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In a wide-ranging conversation with Ezekiel Emanuel, the policymaking physician and medical gadfly, we discuss the massive effects of GLP-1 drugs like Ozempic, Wegovy, and Mounjaro. We also talk about the state of cancer care, mysteries in the gut microbiome, flaws in the U.S. healthcare system — and what a second Trump term means for healthcare policy. SOURCES:Ezekiel Emanuel, vice provost for Global Initiatives, co-director of the Health Transformation Institute, and professor at the University of Pennsylvania Perelman School of Medicine. RESOURCES:"Obesity Drugs Would Be Covered by Medicare and Medicaid Under Biden Proposal," by Margot Sanger-Katz (The New York Times, 2024)."International Coverage of GLP-1 Receptor Agonists: A Review and Ethical Analysis of Discordant Approaches," by Johan L. Dellgren, and Govind Persad, and Ezekiel J. Emanuel (The Lancet, 2024).The Coming Wave: Technology, Power, and the Twenty-first Century's Greatest Dilemma, by Mustafa Suleyman (2023)."The Significance of Blockbusters in the Pharmaceutical Industry," by Alexander Schuhmacher, Markus Hinder, Nikolaj Boger, Dominik Hartl, and Oliver Gassmann (Nature Reviews Drug Discovery, 2022).Reinventing American Health Care: How the Affordable Care Act Will Improve Our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System, by Ezekiel J. Emanuel (2014)."Why I Hope to Die at 75," by Ezekiel J. Emanuel (The Atlantic, 2014)."Direct-to-Consumer Advertising of Pharmaceuticals," by Ziad F. Gellad and Kenneth W. Lyles (The American Journal of Medicine, 2014).Brothers Emanuel: A Memoir of an American Family, by Ezekiel J. Emanuel (2013)."Bounds in Competing Risks Models and the War on Cancer," by Bo E. Honoré and Adriana Lleras-Muney (Econometrica, 2006). EXTRAS:"How to Fix Medical Research," by People I (Mostly) Admire (2024)."The Suddenly Diplomatic Rahm Emanuel," by Freakonomics Radio (2023)."Ari Emanuel Is Never Indifferent," by Freakonomics Radio (2023)."Who Pays for Multimillion-Dollar Miracle Cures?" by Freakonomics, M.D. (2023)."Who Gets the Ventilator?" by Freakonomics Radio (2020).
The National Institutes of Health is taking action against long COVID, launching four clinical trials to test treatments for lingering symptoms after coronavirus infection. These efforts are long-awaited and critical for millions of suffering patients. Trials focus on four treatment areas: reducing viral persistence, alleviating cognitive issues, managing sleep disturbances, and treating problems in the autonomic nervous system. The first trial tests a longer Paxlovid regimen on patients with viral persistence, a problem persisting for up to 280 days after infection. Other trials target brain fog, excessive sleepiness, and other sleep problems. Critics of the efforts by NIH, like Ezekiel J. Emanuel, expressed frustration, urging faster action and more disease-focused trials. Patient communities are also seeking more comprehensive studies. Long COVID presents over 200 symptoms, complicating research. As NIH trials begin, hope rises for more effective treatments for the long COVID crisis. Learn more about your ad choices. Visit megaphone.fm/adchoices
According to our guest on this episode, Gail Gazelle, MD, there has never been a more difficult time to be a doctor. Whether or not you agree with this statement, it's true that clinicians today are expected to see more patients in less time than ever before, spend hours on the electronic medical record, and manage countless administrative and organizational pressures. Dr. Gazelle is a physician coach who specializes in helping doctors build resilience and confidence in order to overcome burnout and rediscover joy in medicine. She is the author of the book Mindful MD: Six Ways Mindfulness Restores Your Autonomy and Cures Healthcare Burnout. Over the course of our conversation, we discussed the psychological and organizational factors that contribute to burnout and what we can do to overcome them.In this episode, you will hear about:What drew Dr. Gazelle into medicine and what eventually led her away from clinical practice - 1:58The differences and similarities between coaching and therapy - 7:22How much of coaching is about helping people change the narratives of their lives - 9:45The kinds of people who seek Dr. Gazelle's help - 14:18The increasing acceptance of coaching in the healthcare profession - 15:51The extent to which an individual clinician can address burnout - 24:49Reflections on how perfectionism creates overstressed physicians and how to change that - 34:04A discussion of Dr. Gizelle's book Mindful MD and the six ways mindfulness can help physicians - 40:25In this episode, we discussed the Atul Gawande's 2011 Harvard Medical School commencement address, titled Cowboys and Pit Crews, later published in the New Yorker. We also discuss the article Does Medicine Overemphasize IQ? by Ezekiel J. Emanuel & Emily Gudbranson, originally published in the Journal of the American Medical Association.Gail Gazelle is the author of the book Mindful MD: Six Ways Mindfulness Restores your Autonomy and Cures Healthcare Burnout; you can download a free chapter at GailGazelle.com. She also authored the article The Slow Code: Should Anyone Rush to Its Defense? published in the New England Journal of Medicine, which we discussed in this episode.You can follow Dr. Gazelle on Twitter @GailGazelleMD.Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2023
When KFF Health News' “What the Health?” podcast launched in 2017, Republicans in Washington were engaged in an (ultimately unsuccessful) campaign to “repeal and replace” the Affordable Care Act. The next six years would see a pandemic, increasingly unaffordable care, and a health care workforce experiencing unprecedented burnout. In the podcast's 300th episode, host and chief Washington correspondent Julie Rovner explores the past and possible future of the U.S. health care system with three prominent “big thinkers” in health policy: Ezekiel Emanuel of the University of Pennsylvania, Jeff Goldsmith of Health Futures, and Farzad Mostashari of Aledade. Click here for a transcript of the episode.Further reading by the panelists from this week's episode: Health Affairs' “Nine Health Care Megatrends, Part 1: System and Payment Reform,” by Ezekiel J. Emanuel.Health Affairs' “We Have a National Strategy for Accountable Care, So What's Next?” by Sean Cavanaugh, Mandy K. Cohen, and Farzad Mostashari. The Health Care Blog's “What Can We Learn From the Envision Bankruptcy?” by Jeff Goldsmith. Hosted on Acast. See acast.com/privacy for more information.
The high cost of cancer treatment in the U.S. is literally killing people. “Over a quarter of cancer patients delay medical care, go without care, or make changes in their cancer treatment because of cost,” Ezekiel J. Emanuel, an oncologist and co-director of the Health Care Transformation Institute at the University of Pennsylvania, wrote in a recent First Opinion essay. But Emanuel says there's a solution: Cancer patients shouldn't have to pay any out-of-pocket costs for their treatment, especially in the first (and typically most expensive) year after diagnosis.
Email us your questions: OsterholmUpdate@umn.edu We advised biden on the pandemic. Much work remains to face the next crisis (Ezekiel J. Emanuel, David Michaels, Rick Bright and Michael T. Osterholm, New York Times): https://www.nytimes.com/2022/10/19/opinion/covid-pandemic-failures.html Lisas's beautiful place: https://www.cidrap.umn.edu/lisas-beautiful-place Donate to support this podcast: https://www.cidrap.umn.edu/donate Browse the podcast and CIDRAP merchandise store: cidrap.umn.edu/shop
COVID-19 restrictions are being dropped around the country as the U.S. enters what feels like a state of normalcy, at least to some. Oncologist and health expert Ezekiel J. Emanuel joins Julian Zelizer and Sam Wang to discuss how the nation will continue to live with the virus. As Sam described on his Twitter feed: “What's out: surface transmission. What's in: air quality, HEPA filters.” Tune in to learn more. Emanuel is the vice provost for global initiatives, the Diane v.S. Levy and Robert M. Levy University Professor, and co-director of the Healthcare Transformation Institute at the University of Pennsylvania. From January 2009 to January 2011, Dr. Emanuel served as a special advisor on health policy to the director of the Office of Management and Budget and National Economic Council. He is the most widely cited bioethicist in history. Emanuel visited the Princeton campus on Feb. 7-8 as part of the SPIA Leadership through Mentorship Program.
Washington Post senior writer Frances Stead Sellers speaks with former health advisers to President Biden's transition team Ezekiel J. Emanuel, MD and Céline Gounder, MD, about a new national strategy for living with covid-19, rather than continuing efforts to eradicate the virus.
As the COVID-19 pandemic continues, new questions have arisen in regards to the ethics of global vaccine distribution. In a continuation of a series started over the summer, University of Pennsylvania's Ezekiel Emanuel returns to discuss boosters and vaccine hesitancy and how that affects vaccine distribution around the world. Plus, he shares his thoughts on Biden administration policies concerning the travel ban due to the Omicron variant, domestic mandates, testing, and masking. For more on these issues, read "On the Ethics of Vaccine Nationalism: The Case for the Fair Priority for Residents Framework," co-authored by Dr. Emanuel and published by Carnegie Council's Ethics & International journal and Cambridge University Press. For a full transcript of this talk, please go to carnegiecouncil.org.
Oncologists Ezekiel J. Emanuel and Otis Brawley join The Post to discuss the impact of covid-19 on cancer, lessons learned and how the vaccine has not protected some immunocompromised patients as hoped.
In the second podcast in a series on the COVID-19 pandemic and the the ethics of global vaccine distribution, University of Pennsylvania's Ezekiel Emanuel discusses the positives and negatives of the vaccination campaigns led by the Biden administration and COVAX. With many nations still facing public health emergencies, how can the U.S. effectively and ethically use the vaccine as soft power? What about the Chinese and Russian efforts? How have the pharmaceutical companies approached this effort?
In the second podcast in a series on the COVID-19 pandemic and the the ethics of global vaccine distribution, University of Pennsylvania's Ezekiel Emanuel discusses the positives and negatives of the vaccination campaigns led by the Biden administration and COVAX. With many nations still facing public health emergencies, how can the U.S. effectively and ethically use the vaccine as soft power? What about the Chinese and Russian efforts? How have the pharmaceutical companies approached this effort?
In this episode, Chris and Courtney discuss the emergence of ‘voluntary assisted dying' legislation in the Australian context, and explore aspects of the history of ‘euthanasia', including terminology and assumptions.ReferencesVoluntary assisted dying (Victoria, Australia) Ezekiel J. Emanuel (1994) The history of euthanasia debates in the United States and Britain, Annals of Internal Medicine Editorial (1969) Euthanasia legislation, Medical Journal of Australia (10 May)Editorial (1976) The problems of legalizing euthanasia—and the alternative, Medical Journal of Australia (30 October)Art & AudioMusic City Plaza - Dan BodanAnthony Albanese in Australian Parliament debating Euthanasia Laws Act 1997
Dr. Zeke Emanuel, recently appointed advisor to president-elect Biden's coronavirus task force and author of THE TRILLION DOLLAR REVOLUTION and WHICH COUNTRY HAS THE WORLD'S BEST HEALTH CARE? talks to Clive Priddle, VP, and Publisher of PublicAffairs.
Jen was challenged to a dance-off. The only problem is she cannot dance. At all. She also talks about Dr. Ezekiel J. Emanuel, a new pick for the coronavirus task force, who doesn't want to live past age 75. Jen's comedy special comes out Nov 17 on Amazon, Apple TV, and other outlets! https://800pgr.lnk.to/fulwilerEM She'll be celebrating on social media so look her up and follow her on Instagram, Facebook, or Twitter! Weekly bonus episodes on Patreon: https://www.patreon.com/thisisjen
This year, the US is on track to spend $4 trillion on healthcare -- more than any other nation. Yet our healthcare system is famous for its dysfunction. What are we getting for our money? And how does our system stack up against those in other countries? This week, Dr. Ezekiel Emanuel joins co-host Ray Suarez to compare different healthcare systems around the world. Then, producer Teresa Cotsirilos and Radio New Zealand’s Indira Stewart explain how Prime Minister Jacinda Ardern managed to nearly eradicate the coronavirus from New Zealand and return the country to some sense of normalcy. Guests: Ezekiel J. Emanuel, MD, PhD, Vice Provost for Global Initiatives, University of Pennsylvania and author of Which Country Has The World’s Best Healthcare System? Indira Stewart, Radio New Zealand If you appreciate this episode and want to support the work we do, please consider making a donation to World Affairs. We cannot do this work without your help. Thank you.
Ezekiel Emanuel, MD, PhD, of the University of Pennsylvania's Perelman School of Medicine, Department of Medical Ethics and Health Policy, discusses recent developments in the COVID-19 pandemic. Recorded August 19, 2020. Related Article(s): The Ethics of COVID-19 Immunity-Based Licenses (“Immunity Passports”)
Ezekiel Emanuel, MD, PhD, of the University of Pennsylvania's Perelman School of Medicine, Department of Medical Ethics and Health Policy, discusses recent developments in the COVID-19 pandemic. Recorded August 19, 2020. Related Article(s): The Ethics of COVID-19 Immunity-Based Licenses (“Immunity Passports”)
Ezekiel J. Emanuel is Vice Provost for Global Initiatives and chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania. From January 2009 to January 2011, he served as special advisor for health policy to the director of the White House Office of Management and Budget. Since 1997 he was chair of the Department of Bioethics at The Clinical Center of the National Institutes of Health and a breast oncologist. Dr. Emanuel received his M.D. from Harvard Medical School and his Ph.D. in political philosophy from Harvard University. After completing his internship and residency in internal medicine at Boston’s Beth Israel Hospital and his oncology fellowship at the Dana-Farber Cancer Institute, he joined the faculty at the Dana-Farber Cancer Institute. He has since been a visiting professor at the University of Pittsburgh School of Medicine, UCLA, the Brin Professor at Johns Hopkins Medical School, and the Kovitz Professor at Stanford Medical School and visiting professor at New York University Law School. Dr. Emanuel has written and edited 9 books and over 200 scientific articles. He is currently a columnist for the New York Times. Learn more about your ad choices. Visit megaphone.fm/adchoices
Ezekiel J. Emanuel is Vice Provost for Global Initiatives and Chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania. An oncologist and author of nine books on medical ethics and healthcare, he previously served as a special adviser for health policy in the Obama administration. He is also the author of Reinventing American Health Care and a memoir about his illustrious brothers. Emanuel's new book profiles 11 disparate countries' healthcare systems and shows how the U.S.-despite spending far more than any other nation-doesn't come close to having the best. (recorded 6/23/2020)
Ezra and Matt on the deep roots (or not) of the lockdown debate. Resources: "Experts’ 7 best ideas on how to beat Covid-19 and save the economy" by Matthew Yglesias, Vox "This drawing explains a surprising amount about your political views" by Matthew Yglesias, Vox "America’s coronavirus testing numbers are really improving — finally" by German Lopez "The Density Divide" by Will Wilkinson, Niskanen Center "Trump Rewrites the Book on Emergencies" by Christopher DeMuth, WSJ "Without More Tests, America Can’t Reopen" by Ezekiel J. Emanuel &Paul M. Romer Books referenced: Prius or Pickup? by Jonathan Weiler & Marc Hetherington Open versus Closed by Christopher M. Federico, Howard G. Lavine, & Christopher D. Johnston Hosts: Matthew Yglesias (@mattyglesias), Senior correspondent, Vox Ezra Klein (@ezraklein), Editor-at-large, Vox Credits: Jeff Geld, (@jeff_geld), Editor and Producer The Weeds is a Vox Media Podcast Network production Want to support The Weeds? Please consider making a contribution to Vox: bit.ly/givepodcasts About Vox Vox is a news network that helps you cut through the noise and understand what's really driving the events in the headlines. Follow Us: Vox.com Facebook group: The Weeds Learn more about your ad choices. Visit megaphone.fm/adchoices
Interview with Ezekiel J. Emanuel, M.D., Ph.D., author of The Inevitable Reimagining of Medical Education
Editor of National Review, Fox News contributor and author of the upcoming book The Case for Nationalism: How it Made us Powerful, United and Free, Rich Lowry, defends Justice Kavanaugh with Dan & Amy. Dr. Ezekiel J Emanuel, oncologist, a bioethicist, and a vice provost of the University of Pennsylvania, brings the ACA debate to CMA and Dan & Amy. Professor of Economics at George Mason University and syndicated columnist, Walter Williams, offers Dan & Amy accounts of Academic Stupidity and Brainwashing. Michelle Malkin, senior editor at Conservative Review and host of Michelle Malkin Investigates, tells Dan & Amy about her new book Open Borders Inc: Who’s Funding America’s Destruction – available 9/10/19. Contributing writer for New York Times Magazine and author, Paul Tough, explains to Dan & Amy how college can make or break usSee omnystudio.com/listener for privacy information.
Interview with Ezekiel J. Emanuel, M.D., Ph.D., author of Next Phase in Effective Cost Control in Health Care
In this Events @ RAND podcast, Ezekiel J. Emanuel, chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania, delivers the 2018 Albert P. Williams Lecture on Health Policy. A former special advisor for health policy to the director of the White House Office of Management and Budget, Emanuel explains why drug prices are so high and proposes a policy solution.
Interview with Ezekiel J. Emanuel, MD, PhD, author of Attitudes and Practices of Euthanasia and Physician-Assisted Suicide in the United States, Canada, and Europe
A sustainable long-term health care infrastructure is required to deal with outbreaks like the deadly Ebola virus in West Africa says Wharton's Ezekiel J. Emanuel. See acast.com/privacy for privacy and opt-out information.
The Avid Reader interviews National Best Selling Author Ezekiel J. Emanuel For years, people have been asking Ezekiel “Zeke” Emanuel, the brash, outspoken, and fiercely loyal eldest brother in the Emanuel clan, the same question: What did your mom put in the cereal? Middle brother Rahm is the mayor of Chicago, erstwhile White House chief of staff, and one of the most colorful figures in American politics. Youngest brother Ari is a Hollywood superagent, the real-life model for the character of Ari Gold on the hit series Entourage. And Zeke himself, whom the other brothers consider to be the smartest of them all, is one of the world’s leading bioethicists and oncologists, and a former special advisor for health policy in the Obama administration. How did one family of modest means produce three such high-achieving kids? Here, for the first time, Zeke provides the answer.
Wharton health care management professor Ezekiel J. Emanuel one of the architects of the Affordable Care Act has published a new book that offers an inside look at health care reform as well as a critique of how the act has been implemented. See acast.com/privacy for privacy and opt-out information.
Interview with Ezekiel J. Emanuel, MD, PhD, author of Reengineering US Health Care
Interview with Ezekiel J. Emanuel, MD, PhD, author of Where Are the Health Care Cost Savings?