POPULARITY
Categories
205 episodes with Health care reform
43 episodes with Health care reform
47 episodes with Health care reform
55 episodes with Health care reform
40 episodes with Health care reform
23 episodes with Health care reform
10 episodes with Health care reform
14 episodes with Health care reform
6 episodes with Health care reform
9 episodes with Health care reform
10 episodes with Health care reform
4 episodes with Health care reform
10 episodes with Health care reform
6 episodes with Health care reform
5 episodes with Health care reform
5 episodes with Health care reform
9 episodes with Health care reform
12 episodes with Health care reform
9 episodes with Health care reform
4 episodes with Health care reform
4 episodes with Health care reform
3 episodes with Health care reform
8 episodes with Health care reform
3 episodes with Health care reform
4 episodes with Health care reform
5 episodes with Health care reform
4 episodes with Health care reform
9 episodes with Health care reform
8 episodes with Health care reform
3 episodes with Health care reform
4 episodes with Health care reform
3 episodes with Health care reform
4 episodes with Health care reform
6 episodes with Health care reform
3 episodes with Health care reform
2 episodes with Health care reform
2 episodes with Health care reform
2 episodes with Health care reform
3 episodes with Health care reform
3 episodes with Health care reform
2 episodes with Health care reform
9 episodes with Health care reform
2 episodes with Health care reform
2 episodes with Health care reform
11 episodes with Health care reform
Jenny Opalinski has spent more than a decade inside hospitals where people lose the ability to speak, breathe, swallow, and sometimes survive. A medical speech language pathologist by training, she worked in ICU, neuro rehab, and long term acute care settings, including a Level 1 trauma center, where she watched clinicians absorb 10 to 15 traumatic events in a single shift and then get told to move the crash cart faster next time.That lived reality pushed her to co found The Wellness Shift, an advocacy and education platform focused on healthcare worker burnout, suicide, and assault. In this conversation, Opalinski walks through the moment that changed everything for her: standing in a hospital hallway listening to a family wail after a failed code, followed by a debrief that addressed logistics and ignored grief entirely.She also explains how that work led to Humanity Rx, her podcast about the human cost of medicine, and Dragon's Breath: Calming Tricks for Big Feelings, a children's book that translates evidence based breathing and regulation strategies into language kids can actually use. The episode covers moral injury, time scarcity, false wellness, respiratory muscle training, and why empathy keeps getting treated as an optional expense instead of clinical infrastructure.RELATED LINKSJenny Opalinski on LinkedInHumanity Rx PodcastFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
For most of us, the doctor only sees our blood pressure, weight and oxygen levels a few times a year, usually when something is already wrong. Is that really health care, or just sick care?In this episode of Experiencing Healthcare, Jamie Preston sits down with Your Health CEO Matt Staub to talk about remote patient monitoring (RPM). RPM is the subject of Matt's master's thesis and a program he championed from day one. He explains why Your Health invests in daily data when many fee-for-service systems hand out devices only after a crisis and take them back once things settle down. He also explains why he's proud to call himself "the most compliant patient in the practice."In this episode:How daily weigh-ins can catch fluid retention in heart failure patients before it turns into a hospital stayWhy the data matters as much to the patient as it does to the provider, and how it helps people build habits that stack on each otherWhy RPM should be tailored rather than one-size-fits-all, including when daily tracking can backfireWhat happens when a healthcare company holds its own workforce to the standard it asks of patients, with "grace with accountability"How healthier employees can mean lower insurance costs, stronger recruiting and happier teamsIf you lead a practice, run a business or care for an aging parent, this conversation will change what you think it means to stay healthy between appointments.
The best design in healthcare is the kind you never notice. When it works, a patient feels safe before a clinician says a word. When it doesn't, trust wears away one small friction point at a time.Jamie sits down with Mallory Phillips, creative director at Your Health. She led the creation of the company's logo and now helps shape how its teams learn. Mallory trained in advertising design at the Savannah College of Art and Design, and she argues that design is far bigger than logos and brochures. It covers forms, instructions, onboarding, the words staff choose, and the moment a clinician steps into a patient's home.In this episode:Why patient experience rarely fails because of one big mistake, and how a hundred small friction points do the damage insteadHow in-home care flips the rules: you're a guest in someone's home, so trust has to be earned differentlyWhat Chick-fil-A's "my pleasure" and Airbnb's "home away from home" can teach healthcareThe science of readable design, and why a confusing door handle is the designer's failure, not the user'sThe story inside the Your Health logo, from a handwritten signature to a plus sign that puts the patient at the centerIf you've ever wondered why some care feels personal and some feels like paperwork, this conversation answers it. You'll also come away noticing the small details that make people feel seen. www.YourHealth.Org
Send us Fan MailUS healthcare spending broke away from the rest of the developed world around 1982 and has never come back. Most people assume that was an accident. John McDonough argues it was a choice.Dr. John E. McDonough, Professor of Practice at the Harvard T.H. Chan School of Public Health and author of America's Wrong Turn, joins hosts David E. Williams and John Driscoll to discuss how four decades of free market ideology reshaped American medicine, why corporate consolidation is the single biggest driver of healthcare inflation today, and what it would actually take to build a system where everyone is covered and nobody is left outside.
In this episode of Culture & Consequence, Carmen is joined by returning favorite Billy (stepping in for Andrea while she's away) for a deep dive into the latest headlining political and social issues.Together, they break down:The Press Pass Controversy: The recent revoking of White House press passes, the rare unity among press corps outlets standing together, and why press freedom remains a critical constitutional safeguard.Foreign Policy & UN Updates: Analysis of recent addresses at the United Nations, shifting dynamics surrounding Iran, and the foreign policy stance on Cuba and Venezuela.Healthcare Realities: A candid conversation on the Affordable Care Act (ACA), the impact of gutting healthcare access, catastrophic coverage realities for independent creators, and the broader issues with for-profit healthcare systems in America.Cultural Highlights: A tribute to legendary costume designer Bob Mackie, plus reflections on concert experiences and music with Rosalía and Bruno Mars.Tune in for an unfiltered, honest discussion on holding power accountable, institutional checks and balances, and navigating the current cultural climate.Thank you for stopping by. Please visit our website: All About The Joy and add, like and share. You can now watch the livestream version of the show on YouTube at @CarmenLezeth You can also support AATJ by shopping at our STORE - Or by and buying us a coffee. We'd appreciate that greatly. Also, if you want to find us anywhere on social media, please check out the link in bio page. Music By Geovane Bruno, Moments, 3481Editing by Team A-JHost, Carmen Lezeth DISCLAIMER: As always, please do your own research and understand that the opinions in this podcast and livestream are meant for entertainment purposes only. States and other areas may have different rules and regulations governing certain aspects discussed in this podcast. Nothing in our podcast or livestream is meant to be medical or legal advice. Please use common sense, and when in doubt, ask a professional for advice, assistance, help and guidance.
Comedian Bill Burr is sparking intense national debate following a viral Rolling Stone interview where he slammed corporate executives for their response to the murder of UnitedHealthcare CEO Brian Thompson!
As many of our listeners know from news reports, emergency departments have been under enormous strain in recent years trying to manage overcrowding, the opioid addiction crisis, the consequences of an under-resourced mental health system, and rising rates of violence against staff, among many other challenges. But our guest today guest thinks there's something else that should top that list. "I think hands down the most important issue is the reimbursement model," says Dr. Ryan Stanton, president-elect of the American College of Emergency Physicians. Dr. Stanton's uniquely-informed view is built on his work leading a physician-owned group staffing two Kentucky emergency departments, serving as EMS medical director for Lexington-Fayette County, and overseeing on-track medical response crews for auto racing series such as NASCAR. In this candid conversation with Raise the Line from Elsevier host Lindsey Smith, Dr. Stanton traces how underpayment from insurers is squeezing physicians and warping the incentives of emergency care, and why he believes the profession's ability to advocate collectively, not individually, is what will move the needle. This informative episode also explores: Why he thinks physician autonomy is the antidote to burnout; His approach to communicating medical information as a TV commentator; What it's like providing care at a NASCAR race when the “car is still smoking.” Mentioned in this episode: American College of Emergency Physicians If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
Fitz Koehler is a fitness expert, race announcer, author, and breast cancer survivor whose career spans decades of helping people move, train, and live healthier lives. After earning a master's degree in exercise and sport sciences, she built the Fitzness brand, launched the Morning Mile school fitness program, and became one of the country's most recognizable voices at endurance events before cancer abruptly shifted the conversation. She spent 15 months enduring chemotherapy, surgery, and radiation after discovering breast cancer shortly after receiving a clean mammogram. She kept traveling, announcing races, and working through treatment while watching the body she had spent a lifetime building become weaker by the week. Instead of asking why cancer happened, she focused on the only things she believed remained under her control: movement, nutrition, sleep, and mental health. The conversation explores where personal agency ends and biology takes over. Koehler argues that exercise is not about chasing perfection or preventing every diagnosis. It is about building physical reserve before illness arrives and preserving strength, mobility, and independence during treatment. She rejects wellness snake oil, fad supplements, and miracle cures in favor of practical habits rooted in exercise science and lived experience. The discussion also confronts a harder truth. Koehler did everything “right” and still developed cancer. That tension becomes the center of the episode. Fitness cannot eliminate randomness, but it can influence how people experience treatment, recover from surgery, and reclaim their lives afterward. The conversation moves beyond motivation and into survivorship, exercise oncology, cancer rehabilitation, evidence-based nutrition, and the limits of individual control inside a healthcare system that often tells patients what they should do without showing them how to do it. Along the way, the conversation wanders through kickboxing, Cinnabon, Jean-Claude Van Damme, chocolate-covered Cheetos, Jerry Seinfeld playing during chemotherapy stretches, and why the simplest advice is often the hardest to follow. Beneath the humor sits a larger argument: preparing the body for hardship is not about living forever. It is about living better when life inevitably gets difficult. RELATED LINKSFitz KoehlerFitznessThe Morning MileYou. Supercharged!My Noisy Cancer ComebackYour Healthy Cancer ComebackUF Health Cancer CenterAmerican College of Sports Medicine Exercise Is MedicineFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
EPISODE SUMMARY The qualities that help founders move fast, tolerate risk and pursue opportunities can also become liabilities under pressure. In this episode, psychiatrist, researcher and serial entrepreneur Michael A. Freeman joins Claudia to unpack the founder mental-health paradox: what the research really shows, when persistence becomes dangerous and how to catch warning signs before the founder—or the business—hits a wall. WE TALKED ABOUT Why founder strengths can become hidden risks When persistence stops being productive How to spot and protect against mental-health warning signs EPISODE NOTES Michael A. Freeman, M.D. is a psychiatrist, researcher and serial entrepreneur who studies mental health, wellbeing and performance among business builders. He and his colleagues at Econa developed the Founder Screen, a brief screening tool designed specifically for entrepreneurs. Michael has also served as a Clinical Professor of Psychiatry at U.C. San Francisco, founding Chief Medical Officer of United Behavioral Health, President of the Institute for Behavioral Healthcare and a mental-health team member of the White House Task Force on Health Care Reform. This conversation is educational and is not a substitute for individual medical or mental-health care. If emotional symptoms are affecting your wellbeing, performance or relationships, please seek appropriate professional support. LINKS Econa: https://www.econa.net/ FounderScreen resources: https://founderscreen.org/resources Michael on LinkedIn: https://www.linkedin.com/in/michaelfreemanmd Click this link to listen on your favorite podcast player and, if you enjoy the show, please leave a rating and review: https://linktr.ee/wiredforsuccess Music credit: Vittoro by Blue Dot Sessions (www.sessions.blue) Disclaimer: Podcast episodes might contain sponsored content.
(00:00:00) 234: Denied: How Your Insurance Company Gets Rich Watching You Suffer (00:00:11) Welcome to Itchy and Bitchy (00:00:42) Doc Itchy Medical Pet Supplements (00:01:06) Insurance Frustrations and System Failures (00:02:27) The Broken Lens and Broken System (00:04:31) Insurance Woes and Personal Experiences (00:08:19) Pre-Approvals and Administrative Burdens (00:15:31) The High Cost of a Broken System (00:20:04) Concierge Care: A Growing Alternative (00:28:17) The State of Healthcare in the US (00:31:50) Medical Debt and Systemic Issues Welcome to American healthcare, where a college dropout in a call center overrides your doctor and an algorithm denies your chemo before lunch. This episode rips the curtain off the profit machine: prior authorizations, surprise bills, and "peer" reviewers who couldn't spell the disease they're denying. The receipts are ugly — physicians now grind through ~40 prior auths a week, burning 13 hours; 94% say it fuels burnout; and 1 in 4 doctors reports a denial caused a serious patient harm, up to and including death. Claim denials jumped 25% while AI quietly batch-rejects thousands at a time.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system. From gut health, hormones, autoimmune disease, chronic pain, holistic health, and alternative medicine ... medical gaslighting, patient advocacy , or misdiagnosis we'll call that too. For chronic illness warriors, self-advocacy seekers: WE OFFER No BS
What would Medicare for All actually mean for American patients, doctors, and taxpayers? Tudor Dixon sits down with healthcare policy expert Sally Pipes, president and CEO of the Pacific Research Institute and author of The World’s Medicine Chest: How America Gained Pharmaceutical Supremacy—and How to Keep It, to examine the debate over Medicare for All and single-payer healthcare. Pipes draws on her experience growing up in Canada to discuss the trade-offs she sees in government-run healthcare, including longer wait times, physician shortages, healthcare rationing, taxes, and limits on patient choice. The conversation also examines healthcare systems in Canada and the United Kingdom, the cost of expanding government healthcare in the United States, Medicare and Medicaid reimbursement rates, and the impact of government policy on medical innovation. Tudor and Sally also discuss alternatives for lowering healthcare costs, including association health plans, increased competition, PBM reform, short-term insurance plans, and giving patients more control over their healthcare decisions. A major focus is Canada's healthcare wait times. The Fraser Institute's 2025 survey reported a median 28.6-week wait from GP referral to treatment, although that figure represents a survey-based measure across selected specialties rather than every Canadian patient's experience.See omnystudio.com/listener for privacy information.
What if the most important leadership skill isn't knowing when to lead — it's knowing when to let go?In this episode of Experiencing Healthcare, Jamie sits down with Matt Staub, CEO of Your Health, for an honest, story-driven conversation about one of the hardest things leaders face: the moment you have to decide whether to intervene or trust the person in front of you to figure it out themselves. Matt draws on his own experience leading a complex healthcare organization — and some unexpectedly vivid analogies involving Teslas, flight instructors, and teaching a daughter to drive — to explore what real leadership presence actually looks like.What you'll hear in this episode:Why knowing when not to take control is the mark of a confident, mature leaderThe difference between someone struggling because of skill versus someone struggling because of confidence — and why each demands a completely different responseWhat it means to be a "leader of leaders" — and how to build people who can steer the ship when you're not in the roomHow grace, trust, and being secure in yourself are the foundation of every great leadership relationshipWhy leaders should take their PTO — and why the week before you leave is actually your most productiveIf you lead people — or you're being led — this one will stay with you. www.YourHealth.Org
What if the most important leadership skill isn't knowing when to lead — it's knowing when to let go?In this episode of Experiencing Healthcare, Jamie sits down with Matt Staub, CEO of Your Health, for an honest, story-driven conversation about one of the hardest things leaders face: the moment you have to decide whether to intervene or trust the person in front of you to figure it out themselves. Matt draws on his own experience leading a complex healthcare organization — and some unexpectedly vivid analogies involving Teslas, flight instructors, and teaching a daughter to drive — to explore what real leadership presence actually looks like.What you'll hear in this episode:Why knowing when not to take control is the mark of a confident, mature leaderThe difference between someone struggling because of skill versus someone struggling because of confidence — and why each demands a completely different responseWhat it means to be a "leader of leaders" — and how to build people who can steer the ship when you're not in the roomHow grace, trust, and being secure in yourself are the foundation of every great leadership relationshipWhy leaders should take their PTO — and why the week before you leave is actually your most productiveIf you lead people — or you're being led — this one will stay with you.
Thank you Jason Gael, Libra, Education is a lamp, Sherell, LBW, and many others for tuning into my live video! * The UnitedHealth Story: Private Insurance, Public Money and Single Payer: Public research helps create medicines while private firms develop, market and price them. UnitedHealth's growth adds urgency to the healthcare-financing debate. [More]* Nobel-Winning Economists Say California Billionaire Tax Could Be ‘Turning Point in the Battle Between Democracy and Oligarchy': “What will allow California to thrive in the future,” the economists said, “is not letting a handful of billionaires live tax-free: it is adequate public spending on health, education, and public infrastructure, key engines of economic growth.” [More]* Is AI the Final Populist Tipping Point?: Will Democrats seize the moment and embrace the new AI-fueled economic populism? Or will they keep succumbing to the siren song of big money? [More]The chats reflected an engaged audience deeply concerned about corporate power, healthcare profiteering, artificial intelligence, economic insecurity, and attacks on democracy. The overall sentiment was progressive, energetic, and supportive, although frustration, fear, and one persistent dissenting voice produced several contentious exchanges.Substack chatThe Substack conversation was highly active, personal, and community-oriented. Participants greeted one another warmly, shared humor, promoted an upcoming “Coffee with Egberto” gathering, and repeatedly praised the program.Healthcare generated the strongest emotional response. Viewers described unaffordable premiums, rising Medicare copayments, medical debt, closed clinics, data breaches, denied coverage, and frightening experiences involving UnitedHealthcare. Several participants argued that private insurers, hospitals, pharmaceutical companies, and other corporate intermediaries extract money while patients and medical workers suffer. The phrase “profit-first” resonated strongly because it accurately framed an industry that secures its profits before paying patients' medical bills.AI also provoked substantial discussion. Participants acknowledged its usefulness for technical work but distrusted its growing role in healthcare, therapy, insurance decisions, search results, and personal-data collection. Several viewers stressed that people must question AI-generated information and retain critical judgment.One participant repeatedly defended aspects of the existing insurance system, attacked the program as one-sided, and predicted that single-payer healthcare would produce worse outcomes. Other viewers challenged those assertions, identified the account as a recurring troll, and continued supporting Medicare for All. Despite that friction, the dominant position remained unmistakable: healthcare should serve patients, not corporate shareholders.Later discussion moved toward food prices, restaurant closures, boycotts, public health, tobacco and alcohol taxation, Islamophobia surrounding halal labeling, and the economic pressure forcing people to abandon even inexpensive personal treats.Substack sentiment: Predominantly supportive and progressive, with strong solidarity and community warmth. The emotional tone mixed anger at healthcare profiteering, anxiety about AI and affordability, and determination to pursue systemic reform. The dissent was loud but isolated.Facebook chatThe Facebook conversation was more argumentative and policy-focused. Participants debated Harris County spending, taxation, regulation, government employment, local budget pressures, competition, and capitalism. One commenter criticized county growth and defended markets, while others argued that regulation protects workers, consumers, communities, and the environment from corporate abuse.The AI discussion generally treated the technology as a tool whose risks come from the corporations and powerful interests controlling it. Several participants rejected apocalyptic corporate messaging as a public-relations strategy designed to win contracts and political influence.Viewers also raised grave concerns about ICE violence, immigrant families afraid to attend school, Trump's corruption, the Iran war, billionaire attacks on democracy, and the possibility of authoritarian interference in future elections. The Texas Senate race and James Talarico's outside financial support triggered disagreement about billionaire money, campaign funding, and political credibility.The chat closed with attention to Indigenous media and the Red Nation Podcast, showing interest in movement-based journalism outside corporate media.Facebook sentiment: Progressive but more divided and combative than Substack. Anger, apprehension, and distrust dominated, especially around ICE, authoritarianism, billionaire influence, government spending, and economic decline. Still, participants showed considerable political engagement rather than resignation.Combined assessmentAcross both platforms, the audience overwhelmingly agreed that concentrated corporate wealth threatens healthcare, economic security, and democracy. Viewers strongly supported patient-centered healthcare, meaningful regulation, immigrant rights, and resistance to authoritarian power. They expressed skepticism toward insurance companies, billionaires, unaccountable AI systems, and institutions that place profit before human needs.The overall sentiment was supportive, progressive, concerned, and mobilized. Substack supplied the stronger sense of fellowship; Facebook produced the sharper ideological debate. Beneath the anger and anxiety, both chats revealed an audience eager to analyze events critically, challenge corporate narratives, and remain politically involved.This post has bonus content for paid subscribers. Upgrade to get full access.[WP-ROUTING]Site: PoliticsDoneRight.comCategory: Coffee Party ShowsPubDate: 2026-09-21T15:00:00Tags: UnitedHealth, UnitedHealthcare, Optum, Medicare for All, Single-Payer Healthcare, Private Health Insurance, Healthcare Reform, Publicly Funded Research, Prescription Drug Prices, California Billionaire Tax, Wealth Tax, Nobel Economists, Joseph Stiglitz, Democracy, Oligarchy, Artificial Intelligence, AI Populism, Economic Populism, Democratic Party, Working Class, Labor Rights, Corporate Power, Billionaires, Progressive Politics, Politics Done Right To hear more, visit egberto.substack.com
If your doctor prescribes you medication without first asking about your diet, your sleep, your stress, or your vital signs — you don't have a doctor. You have a drug dealer.That's the provocation Scott Middleton brought to this episode of The Disrupted Podcast, and it's one that cuts straight to the heart of everything wrong — and everything possible — in modern healthcare. Scott is the Founder and Chief Disruption Officer of Your Health, a healthcare organization built on the radical idea that prevention is cheaper, smarter, and more humane than reaction.In this conversation, Scott unpacks:Why most doctors have become de facto salespeople for pharmaceutical companies — and how to change thatThe staggering math of remote patient monitoring: how vital signs three times a week could prevent 50% of heart attacks and hospitalizationsThe GLP-1 opportunity hiding in plain sight — and why missing a patient's height is costing thousands of people access to life-changing careHow self-insured employers are bleeding money on avoidable hospitalizations — and what accountability actually looks likeScott's mission beyond the bottom line: a United Methodist minister who got into healthcare to save souls, not just bodiesIf you've ever left a doctor's appointment feeling like a transaction rather than a patient, this episode is for you. The data already exists to change that — we just have to decide to use it. www.YourHealth.Org
Send us Fan MailHealthcare administrative costs consume an estimated 15 to 20 percent of every dollar spent in the American healthcare system. A quarter of that is medical coding alone, a process that has remained largely manual, subjective, and error-prone for decades.Hamid Tabatabaie, Founder and CEO of CodaMetrix, joins host John Driscoll to discuss how autonomous coding AI is making the shift from subjective to objective coding a reality across 35 of the largest health systems in the country, and why getting the codes right is not just a billing issue but a clinical one that directly affects patient care and outcomes.
Limiting the side effects of cancer treatments has been an animating force in the field of oncology for many years, and there's been progress to report on that front, but what if you could target cancer tumors without using radiation or chemotherapy and instead generate heat from inside the tumor to kill cells? That's the quest of our guest today, Dr. Hadiyah-Nicole Green, whose promising research using lasers and nanoparticles to eliminate tumors received Breakthrough Device Designation from the FDA earlier this year. “The laser beam that we're using is low power like a laser pointer, and without activation by the laser, the nanoparticles are harmless. Both are targeted just at the site of the tumor so because we don't use systemic delivery, we avoid all of the systemic side effects,” she explains.Dr. Green is also the founder and president of the Ora Lee Smith Cancer Research Foundation, named for an aunt who raised her and who died of cancer without pursuing curative treatment because of her fear of the side effects. Shortly after, her aunt's husband also died of cancer, opting for treatments that took a heavy toll on his body. “At 22 years old, I saw the horrors of cancer and the horrors of cancer treatment and just felt in my heart that there has to be something better than this,” she tells host Michael Carrese.On this fascinating episode of Raise the Line from Elsevier, we'll explore the science behind Dr. Green's approach, the challenges of raising the millions of dollars needed for human clinical trials, and rethinking the current funding landscape for cancer treatments.Mentioned in this episode:Ora Lee Smith Cancer Research Foundation If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
Why is it so difficult to know what healthcare will cost before you receive it?On this episode of Texas Talks, host Brad Swail sits down with Patrick Quigley, CEO and co-founder of Sidecar Health, following his testimony before the Texas House Select Committee on Health Care Affordability.Quigley explains Sidecar Health's approach to insurance and why he believes greater price and quality transparency, fewer restrictions on where patients receive care, and stronger financial incentives for consumers could help lower healthcare costs.The conversation explores provider networks, prior authorization, prescription drug prices, clinical quality data and the high cost of delayed care. Quigley also explains how Sidecar's model rewards members for choosing care that costs less than the plan's benefit amount and discusses the company's experience with primary care, mental health services and emergency room utilization.Finally, Quigley discusses Texas' healthcare affordability debate and what he would like lawmakers to consider as the state approaches the 90th Texas Legislature.00:00 — Introducing Patrick Quigley01:05 — Sidecar Health & the Healthcare Affordability Problem04:34 — Testifying Before Texas Lawmakers06:15 — What's Wrong With Provider Networks?07:43 — Why Patients Don't Know What Healthcare Costs10:14 — Measuring the Quality of Medical Care15:58 — Networks, Insurance Companies & Patient Choice17:20 — How Much Should Healthcare Cost?20:10 — The Texas Healthcare Opportunity22:12 — Prior Authorization & Trusting Doctors23:37 — Access to Care & Emergency Room Costs26:33 — Prescription Prices & Consumer Incentives29:26 — Why Healthcare Prices Vary by Location32:11 — What Should Texas Lawmakers Do?35:00 — Closing Thoughts Watch Full-Length Interviews: https://www.youtube.com/@TexasTalks Follow us on social mediaX: @Texas_DispatchInstagram: thetexasdispatchLinkedIn: The Texas DispatchTikTok: texas_talks_podcast Find more at The Texas DispatchYour source for state news, policy, and investigative journalism.https://thetexasdispatch.com
Text the show! Americans still overwhelmingly like free enterprise. So why are they rapidly souring on capitalism?Chad argues that the anger behind America's “cost of life” crisis is real — but we're giving it the wrong name.Housing, healthcare, insurance, prescriptions and utilities consume enormous portions of American household budgets, yet many of these markets fail a basic test of competition: Can you walk away? Can you switch? Can a new competitor enter? And does losing your business actually cost the incumbent anything?In this Monologue Monday, Chad examines why young Americans are increasingly receptive to socialism, how regulation and consolidation can turn consumers into price takers, why elective medicine behaves differently from much of American healthcare, how housing regulation adds to the price of a home, and what happens when government responds with public ownership, subsidies and price controls.The answer isn't defending the status quo — and it isn't another revolution.It's a remodel: open the door, post the price, subsidize the customer instead of the seller, and make someone responsible for eliminating regulations that no longer work.You don't hate capitalism. You hate that nobody is competing for you anymore.Text Chad: 252-CHAD-LAWEverything Chad — The GAILY NEWS, the books, the Common Sense Conservative Manifesto, and more — at chadparkerlaw.com.Chapters 00:00 You Don't Hate Capitalism03:24 America's Cost of Life Crisis05:28 Why Young Americans Are Turning on Capitalism08:04 We're Diagnosing the Wrong Problem13:22 Monopoly, Collusion & Price Gouging16:51 The Four-Question Competition Test17:46 Why Healthcare Costs So Much23:08 How Government Keeps Competitors Out25:01 The $131,000 Housing Problem28:19 What Democratic Socialists Want to Do30:14 The Problem With the Utility Model32:55 When Government Picks the Winner35:03 America's Price-Control Experiment38:24 Where Is the Free-Market Countermovement?40:58 Four Ways to Open the Market Again
A proposed healthcare reform approach is drawing attention to greater consumer control, transparent pricing, insurer accountability, prescription affordability, and simpler coverage decisions as policymakers consider changes that could influence private health insurance markets and healthcare access. Insurance4Dallas (Austin) City: Austin Address: 1401 Lavaca Street Website: https://insurance4dallas.com/group-health-insurance-austin/ Phone: +15124104535 Email: Mail@insurance4dallas.com
Your primary care provider is doing their best. But there's something they may not be telling you — not because they're hiding it, but because they simply can't know everything.In this episode of Your Health University, Jamie Preston sits down with Scott Middleton — Founder and Chief Disruption Officer of Your Health — to talk about one of the most underutilized parts of the American healthcare system: specialty care. Scott shares real stories from the field that will make you rethink what you expect from your next appointment, including a patient who had been living in a nursing home for years without ever being offered a weight-loss medication that was available to her, and a lawsuit that turned on a single chest x-ray that no one thought to order.What you'll learn in this episode:Why your primary care provider legally cannot keep up with every new medication, treatment, and specialist recommendation — and what to do about itWhat GLP-1 medications are, who qualifies, and why so many eligible patients are never told they existThe standard of care around lung cancer screening for smokers — and why not knowing this can have life-altering consequencesHow to ask for a specialist referral (and what happens if your provider pushes back)Why behavioral health is one of the most under-accessed specialties in America — and how to change that for yourselfWhat "integrated care" actually looks like when it works — and what you deserve to expect from your healthcare teamYou are the CEO of your own health. This episode gives you tools to act like it. www.YourHealth.Org
Practical plans to reduce healthcare costs in SA is the focus in this edition of the Business Day Spotlight. Host Mudiwa Gavaza is joined by Thoneshan Naidoo, CEO of the Health Funders Association (HFA). Naidoo outlines practical reforms needed to create a sustainable, accessible healthcare system in South Africa over the next decade.
Send us Fan MailDoctors now need an estimated 30 hours a day to complete every clerical task asked of them. They are compensated not for the care they deliver but for the care they document. That gap is where physician burnout lives, and where AI has the most to offer.Dr. Shiv Rao, Co-Founder and CEO of Abridge, joins host John Driscoll to discuss how an ambient AI platform now deployed across more than 300 health systems is giving clinicians back the time and presence to actually practice medicine, and why the next frontier for this technology goes beyond documentation into real-time clinical decision support at the point of care.
"It's really hard to justify a test that has any complications if there isn't any reasonable expectation of benefit," says Dr. Rita Redberg, who has spent her career trying to help fellow clinicians consider the actual value of routine screenings and diagnostic testing in asymptomatic patients. Dr. Redberg -- a cardiologist and professor of medicine at the University of California, San Francisco for more than three decades -- is one of the leading voices advocating for a “high-value care” approach, an uphill fight in a healthcare system that tends to reward action over restraint. Her highest profile effort was launching the instructive “Less is More” series in JAMA Internal Medicine when she served as its editor-in-chief for 14 years. On a related track, her research on the assessment of the safety and effectiveness of medical technology, specifically high-risk cardiovascular devices, has yielded a troubling picture. "We found only 1% of devices enter the market through the FDA's most rigorous approval process. The high-quality evidence to support benefit for these devices that I had assumed was present, wasn't actually there.” Join Raise the Line host Lindsey Smith for an eye-opening exploration of what Dr. Redberg considers to be the overlooked risks and false reassurance of common tests and procedures, and her efforts to put the “do no harm” principle of medicine at the forefront of everyday practice.Mentioned in this episode:UCSF School of MedicineJAMA Internal Medicine's Less is More Series If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
Jeremy Heffner, MD, FACS is a board-certified trauma surgeon, former Chair of Surgery at Lima Memorial Health System, and cofounder of Surgery Unified, one of the largest physician-led communities in surgery. His perspective carries weight because he has spent decades inside operating rooms, hospital leadership, physician culture, and the growing collision between medicine and corporate healthcare. He grew up in a blue-collar Ohio family of firefighters, railroad workers, police officers, and tradespeople. Medicine represented something rare: a career that combined service, stability, and purpose. He pursued engineering, earned his medical degree, completed trauma surgery fellowship training at the University of Michigan, and entered a profession that taught physicians to sacrifice themselves for patients.Then the rules changed.This conversation traces the gap between the medicine physicians were trained to practice and the healthcare industry that emerged around them. Administrative burden expanded. Insurance companies gained influence over treatment decisions. Prior authorization became routine. Hospital systems consolidated. Physicians retained responsibility for outcomes while losing authority over the conditions required to achieve them.Heffner describes watching colleagues struggle with burnout, moral injury, PTSD, and growing frustration with a system that increasingly inserts business incentives between clinicians and patients. He explains why younger physicians are entering medicine with a level of visibility that previous generations never had. They see the paperwork, the denials, the loss of autonomy, and the personal cost before they ever finish training.The discussion moves beyond physician dissatisfaction and into the broader consequences for patients. When insurers delay care, hospitals absorb costs, clinicians absorb stress, and patients absorb uncertainty. The financial incentives remain intact while trust erodes across every level of the healthcare system.At its core, this episode examines what happens when a profession built around service finds itself operating inside an industry built around extraction. The result affects physicians, nurses, caregivers, and every patient forced to navigate the consequences.RELATED LINKSJeremy HeffnerSurgery UnifiedSurgeOnUniversity of Michigan Department of SurgeryKevinMDSuck It Up ButtercupFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Most families don't know what skilled nursing actually is until the moment they desperately need it — and by then, the system feels impossible to navigate. Joy Patterson has spent 25 years inside that system. She's here to change what you think you know about it.In this episode, Jamie sits down with Joy Patterson, VP of Skilled Nursing Facilities at Your Health, for a straight-talking conversation about what skilled care really looks like, why it's constantly misunderstood, and what separates facilities that deliver exceptional outcomes from the ones that fall short.Key topics covered:Why "we have great relationships" no longer wins hospital referrals — and what C-suite administrators are actually asking forHow avoidable hospitalizations happen, and the clinical interventions that prevent them before a cough becomes pneumoniaThe staffing crisis hitting skilled nursing hardest, and how embedded partnerships change the equationWhat value-based care actually means at the bedside — and why it has nothing to do with cutting cornersThe questions every skilled nursing administrator should be asking a physician partner (but mostly aren't)Why physical presence inside a facility — not remote support — is the single biggest factor in better outcomes for residents and familiesWhether you're a healthcare professional, a family member navigating a loved one's transition, or a Your Health team member building fluency in the landscape — this episode gives you a clearer picture of what excellent skilled care looks like, and why it matters more right now than it ever has before. www.YourHealth.Org
In this repurposed episode, originally recorded for Dr. Charmaine Gregory's Fearless Freedom with Dr. G podcast, Drs. May and Tim Hindmarsh step into the guest seats for a candid conversation about medicine, marriage, burnout, courage, and the creation of BS Free MD.May opens up about the personal challenges she faced during medical school, including depression, an eating disorder, and uncertainty about her future in medicine. Tim shares how his experiences with action sports and skydiving taught him to view fear differently—not simply as something to escape, but as a powerful tool for preparation, focus, and growth.They also discuss their years in rural medicine, the transition from practicing physicians to podcasters, and the events that inspired them to create BS Free MD. The conversation explores physician autonomy, corporate influence in healthcare, medical innovation, informed consent, and the importance of confronting uncomfortable chapters of medical history.In This EpisodeMay's challenges with depression and an eating disorder during medical schoolHow May and Tim met, married, and built a life in medicineThe realities of residency and rural medical practiceWhy courage does not require the absence of fearUsing fear as fuel for preparation and personal growthPhysician burnout and transitioning beyond traditional medicineHow the events of 2020 helped launch BS Free MDCorporate influence and the loss of physician autonomyBalancing medical innovation with patient protectionThe importance of informed consent and medical accountabilityWhy May and Tim are committed to honest, BS-free conversationsConnect with BS Free MDVisit the BS Free MD websiteListen to the podcastFollow BS Free MD on Instagram and FacebookWatch BS Free MD videosAbout the Original EpisodeThis conversation was originally recorded for Fearless Freedom with Dr. G, hosted by emergency physician, wellness advocate, and podcast coach Dr. Charmaine Gregory.Watch the original conversation on YouTube. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Healthcare reform discussions continue to examine whether a simplified universal coverage model could improve access, affordability, provider choice, and administrative efficiency while reducing complications associated with private insurance networks and approval requirements. Insurance4Dallas (Austin) City: Austin Address: 1401 Lavaca Street Website: https://insurance4dallas.com/group-health-insurance-austin/ Phone: +15124104535 Email: Mail@insurance4dallas.com
In 1971, the National Cancer Act transformed cancer into a national research priority. More than 50 years later, the next frontier is no longer defined solely by scientific discovery, but by how quickly knowledge, lived experience, and patient voices can reshape healthcare itself.The concluding chapter of The Cancer Mavericks: A History of Survivorship explores how the cancer advocacy movement continues to evolve in an era of digital communities, social media, precision medicine, and grassroots activism. Building on the work of pioneers such as Mary Lasker, Rose Kushner, and the generations of survivors who followed, today's advocates are expanding the movement beyond awareness to demand health equity, trusted information, patient-centered research, and meaningful representation in healthcare decision-making.The episode examines how technology has transformed advocacy from local support groups into global communities capable of organizing in real time. Researchers, policymakers, nonprofit leaders, and survivors reflect on the growing influence of digital storytelling, online education, and peer-to-peer networks that connect patients across diagnoses, generations, and geographic boundaries. At the same time, they acknowledge new responsibilities: ensuring accurate medical information, combating misinformation, protecting trust, and keeping patients at the center of innovation.The story also looks ahead to the next generation of advocates. Young leaders are applying lessons learned from decades of cancer activism while drawing inspiration from broader movements for social justice, public health, and community organizing. Their work reflects a simple but enduring truth: meaningful change rarely begins inside institutions. It begins when ordinary people refuse to accept that the system cannot improve.Cancer survivorship has never been a finished story. Every generation inherits the progress achieved by those who came before while confronting challenges uniquely its own. The future of survivorship will be shaped not only by scientific breakthroughs, but by those willing to listen, organize, educate, and ensure that every patient's voice helps define what comes next.RELATED LINKSNational Cancer InstituteCancer MoonshotCenters for Disease Control and Prevention | Division of Cancer Prevention and ControlHopeLabTigerlily FoundationStupid CancerFEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
For millions of young women and girls, often the first place they turn with questions about their bodies isn't a doctor's office, it's social media which can lead to encountering many misconceptions and outright misinformation. Or, if the right voices show up, it can mean something else entirely. Our guest today, Dr. Charis Chambers, is one of those voices. She's a board-certified OB/GYN with specialty certification in Pediatric & Adolescent Gynecology, and Chief Medical Officer at Clue, a leading period and cycle-tracking app. She's also the founder of The Period Doctor, a platform she launched in 2019 to provide medically accurate reproductive health information and to place more minority physicians in the spaces where patients are already looking for answers. As she tells Raise the Line from Elsevier host Lindsey Smith, Dr. Chambers embraces the role of being a bridge between generations: "I can serve as a medical mediator where I advocate for the child and then educate the parent so that the child's concerns are met." Stay tuned to this important conversation to also learn about: Her new book, The Period and Puberty Parenting Revolution, which tackles many of the same myths she encounters every day in her clinic; Why stubborn myths around periods rarely hold up once you ask where they come from; How she thinks about the responsibility, and limits, of being a trusted medical voice on social media. Mentioned in this episode: Clue The Period Doctor The Period and Puberty Parenting Revolution If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
Thank you PJ Schuster, Under the Golden Boot, Cheryl
In 1987, Mary P. Lovato, a member of Kewa Pueblo in New Mexico, was diagnosed with acute leukemia. To receive a bone marrow transplant, she had to travel more than 800 miles from home because specialized cancer care was unavailable through the Indian Health Service. When she returned, she discovered another obstacle: many in her community feared cancer so deeply that they avoided speaking about it altogether.This episode examines how cancer survivorship exposed profound inequities in the American healthcare system. Long before health equity became a national priority, advocates from underserved communities were confronting disparities rooted in geography, poverty, racism, language, underfunded healthcare systems, and historical mistrust of medical institutions. Their work demonstrated that scientific advances alone cannot improve survival if patients cannot reach, afford, or trust the care available to them.The story follows pioneers including Mary P. Lovato, who built the first national Native-led cancer support and education program for Indigenous communities, and Maimah Karmo, founder of the Tigerlily Foundation, whose breast cancer diagnosis inspired a movement to improve early detection, clinical trial participation, and representation for Black women. Their advocacy challenged longstanding barriers to culturally competent care while highlighting persistent inequities in access to screening, fertility preservation, navigation, and innovative treatments.The episode also explores why diversity in clinical research matters. For decades, many cancer clinical trials disproportionately enrolled White patients, limiting both access to promising therapies and the scientific understanding of how treatments perform across different populations. Researchers, patient advocates, and community leaders responded by redesigning outreach, improving patient navigation, reducing logistical barriers, and insisting that affected communities help shape the research itself.Cancer survivorship cannot be measured solely by scientific breakthroughs. It also depends on whether every patient has a meaningful opportunity to benefit from them. The pursuit of health equity remains one of the defining challenges and enduring responsibilities of modern oncology.RELATED LINKSNational Cancer Institute | Cancer Health DisparitiesIndian Health ServiceTigerlily FoundationNational Cancer Institute | Cancer Clinical TrialsAmerican Indian Cancer FoundationAbramson Cancer Center | University of PennsylvaniaFEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Most people think occupational therapy is what happens after something goes wrong. Tyler Broome is here to tell you that's exactly the framing that's costing patients their independence. In this episode of the Your Health University Podcast, Jamie sits down with Tyler Broome, a Certified Occupational Therapist Assistant at Your Health, to explore what OT actually is, how it fits into a truly integrated care model, and why the therapy team often sees the earliest signs of decline — before anyone else on the care team does. Tyler brings a uniquely grounded perspective, shaped by a baseball career, a grandmother's fall, and years of working inside the homes of real patients. He articulates something most healthcare systems have yet to fully grasp: that medical outcomes and functional outcomes are deeply connected, and that a care team working in silos is a care team leaving gaps. In this episode: Why occupational therapy is defined by daily function — bathing, dressing, meal prep, medication management — not just physical recovery How OT's presence in the home gives the care team "functional health intelligence" no clinic visit can replicate The difference between saying your system is integrated and actually delivering integrated care Two real patient stories where early cross-disciplinary communication prevented a crisis from becoming a catastrophe Why the shift to value-based care makes therapy's role not just important — but essential If you work inside the Your Health system — or if you've ever wondered what the therapy team actually contributes — this conversation will change how you think about the care happening around your patients every day. www.YourHealth.Org
Send us Fan MailMost health tech companies do not fail because their product does not work. They fail because they never defined what success looked like before the pilot ended and the budget conversation began.Dan Galles, Partner at Allumia Ventures, joins host David E. Williams to discuss what 16 exits over a decade investing from inside Providence Health System revealed about what it actually takes to go from pilot to enterprise contract, and why the care model transformation AI is enabling may be the most important investment theme in healthcare right now.
In 2000, Katie Couric underwent a live colonoscopy on national television following the death of her husband, Jay Monahan, from colorectal cancer at age 42. The broadcast demystified a procedure many Americans feared, led to an estimated 20% increase in colonoscopy screenings, and became one of the clearest examples of how public storytelling can change healthcare behavior.This episode examines how celebrities, journalists, filmmakers, and entertainers helped reshape the public conversation about cancer during a period when survivorship was becoming increasingly visible. As breakthroughs in targeted therapies, immunotherapy, and early detection allowed more people to live beyond cancer, public figures used their platforms to encourage screening, reduce stigma, and accelerate research. Their influence extended far beyond awareness campaigns, helping transform cancer from a private diagnosis into a national public health conversation.Central to this story is Laura Ziskin, the Hollywood producer behind Pretty Woman and the Spider-Man films, whose metastatic breast cancer diagnosis inspired the creation of Stand Up To Cancer. Working alongside Couric and leaders from entertainment, journalism, and biomedical research, Ziskin championed a new funding model that required multidisciplinary scientific collaboration, helping accelerate discoveries that contributed to multiple FDA-approved cancer therapies. The episode also highlights the advocacy of actor Patrick Dempsey, whose family's experience with ovarian cancer led to the creation of the Dempsey Center, expanding support for patients and caregivers beyond medical treatment.The story also asks what celebrity advocacy often leaves unsaid. Financial toxicity, caregiver burden, chronic pain, mental health, and the long-term effects of treatment rarely receive the same attention as dramatic diagnoses or breakthrough cures. As cancer survivorship continues to evolve, the greatest challenge may not be convincing people to care about cancer, but helping them understand what it truly means to live with and beyond it.RELATED LINKSStand Up To CancerKatie Couric MediaDempsey CenterAmerican Association for Cancer ResearchNational Cancer InstituteDana-Farber Cancer Institute | Adult Survivorship ProgramFEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
"I'd already finished my cardiovascular unit. I'd finished my pulmonary unit. I had never heard about this in any of my classes." That was Dr. Joel Bervell's reaction to discovering that a device used every day in hospitals -- the pulse oximeter -- reads less accurately on darker skin tones. He posted a 30-second video about this consequential discrepancy that, to his utter surprise, gained over 500,000 views by the next morning. That video launched Dr. Bervell into orbit as a social media presence and created his identity as The Medical Mythbuster. In just a few years, he's built a following of two million people, earned a Peabody Award and was named to the inaugural Time 100 Creators list, all while finishing his residency. On this episode of Raise the Line, host Lindsey Smith welcomes Dr. Bervell to explore the roots of this kind of bias and the real world impact of drawing attention to it. “The most impactful biases in medicine exist because no one stops to ask who was included in the original data and who was left out,” Dr. Bervell explains. Stay tuned to also learn about: His YouTube animated series The Doctor is In which helps kids understand how their bodies work, as well as providing medical role models; How to build trust with marginalized communities; His forthcoming book, The Default Body which examines who medicine was actually designed for. Mentioned in this episode:Dr. Bervell on InstagramTikTok ChannelFacebook"The Doctor Is In" Show If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
In 2006, a landmark report titled Closing the Gap: Research and Care Imperatives for Adolescents and Young Adults with Cancer confirmed what young survivors had been saying for years. While survival rates for children and older adults had steadily improved, adolescents and young adults had experienced decades of stalled progress. They had become cancer's lost generation.This episode explores how young adult survivors transformed their shared isolation into one of the most influential grassroots movements in cancer advocacy. Diagnosed during the years typically devoted to education, careers, relationships, and starting families, patients between the ages of 15 and 39 confronted challenges that extended far beyond treatment. Fertility preservation, sexual health, employment, financial toxicity, insurance, and long-term quality of life were rarely discussed in oncology clinics, leaving many to navigate survivorship alone.The episode follows advocates including Tamika Felder, Lindsay Avner, Heidi Adams, Doug Ulman, and Dr. Archie Bleyer, whose research and advocacy fundamentally changed how medicine understands adolescent and young adult cancer. Through organizations including Planet Cancer, Fertile Hope, the Lance Armstrong Foundation, and later Stupid Cancer, survivors built online communities, educational resources, conferences, and national partnerships that challenged long-standing assumptions about cancer care. Their work helped establish fertility preservation as a standard discussion before treatment, expanded research dedicated to adolescent and young adult oncology, and elevated quality of life as a critical clinical outcome alongside survival.The movement also demonstrated the power of lived experience to reshape medicine. Survivors became researchers, educators, nonprofit founders, and policy advocates, insisting that cancer care account not only for years of life saved, but for the lives patients hoped to build afterward.What began as a search for peers evolved into a national movement that permanently transformed adolescent and young adult oncology. Today, dedicated research programs, clinical fellowships, survivorship resources, and patient advocacy organizations continue to build on the foundation these young cancer mavericks created.RELATED LINKSNational Cancer Institute | Adolescent and Young Adult (AYA) Cancer ProgramClosing the Gap: Research and Care Imperatives for Adolescents and Young Adults with CancerAmerican Society of Clinical Oncology | Fertility Preservation GuidelinesStupid CancerLivestrong FoundationJournal of Adolescent and Young Adult OncologyFEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Every leader has a plan — until the road closes. The question isn't whether you'll hit a detour. It's whether you've been honest enough about which ones you could have seen coming. In this episode, Jamie sits down with Matt Stobb, CEO of Your Health, for a candid conversation on what detours really cost healthcare leaders — and what they can teach us. Drawing on real moments from the frontlines of healthcare leadership, Jamie and Matt explore the difference between detours we create and detours we inherit, and what we owe our teams when we hit either one. Key topics covered: The critical difference between avoidable and unavoidable detours — and how leaders confuse the two Why "there's no lesson in the second kick of a mule" is the most underrated leadership principle in healthcare A leader's real job when the detour hits: take responsibility, communicate openly, and run toward the fire — not away from it How navigating hard moments together is one of the most powerful team-building forces in healthcare Why the detour sometimes becomes a better route than the one you originally planned If you're in the middle of a detour right now — or just past one you're still processing — this episode will meet you there.
There's a number attached to every patient's chart that quietly shapes the resources they receive, the care they're offered, and whether their health conditions are fully seen — and most providers don't fully understand it. In this episode, Jamie sits down with Ericka Bauman, Director of Quality Assurance at Your Health, to break down the Risk Adjustment Factor — better known as the RAF score. Ericka has spent years traveling across Georgia and South Carolina, walking into provider offices, sitting with care teams, and doing the work of turning confusing data into meaningful patient outcomes. What you'll hear in this episode: What the RAF score actually is — explained the way Erica explains it to every team she visits, from providers to front desk staff Why most RAF scores are too low — and how underdocumenting a patient's conditions leaves them exposed to missed care, hospitalizations, and unmet needs The biggest misconception providers have about RAF (hint: it's not another box to check) How RAF and quality measurement are really asking the same question from two different angles — and why treating them separately is a mistake What changes for patients when care teams show up prepared, proactive, and looking at the whole person — not just the reason for today's visit The numbers will follow when you take care of the patient. This episode will show you how. www.YourHealth.Org
Send us Fan MailA patient's right to control their own health data now depends almost entirely on which state they live in or happen to seek care in. The patchwork is growing, and the clinical and compliance consequences are catching up fast.Leigh Burchell, Vice President of Policy and Public Affairs at Altera Digital Health and Chair of the Electronic Health Record Association, joins host David E. Williams to discuss why states moving in opposite directions on sensitive health data are creating real patient safety risks, and what it costs EHR vendors in hundreds to thousands of engineering hours every time another state writes its own version of the rules.
In 2006, the Institute of Medicine published From Cancer Patient to Cancer Survivor: Lost in Transition, concluding that millions of Americans were surviving cancer only to find themselves navigating a healthcare system unprepared for life after treatment. The report challenged oncology to recognize that curing cancer was not the end of care, but the beginning of survivorship.This episode explores how the growing cancer survivorship movement exposed the long-term consequences of cancer treatment that medicine had largely overlooked. As survival rates improved following the National Cancer Act of 1971, millions of survivors faced chronic fatigue, neuropathy, infertility, cognitive impairment, financial hardship, employment discrimination, anxiety, depression, and post-traumatic stress. These were not rare complications. They became defining features of survivorship for many patients.Drawing on the work of oncologist Dr. Patricia Ganz, survivor advocate Ellen Stovall, and researchers, clinicians, and survivors across the country, the episode examines how survivorship research expanded beyond recurrence and mortality to include quality of life, psychosocial care, rehabilitation, and long-term follow-up. Their efforts helped establish survivorship care plans, multidisciplinary survivorship clinics, and a broader understanding that cancer affects every aspect of a person's life long after treatment ends.The episode also confronts persistent inequities in survivorship care. Insurance coverage often ends when treatment stops, supportive services remain inconsistent, financial toxicity continues to drive medical hardship, and racial, geographic, and socioeconomic disparities still influence who receives comprehensive follow-up care. For many survivors, finishing treatment simply marks the beginning of another struggle.Modern oncology increasingly recognizes that surviving cancer is measured by more than years of life. It is also measured by quality of life, dignity, access to care, and the ability to rebuild a future after treatment. That evolution remains one of the most significant legacies of the cancer survivorship movement.RELATED LINKSNational Academy of Medicine | From Cancer Patient to Cancer Survivor: Lost in TransitionNational Cancer Institute Office of Cancer SurvivorshipAmerican Society of Clinical Oncology | Survivorship CompendiumCancerCareHopeWell Cancer SupportNational Coalition for Cancer SurvivorshipFEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Despite gains in recent years, Black, Hispanic, and Asian communities are still under-represented in the U.S. nursing workforce. We're going to explore that gap and how to close it on this episode of Raise the Line from Elsevier with Dr. Ernest Grant, Vice Dean for Diversity, Equity, Inclusion and Belonging at the Duke University School of Nursing. "You get a patient who is more compliant when they see someone who looks like them, who is from their culture and who can advocate on their behalf," he tells host Lindsey Smith. Dr. Grant bases that and other insights on a rich professional background that includes 50 years in nursing, being a leading advocate for his profession and breaking down barriers himself as a male nurse of color and the first man elected president of the American Nurses Association. In this thoughtful conversation, Dr. Grant reflects on what it took to earn credibility in leadership roles, how he's navigating the political climate on DEI initiatives, and the causes and solutions to the persistent shortage in nursing faculty, among other pressing issues. Tune in for a uniquely-informed look at what it will take to build a stronger, more representative nursing profession. Mentioned in this episode: Duke University School of Nursing American Nurses Association If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
Text the show! Luigi Mangione pleaded guilty. Twenty months after his killing was celebrated as a rupture, a reckoning, and a catalyst for healthcare reform, it is finally time to check the scoreboard.What was the demand? What was the mechanism? Who built the coalition? What was the result?The answer is brutal: the movement generated celebrity, merchandise, courtroom fan culture, and a seven-figure legal defense fund—but no measurable improvement for sick Americans.Chad examines the difference between a legitimate grievance and an effective movement, why political spectacle feels like change even when it produces nothing, and the bipartisan healthcare legislation quietly doing more than the entire Mangione phenomenon.The grievance is real. The fury is earned. But fury without construction is merely rage with better branding.Plus, in the After Hours Q&A:• Why healthcare still relies on fax machines• What Mangione actually pleaded guilty to• Why telling patients to appeal isn't excusing insurers• Whether covering Mangione gives him the fame he wanted• Why insurance denials deserve their own full investigationTEXT THE SHOW: 252-CHAD-LAWVisit ChadParkerLaw.com for the books, editorials, The Gaily News, and the free Common Sense Conservative Manifesto.CHAPTERS00:00 The Scoreboard of Healthcare Reform02:04 Personal vs. Political Vengeance04:57 The Marketing of a Movement07:48 The Absence of a Clear Demand10:23 The Role of Social Media in Activism12:47 The Failure to Create Real Change15:00 Analyzing the Results of the Movement18:49 The Illusion of Change in Healthcare22:07 Real Change vs. Spectacle23:48 Relief vs. Reform26:55 Public Sentiment and Political Violence29:36 Constructive Anger: The Path Forward31:59 The Consequences of Inaction33:30 Grievance, Action, and the Reagan Reminder
In 1967, breast surgeon Dr. Harold P. Freeman arrived at Harlem Hospital expecting to treat cancer. Instead, he confronted a healthcare system where poverty, racism, lack of insurance, and institutional barriers often determined who lived long enough to receive treatment. Patients frequently arrived with advanced disease, not because medicine lacked answers, but because access to care had failed them.This episode explores how cancer survivorship expanded beyond medical breakthroughs to include healthcare access, health equity, and organized advocacy. Building on the early work of the National Coalition for Cancer Survivorship (NCCS), it examines the recognition that surviving cancer depended not only on research, but also on whether patients could navigate a fragmented healthcare system.Freeman responded by creating one of the nation's first patient navigation programs at Harlem Hospital in 1990. Community-based navigators helped patients overcome practical barriers including insurance, transportation, appointments, communication, and fear. The model dramatically improved timely diagnosis and treatment, increased breast cancer survival in Harlem, and ultimately inspired the Patient Navigator Outreach and Chronic Disease Prevention Act of 2005, establishing navigation as a cornerstone of modern oncology care.The episode also follows cancer survivor Ellen Stovall, whose leadership transformed survivorship into a national policy movement. Through the NCCS, she united advocates across cancer types, fought for insurance protections, expanded access to clinical trials, helped shape the creation of the Office of Cancer Survivorship at the National Cancer Institute, and organized the landmark 1998 National March for Cancer Survivorship in Washington, D.C. Her work reframed survivorship as a public policy issue rather than a personal experience.Together, Freeman and Stovall demonstrated that scientific progress alone could not eliminate disparities in cancer outcomes. Their work established two enduring principles that continue to shape oncology today: patients need someone to help them navigate care, and survivors must have a voice in the policies that govern it. Modern cancer survivorship depends on both.RELATED LINKSNational Coalition for Cancer SurvivorshipHarold P. Freeman Patient Navigation InstituteNational Cancer Institute Office of Cancer SurvivorshipPatient Navigator Outreach and Chronic Disease Prevention Act of 2005American Cancer SocietyTuskegee Study Timeline | Centers for Disease Control and PreventionFEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Welcome to a very, very, very special bonus episode of Out of Patients, and one unlike anything published on this feed before. For nearly 20 years, Matthew Zachary has handed these microphones to patients, caregivers, doctors, advocates, troublemakers, and people with something worth saying. This time, he handed them to his daughter. Hannah Greenzweig grew up around this show, and now she has commandeered the studio with 3 of her wonderfully creative high school friends to talk about something they built entirely themselves. There is an enormous amount of Dad Pride baked into this episode, along with the strange and wonderful realization that sometimes your kid grows up, takes your chair, takes your microphone, and produces a better show without you.Hannah Greenzweig, Michael Aidinov, Gwendolyn Baldini, and Astronomy are student artists from the Roundabout Youth Ensemble at James Madison High School in Brooklyn. Working alongside teaching artists from Roundabout Theatre Company, they spent a school year creating an original play from the ground up, writing every scene, developing every character, and producing the performance themselves.Instead of discussing a Broadway production, they dissect one they invented.Their play, Subject Matter, began with a room full of improbable ideas. Murderous bounce houses, pirate family sagas, underwater adventures, courtroom dance battles, and birthday parties at math museums all competed before the group settled on an absurd rivalry between New York's fictional History Museum and Math Museum. From there, they built a fully staged comedy about institutional competition, sabotage, oversized personalities, and the unexpected discovery that history and mathematics need each other more than either side wants to admit.The conversation pulls back the curtain on a creative process most audiences never see. The students explain how scenes evolved through constant rewrites, how characters emerged from improvisation, how costumes came together with last minute ingenuity, and how rehearsals often collapsed into uncontrollable laughter. They recount cutting favorite ideas, solving production problems with limited resources, and trusting each other enough to keep rewriting until the story worked.The episode also captures something harder to script: teenagers speaking honestly about collaboration without adults translating their experience. They celebrate classmates who stepped into unexpected roles, teachers who quietly held the production together, and the strange joy of creating something that exists only because everyone showed up.It is a conversation about theater, friendship, education, creativity, and what happens when 4 young artists get the microphones and the adults get out of the way.RELATED LINKSRoundabout Theatre CompanyRoundabout Youth EnsembleJames Madison High SchoolFEEDBACKLike this bonus episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
A man is struck by a car on the streets of Los Angeles. In the emergency department, a CT scan ordered to look for traumatic injuries reveals something nobody expected: a mass in his colon. Days later, sitting across from Dr. Belinda Waltman, he calls the accident “a blessing in disguise.” Then he changes the subject. He is less worried about cancer than about whether he can afford to miss another day of work. In this season finale of Standard Deviation, host Dr. Oliver Bogler explores what happens when biomedical science collides with the realities of the healthcare safety net. Dr. Waltman, a primary care physician in Los Angeles County, specializes in expedited cancer workups for uninsured and underinsured patients. Every diagnosis arrives carrying another set of questions about housing, transportation, food insecurity, wages, and survival that rarely appear in medical records or scientific literature. For years, Waltman carried those stories without knowing how to bring them into the academic record. As a full-time clinician without a research lab, grant funding, or publication pipeline, she faced barriers familiar to many working scientists and physicians whose most important observations happen outside traditional research settings. With support from the Life Science Editors Foundation's JEDI program, those experiences became The Margins Matter, a narrative medicine essay published in JAMA that argues the social realities surrounding cancer care are not background details. They are part of the disease itself. Bogler traces how editorial mentorship transformed lived clinical experience into published scholarship while asking a larger question about who gets to shape the scientific record. The conversation examines cancer care, Medicaid, health-related social needs, medical publishing, and the structural incentives that determine which stories become evidence and which disappear from view.The result is a conversation about documentation, visibility, and why the margins of medicine often determine who survives long enough to benefit from its advances.RELATED LINKSDr. Belinda WaltmanThe Margins Matter | JAMAThe Margins Matter | PubMedLife Science Editors FoundationFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
What does it take to compete on the world's biggest stage and then pivot to one of the most demanding training paths in professional life? Today's guest, Samantha "Sammy" Kolowrat, has done both, and she has some fascinating insights into the commonalities of those two worlds on this episode of Raise the Line. “Something that really drew me to medicine is the team atmosphere that's there as you work towards a common goal, and there's this level of intensity that's very reminiscent of the experiences I had as a professional athlete.” Originally from Prague, Kolowrat represented Czechia at six IIHF Women's World Championships and the 2022 Beijing Olympics, and also captained the Division I women's hockey team at the University of Vermont while earning degrees in biology and pharmacology. As she starts an anesthesiology residency at Vanderbilt University, she credits her athletic career with shaping how she handles pressure, feedback, and teamwork in medicine. "The more I improve, the more knowledge I acquire, the more skills I hone, the better care my patients get," she tells host Lindsey Smith, describing what drew her to a field that rewards the same relentless fine-tuning as elite sports. This engaging conversation also explores: How crippling performance anxiety as a Division I athlete ended up preparing Kolowrat for the operating room; Why she was drawn to anesthesiology's "well-oiled machine" atmosphere; The mentorship gap she's working to close for the next generation of athlete-physicians. Mentioned in this episode: Vanderbilt University Anesthesiology Residency Program If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
In 1986, 23 survivors, physicians, nurses, attorneys, and community organizers gathered in Albuquerque, New Mexico, for a weekend that would permanently change the language and politics of cancer. Working late into the night, they debated not only strategy, but identity, ultimately declaring that from the moment of diagnosis, every person with cancer is a survivor.This episode traces the social and political forces that gave birth to the modern cancer survivorship movement. As advances in early detection and treatment allowed more people to live beyond cancer, survivors discovered that finishing treatment did not mean returning to normal life. Many faced employment discrimination, loss of insurance, social stigma, infertility, chronic health complications, and a healthcare system that viewed survival as the end of care rather than the beginning of a new chapter.Against the backdrop of the civil rights, disability rights, and community health movements of the 1960s and 1970s, physicians, activists, and survivors challenged medicine's paternalistic culture and demanded a greater voice in decisions affecting their lives. Central to this story are physician and survivor Dr. Fitzhugh Mullan, whose landmark 1985 essay, Seasons of Survival, redefined survivorship as a lifelong continuum, and community organizer Katherine Logan, whose determination united dozens of grassroots organizations into what became the National Coalition for Cancer Survivorship.The coalition's founding established principles that continue to shape oncology today. Survivors were no longer defined solely by disease or treatment outcomes. Their experiences became evidence. Their voices became essential to clinical research, healthcare policy, and patient advocacy. By redefining survivorship as an ongoing experience rather than a destination, the movement challenged medicine to recognize the lasting physical, emotional, financial, and social consequences of cancer.The ideas forged during that weekend in Albuquerque became the foundation of modern cancer survivorship. Nearly 40 years later, the coalition's defining principle, that survivorship begins at diagnosis, continues to influence cancer care, research, policy, and the way millions of people understand life after cancer.RELATED LINKSNational Coalition for Cancer SurvivorshipNational Cancer Institute Office of Cancer SurvivorshipThe New England Journal of MedicineAmericans with Disabilities Act (ADA.gov)Library of Congress | Civil Rights History ProjectWhite Coat, Clenched Fist by Fitzhugh MullanFEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In 1971, President Richard Nixon signed the National Cancer Act, transforming cancer research with an unprecedented federal investment and launching what became known as the War on Cancer. The legislation did not emerge from scientific discovery alone. It was the culmination of decades of relentless advocacy by researchers, philanthropists, journalists, and patients who believed cancer demanded the same national commitment that had put astronauts on the Moon.This episode traces the origins of the cancer survivorship movement by returning to a time when cancer was rarely discussed in public, many physicians withheld diagnoses from their patients, and surgery offered few lasting cures. It follows the pioneering work of pathologist Dr. Sidney Farber, whose early chemotherapy research challenged conventional thinking, and Mary Lasker, whose political strategy, fundraising, and public campaigns helped transform cancer from a private tragedy into a national public health priority. Together, they built the coalition that reshaped federal support for oncology research and forever changed the relationship between science, government, and the American public.The story then turns to journalist and breast cancer survivor Rose Kushner, whose refusal to accept the standard one-step radical mastectomy challenged nearly a century of surgical dogma. Working alongside surgeon Dr. Bernard Fisher, Kushner helped bring evidence-based medicine to breast cancer treatment through randomized clinical trials that demonstrated less invasive surgery could achieve equivalent outcomes. Their efforts changed clinical practice, strengthened informed consent, and helped establish the principle that patients should participate in decisions about their own care.The breakthroughs explored in this episode extended far beyond new treatments. They redefined the role of patients in medicine, accelerated clinical research, and laid the foundation for modern cancer survivorship. The movement that followed would not simply help more people live longer. It would change what surviving cancer meant.RELATED LINKSNational Cancer InstituteNational Cancer Act of 1971American Cancer SocietyDana-Farber Cancer InstituteNational Library of MedicineThe New England Journal of MedicineFEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Long before cancer survivors organized into a movement, Hollywood had already shaped how Americans understood the disease. Films rarely used the word “cancer,” physicians often withheld diagnoses from patients, and the people who survived were almost nowhere to be found on screen.Recorded before The Cancer Mavericks: A History of Survivorship became a documentary series, this bonus conversation explores where the project first began. Matthew Zachary sits down with his mother, Roz Greenzweig, a retired educator and lifelong film enthusiast whose memories of classic cinema became an unexpected lens for understanding how cancer was portrayed throughout the twentieth century.Together, they revisit landmark films including Dark Victory, Love Story, and other iconic portrayals that reflected an era when cancer was treated as unspeakable, inevitable, and almost always fatal. Their conversation contrasts those carefully constructed Hollywood narratives with the lived reality of a family confronting a brain cancer diagnosis in 1995, revealing how popular culture both reflected and reinforced the fears surrounding the disease.The discussion also foreshadows many of the themes explored throughout the documentary series: the evolution of patient advocacy, the emergence of cancer survivorship, the role of caregivers, and the power of storytelling to influence public understanding. Before policy changed, before advocacy organizations grew into national movements, conversations like these were already challenging long-held assumptions about what cancer looked like and who had the right to tell its story.Consider this the prologue to The Cancer Mavericks. Before the movement found its history, it began with a family trying to make sense of the stories they had inherited.RELATED LINKSAmerican Cancer SocietyNational Cancer InstituteAmerican Film InstituteER (NBC)50/50 (Official)Chasing Life (ABC Family Archive)FEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Questions? Email podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
© 2020-2026 Ivy Podcast Discovery LLC
