Podcasts about how you can take it back

Part 1Eileen Appelbaum is Co-Director of the Center for Economic and Policy Research, Washington, DC, Fellow at Rutgers University Center for Women and Work, and Visiting Professor at the University of Leicester, UK.We discuss the structural determinants of healthcare in the US. This means the financial aspects of setting up health care systems, including financing the construction of hospitals and clinics. There are concerns about how this is done, and the problems of rural facilities. Part 2:We talk with Elisabeth Rosenthal, senior contributing editor at KFF Health News and author of “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back.”, We discuss how hospitals that are “non-profit” are actually in profit-making enterprises, and not paying the appropriate taxes. How does this affect the communities in which they operate?WNHNFM.ORG   production 

To our guest today, the current American healthcare system feels less like a means to get well and more like a gigantic racket. We've gone from hospital visits in the 1950s costing five dollars a day to getting billed for everything from the oxygen reader on your finger to the IV bag. So how did we get here?Elisabeth Rosenthal is the senior contributing editor at KFF Health News and the author of the book, An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. Before her career in journalism, she spent some time practicing medicine at an emergency room in New York City. Elisabeth and Greg discuss the puzzling economics behind healthcare pricing, how medical bills balloon because of too many hands in the honey pot, and some practical advice for people heading to the hospital. *unSILOed Podcast is produced by University FM.*Episode Quotes:Private equity goes with where the opportunity is, and it's in health care04:32: One person told me, when I was writing my book, between the hip manufacturer, the implant manufacturer, and the patient's bill, that there are 13 people taking a cut of the price of that implant. 13 middlemen, and we just keep adding middlemen who take more money from the system. So the interesting thing is how much of that, now 3.5 trillion dollars that we spend on healthcare, how much of that is actually going to care, and how much of that is being siphoned off for profit, for executive salaries, for investor profit. I don't know what the percentage is, but it's like a Rube Goldberg machine for extracting money. And the poor patient is, well, what about me? You're just kind of an ATM; it's really sad. Private equity goes where the opportunity is, and it's in healthcare.Which side are the insurers truly on?11:48: People have this misguided thinking that, ‘Oh, my insurers are in my corner' They're not in your corner. They're like, ‘They take in premiums, and they pay out claims.' And if they can raise the premiums and raise the copays and deductibles, they don't really care if the prices go up. Plus, they have these very sophisticated deals with big hospital systems.Are we regulating the wrong things in healthcare? 39:33: We regulate all the wrong things. Yes, putting stitches in your hand is fine. You don't need a doctor to do that. A tech can do that fine. But in the U.S., you are going to be billed as if a doctor did it, whether a doctor did it or not. You might be billed for the physician assistant who did it too. You might be charged for both because the doctor might have come and looked at it and said, "Yeah, that needs stitches." So it will be billed in this crazy way, but I think on the other hand, the physician assistants and nurse practitioners are looking for independent licensing. Mostly everything they do is billed as if the doctor did it, even if the doctor was 50 miles away. So that's why some of the bills are so high.Navigating consumer rights and prices50:23: When you go to a hospital, and they give you that clipboard to sign 20 forms or even a tablet, I always cross out the part that says I will pay for anything that my insurance doesn't cover because that's in one of those forms that are always in there. And people should never sign that; you can shop for the electives, small-dollar items. You can get estimates, and to me, this is where the government should come in.Show Links:Recommended Resources:Uwe ReinhardtWillie SuttonRube Goldberg machineNo Surprises ActDiagnosis: Debt (KFF Health News)March of DimesJuvenile Diabetes Research FoundationGuest Profile:Professional Profile at KFF Health NewsHer Work:An American Sickness: How Healthcare Became Big Business and How You Can Take It Back How Your In-Network Health Coverage Can Vanish Before You Know It (KFF Health News)

This week on Moral Matters, we're sharing another episode from Searching for Medicine's Soul. In this episode, Dr. Rothstein talks with Dr. Elisabeth Rosenthal, a senior contributing editor at Kaiser Health News, former New York Times reporter and New York Times best selling author of American Sickness: How Healthcare Became Big Business and How You Can Take It Back. Drs. Rothstein and Rosenthal talk about the failures of the American healthcare system and the untenable costs and burdens it foists on both doctors and patients. We are grateful to the Searching for Medicine's Soul podcast for letting us share this episode with you. For more information about Searching for Medicine's Soul:https://searchingformedicinessoul.podbean.com/ Dr. Rosenthal's book: https://www.anamericansickness.com/ Support the podcast: https://www.fixmoralinjury.org/get-started Twitter - @fixmoralinjury Instagram - @moralinjury Facebook - @moralinjuryofhc LinkedIn - Moral Injury of Healthcare

In this episode of Searching for Medicine's Soul, Aaron was joined by Dr. Elisabeth Rosenthal, senior contributing editor at Kaiser Health News, former New York Times reporter, and New York Times Best Selling author of An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. Dr. Rothstein and Dr. Rosenthal talked about the failures of the American healthcare system and the untenable costs and burdens it foists on patients and doctors. 

Lesley's Lessons is a personal development podcast by author Lesley D. Nurse. In this episode, she discusses her new book, "I Don't Want You To Dim Your Light Anymore." Tune in to hear author Lesley D. Nurse talk about personal development, self-care, and living your best life despite someone or something trying to dim their light.Support the show What the Flies, Bees, and Ants Taught Me: The Sweet Lessons Learned About Failing and Getting Back Up I Don't Want You To Dim Your Light Anymore How to Turn a Breakup into a Breakthrough: And Move On Like a Boss You're Right. I Am That.: An Affirmation Book That Inspires Change Honey, It Is You: Why Being Envious Is Taking Away Your Joy and How You Can Take It Back for Good You're Right, I Don't Care: 7 Lessons Learned to Stop Worrying Less & Start Enjoying Life More ...

What The Flies, Bees, And Ants Taught Me is a children's book by Lesley Nurse that teaches kids life lessons. This inspiring podcast is for parents, teachers, and grandparents to share with any young boy who struggles with dealing with emotions and failure.Support the show What the Flies, Bees, and Ants Taught Me: The Sweet Lessons Learned About Failing and Getting Back Up I Don't Want You To Dim Your Light Anymore How to Turn a Breakup into a Breakthrough: And Move On Like a Boss You're Right. I Am That.: An Affirmation Book That Inspires Change Honey, It Is You: Why Being Envious Is Taking Away Your Joy and How You Can Take It Back for Good You're Right, I Don't Care: 7 Lessons Learned to Stop Worrying Less & Start Enjoying Life More ...

Feeling let down is a common experience, but it doesn't have to hold you back. Learn how to move on and find success in this podcast episode.Support the show What the Flies, Bees, and Ants Taught Me: The Sweet Lessons Learned About Failing and Getting Back Up I Don't Want You To Dim Your Light Anymore How to Turn a Breakup into a Breakthrough: And Move On Like a Boss You're Right. I Am That.: An Affirmation Book That Inspires Change Honey, It Is You: Why Being Envious Is Taking Away Your Joy and How You Can Take It Back for Good You're Right, I Don't Care: 7 Lessons Learned to Stop Worrying Less & Start Enjoying Life More ...

Are you tired of being in situationships and not getting what you want out of love? Check out this podcast for tips on how to upgrade your love life - in time for Valentine's!Support the show What the Flies, Bees, and Ants Taught Me: The Sweet Lessons Learned About Failing and Getting Back Up I Don't Want You To Dim Your Light Anymore How to Turn a Breakup into a Breakthrough: And Move On Like a Boss You're Right. I Am That.: An Affirmation Book That Inspires Change Honey, It Is You: Why Being Envious Is Taking Away Your Joy and How You Can Take It Back for Good You're Right, I Don't Care: 7 Lessons Learned to Stop Worrying Less & Start Enjoying Life More ...

Discover how to take back control of your life and own your narrative. This empowering podcast will teach you how to grow from your experiences instead of being defined by them.Support the show What the Flies, Bees, and Ants Taught Me: The Sweet Lessons Learned About Failing and Getting Back Up I Don't Want You To Dim Your Light Anymore How to Turn a Breakup into a Breakthrough: And Move On Like a Boss You're Right. I Am That.: An Affirmation Book That Inspires Change Honey, It Is You: Why Being Envious Is Taking Away Your Joy and How You Can Take It Back for Good You're Right, I Don't Care: 7 Lessons Learned to Stop Worrying Less & Start Enjoying Life More ...

Join Elsa and Riya this week as they discuss tips on how you can save money in your doctor's visits and hospital trips. The content is based on Dr. Elisabeth Rosenthal's book “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back”. Listen as Elsa and Riya discuss the importance of asking questions and paying attention to the affiliation of the facility, the professionals you come in contact with, and the type of visit you are having - observation or admission. Elsa and Riya also discuss topics such as doctors self-referring to their own labs and the need for malpractice law reform. Finally, they discuss the Michelin Guide of healthcare and call for more governmental action. If you are in need of financial savings in healthcare, this is not an episode you will want to miss!

Join us as Caroline shares her top tips for navigating the healthcare system when you're patient or caregiver (or both!). We focus on ways to protect your mental and emotional energy as you engage with a complex system during a difficult season of life. From compassion to role delegation to systems and strategies, we cover practical and actionable tips to reduce overwhelm as you navigate your health journey. Have your own tips to share? Email caroline@morrisclinic.com and we'll feature them in a future episode.    In overwhelm now? Schedule an intro call to talk through your concerns.    Resources Cancer Chameleon: How You and Your Caregiver Can Take Control of Your Cancer Trek by Andrew Trice An American Sickness: How Healthcare Became Big Business and How You Can Take It Back by Elisabeth Rosenthal

Can we create incentives to make medicine do the right thing? Is healthcare a public good or a commodity? Join for a conversation around the business of medicine with Dr. Elisabeth Rosenthal, Kaiser Health News Editor-in-Chief, NY Times Contributor and author of "An American Sickness: How Healthcare Became Big Business and How You Can Take It Back". Learn about Elisabeth's journey toward becoming an author and journalist, and her recommendations for what can be done to bring reform to the healthcare system. --- Send in a voice message: https://anchor.fm/tdio/message

We learned many long-distance lessons during the pandemic. One of the most important involved visiting the doctor. As Dr. Elisabeth Rosenthal, author of *An American Sickness: How Healthcare Became Big Business and How You Can Take It Back* and Editor-in-Chief of *Kaiser Health News,* tells our Jonathon Swersey in the latest episode of *The Resonance Test:* “Many of us spend *way* too much time schlepping into doctors' offices for things that could be done *perfectly* well over the phone.” The pandemic took telemedicine mainstream. Many who previously had only heard of it were forced to experience, practice, and pay for it. The question is: What's it worth? “Is it 50% of a real, in-person visit? 70%? 100%? Sometimes [it's] 120%! But I think it really depends on the kind of visit, and how it's used, and who is creating the telemedicine system.” Regarding the myriad unresolved details of telemedicine—what works well remotely, what must be done in person, how to value all these different treatment options—Rosenthal says: “We have a lot of sorting out to do.” Rosenthal is, admittedly, somewhat skeptical about virtual care. “My worry always that it will be sold as useful because it's commercial, before it's useful—and that could give the whole field a bad name, frankly.” But whatever happens when the big telemedicine sort finally happens, it must ultimately be about creating balance. People will always need to do some things in a non-virtual way. As Rosenthal reminds us: “You can't test someone's reflexes on a screen.” Host: Alison Kotin Engineer: Kyp Pilalas Producer: Ken Gordon

Medical matters. Humans seek relief for every known malady. Some problems are serious -- others as trivial as boredom. We crave entertainment and information. Dr. Elisabeth Rosenthal is a renowned MD and New York Times' writer covering health care, climate change, China, and the world. Dr. Rosenthal worked as an emergency room physician before becoming a journalist and she is a fascinating guest.   Dr. Rosenthal is the author of “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back” and editor-in-chief of Kaiser Health News. Most recently, she wrote powerfully following the massacre of the Boulder Ten with her Washington Post column titled, “I was a Teenage Gun Owner, then an ER Doctor. Assault-style Weapons make me Sick.”   Let's never forget what happened in Boulder. Or Aurora. Or Columbine. Let's not forget or ignore threats around such as racism, climate change, and police brutality at the hands of the Officer Chauvins of the world. Our Troubadour Dave Gunders gifts us with his wonderful song, Way of Forgetting. Let it be a healing song for those grieving in Boulder.   Peter Schaffer is a famous sports agent and attorney whose clients include Jerome Bettis, Barry Sanders, and Joe Thomas. Peter dominates Craig's Lawyers' Lounge discussing the NFL draft, pro sports' future, race relations, LeBron James, the Broncos, and the Chauvin trial and verdicts. Listen to the medical battles the Schaffer family is fighting and how to help.   www.headstrong.org   Rundown - Dr. Elisabeth Rosenthal - 00:02:05 Dave Gunders - 00:54:38 Peter Schaffer - 01:09:54

Dr. Elisabeth Rosenthal, bestselling author of "An American Sickness: How Healthcare Became Big Business and How You Can Take It Back," visits Passing Judgment to talk about our some of the systemic problems of America's healthcare system, our dismal response to the COVID-19 pandemic, and what we can do moving forward.

Diane talks with Elisabeth Rosenthal, editor-in-chief of Kaiser Health News, a contributing opinion writer for the New York Times and author of “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back."

E24 - This week we bring on our friend Meg. She works at planned parenthood, sits on several important boards and commissions, and wakes up every day to fight for justice and equality in healthcare. We talk about her path in politics and how YOU can ensure abortion access continues in Nebraska (spoiler - it’s voting). Meg is reading: An American Sickness:How Healthcare Became Big Business and How You Can Take It Back by Elisabeth Rosenthal Support the work of SeeingRedNebraska here: http://seeingrednebraska.com/fight-back/ Social Media links: https://seeingrednebraska.com seeingredne@protonmail.com Tweet@seeingredNE FB@seeingrednebraska Instagram @seeingrednebraska

Hey everyone, my name is Jared and this is an introductory episode of my podcast. I will talk about alternative health, spirituality, philosophy, and much more. *An American Sickness: How Healthcare Became Big Business and How You Can Take It Back* https://amzn.to/32Xh3uv You can check out my book here: https://www.amazon.com/Psynautical-Improvement-Spirituality-Self-Actualization-Biohacking-ebook/dp/B07GD2NJHP/ref=sr_1_1?crid=PY6F3AN6HC45&keywords=psynautical&qid=1584245611&sprefix=psynautical+%2Caps%2C251&sr=8-1 Check out my website here: http://www.jaredheldt.com ( http://www.jaredheldt.com ) Check out this website for discounted and cheap vitamins, supplements and more: https://www.iherb.com/?rcode=UVA431 My youtube channel (I upload my podcast there as well too): http://www.youtube.com/chronicfunsyndrome Check out Remedylink for a variety of holistic supplements such as suppositories, electron generator machine among others: *https://remedylink.com/ref/45/* ( https://remedylink.com/ref/45/ ) Want to support me directly? I appreciate any and all support no matter how small or big :) https://anchor.fm/psynautical/support --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app ( https://anchor.fm/s/1669cc2c/podcast/sponsor/acugj9/url/https%3A%2F%2Fanchor.fm%2Fapp ) Support this podcast: https://anchor.fm/psynautical/support Support this podcast at — https://redcircle.com/psynautical-alternative-health-spirituality-and-philosophy/donations

Part two of our interview with Dr. Carolyn McClanahan, a medical doctor who became a certified financial planner. We touched on a cross section of healthcare and planning topics: 00:23 Which Senator killed the public option? 01:48 Importance of the public option 02:10 Elisabeth Rosenthal book How Health Care Became Big Business and How You Can Take It Back 04:25 Ideas for fixing healthcare 5:16 Origin of “ObamaCare” 06:11 Ted Kennedy and healthcare 06:35 Nixon had a good healthcare plan 08:24 The craziness of employer based healthcare 09:56 Is Long-Term Care Insurance worth it? 11:44 The Big Four of Aging 15:44: "Primary Care for All!" 19:58 Aging parents and healthcare Time to Expand Community Health Carolyn McClanahan, MD, CFP® Meridian Wealth Management 403bwise.org

In this ninth episode, Travis Christofferson provides an overview of his new future of medicine book “Curable: How an Unlikely Group of Radical Innovators is Trying to Transform our Health Care System”. Read the transcript He covers the great inefficiencies of healthcare and harm it’s doing to swaths of the patient population. He explains it’s too qualitative than quantitative, that incentives are misaligned. He offers hope by urging a shift to being data-driven. Topics we discussed in this episode The economics of Moneyball Data can overcome our cognitive biases Repurposing medications Metformin Huge disparities and variations of treatment Veneration of a physician’s intuition has and still causes great harm Complexity of medicine has outstripped the human mind ability to do it effectively Fee for service model incentivizes unnecessary treatments Prescribed medications are third largest cause of death globally 30% to 50% of all healthcare dispensed is over treatment Doctors on salary change the way they practice medicine, aligning with patient more Precision pre-operation antibiotic timing Easily saving thousands of lives saved and billions of dollars The need to get to the source of disease and use a preventative type of medicine Unnecessary cancer treatment with early detection The need to focus on wellness and lifestyle things like diet Metformin and berberine Going all the way disease upstream and tackling aging itself Resveratrol Interventions like ketogenic diet and fasting show great data, but no incentives due to lack of financial rewards Most expensive treatments typically done even when there is no data to indicate that they are more effective Healthcare is a parasite dragging down American business on the world stage Amazon, JP Morgan and Berkshire Hathaway building their own healthcare from the inside out Virta Health as an example of an emerging innovative boutique health system Variation in treatment is not something that’s taught in medical school Healthcare is disassociated from the way capital markets traditionally work End of life chemotherapy and other aggressive treatments are evil Lack of government investment in research to treat disease at source, the aging process itself Water fasting before chemotherapy Epigenetics Our health is nowhere near as deterministic as we used to think just twenty years ago Show links Tripping over the Truth: How the Metabolic Theory of Cancer Is Overturning One of Medicine's Most Entrenched Paradigms by Travis Christofferson (Book) Curable: How an Unlikely Group of Radical Innovators is Trying to Transform our Health Care System by Travis Christofferson (Book) Moneyball: The Art of Winning an Unfair Game by Michael Lewis (Book) Care Oncology UK (Website) Care Oncology USA (Website) Metformin (Wikipedia Entry) Radical mastectomy (Wikipedia Entry) Sapiens DS’ Brad Perkins on a new healthcare industry emerging from computing (Previous Episode transcript) Nudge: Improving Decisions About Health, Wealth, and Happiness by Richard Thaler (Book) An American Sickness: How Healthcare Became Big Business and How You Can Take It Back by Elisabeth Rosenthal (Book) Intermountain Healthcare (Website) Brent James MD (LinkedIn Profile) Hacking the Software for Life by Brad Perkins (Conference talk video) The Price We Pay: What Broke American Health Care and How to Fix It by Marty Makary MD (Book) Metformin and berberine, two versatile drugs in treatment of common metabolic diseases (Paper) Lifespan: Why We Age and Why We Don't Have To by David Sinclair PhD (Book) Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it? by Atul Gawande (New Yorker, Article) Virta Health (Website) Substantial health and economic returns from delayed aging may warrant a new focus f...

Elisabeth Rosenthal (@RosenthalHealth) kicks off Season 2 of The ACO Show with Josh Israel (@DrJIsrael) and Joe Shonkwiler (@JoeShonkwiler). She points out some of the bigger flaws in our health care system and discusses what physicians and private companies can do to bring more humanity back to the practice of medicine. Dr. Rosenthal is the Editor-in-Chief of Kaiser Health News and the author of the bestselling book “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back.” She covered health care and environmental issues for the New York Times for 22 years. She is a graduate of Stanford University and Harvard Medical School and practiced emergency medicine in New York City before transitioning to journalism. Kaiser Health News is not affiliated with Kaiser Permanente Health Plans.

  Recognize the importance of cost-of-care conversations and identify resources to facilitate these discussions with help from Gwen Darien, executive vice president at the National Patient Advocate Foundation, and Dr. Jessica Dine, Associate Professor and Chief of the division of Pulmonology and Critical Care at Perelman School of Medicine.  We review barriers to cost-of-care conversations and identify tools to help make these conversations a part of routine care discussions.  Full show notes at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written and Produced by: Elena Gibson, MD Infographic and Cover Art: Elena Gibson, MD Hosts: Elena Gibson MD; Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   Editor: Matthew Watto MD, FACP; Emi Okamoto MD  Guest: Gwen Darien and Jessica Dine MD Partners and Grant Support The American College of Physicians. Check out this supplement to the Annals of Internal Medicine from May 2019 on Fostering Productive Health Care Cost Conversations https://annals.org/aim/issue/937992 The Robert Wood Johnson Foundation https://www.rwjf.org provided grant support for this episode. Time Stamps 00:00 Pun, disclaimer, sponsor 01:10 Intro, guest bios 06:10 Guest one-liners 07:22 Picks of the week*: Sing Unburied Sing (book) by Jesmyn Ward ; The Quiet American (book) by Graham Greene; An American Sickness: How Healthcare Became Big Business and How You Can Take It Back (book) by Elisabeth Rosenthal 09:35 Best Advice: Always question received wisdom; Listen! 14:10 Cost of treatment versus cost of care 15:35 How does cost of care affect outcomes?; Talking about money (finances) with patients 18:52 Defining “underinsured”; High deductible plans 22:41 Why are physicians scared to talk about cost? 26:16 Why is cost of care so difficult to determine? Who’s benefiting from lack of transparency? 28:35 Stuart explains his theory on why costs make no sense 30:00 How to have cost of care conversations 32:10 How to estimate cost; Specific tools 42:10 Cost of care plans 50:03 Take home points and plugs: National Patient Advocate Foundation; NeedyMeds.com; ACP High Value Care; AAFP Neighborhood Navigator Tool 53:00 Outro *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on my Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will recognize the need for routine cost-of-care conversations and identify resources to improve the quality of such conversations in order to deliver high-value care.  Learning objectives After listening to this episode listeners will…   Recognize the importance of cost-of-care conversations between physicians and patients  Describe barriers to conversations concerning healthcare costs Feel comfortable initiating routine conversations with patients on the cost-of-care  Identify where and how to access resources to assist with healthcare cost conversations   Disclosures Gwen Darien and Dr. Jessica Dine report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Citation Dine J, Darien G, Gibson E, Brigham SK, Williams PN, Okamoto E, Watto MF. “#172 Cost-of-Care Conversations”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list September 11, 2019.

This week, we look at three MRIs with four different price tags, and an enormous range. Liz Salmi and a view of her brain. (Photo: Kaiser Health News)The first two price tags come from listener Liz Salmi, who has been living with brain cancer for more than a decade.Liz gets MRI scans twice a year, to make sure the cancer isn’t growing. A couple years ago, Liz changed insurance, changed providers… and got serious sticker-shock when she saw the bill for a scan: $1,600 — AFTER insurance.So when she needed a follow-up scan, she shopped around — and found an option that set her back less than 90 bucks.Which is great news, and useful — as far as it goes: As Liz points out, not everybody has six months to shop around.But Liz’s experience isn’t even the craziest MRI-price-tag story we look at this week. Stick around for that.Coming in to bat cleanup — to help us understand why these prices are so crazy, and so variable — is journalistic super-star, friend of the show, and my new colleague:Elisabeth Rosenthal, editor-in-chief of Kaiser Health News and author of An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. She breaks it down in an authoritative, funny, clear-as-glass way.(Reminder: Kaiser Health News — our co-producers for this season — is not affiliated with the health care provider Kaiser Permanente. It’s a great story, and we’ve got it for you right here.)This is the first of three episodes where we look at where health care prices come from. So this week it’s MRIs.Next up: Prescription drugs. And then: Insulin. Yep, we are going there. See acast.com/privacy for privacy and opt-out information.

Turns out, insurance companies allow — even encourage — crazy price-gouging by hospitals. For example, the leg brace Blake needed was available for $150 on Amazon. But thanks to his insurance, he paid more than $500.Investigative reporter Jenny Gold’s work helps us understand how that kind of thing happens.She compares health care to shopping for a gallon of milk.“We can look at the cost of a gallon of milk at lots of different stores and decide which one is the best,” she says.At the store, there’s maybe there’s a couple different brands, with the prices on the shelf. We pick the one we want, pay on the way out.“Now with healthcare,” she says, “the analogy would be, you go to the store for a gallon of milk. You have no idea what it costs. You don’t know what it costs at that store compared to other stores. You walk into a random store, pick out a gallon of milk, go through check-out. You still don’t know what it costs. You give them your credit card information and then a few weeks later you get a bill telling you how much they charged you.”Super-crazy. Jenny’s reporting shows how insurance companies help to keep those prices hidden, and keep them high.Jenny Gold works for Kaiser Health News — which, we should explain, is not part of Kaiser Permanente health care. It’s part of an independent foundation that basically runs on an endowment set up by Mr. Kaiser, more than 50 years ago.RESOURCE ALERT: Jenny’s boss, former New York Times reporter Elisabeth Rosenthal, published an amazing book in 2017: An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. I have been studying it like a bible and a playbook since I started working on this show. If you want to really get mad — and learn a ton about how health care got so crazy in the U.S. — this is the book to read.An audio version of Jenny’s story ran on the public-radio show Marketplace. Thanks to Kaiser Health News, and to Marketplace for the story and for the tape of Sarah Azad and Ken Weber.Photo, above: by Liza, via Flickr. CC 2.0 license.Thanks again to the great Mucca Pazza for the use of their tune War of Amusements at the close of this episode.Find Us OnlineWebsite: http://armandalegshow.comTwitter:

Read the transcript In this fourth episode, Ardy Arianpour, CEO and Co-Founder of Seqster, shares why the future of your health data is a centralized view, controlled by you, pulled from wearables, genetic tests, logged nutritional intake as well as your medical records even if spread across medical institutions. He relates the unique ability and need to share our lifetime of health data transgenerationally. Topics we discussed in this episode Apple's acquisition of Gliimpse in 2016 Google's failed attempt of personal health data storage Microsoft HealthVault Apple Medical Records Why Seqster is different from other services offering to collate your medical records The consumer value of longitudinally matched data sets, particularly multi-generational The hijacking of Electronic Medical Records for greater profit rather than patient care The ability to provide a single unified view of our health data, spanning wearable devices, to lab tests such as genetics, to our electronic medical records even if spread over multiple institutions The reluctance of orthodox healthcare to liberate our health data The creation of a new legal framework to share our lifetime of health data with our family and/or society, posthumous Show links Seqster Website Chain of Custody Wikipedia Entry PatientBank Shutdown Notification Blog Post National Institutes of Health (NIH) — All of Us Research Program Web Page Gliimpse CrunchBase Entry Picnic Health Website Heads Up Health Website Fast Healthcare Interoperability Resources (FHIR) Wikipedia Entry Affective Computing Wikipedia Entry Google Health Wikipedia Entry Stanford Medicine September 2018 White Paper: The Future of Electronic Health Records PDF An American Sickness: How Healthcare Became Big Business and How You Can Take It Back by Elisabeth Rosenthal Book Hyper Wellbeing 2016 Conference Video - Walter De Brouwer: From IA to AI in Healthcare Microsoft HealthVault Web Page HumanAPI Website Apple Health Records Web Page

Today, a conversation about new breakthroughs in cancer research. Nearly 1.7 million people are diagnosed with cancer in the U.S every year, and nearly 600,000 of those people die from the disease. Those who survive often face difficult surgeries, and long rounds of chemotherapy, radiotherapy, or costly immunotherapy. Cancer is one of the world’s leading killers because it’s usually discovered too late, after tumors have grown and spread to other parts of the body. If detected early enough, most cancers would be survivable. But until recently, there have been no reliable early-screening methods for the most aggressive forms of cancer. Now, a team of physicians at Johns Hopkins has devised a new kind of blood test that can screen for 8 different kinds of cancer. Taken together, those eight cancers account for more than 60 percent of cancer deaths in the United States each year. That team is led by one of Tom's guests today, Dr. Bert Vogelstein. He is the Clayton Professor of Oncology and Pathology, and a Howard Hughes Medical Institute investigator at The Johns Hopkins Medical School and the Sidney Kimmel Comprehensive Cancer Center here in Baltimore. He’s a pioneer in the field of cancer genomics. His research papers have reportedly been cited more often than those of any other scientist, in any discipline.And joining us on the line from the studios of Kaiser Health News in Washington is Dr. Elisabeth Rosenthal. She’s a former emergency room physician. She spent 22 years covering health issues for the New York Times. She was appointed the editor and chief of Kaiser Health News in 2016. She’s also the author of American Sickness: How Healthcare Became Big Business and How You Can Take It Back, which was published exactly one year ago today. (Dr. Rosenthal spoke with Tom about her book on the Aug. 9, 2017 Midday, and you can listen to that conversation here.)Drs. Vogelstein and Rosenthal will be co-panelists again at the Maryland Science Center starting at 7pm on Tuesday, April 24th, in a talk entitled Truths, Myths and Breakthroughs in Medical and Cancer Research, part of this year’s Great Talk series. Follow the link for program and ticket information.

Eric Haberichter is the co-founder, chairman & CEO of Access Healthnet. He has more than 25 years of health care, management and entrepreneurial experience as a highly motivated, mission-driven innovator and problem solver focused on improving the delivery and sustainability of health businesses. Early in his career, he worked as a radiation therapist and multi-modality radiographer. For 15 years, he worked within a major Wisconsin-based health care system, and in 2004, left system-based health care to work with independent physicians to develop and manage outpatient imaging and ambulatory surgical centers. In 2006, he co-founded Smart Choice MRI, the first flat-rate, quality-assured MRI provider in America. He has worked closely with employers, brokers, payers, TPAs, and medical practices to lower costs, increase quality and improve patient satisfaction. In 2013, he founded NewAmerica Health Strategies, LLC, a medical business consulting firm dedicated to creating value in health care. He was joined by Jim Kolb and Leslie Kolowith, and their experiences in serving the needs of technology start-ups and national networks aided in more fully developing the concept of Access HealthNet and its proprietary technology solution, The Super Option. 00:00 Health care system as it stands today. 02:45 “Things are just really misaligned.” 03:30 “Providers don't necessarily get the short end of the stick in this scenario.” 04:20 Is there room to improve efficiency? 05:00 HIPAA as a giant obstacle to efficiency. 06:15 The greatest impact for improving efficiency in a health system. 09:30 Reducing “bill touchers” from the delivery chain and how this will streamline payment. 10:15 Competition as a driver vs Employers as a driver. 12:00 How middle-market employers begin driving health care. 13:25 “The first thing you have to do is accept that change starts with you, as the employer.” 15:20 “It's not just that ‘he who jumps first wins,' it's ‘he who jumps first is capable'.” 16:20 Streamlining around efficiency. 17:15 What steps does a provider need to take to in order determine whether doing direct contracting is right for them? 19:20 1) Take a look at the elements of the care path 2) Make sure you can consistently deliver quality 3) Define the episodes of care. 20:00 “What is our historical experience?” 24:12 “From the employer's perspective, the question is, ‘Do I want to be part of an integrated system, or do I want own a portion of the delivery model myself?'.” 26:25 Medicare: Driving force, or not? 28:12 Elizabeth Rosenthal's new book, “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back” covers DRGs in one chapter. 29:30 “Why should a hospital room be treated like any less than a hotel room?” 30:00 The retailization of health care. 32:40 Providers, employers, networks, and stakeholders can learn more about Access HealthNet at accesshealthnet.com.

Read this on the web Have you ever wondered why your employer buys your health insurance for you? They don't get involved in car insurance, home owners, etc. Why healthcare? To understand that, you have to go all the way back to World War II. When the federal government froze wages during WWII, employers needed a way to compete for employees. As it turned out, benefits weren't included in this freeze and became a great way to attract talent. And then, as often happens, inertia took over and we just kept doing it that way. For a while, that wasn't such a big deal, but then healthcare costs began to explode. And it happened so quickly that before we realized it, companies like Starbucks were spending more on health benefits than on coffee beans.  Healthcare is now one of the top P&L items for every business in the U.S. Unfortunately, most C-suites aren't looking at it as a strategic opportunity. Instead, they task ill-equipped benefits managers with trying to find the best "deal" and just "hope it doesn't go up too much this year". Today's guest is trying to change all of that. Chris Skisak is the Executive Director of the Houston Business Coalition on Health (HBCH). Chris and his team at HBCH are determined to make all employers aware of the strategic opportunity that health benefits represent and help them  execute on that opportunity. What you'll learn: What is HBCH? (1:36) What was the catalyst for employers coming together to try and collaborate on controlling healthcare costs and outcomes? (2:50) The history of healthcare purchasing and how we've gotten to where we are today (6:30) Do employers worry about investing in their employees' health only to have them leave? (12:30) Do employers have access to useful quality and outcomes data? Can they get their own claims? (16:30) What types of employers are good candidates for this approach - that is, who is best positioned to take advantage of the strategic opportunity in health benefits purchasing? (19:00) How do you get the C-suite involved? (21:00) What is a Chief Health Strategy Officer and why do you think most employers need one? (21:00) What is the Walmart Centers of Excellence program and how does it serve as a model for employers to make better health benefits decisions? (23:45) Using collective influence and tools like Choosing Wisely and LeapFrog to drive change (30:30) Tell us about some of HBCH's current initiatives aimed at improving quality of care and saving money for employers and their staff. (35.40) What's the one thing that every employer should be doing right now? (43:00) Of all the cost-savings and quality programs that I work on and study, the employer-centric approach is the most encouraging. Employers have a unique combination of pain, opportunity and spending power that should give them the sustained motivation to do this. They may be the only ones who can move the needle in a meaningful way in the near-term. I'm excited to see what happens in the next few years. ~ Don Lee   About Chris Skisak Chris became Director in August of 2014. Prior to HBCH, he was President and Founder of Corporate Health Management Solutions, an organizational health and productivity management company providing consulting and software to employers and their health management partners to demonstrate the value of an integrated health management strategy. Dr. Skisak had previously worked 25 years with Houston Fortune 50 energy companies in a variety of health management positions. He is originally from Chicago and attended the University of Illinois. He received his B.S. from the University of Houston and his M.S. and Ph.D. from the University of Texas School of Public Health. About HBCH - Houston Business Coalition on Health The Houston Business Coalition on Health (HBCH) is an employer-centric organization that allows for the sharing of evidence-based strategies and practices, while using its collective influence to assist employers effectively and efficiently deliver the spectrum of its health benefits investments.  Employer-centric implies that the value of healthcare and benefits delivery is viewed from the focal lens of the employer.  HBCH is able to discuss and impact employer health in a unique environment that brings together employers, health plans, hospital systems, physicians, benefits consultants and other health services providers.   All healthcare is local, so much of HBCH's effort is oriented towards local improvement.  However, HBCH works with national organizations to assist employers achieve improvement in other cities where its employer members may have a presence. http://houstonbch.org/ Keynote Speaker: Elisabeth Rosenthal, author of An American Sickness: How Healthcare Became Big Business and How You Can Take It Back (which is a pretty good book - I listened on Audible and the reader was good at 1.25 speed). Houston Business Coalition on Health on LinkedIn Houston Business Coalition on Health on Twitter Mentioned on the podcast The National Alliance of Healthcare Purchaser Coalitions - HBCH is a member NORC Study - Employer Perspectives on the Health Insurance Market: A Survey of Businesses in the United States: Research Highlights - Research shows that many employers in the United States that offer health insurance to employees are unfamiliar with objective metrics of health plan quality information, and most consider costs both to their organization and their employees as important factors when selecting plans. Chris told us that only 7% of employers consider objective measures of health when choosing a plan and that is why we need eValue8. eValue8 - eValue8™ was created by business coalitions and employers like Marriott and General Motors to measure and evaluate health plan performance. eValue8™ asks health plans probing questions about how they manage critical processes that control costs, reduce and eliminate waste, ensure patient safety, close gaps in care and improve health and health care. Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care by Marty Makary - another great book to checkout (again, I did this on Audible at 1.25x). This came up in the context of how we all need help in selecting the right surgeon. Warning... this one is a bit startling. National Diabetes Prevention Program a CDC program that Chris tells us has been shown to prevent many pre-diabetics from becoming diabetic, saving employers big money and improving the lives of their staff. Related If you're into all of this then you should be following Dave Chase. He wrote a book called CEO's Guide to Restoring the American Dream, is working on a movie about this called The Big Heist and founded the Health Rosetta Institute to develop and disseminate a blueprint for high-performance health benefits. He was also a guest on our video podcast to discuss the movie project: Replay: The #hcbiz Show! Ep. 29: The Big Heist Film Project w/ Dave Chase Weekly Updates If you like what we're doing here, then please consider signing up for our weekly newsletter. You'll get one email from me each week detailing: New podcast episodes and blog posts. Content or ideas that I've found valuable in the past week. 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For our November Narrative Medicine Rounds, we welcome back Elisabeth Rosenthal, who is a Harvard-trained medical doctor and veteran journalist, first with The New York Times and currently editor-in-chief of Kaiser Health News, the independent foundation funded reporting project focusing on health and health policy news. Dr. Rosenthal will talk about what she discovered researching and reporting the way healthcare has become a business in the last twenty-five years and many of the lessons she learned while writing An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. Elisabeth Rosenthal spent 22 years as a correspondent at The New York Times, where she covered a variety of beats from healthcare to environment to reporter in the Beijing bureau. While in China she covered SARs, bird flu and the emergence of HIV/AIDS in rural areas. Her two-year-long NYT series “Paying Till it Hurts” (2013-14) won many prizes for both health reporting and its creative use of digital tools. She is a graduate of Stanford University and Harvard Medical School and briefly practiced medicine in a New York City emergency room before converting to journalism.

Doctor and activist Dr. David Ansell discusses "The Death Gap: How Inequality Kills." Journalist Dr. Elisabeth Rosenthal discusses "An American Sickness: How Healthcare Became Big Business and How You Can Take It Back." Open Stacks is the Official Podcast of the Seminary Co-operative Bookstores. This episode was produced by Kit Brennen and Imani Jackson.

The cost of healthcare and prescription drugs in the US are astronomical, but help is here in the form of Dr. Elisabeth Rosenthal, author of "An American Sickness: How Healthcare Became Big Business and How You Can Take It Back." In Mailbag, choosing the best credit card, financial planning for single women and exchange-traded funds (ETFs).