed separately but are deeply intertwined: how Americans can live longer, healthier lives and how the nation can make healthcare more affordable. The conversation begins with longevity. As interest in lifespan and “healthspan” grows, Dr. Pearl challenges three widely held beliefs that, in his view, are holding Americans back. First, the idea that physical and cognitive decline is inevitable with age. New research suggests that nearly half of older adults improve over time, particularly when they maintain a positive outlook and stay physically and mentally active. Second, the belief that longevity can be “hacked” through supplements, peptides and other quick fixes. Despite a $50 billion market and widespread adoption, Pearl explains that most of these interventions lack strong clinical evidence in humans. And third, the assumption that prevention can wait until middle age. Updated cardiovascular guidelines show that earlier screening and intervention, particularly around LDL cholesterol, can dramatically reduce long-term risk. From there, the discussion shifts to the financial side of healthcare. Pearl argues that improving population health is the most effective way to reduce costs, but that meaningful change will also require a fundamental redesign of how care is delivered. Drawing on behavioral research, he introduces a central concept: healthcare leaders tend to solve problems by adding more resources (staff, beds, technology) when better outcomes often require subtraction first. The second half of the episode applies this “subtraction before addition” framework across the healthcare system. In outpatient care, Pearl describes how the traditional small physician office has become increasingly inefficient in an era dominated by chronic disease and administrative complexity. He proposes larger, integrated models that share staff, leverage generative AI and shift from calendar-based visits to continuous, need-based care. In emergency departments, he outlines how segmenting patients by clinical severity could reduce wait times, improve outcomes and lower costs by treating low-risk cases through primary care pathways. And in inpatient settings, he points to hospital-at-home programs as a way to safely care for a significant share of patients at lower cost and with better outcomes. Taken together, this episode teaches that Americans can extend both lifespan and healthspan by rejecting outdated assumptions and focusing on proven behaviors. At the same time, healthcare affordability will not improve by continuing to add more of the same. It will require eliminating inefficiencies, redesigning care delivery and replacing outdated models with ones better suited to modern medicine. For more, tune into this month's episode and check out the links below. Helpful links New Studies Show Americans Are Thinking About Longevity All Wrong (Forbes) The More We Add To U.S. Healthcare, The Worse It Gets (Forbes) Monthly Musings on American Healthcare (RobertPearlMD.com) * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post FHC #213: Longevity myths, healthcare costs & why medicine must subtract to improve appeared first on Fixing Healthcare.

In this week's episode of Medicine: The Truth, hosts Jeremy Corr and Dr. Robert Pearl probe the facts beneath healthcare biggest headlines. Today's show features an in-depth look at sweeping federal budget cuts, the expanding (and often misunderstood) impact of GLP-1 medications and what's destabilizing health coverage. The conversation opens with a stark warning. Dr. Pearl reviews the president's proposed 2027 budget, which includes a $15.8 billion reduction in healthcare spending. He explains why cuts to Medicaid, NIH research and global health programs could have consequences that extend far beyond the next fiscal year, potentially slowing innovation, increasing patient risk and shifting costs to states and families. From there, the episode turns to one of the most asked-about topics from listeners: GLP-1 weight-loss drugs. While these medications clearly produce meaningful weight loss and improve outcomes in conditions tied to obesity, Dr. Pearl cautions that many of the broader health claims attributed to them may simply reflect the benefits of weight loss itself, not unique properties of the drugs. Throughout the episode, an underlying truth: scientific progress continues but policy decisions, pricing dynamics and system design may limit who benefits (and at what cost). Here are the other major storylines from episode 106: Federal health cuts threaten long-term progress: The proposed budget reduces overall healthcare funding by 12.5%, cuts NIH support by $5 billion and consolidates public health agencies. Global health funding drops sharply: International health spending is being cut nearly in half, while continued withdrawal from the World Health Organization leaves the U.S. more vulnerable to future pandemics. CDC leadership signals a policy shift: The nomination of Dr. Erica Schwartz as permanent CDC director suggests a move back toward a more traditional, science-driven approach to vaccines. RFK Jr. softens vaccine stance amid political pressure: In congressional testimony, the HHS secretary publicly acknowledged the safety and effectiveness of the measles vaccine. GLP-1 drugs deliver clear weight loss and major benefits: Studies show 10-20% weight reduction, along with approximately 20% improvements in kidney and cardiovascular outcomes. Many GLP-1 “breakthroughs” may reflect weight loss alone: Evidence linking these drugs to reduced cancer risk, improved cognition or lower addiction rates remains fuzzy at best. Exercise rivals the impact of breakthrough drugs: A large study shows vigorous physical activity reduces risks of dementia, diabetes, cardiovascular disease and death at levels comparable to or greater than GLP-1 outcomes. Stress does not directly cause cancer: Pearl explains that while many Americans believe stress leads to cancer, the real risk comes from behavioral responses such as increased smoking and alcohol use. Concierge medicine expands access for some: Patients who can afford annual fees gain faster access and more time with physicians, but the model reduces availability for others. China rapidly closes the drug development gap: New data show China's share of global pharmaceutical research rising to over 32%, nearly matching the United States. Exchange coverage declines and risk pools worsen: Millions may lose insurance due to subsidy changes, premium nonpayment and shifts to high-deductible plans. Drug prices continue to rise despite reform efforts: Under the TrumpRx program, lower prices on select drugs have been offset by increases elsewhere, with new medications averaging $353,000 annually. Robotics and AI may arrive faster than expected: A dramatic improvement in robot race performance leads Dr. Pearl to revise his estimate for clinical adoption of robotic procedures. Tune in for more fact-based analysis and practical perspective on the healthcare policies, technologies and trends shaping medicine today. * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine” about the impact of AI on the future of medicine. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post MTT #106: Trump’s 2027 budget & the other threats to U.S. healthcare appeared first on Fixing Healthcare.

OpenAI didn't need to convince patients to try generative AI. According to Dr. Nate Gross, Health of Health at OpenAI, 230 million people already use ChatGPT each week to interpret lab results, prepare for visits, understand diagnoses or ask health-related questions they didn't have time (or confidence) to raise in the exam room. But what about clinicians? On this episode of Fixing Healthcare, Dr. Robert Pearl and Jeremy Corr speak with Dr. Gross, who previously co-founded Doximity and Rock Health, about OpenAI's latest step: the release of ChatGPT for Clinicians, a new offering that brings healthcare-specific AI tools directly to individual providers, without requiring access through a large health system contract. In other words, the same capabilities previously limited to enterprise deployments are now being placed in the hands of front-line clinicians. But as Dr. Gross makes clear in this timely interview, the story of AI in medicine is much bigger than a single product. It's about how generative AI is beginning to reshape healthcare across three fronts at once: patients, clinicians and health systems. Key highlights include: Patients are already using AI at massive scale. Gross notes that roughly 40 million people turn to ChatGPT for help outside the clinical setting each day, often at night or between visits. They're using it to understand symptoms, interpret medical advice and navigate a fragmented healthcare system. Clinicians don't want another AI tool. They want less friction. From documentation and inbox overload to prior authorizations and evidence review, physicians are looking for ways to reduce administrative burden and focus on patient care. Generative AI, when applied well, can help “sweep the floor” of repetitive work. ChatGPT for clinicians expands access beyond health systems. Previously, OpenAI's healthcare tools were deployed through enterprise environments. This new release allows individual physicians, nurses and other providers to access clinical-grade AI tools directly, regardless of where they practice. Healthcare is shifting from “if” to “how” with AI. Health systems are no longer debating whether generative AI is real or ready. Instead, leaders are focused on how to deploy it safely, securely and in ways that improve care without introducing new risks. Fragmentation remains healthcare's biggest challenge. Patients often act as the “integration layer” between specialists, systems and settings. Gross sees AI as a potential tool to help synthesize information, coordinate care and improve communication across the system. The future of care extends beyond the clinic. From chronic disease management to hospital-at-home models, AI tools could help patients better understand and follow care plans in their daily lives, improving outcomes between visits, not just during them. Medical education and research are also evolving. Gross highlights OpenAI's work to personalize learning for clinicians and accelerate scientific discovery, including new AI models designed to support biology, genomics and drug development. Skepticism still matters. Despite the momentum, Gross emphasizes the importance of validation, clinician oversight and continuous feedback to ensure these tools are used responsibly and effectively. Dr. Pearl shares his thoughts. Pearl embraces Gross's three-part framework of patients, clinicians and health systems, but believes the greatest opportunity lies in transforming how care is delivered. From chronic disease management to AI-powered care in the home, he emphasizes that the real impact will come not from administrative gains, but from improving outcomes at scale—provided healthcare moves fast enough to keep today's challenges from becoming tomorrow's crises. There's much more in this conversation, including how healthcare leaders should think about AI in long-term planning and a deeper dive into the biggest opportunities that lie ahead. Tune in to hear what physicians, patients and health systems should expect from the next chapter of medicine. * * * Dr. Robert Pearl is the bestselling author of ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post FHC #212: OpenAI’s Nate Gross on ChatGPT’s next big move in healthcare appeared first on Fixing Healthcare.

Jim Downs' most recent book is Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine. Professor Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. The book offers a new history of epidemiology by shifting focus to the people behind the data points—people who were enslaved, imprisoned, or in some circles overlooked by conventional histories of epidemiology. The book shifts across locations and empires from the late eighteenth to the late nineteenth century because it wants to show how the confluence of war, imperialism, and slavery really made modern epidemiology. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. Read Laura's article, "Can New Media Save the Book?" email: laura.stark@vanderbilt.edu Jim Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. Laura Stark is Associate Professor at Vanderbilt University's Center for Medicine, Health, and Society. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Jim Downs' most recent book is Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine. Professor Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. The book offers a new history of epidemiology by shifting focus to the people behind the data points—people who were enslaved, imprisoned, or in some circles overlooked by conventional histories of epidemiology. The book shifts across locations and empires from the late eighteenth to the late nineteenth century because it wants to show how the confluence of war, imperialism, and slavery really made modern epidemiology. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. Read Laura's article, "Can New Media Save the Book?" email: laura.stark@vanderbilt.edu Jim Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. Laura Stark is Associate Professor at Vanderbilt University's Center for Medicine, Health, and Society. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/history

Jim Downs' most recent book is Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine. Professor Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. The book offers a new history of epidemiology by shifting focus to the people behind the data points—people who were enslaved, imprisoned, or in some circles overlooked by conventional histories of epidemiology. The book shifts across locations and empires from the late eighteenth to the late nineteenth century because it wants to show how the confluence of war, imperialism, and slavery really made modern epidemiology. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. Read Laura's article, "Can New Media Save the Book?" email: laura.stark@vanderbilt.edu Jim Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. Laura Stark is Associate Professor at Vanderbilt University's Center for Medicine, Health, and Society. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/military-history

Jim Downs' most recent book is Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine. Professor Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. The book offers a new history of epidemiology by shifting focus to the people behind the data points—people who were enslaved, imprisoned, or in some circles overlooked by conventional histories of epidemiology. The book shifts across locations and empires from the late eighteenth to the late nineteenth century because it wants to show how the confluence of war, imperialism, and slavery really made modern epidemiology. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. Read Laura's article, "Can New Media Save the Book?" email: laura.stark@vanderbilt.edu Jim Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. Laura Stark is Associate Professor at Vanderbilt University's Center for Medicine, Health, and Society. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Jim Downs' most recent book is Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine. Professor Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. The book offers a new history of epidemiology by shifting focus to the people behind the data points—people who were enslaved, imprisoned, or in some circles overlooked by conventional histories of epidemiology. The book shifts across locations and empires from the late eighteenth to the late nineteenth century because it wants to show how the confluence of war, imperialism, and slavery really made modern epidemiology. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. Read Laura's article, "Can New Media Save the Book?" email: laura.stark@vanderbilt.edu Jim Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. Laura Stark is Associate Professor at Vanderbilt University's Center for Medicine, Health, and Society. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/american-studies

Jim Downs' most recent book is Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine. Professor Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. The book offers a new history of epidemiology by shifting focus to the people behind the data points—people who were enslaved, imprisoned, or in some circles overlooked by conventional histories of epidemiology. The book shifts across locations and empires from the late eighteenth to the late nineteenth century because it wants to show how the confluence of war, imperialism, and slavery really made modern epidemiology. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. Read Laura's article, "Can New Media Save the Book?" email: laura.stark@vanderbilt.edu Jim Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. Laura Stark is Associate Professor at Vanderbilt University's Center for Medicine, Health, and Society. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jim Downs' most recent book is Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine. Professor Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. The book offers a new history of epidemiology by shifting focus to the people behind the data points—people who were enslaved, imprisoned, or in some circles overlooked by conventional histories of epidemiology. The book shifts across locations and empires from the late eighteenth to the late nineteenth century because it wants to show how the confluence of war, imperialism, and slavery really made modern epidemiology. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. Read Laura's article, "Can New Media Save the Book?" email: laura.stark@vanderbilt.edu Jim Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. Laura Stark is Associate Professor at Vanderbilt University's Center for Medicine, Health, and Society. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/book-of-the-day

In this Diving Deep episode, Dr. Robert Pearl and Jeremy Corr connect two forces that are beginning to reshape the future of medicine: healthcare's worsening economic inefficiency and the rise of physician-built generative AI tools. The conversation opens with a provocative interpretation of the latest U.S. jobs reports. While healthcare has become the nation's primary engine of employment growth, Dr. Pearl argues that this is not a sign of strength. It is evidence that medicine continues to meet rising demand by adding labor instead of improving productivity. In his view, that failure to modernize is driving higher costs for employers, families and government programs while setting the stage for inevitable disruption. From there, the discussion shifts to what that disruption could look like. Pearl outlines how generative AI could improve chronic disease monitoring, reduce unnecessary hospital stays and detect inpatient decline earlier than current workflows allow. These advances, he argues, would lower costs not by rationing care but by improving outcomes. The second half of the episode turns to one of the most practical and exciting developments in generative AI: vibe coding. Here, Pearl explains how physicians can now use plain-English prompts to create customized digital tools that reflect their own clinical judgment and practice preferences. Rather than relying on static handouts or generic patient portals, doctors could build affordable applications that monitor patients continuously between visits and intervene earlier when problems arise. Taken together, the episode puts forth a clear thesis: healthcare's worsening economics are not a sign of resilience. They are a sign that medicine has failed to modernize. What's more: generative AI, especially through vibe coding, may be the most practical path to higher-quality, lower-cost care. For more, tune into this month's episode and check out the links below. Helpful links US Jobs Report Spotlights Healthcare's Inefficiency, Signals Disruption (Forbes) How Vibe Coding Will Reshape Medical Practice (Forbes) Monthly Musings on American Healthcare (RobertPearlMD.com) * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post FHC #210: Healthcare's productivity crisis & how vibe coding could help appeared first on Fixing Healthcare.

The number of urgent care centers in the U.S. has doubled over the past decade, and it isn't hard to see why — they fill a void in the market. Urgent care offers quick and convenient access to medical care when patients can't get an appointment to see their primary care doctor, but their issue doesn't seem to warrant an ER visit. But the rapid rise of urgent care has come with some growing pains — questions over the quality of care, and how they're affecting doctor-patient relationships. On this encore episode, we explore the rise of urgent care. We hear about what draws providers to urgent care, and how they feel about the work; the role of private equity funding; and why some specialty care providers are borrowing from this model. Comedian Aaron Weber talks about his popular bit on urgent care — and what kind of response he got from audience members who work in the industry. Urgent care may occupy an important niche in the health care ecosystem, but let's be honest — it isn't the sexiest job. So what makes physicians and other providers decide to work in urgent care? Pulse reporter Liz Tung talked with some of them to find out. We usually think of urgent care centers as handling minor issues like cuts, scrapes, and colds — but recently, some centers have been springing up that cater to specialized needs. Pulse producer Nichole Currie explores the emergence of urgent care centers for cancer patients. Mayo Clinic neurologist Joseph Servin explains what urgent cares reveal about our fragmented health care system, and why it can be a bad thing when they become neurology patients' first stop.

In this week's episode of Medicine: The Truth, hosts Jeremy Corr and Dr. Robert Pearl balance two sides of American healthcare: the encouraging scientific advances that could help people live longer and healthier lives, and the growing affordability and trust crises threatening patients across the country. The conversation opens on an optimistic note. Dr. Pearl highlights new Yale research showing that aging is far less deterministic than many Americans assume. Rather than a steady and unavoidable decline, the study found that nearly half of adults over 65 improved physically, cognitively or both over a 12-year period. He pairs that story with new cardiovascular guidance from the American College of Cardiology and the American Heart Association, which shifts prevention toward a much longer time horizon and argues that earlier LDL management could prevent a significant share of heart attacks and strokes later in life. The episode then pivots to the mounting financial and institutional pressures facing patients, hospitals and public-health agencies. From rising medical debt and medication nonadherence to declining vaccine trust, hospital cost inflation and the political barriers keeping GLP-1 drugs unaffordable in the United States, the discussion captures both the promise and the fragility of healthcare in 2026. Here are the other major storylines from episode 105: Supplements fail the evidence test: Pearl reviews clinical trial data showing that commonly used supplements such as fish oil, garlic, turmeric, cinnamon and red yeast rice performed no better than placebo in lowering LDL, reinforcing the continued value of lifestyle interventions and low-cost statins. Medical costs continue to destabilize families: New Gallup-linked research shows that 82 million Americans are already making sacrifices to pay medical bills, from skipping meals to delaying retirement. Drug unaffordability worsens medication adherence: A new KFF survey finds that nearly 60% of Americans worry about affording prescriptions, with 43% reporting they have not taken medications as prescribed because of cost. Generative AI adoption surges among physicians: According to a new AMA survey, 81% of doctors now use generative AI in clinical practice, most commonly for documentation, literature summaries and chart support. Hospitals face intensifying economic pressure: The American Hospital Association reports that care delivery costs rose 7.5% last year, driven by higher labor expenses, drug prices, supply inflation and sicker patients. Trust in vaccine authorities continues to erode: Following the legal challenge to RFK Jr.'s overhaul of the federal vaccine advisory committee, new polling shows trust in federal vaccine recommendations has fallen sharply. Newborn preventive care is now affected by distrust: Pearl warns that refusal of vitamin K shots, hepatitis B vaccination and antibiotic eye ointment at birth is rising, reversing decades of scientific progress and reintroducing preventable newborn risks. Alzheimer's blood tests show progress, but not prediction: New FDA-cleared blood tests can help identify Alzheimer's disease as the likely cause of current dementia, but Dr. Pearl explains why they remain far less useful for predicting disease years before symptoms begin. The fax machine may finally be dying: In one of the episode's lighter moments, Dr. Pearl notes that CMS is moving to phase out fax-machine communication across HIPAA-covered entities, a long-overdue modernization step that could save taxpayers nearly $1 billion annually. Residency match reaches record size: The 2026 residency match was the largest in history, with more than 48,000 applicants competing for over 44,000 positions. Early heat waves carry serious health consequences: With unusual March heat across parts of the country, Dr. Pearl explains why early-season heat is especially dangerous, increasing risks of dehydration, kidney injury, cardiovascular strain and mental health emergencies. GLP-1 drugs go generic abroad while U.S. prices stay high: As Novo Nordisk's blockbuster GLP-1 medications go generic in India and other global markets, Dr. Pearl contrasts international pricing with U.S. costs and argues that congressional inaction on drug pricing remains one of healthcare's clearest failures. Tune in for more fact-based analysis and practical perspective on the healthcare stories shaping medicine today. * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine” about the impact of AI on the future of medicine. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post MTT #105: New science on aging, rising medical debt & healthcare’s fax problem appeared first on Fixing Healthcare.

Immigrant physicians are the backbone of the U.S. health system. What happens if that pipeline weakens? Then, a retired oncologist traces his path from a small village in Bangladesh to the front lines of American medicine.

In this Diving Deep episode, Dr. Robert Pearl and Jeremy Cor return to a question listeners have been asking for months: What role will generative AI realistically play in American healthcare? Dr. Pearl opens the discussion around three urgent threats that, if ignored, may soon become too large and too expensive to solve: The affordability cliff The chronic disease crisis The risk of training doctors for the wrong future This examination offers a stark warning about healthcare's lack of flexibility. Unlike most industries, medicine cannot quickly reconfigure its workforce, adopt new care models or cut costs without years of delay. That rigidity, Pearl argues, is what makes the current moment so dangerous. By the time healthcare leaders respond to major problems, those problems often have already deepened into crises. The episode's second half explores whether generative AI could help avert that future. Pearl argues that the technology is already capable of improving chronic disease management, reducing medical errors and extending care into patients' homes. The larger barrier is no longer technical but cultural. To illustrate that divide, Pearl uses HBO's hit show The Pitt to examine how medicine still frames AI as either a helpful tool or an existential threat rather than what it could be: a valuable clinical partner. He credits the show for capturing physicians' skepticism and enthusiasm but argues that it misses the more important question: not whether AI is perfect, but whether it performs better than clinicians working alone in a system already riddled with error. Looking further ahead, Pearl argues that when it comes to GenAI taking on clinical tasks once exclusive to humans, the Rubicon has already been crossed. Major health systems are beginning to use generative AI for clinical intake and treatment planning. Large technology companies are building patient-facing health tools tied to personal medical data. And states such as Utah are already testing whether AI can safely handle parts of chronic disease care without direct physician oversight. Taken together, these developments point toward a new future for medicine. Primary care physicians may spend less time on routine algorithmic tasks and more time on complex patients. Specialists may become more procedural as outpatient evaluation shifts. And health systems that want to benefit from these changes will need to move away from fee-for-service and toward value-based care. For more on these developments, tune into this month's episode and check out the links below. Helpful links Three Healthcare Threats That Will Soon Become Too Big To Solve (Forbes) What The Pitt Gets Right And Wrong About Generative AI In Medicine (Forbes) GenAI Will Replace Much Of What Clinicians Do — It's Already Happening (Forbes) Monthly Musings on American Healthcare (RobertPearlMD.com) * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #207: Three major healthcare threats GenAI can help solve appeared first on Fixing Healthcare.

In this week's episode of Medicine: The Truth, hosts Jeremy Corr and Dr. Robert Pearl unpack a wide range of developments shaping healthcare in America today, including the TrumpRx drug discount program. From new legislation affecting telehealth and pharmacy benefit managers (PBMs) to the rapid spread of measles and growing public concern about vaccine policy, this month's discussion highlights the policy decisions and scientific debates influencing medicine right now. The episode opens with the latest federal legislation passed to avert a government shutdown. While healthcare was not the central focus of this particular political battle, the bill contains several provisions that affect medical practice. These include extensions for telehealth coverage and hospital-at-home programs, reforms targeting PBM transparency and new requirements designed to address “ghost networks” in Medicare Advantage provider directories. Dr. Pearl explains that while these provisions represent incremental progress, they are unlikely to solve the larger problems driving healthcare costs and access challenges in the United States. Here are the other major storylines from episode 104: Healthcare costs remain nation's top concern: A new KFF poll finds that healthcare expenses rank above food, housing and utilities as the economic issue Americans worry about most. Prior authorization frustrations grow: Many patients report delays or denials of care due to insurance requirements, highlighting persistent tension between insurers, physicians and patients. Drug pricing debates continue: Pearl examines a new prescription drug website initiative and explains why it may have limited impact compared with broader policy proposals such as “most favored nation” pricing. Telehealth's uncertain future: Although the latest legislation extends certain pandemic-era flexibilities, the lack of a permanent solution leaves virtual care programs in limbo. PBM reforms move forward slowly: New policies aim to increase transparency and reduce incentives tied to drug list prices, though Pearl notes that meaningful change will depend on future implementation. Site-neutral payment gains attention: A provision requiring unique identifiers for outpatient services could pave the way for policies that eliminate higher reimbursement for hospital-owned facilities providing identical care. Measles outbreaks surge: Nearly a thousand cases have already been reported in 2026, with the overwhelming majority occurring among unvaccinated children. Trust in the CDC declines: Polling shows confidence in the agency has dropped significantly following changes to vaccine recommendations. Independent vaccine review groups emerge: Medical organizations and states are forming new committees to evaluate vaccine evidence as federal guidance becomes more contested. Early colon cancer deaths rise: The death of actor James Van Der Beek at age 48 highlights the growing incidence of colorectal cancer among younger adults and the importance of earlier screening. FDA confusion over a new flu vaccine: The agency initially declined to review Moderna's mRNA-based flu vaccine before reversing course and agreeing to evaluate it ahead of the next flu season. Younger Americans face worsening health trends: New claims data suggest chronic disease is appearing earlier among millennials and Gen Z, driven by lifestyle factors and reduced connection to primary care. Wearable data reveal health disparities: Apple Watch data show significant differences in resting heart rates across states, reflecting variations in lifestyle, access to care and public health conditions. As the episode concludes, Dr. Pearl warns that growing political conflict around vaccines and biomedical research risks undermining public trust in science. The consequences, he argues, could shape American medicine for decades to come. Tune in for more fact-based analysis and discussion of the biggest stories in healthcare. * * * Dr. Robert Pearl is the author of the new book “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine” about the impact of AI on the future of medicine. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn The post MTT #104: TrumpRx, rising measles cases & the politics of vaccine science appeared first on Fixing Healthcare.

Send a textDr. Robert Pearl joins Dr. Erich Schramm to discuss the burgeoning role AI will play in the American healthcare system and how doctors may be able to leverage the systems to spend more time with patients who need interventions and achieve better patient outcomes for all. They spend time comparing AI outcomes not to an ideal but to the current system, and discuss pilot programs that have shown better triage, intervention, and (surprisingly) patient empathy scores with AI-integrated systems. They also briefly mention some of the dangers of generative AI and the need to tackle this issue early with incoming medical students.Dr. Pearl's book, ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine is available from his site, robertpearlmd.comBe a part of advancing science by participating in clinical research.Have a question for Dr. Koren? Email him at askDrKoren@MedEvidence.comListen on SpotifyListen on Apple PodcastsWatch on YouTubeShare with a friend. Rate, Review, and Subscribe to the MedEvidence! podcast to be notified when new episodes are released.Follow us on Social Media:FacebookInstagramX (Formerly Twitter)LinkedInWant to learn more? Checkout our entire library of podcasts, videos, articles and presentations at www.MedEvidence.comMusic: Storyblocks - Corporate InspiredThank you for listening!

In this special retrospective episode, healthcare attorneys Conrad Meyer and Rory Bellina pull back the curtain on a decade that quietly transformed American medicine. From Medicare cuts that have slashed physician pay by a third, to insurance companies using AI to deny hundreds of thousands of claims without a human ever reading the file, to private equity bankrupting the largest hospital system in U.S. history, this is the episode every physician, practice manager, and healthcare professional needs to hear.New episodes weekly. Based in Metairie, Louisiana, serving healthcare providers across the Gulf South and beyond.

From Obamacare's limitations to the Bayh-Dole Act, Dr. Abramson reveals how commercial interests overtook public health priorities in research and care. #HealthcareReform #ProfitOverPatients #BayhDole

On this week's Tech Nation, Moira speaks with Dr. Marschall Runge, University of Michigan Medical School Professor and author of “The Great Healthcare Disruption: Big Tech, Bold Policy, and the Future of American Medicine,” about the ways the American Healthcare system is changing - and needs to change - for the future. Then, Tech Nation Health Chief Correspondent Dr. Daniel Kraft discusses some of the latest developments for early cancer screening.

 In this episode, Dr. Marschall Runge, former CEO of Michigan Medicine and author of “The Great Healthcare Disruption: Big Tech, Bold Policy, and the Future of American Medicine”, shares insights on the strengths and pressure points of U.S. healthcare. He discusses access, primary care, AI, workforce challenges, and what it will take to improve health and longevity in the years ahead.

In this week's episode of Medicine: The Truth, hosts Jeremy Corr and Dr. Robert Pearl examine a sweeping set of developments shaping American healthcare. From the first state-approved use of generative AI to prescribe medications without human oversight to rising healthcare costs, from worsening vaccine misinformation to the stubborn persistence of preventable disease, this show focuses on biggest stories in medicine today. The episode opens with a groundbreaking and controversial pilot program in Utah that allows a generative AI system to renew prescriptions for chronic disease without physician involvement. From there, the conversation turns to the relentless rise in healthcare spending. New federal data show Americans now spend more than $15,700 per person annually on medical care, with costs growing twice as fast as the economy. While insurance coverage remains high for now, Pearl warns that expiring subsidies, Medicaid restrictions and rising premiums are already pushing millions out of coverage. For many families, healthcare affordability has become a top issue and, increasingly, a political fault line heading into the midterm election cycle. Here are more major storylines from MTT episode 103: Exercise as medicine for depression: A large meta-analysis finds that regular exercise can be as effective as antidepressant medication for many patients. Trump's healthcare plan fades quickly: Pearl explains why the president's proposal disappeared from the headlines. Measles returns in force: Cases are nearing 1,000 and outbreaks concentrated in under-vaccinated communities. Vaccine battles intensify under RFK Jr.: New appointments to federal advisory committees raise alarm among scientists, as anti-vaccine voices gain influence. Chronic disease remains America's top killer: Cardiovascular disease continues to claim nearly one million lives annually. Generative AI's biggest promise: Pearl makes the case that AI-driven, at-home monitoring could finally transform chronic disease management. Cancer trends turn ominous: Colorectal cancer deaths among Americans under 50 are rising sharply, becoming the leading cancer killer in this age group. Genetics vs. lifestyle revisited: New research suggests genetics may account for half of lifespan variation but lifestyle still determines how many of those years are lived in good health. High-deductible health plans: New data show cancer patients with high-deductible insurance have significantly higher mortality. GLP-1 weight-loss pills arrive: The first oral GLP-1 drug launches to record demand. A devastating flu season for children: Despite the availability of safe vaccines, pediatric flu deaths reach alarming levels among unvaccinated kids. As the episode closes, Dr. Pearl delivers a stark warning about the resurgence of pseudoscience in medicine. Tune in for more fact-based coverage and analysis of healthcare's biggest stories.   * * * Dr. Robert Pearl is the author of the new book “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine” about the impact of AI on the future of medicine. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn The post MTT #103: Can generative AI safely prescribe medicine on its own? appeared first on Fixing Healthcare.

This Diving Deep episode with Dr. Robert Pearl and Jeremy Corr looks at U.S. healthcare across three time horizons: past, present and future. The hosts use 2025 as a case study in disruption without reform, 2026 as a year of mounting pressure and near-term transition, and the coming decade as a period when generative AI will fundamentally reshape how medicine is practiced. Looking back at 2025 Dr. Pearl argues that despite political upheaval, executive orders, agency shakeups and constant headlines, American healthcare ended the year largely unchanged. Just more expensive and less trusted. He walks through five domains where chaos dominated but improvement failed to materialize. The throughline? Intense disruption produced little structural change in care delivery, affordability or outcomes. Turning to 2026 The conversation shifts from stagnation to pressure. Pearl identifies two forces that make inaction increasingly risky: the midterm elections and accelerating healthcare costs. He outlines how that pressure is likely to shape behavior across the system — not through sweeping reform, but through targeted, politically visible moves. Looking further ahead Pearl describes how generative AI could alter medicine at a profound level, especially through the convergence of AI and surgical robotics. He argues that autonomous surgery, once the realm of science fiction, is now technologically plausible and could upend long-standing hierarchies between cognitive and procedural specialties. Helpful links Healthcare In 2025: A Year Of Chaos, Confusion — But Little Improvement (Forbes) Healthcare In 2026: How Much Change Should We Expect? (Forbes) Will Your Next Surgeon Be A Robot? (Forbes) Monthly Musings on American Healthcare (RobertPearlMD.com) * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #204: Why healthcare chaos didn’t lead to change & what comes next appeared first on Fixing Healthcare.

In this week's episode of Medicine: The Truth, hosts Dr. Robert Pearl and Jeremy Corr look closely at the stories and controversies shaping U.S. healthcare at the start of 2026. From a severe flu season and resurgent vaccine-preventable diseases to drug pricing, autism research and the growing role of AI in medicine, the episode offers a data-driven look at where American healthcare is headed. The show opens with warnings about infectious disease. A dangerous H3N2 flu strain is driving hospitalizations, particularly among children, while measles and whooping cough outbreaks continue to spread among unvaccinated populations. To Dr. Pearl, these trends do not appear random. They reflect falling vaccination rates, weakened public-health messaging and growing political interference at federal agencies tasked with protecting the public. From there, the conversation turns to vaccine policy itself. Recent changes at the CDC (including a sharply reduced childhood vaccine schedule and new recommendations against universal newborn hepatitis B vaccination) raise serious concerns. Pearl explains why comparisons to countries like Denmark (with its reduced vaccine schedule) are deeply misleading, and why abandoning universal vaccination in a fragmented U.S. healthcare system risks reversing decades of progress. Here's a look at other must-know stories from this episode of Medicine: The Truth: Positive vaccine evidence: New CDC data show significant reductions in emergency visits among children who received COVID vaccines, reinforcing their safety and effectiveness. Pandemic lessons for children: Pediatric obesity rose during COVID lockdowns, while mental health outcomes improved after schools reopened, underscoring the tradeoffs of prolonged closures. Drug pricing deals with manufacturers: The administration's agreements with pharmaceutical companies apply narrowly to government purchases and exclude many high-cost drugs, limiting their overall impact. First oral GLP-1 approved: The FDA cleared the first pill version of a GLP-1 weight-loss drug, offering convenience but likely remaining unaffordable until prices fall closer to $200 per month. Autism research update: Rising autism prevalence is driven largely by broader diagnostic criteria and awareness. Large studies continue to show no link to vaccines or acetaminophen, while new research points to strong genetic factors and distinct autism subtypes. ACA exchange subsidy uncertainty: Congress has yet to prevent looming premium increases for millions of exchange enrollees. Pearl argues for avoiding coverage cliffs and capping household contributions as a share of income. Polypharmacy in seniors: One in eight Medicare Part D beneficiaries now takes eight or more medications, increasing the risk of side effects, falls and hospitalizations in a fragmented system. New dietary guidelines: Federal recommendations now emphasize animal protein alongside stronger warnings against sugar and ultra-processed foods, a shift that may conflict with earlier public-health messaging. AI's expanding role in healthcare: OpenAI's tools increasingly integrate health data from electronic records and consumer apps, signaling how quickly generative AI is becoming part of medical decision-making. Medicare and AI oversight: Traditional Medicare is moving toward AI-assisted prior authorization for certain procedures, a response to fraud and low-value care that Pearl says is inevitable as costs continue to rise. Tune in to Medicine: The Truth for more fact-based coverage and analysis of healthcare's biggest stories. * * * Dr. Robert Pearl is the author of the new book “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine” about the impact of AI on the future of medicine. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post MTT #102: Vaccines under fire, rising disease & the cost of politics in medicine appeared first on Fixing Healthcare.

In this Diving Deep episode, the 200th of episode of Fixing Healthcare, cohosts Dr. Robert Pearl and Jeremy Corr explore three interconnected themes: The biggest driver of America's healthcare crisis. The transformative (and still largely untapped) potential of generative AI. The strategic leadership physicians must embrace if they hope to regain control of their profession and the care their patients receive. The show opens with a metaphor Pearl has returned to repeatedly in his writing: healthcare's “invisible gorilla.” Borrowed from classic research on inattentional blindness, the image captures how policymakers, employers and healthcare leaders fixate on insurance mechanics (premiums, subsidies, deductibles) while missing the far larger problem in plain sight: the soaring cost of delivering medical care itself. From there, the conversation traces how this cost crisis ripples across society. Employers struggle to absorb rising premiums. Workers face higher out-of-pocket costs and job instability. Rural hospitals teeter on the edge of closure. And short-term fixes — from benefit design changes to temporary bailouts — fail to address the underlying mathematical problem. The hosts then turn to generative AI, not as a billing or documentation solution, but as a clinical force that could reshape care delivery and tremendously lower costs. They examine how genAI could help clinicians manage exploding medical knowledge, prevent errors, personalize inpatient care and extend high-quality monitoring into patients' homes, particularly for chronic disease. Finally, the episode widens the lens to leadership and strategy. Drawing lessons from Nvidia and the technology sector, Pearl and Corr explore why medicine's fragmented, short-term responses have cost physicians influence and what it would take to rebuild leverage through collaboration, accountability and value-based care. Taken together, the episode sets out to answer a defining question: With pressure mounting across the healthcare system, will medicine act strategically or wait until the crisis leaves no other choice? Helpful links What Nvidia Can Teach Doctors About Strategy, Survival (Forbes) 5 Ways GenAI Will Transform Medicine — If Clinicians Embrace It (Forbes) US Healthcare's Biggest Problem: Overlooking The $5 Trillion Gorilla (Forbes) Monthly Musings on American Healthcare (RobertPearlMD.com) * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #200: Healthcare’s cost crisis, GenAI’s promise + medicine’s leadership gap appeared first on Fixing Healthcare.

Benjamin Rush was one of early America's most fascinating figures. He was a signer of the Declaration of Independence, a leading Philadelphia physician, and a thinker who believed that a healthy body was the foundation of a healthy republic. In this episode, historian Sarah Naramore, author of Benjamin Rush, Civic Health and Human Illness in the Early American Republic, introduces us to Rush as both doctor and political philosopher. We'll explore: How Rush developed an “American system” of medicine His groundbreaking ideas on mental health and addiction And why he believed the human body modeled the ideal form of government. Rush may be what Sarah calls a “B-list Founding Father,” but his influence on early American science, politics, and public health was anything but minor. Sarah's Website | Book |Show Notes: https://www.benfranklinsworld.com/430 EPISODE OUTLINE00:00:00  Introduction00:01:06 Episode Introduction00:04:48 Who Was Benjamin Rush00:13:52 Benjamin Rush's Medical Practice00:17:01 The American System of Medicine00:22:30 Rush's Ideas about Civic Health00:29:07 Rush's Approach to Mental Health00:33:53 Rush's Views on Addiction00:48:00 Rush's Legacy00:52:13 Time Warp00:55:00 ConclusionRECOMMENDED NEXT EPISODES

As 2025 comes to a close, we're flashing back to one of the year's most listened-to episodes of Fixing Healthcare. This week, a special reading from Dr. Robert Pearl's bestselling book “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” This encore episode includes audio from Chapter 11, titled “The Road to AI-Empowered Healthcare,” followed by Chapter 11.5, a bold and thought-provoking response written by ChatGPT itself. Together, these chapters offer a vision of the future that, as Jeremy Corr notes, is “analogous to looking at a baby and trying to describe the adult who will follow.” Looking back, it's striking how prescient both the human author and large language model turned out to be. Their commentary on the economic, political and cultural roadblocks to AI adoption feels more timely than ever, especially amid today's headlines. In Chapter 11, Pearl lays out the promise of Healthcare 4.0, a future in which generative AI empowers patients and doctors alike to reduce inefficiencies, improve care and reclaim the human side of medicine. Chapter 11.5, penned by ChatGPT, offers a clear-eyed critique, cautioning against overreliance on tech and warning that change requires more than just innovation. It demands leadership. This flashback offers listeners a rare opportunity to hear a dialogue (human and machine) on what it will take to transform American medicine. HELPFUL LINKS ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine (Amazon) A list of Malcolm Gladwell's 25 book recommendations (link) Robert Pearl's Monthly Musings on American Healthcare newsletter (link) * * * Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple Podcasts or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #199: Revisiting ‘The road to AI-empowered healthcare' from ChatGPT, MD appeared first on Fixing Healthcare.

Welcome to another episode of the Legal Nurse Podcast, where healthcare, technology, and the law come together. In this episode, Pat Iyer is joined by Dr. Robert Pearl, a plastic surgeon, author, and former CEO of the Kaiser Permanente Medical Group, to discuss how generative AI is shaping healthcare today. Dr. Robert Pearl, who teaches at Stanford and wrote ChatGPT MD: How AI Helped Patients and Doctors Take Back Control of American Medicine, shares insights drawn from decades of leadership in large medical systems and his interest in emerging technology. Pat Iyer and Robert Pearl explain what sets generative AI tools such as ChatGPT, Gemini, and Claude apart from earlier artificial intelligence systems. They discuss how these tools are being used by clinicians to support diagnosis, patient monitoring, and treatment decisions, while also helping patients play a more active role in their care worldwide. The conversation also covers key concerns, including the reliability of AI-generated information, the danger of depending too heavily on technology, and the need for clinicians and patients to work together when using these tools to support good medical decisions. This episode is useful for legal nurse consultants, healthcare professionals, and anyone curious about how technology is influencing modern medicine. It offers practical perspectives on current uses, ethical questions, and what may lie ahead for AI in healthcare. What you'll learn in this episode on Navigating AI in Medicine: Opportunities, Risks, and Real-Life Applications Here are five intriguing questions that this podcast episode answers: What is generative AI, and how does it differ from earlier artificial intelligence used in healthcare? How are physicians and clinicians using generative AI to support diagnosis and patient care today? What risks exist when relying on generative AI for medical guidance, and how can those risks be reduced? How can generative AI help with time limitations and workload pressures faced by healthcare providers? How could generative AI change the management of chronic conditions and improve healthcare outcomes worldwide? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. Grow Your LNC Business 13th LNC SUCCESS® ONLINE CONFERENCE April 23, 24, and 25, 2026 Skills, Strategy, Results Gain deposition mastery, marketing confidence, and clinical–legal insight from industry leaders you can apply to your next case and client call. Build a Practice Attorneys Remember Learn exactly how to showcase expertise, attract referrals, and turn complex medical records into clear, defensible stories that win trust. Learn From the Best—Then Ask Them Anything Get step-by-step training, live “hot seat” solutions, and exclusive VIP Q&A time with Pat Iyer to accelerate your LNC growth. Register now- Limited spots available Your Presenters for Navigating AI in Medicine: Opportunities, Risks, and Real-Life Applications Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Robert Pearl Dr. Robert Pearl served as CEO of The Permanente Medical Group and Co-CEO for Kaiser Permanente for 18 years. During his tenure, he led 22,000 physicians and 103,000 staff, overseeing the nationally acclaimed care of more than 10 million Kaiser Permanente members on the east and west coasts. Named one of Modern Healthcare's 50 most influential physician leaders, Pearl is an advocate for the power of integrated, prepaid, technologically advanced and physician-led healthcare delivery. More than 80,000 readers subscribe to his newsletters on healthcare, including his widely read Monthly Musings on American Healthcare. Connect with Robert Pearl by email at DrRobertPearl@gmail.com

Steve sits down with Dr. Marschall Runge, former CEO of Michigan Medicine and dean of the University of Michigan Medical School, to explore Inside the Great Healthcare Disruption. From AI and Big Tech to breakthrough drugs, Runge shares what's really reshaping American medicine and what it means for families and patients.

This week, I speak with my AEI colleague, Sally Satel, a practicing psychiatrist and lecturer at the Yale University School of Medicine, about the rapid ideological transformation inside American medicine. Satel explains how medical associations shifted from clinical excellence toward activist missions, how flawed research, such as the now-debunked study claiming that black infant mortality could be halved if more black doctors cared for black newborns, shaped public debate, and how public-health leaders undermined public trust during the Covid pandemic.Please listen in on a great discussion or read the transcript here on our website, available at the top of the page. Get full access to The Liberal Patriot at www.liberalpatriot.com/subscribe

The City and the Hospital (Chicago 2023) focuses on an urban paradox: American hospitals are imagined as sites of healing and care, and yet the people who live and work in nearby neighborhoods have some of the worst health outcomes in the nation. One part urban sociology and one part policy analysis, this book reports insights from a collaborative research team that investigated three sites (Hartford, Cleveland, Aurora, CO) and conducted more than two hundred interviews for this study. The book explores how collective memory operates, how “anchor institutions” connect with the people living in their midst, and the very meaning of “community” itself. Theoretically rich and empirically insightful, the book will be of interest to scholars, scientists, advocates, and administrators in medical setting and in any powerful organization (universities, museums) that may inadvertently cause harm to those nearest to them in their efforts to do good. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. email: laura.stark@vanderbilt.edu. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Was dialysis the canary in medicine's coal mine of corporatization, as neoliberalism took hold in the US?  Tom Mueller, journalist and author of "How to Make a Killing: Blood, Death, and Dollars in American Medicine", joins us to talk about how dialysis became a "microcosm of American medicine" and what we can do to fix it.

The City and the Hospital (Chicago 2023) focuses on an urban paradox: American hospitals are imagined as sites of healing and care, and yet the people who live and work in nearby neighborhoods have some of the worst health outcomes in the nation. One part urban sociology and one part policy analysis, this book reports insights from a collaborative research team that investigated three sites (Hartford, Cleveland, Aurora, CO) and conducted more than two hundred interviews for this study. The book explores how collective memory operates, how “anchor institutions” connect with the people living in their midst, and the very meaning of “community” itself. Theoretically rich and empirically insightful, the book will be of interest to scholars, scientists, advocates, and administrators in medical setting and in any powerful organization (universities, museums) that may inadvertently cause harm to those nearest to them in their efforts to do good. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. email: laura.stark@vanderbilt.edu. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The City and the Hospital (Chicago 2023) focuses on an urban paradox: American hospitals are imagined as sites of healing and care, and yet the people who live and work in nearby neighborhoods have some of the worst health outcomes in the nation. One part urban sociology and one part policy analysis, this book reports insights from a collaborative research team that investigated three sites (Hartford, Cleveland, Aurora, CO) and conducted more than two hundred interviews for this study. The book explores how collective memory operates, how “anchor institutions” connect with the people living in their midst, and the very meaning of “community” itself. Theoretically rich and empirically insightful, the book will be of interest to scholars, scientists, advocates, and administrators in medical setting and in any powerful organization (universities, museums) that may inadvertently cause harm to those nearest to them in their efforts to do good. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. email: laura.stark@vanderbilt.edu. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/sociology

The City and the Hospital (Chicago 2023) focuses on an urban paradox: American hospitals are imagined as sites of healing and care, and yet the people who live and work in nearby neighborhoods have some of the worst health outcomes in the nation. One part urban sociology and one part policy analysis, this book reports insights from a collaborative research team that investigated three sites (Hartford, Cleveland, Aurora, CO) and conducted more than two hundred interviews for this study. The book explores how collective memory operates, how “anchor institutions” connect with the people living in their midst, and the very meaning of “community” itself. Theoretically rich and empirically insightful, the book will be of interest to scholars, scientists, advocates, and administrators in medical setting and in any powerful organization (universities, museums) that may inadvertently cause harm to those nearest to them in their efforts to do good. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. email: laura.stark@vanderbilt.edu. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/american-studies

The City and the Hospital (Chicago 2023) focuses on an urban paradox: American hospitals are imagined as sites of healing and care, and yet the people who live and work in nearby neighborhoods have some of the worst health outcomes in the nation. One part urban sociology and one part policy analysis, this book reports insights from a collaborative research team that investigated three sites (Hartford, Cleveland, Aurora, CO) and conducted more than two hundred interviews for this study. The book explores how collective memory operates, how “anchor institutions” connect with the people living in their midst, and the very meaning of “community” itself. Theoretically rich and empirically insightful, the book will be of interest to scholars, scientists, advocates, and administrators in medical setting and in any powerful organization (universities, museums) that may inadvertently cause harm to those nearest to them in their efforts to do good. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. email: laura.stark@vanderbilt.edu. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/public-policy

Listen up - because your healthcare costs are about to increase! ACA tax credits are set to expire by the end of 2025, and millions are at risk of becoming uninsured. Learn about how our system leaves so many behind on how we got here, from Dr. Ricardo Nuila, author of “The People's Hospital: Hope and Peril in American Medicine.” He shared with the PT team about the Texas healthcare system, Medicaid, and more on living in the state with the highest uninsured rate in the country. Dr. Nuila works as an internal medicine doctor and hospitalist in his hometown of Houston, is an associate professor of medicine at Baylor College of Medicine, and has written for Texas Monthly, VQR, The New York Times Sunday Review, The Atlantic.com, and The New England Journal of Medicine. Learn more about Dr. Ricardo Nuila at https://www.ricardonuila.com.Thanks for listening! Learn more about Progress Texas and how you can support our ongoing work at https://progresstexas.org/.

In this conversation with Greg Olear, Paul Starr discusses his book “American Contradiction: Revolution and Revenge from the 1950s to Now,” exploring the complex themes of American identity, the contradictions inherent in the nation's history, and the evolution of political dynamics over the decades. He delves into the impact of 1950s nostalgia, the rise of identity politics, the decline of labor movements, and the role of the Supreme Court in shaping contemporary democracy. The discussion highlights the challenges facing the United States as it grapples with its past and seeks a path forward amidst political turmoil.Paul Starr is professor of sociology and public affairs at Princeton University and founding coeditor of the American Prospect magazine. He received the Pulitzer Prize for Nonfiction and Bancroft Prize in American History for The Social Transformation of American Medicine. Over a half-century he has written essays and op-eds for newspapers and magazines as well as books on America's institutions, history, and politics. His new book is called “American Contradiction: Revolution and Revenge from the 1950s to Now.”Buy the book:https://yalebooks.yale.edu/book/9780300282436/american-contradiction/Paul Starr at The American Prospect:https://prospect.org/author/paul-starr/ Make America Great Gatsby Again!https://bookshop.org/p/books/the-great-gatsby-four-sticks-press-centennial-edition/e701221776c88f86?ean=9798985931976&next=tSubscribe to The Five 8:https://www.youtube.com/channel/UC0BRnRwe7yDZXIaF-QZfvhACheck out ROUGH BEAST, Greg's new book:https://www.amazon.com/dp/B0D47CMX17ROUGH BEAST is now available as an audiobook:https://www.audible.com/pd/Rough-Beast-Audiobook/B0D8K41S3T Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

If it feels like urgent care centers are everywhere these days — that's because they are. Over the past decade, they've exploded in popularity, offering a quick and convenient alternative to long waits at the ER, and even longer waits to see your primary care provider. On this episode, we explore the rise of urgent care, from the role of private equity to its impact on patient care.

Dr. Nick Mark joins Vin on Meidas Health for a deep dive into how Trump's H1B visa policy will have wide-ranging impacts on hospitals and clinics in your community. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today on the show, Fareed sits down with Atlantic staff writer Anne Applebaum to discuss this week's meeting between China's Xi Jinping, Russia's Vladimir Putin and North Korea's Kim Jong Un and the growing alliances between autocracies.Then, former US negotiator Robert Malley, co-author of the new book “Tomorrow Is Yesterday: Life, Death, and the Pursuit of Peace in Israel/Palestine,” and Dan Senor, author and analyst, join the show to talk about whether any hope remains for a two-state solution, and what might come from Israel's planned invasion of Gaza City.Later, CNN Senior Medical Correspondent Dr. Sanjay Gupta joins Fareed to discuss his new book on chronic pain, “It Doesn't Have to Hurt,” and his thoughts on the Trump's administration's upheaval of the American medical establishment.Finally, Fareed speaks with Derek Thompson, co-author of the bestseller “Abundance”, about what he calls the “existential threat” that AI poses to education.GUESTS: Anne Applebaum (@anneapplebaum), Robert Malley (@Rob_Malley), Dan Senor (@dansenor), Sanjay Gupta (@drsanjaygupta), Derek Thompson (@DKThomp) Learn more about your ad choices. Visit podcastchoices.com/adchoices

President Trump's “big, beautiful bill” is a bad piece of legislation. It includes trillions of dollars in tax cuts that are very much tilted toward the rich, along with savage cuts to Medicaid, nutrition assistance and green energy.And on Tuesday, July 1, the Senate passed it in a 51-50 vote, with Vice President JD Vance as the tiebreaker.But bad policy only matters if people know about it, and a lot of people don't — partly because there are an overwhelming number of provisions, and partly because the Trump administration is already flooding the zone with so many other major policy fights.So I asked Matt Yglesias, the author of the Slow Boring newsletter, back on the show to go through what is in this bill and why it has been so hard to build momentum for pushback. We spoke on Thursday, June 26.Mentioned:“A List of Nearly Everything in the Senate G.O.P. Bill, and How Much It Would Cost or Save” by Alicia Parlapiano, Margot Sanger-Katz, Aatish Bhatia and Josh KatzThe System by David S. Broder and Haynes JohnsonThe Ten Year War by Jonathan CohnBook recommendations:Proto by Laura SpinneyWuthering Heights by Emily BronteThe Social Transformation of American Medicine by Paul StarrThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find the transcript and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.htmlThis episode of “The Ezra Klein Show” was produced by Jack McCordick and Rollin Hu. Fact-checking by Kelsey Kudak. Our senior engineer is Jeff Geld, with additional mixing by Aman Sahota. Our executive producer is Claire Gordon. The show's production team also includes Marie Cascione, Annie Galvin, Michelle Harris, Elias Isquith, Marina King, Jan Kobal, and Kristin Lin. Original music by Pat McCusker. Audience strategy by Kristina Samulewski and Shannon Busta. The director of New York Times Opinion Audio is Annie-Rose Strasser. Unlock full access to New York Times podcasts and explore everything from politics to pop culture. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify.