Podcasts about Kaiser Permanente

Few physicians ever experience healthcare from the perspective of a health plan, but Jacob Asher, MD, is an exception. A former ENT surgeon with Kaiser Permanente, Asher shifted gears in 2008 to pursue a career in commercial health plan management. Over the next 14 years, he served as California Commercial Market Medical Director for Anthem Blue Cross, Cigna, and UnitedHealthcare. Today, he shares his expertise by mentoring students in Stanford University's Master's Program in Medical Informatics. In this conversation with host Michael Sacopulos, Asher pulls back the curtain on commercial insurance — from how contracts are structured, to who holds pricing power, why behavioral health has been siloed, and what AI might finally be able to fix in a system long defined by friction and misaligned incentives. Asher also shares how serving on Kaiser Permanente's Medical Group Board of Directors helped prompt his move from surgery into health plan leadership. He also discusses the role of AAPL (then ACPE) in preparing physicians for non-clinical career paths. Learn more about the American Association for Physician Leadership at www.physicianleaders.org.

Duct fixes a lot of things, including my comedy career. Ok, not really my career, but the transportation getting me to the gigs. Here's a quick, embarrassing story about my use of duct tape. Not really looking my best as I drove around the country, but it ws functional . . .for a while.  https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker, comedian, and funny motivational speaker who helps organizations use humor to handle change, build resilience, and strengthen leadership skills. With her laugh-out-loud stories and practical tips, Jan shows audiences how humor isn't just entertainment—it's a business skill that drives communication, connection, and stress relief. A conference keynote speaker, Master of Ceremonies, and comedy writer, Jan has written material for The Tonight Show with Jay Leno as well as radio, TV, and syndicated cartoon strips. She's the author of two books—Finding the Funny Fast and Convention Comedian—and her insights on humor in business have been featured in The Wall Street Journal, The Washington Post, and The Huffington Post. For over 25 years, she has been helping leaders and teams discover how to bounce back from setbacks, embrace change, and connect through comedy. Jan has delivered keynote speeches at thousands of events nationwide, from the Federal Reserve Banks to the Mayo Clinic, for industries that include healthcare, finance, government, education, women's leadership events, technology, and safety & disaster management. Her client list features respected organizations such as: Healthcare: Mayo Clinic, Kaiser Permanente, Abbott Pharmaceuticals, Health Information Management Associations, Assisted Living Associations Finance: Federal Reserve Banks, Merrill Lynch, Transamerica Insurance, BDO Accounting, American Institute of CPAs, credit unions, banking associations Government: U.S. Air Force, Social Security Administration, International Institute of Municipal Clerks, National League of Cities, public utilities, correctional associations Women's Leadership Events: Toyota Women's Conference, Go Red for Women, Speaking of Women's Health, Soroptimists, Women in Insurance & Financial Services Education: State superintendent associations, community college associations, Head Start associations, National Association of Elementary and Middle School Principals Safety & Disaster: International Association of Emergency Managers, Disney Emergency Management, Mid-Atlantic Safety Conference, risk management associations   Her background as a Washington, D.C. marketing executive gives her a unique perspective that blends business acumen with stand-up comedy. Jan was also honored with the Greater Washington Society of Association Executives "Excellence in Education" Award. Along with her podcast Finding the Funny: Leadership Tips from a Comedian, Jan also produces Comedian Stories: Tales From the Road in Under 5 Minutes. Whether she's headlining a major convention, hosting a leadership retreat, or teaching resilience at a safety conference, Jan's programs give audiences the tools to laugh, learn, and lead.  

Everybody has advice, but you better not listen to all of it. There is a LOT of bad advice out there; especially when it comes to comedy and entertainment. I've had lots of people give me advice, but I've only taken a little of it. Here's a quick story about some really bad advice. It's also kinda funny. But it truly is not something I took seriously. https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker, comedian, and funny motivational speaker who helps organizations use humor to handle change, build resilience, and strengthen leadership skills. With her laugh-out-loud stories and practical tips, Jan shows audiences how humor isn't just entertainment—it's a business skill that drives communication, connection, and stress relief.   A conference keynote speaker, Master of Ceremonies, and comedy writer, Jan has written material for The Tonight Show with Jay Leno as well as radio, TV, and syndicated cartoon strips. She's the author of two books—Finding the Funny Fast and Convention Comedian—and her insights on humor in business have been featured in The Wall Street Journal, The Washington Post, and The Huffington Post. For over 25 years, she has been helping leaders and teams discover how to bounce back from setbacks, embrace change, and connect through comedy.   Jan has delivered keynote speeches at thousands of events nationwide, from the Federal Reserve Banks to the Mayo Clinic, for industries that include healthcare, finance, government, education, women's leadership events, technology, and safety & disaster management. Her client list features respected organizations such as: Healthcare: Mayo Clinic, Kaiser Permanente, Abbott Pharmaceuticals, Health Information Management Associations, Assisted Living Associations Finance: Federal Reserve Banks, Merrill Lynch, Transamerica Insurance, BDO Accounting, American Institute of CPAs, credit unions, banking associations Government: U.S. Air Force, Social Security Administration, International Institute of Municipal Clerks, National League of Cities, public utilities, correctional associations Women's Leadership Events: Toyota Women's Conference, Go Red for Women, Speaking of Women's Health, Soroptimists, Women in Insurance & Financial Services Education: State superintendent associations, community college associations, Head Start associations, National Association of Elementary and Middle School Principals Safety & Disaster: International Association of Emergency Managers, Disney Emergency Management, Mid-Atlantic Safety Conference, risk management associations   Her background as a Washington, D.C. marketing executive gives her a unique perspective that blends business acumen with stand-up comedy. Jan was also honored with the Greater Washington Society of Association Executives "Excellence in Education" Award. Along with her podcast Finding the Funny: Leadership Tips from a Comedian, Jan also produces Comedian Stories: Tales From the Road in Under 5 Minutes. Whether she's headlining a major convention, hosting a leadership retreat, or teaching resilience at a safety conference, Jan's programs give audiences the tools to laugh, learn, and lead.  

Payer & Provider Dynamics: Addressing Non-Medical Switching in Oncology for CLL/SLL On this episode guest host Ryan Haumschild, PharmD, MS, MBA, CPEL, Vice President of Pharmacy at Emory University and Emory Health Plan, Winship Cancer Institute, discusses the real-world impact of non-medical switching in chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) with Timothy Mok, Manager of Clinical Utilization Intelligence at Kaiser Permanente and board-certified oncology pharmacist, focusing on the drivers behind switching, the risks of disrupting effective therapy, and how shared decision-making and dose modification can help maintain adherence and improve patient outcomes. Sponsored by Abbvie. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Deacon Victor Valenzuela is assigned to St. Mary Church in Fullerton.  He is married, with two adult children.  He is a licensed social worker who is retired from 31 years of employment at Kaiser Permanente.  He is a former seminarian who has worked in a variety of ministries.  His wife is Diane.  Today, he continues his conversation with guests Megan Morris and Sebastian Jaime. Support the show

Dr. Laura Sicola reveals why expertise alone won't get you heard — and the 3 Cs that turn knowledge into leadership influence. You've mastered your subject. You know your material cold. So why does the room glaze over when the stakes are highest? Cognitive linguist, executive coach, and author Dr. Laura Sicola says the gap isn't your expertise — it's the three inches between your brain and your mouth. In this episode of the Business of Story, she shares the framework that's helped Fortune 500 executives at Amazon and Kaiser Permanente stop sounding like spreadsheets and start commanding every room they walk into. Her TEDx Talk, "Want to Sound Like a Leader? Start by Saying Your Name Right," has nearly 7 million views — because the problem is universal and the fix is counterintuitive. WHAT YOU'LL DISCOVER IN THIS EPISODE The 3 Cs of Executive Presence: Command the Room, Connect with Your Audience, and Close the Deal — and why each requires a completely different skill  Why the movie playing in your head is never the movie your audience is watching — and how to close that gap before it costs you the deal  The neuroscience of humor: why a well-placed laugh creates dopamine, builds trust, and makes you more persuasive without sacrificing credibility  How to use Chris Voss's "labeling" technique to stay curious when conversations get triggered and defensive  The one counterintuitive move that makes you sound smarter, more likable, and more relatable — all at the same time ABOUT DR. LAURA SICOLA Dr. Laura Sicola is a cognitive linguist, former professor, and executive coach who helps leaders bridge the gap between their expertise and their influence. She is the author of Speaking to Influence: Mastering Your Leadership Voice and the founder of Vocal Impact Productions. Website: laurasicola.com LinkedIn: linkedin.com/in/laurasicola Book: Speaking to Influence — available on Amazon in paperback ($12.95), Kindle ($9.95), and Audible (narrated by the author) FREE GIFT FROM DR. LAURA SICOLA Download two free chapters of Speaking to Influence here: [INSERT FREEBIE LINK] ABOUT THE BUSINESS OF STORY The Business of Story is the top-ranked podcast for leaders who use storytelling to grow their influence, their teams, and their organizations. Host Park Howell — known as the World's Most Industrious Storyteller — brings you the strategies, frameworks, and real-world lessons that turn communicators into leaders. Want to build a brand story that actually lands? Visit StoryCycleGenie.com to discover how the StoryCycle Genie® uses your brand's unique story to create marketing that moves people. SUBSCRIBE & LEAVE A REVIEW If this episode gave you one idea you can use today, please subscribe and leave a review on Apple Podcasts, Spotify, or wherever you listen. It takes 60 seconds and helps other leaders find the show.

In today's episode, we spoke with Anthony Chi, MD, a staff pathologist; Monica Peravali, MD, a medical oncologist; and Archana Jadhav, MD, a medical oncologist, all faculty at the Mid-Atlantic Permanente Medical Group in Maryland. In our exclusive interview, Drs Chi, Peravali, and Jadhav discussed the practical advantages and clinical implications of implementing in-house next-generation sequencing (NGS) testing for patients with non–small cell lung cancer (NSCLC). The conversation focused on how internal molecular testing platforms can improve turnaround times, optimize tissue stewardship, reduce costs, and enhance quality control across the diagnostic and treatment continuums.Chi explained that performing NGS internally eliminates delays associated with specimen transportation and external laboratory accessioning, significantly shortening turnaround times. He also highlighted Kaiser Permanente's decision to implement a molecular platform distinct from those commonly used by outside vendors, allowing for reduced tissue input requirements and faster processing times. According to Chi, internal testing also gives pathology teams greater oversight of specimen use, enabling more strategic tissue conservation for future immunohistochemical (IHC) staining, repeat molecular analyses, or additional biomarker testing.The panel emphasized the importance of close coordination between pathology and oncology teams in maximizing tissue adequacy, particularly in small biopsies and cytology specimens. Chi described educational initiatives implemented within pathology departments to encourage judicious use of IHC stains and preserve tissue for downstream molecular testing. He also outlined specimen-handling workflows in which tissue is divided into separate cassettes to prioritize molecular analysis and still supporting diagnostic evaluation.Jadhav discussed the oncologist's role in ensuring adequate tissue acquisition, emphasizing proactive communication with pathologists and interventional radiologists. She noted that when clinicians anticipate limited tissue yield, such as in pleural fluid cytology specimens, they often promptly arrange additional biopsies to avoid delays in treatment initiation and ensure comprehensive genomic profiling can be completed efficiently.The discussion also addressed optimal timing for comprehensive genomic profiling in NSCLC. Peravali explained that Kaiser Permanente routinely performs NGS across all disease stages, including early-stage disease, due to increasing use of neoadjuvant chemoimmunotherapy approaches and the need to identify actionable biomarkers that may influence treatment selection. Although in-house testing serves as the primary platform, she noted that send-out testing remains important in select situations, including cancers of unknown primary origin, clinical trial enrollment, and discordant or clinically suspicious cases requiring additional confirmation.As molecular reports become increasingly complex, the panel highlighted the importance of interpreting co-mutations, variants of unknown significance, and emerging biomarkers within a broader clinical context. Peravali explained that although variants without current therapeutic relevance may not immediately affect treatment decisions, repeat biopsies and serial NGS at disease progression can reveal newly actionable alterations as therapeutic options evolve.Chi further emphasized the growing importance of newly approved biomarkers, including HER2 and c-MET alterations, in NSCLC. He described how pathology teams actively monitor FDA approvals and National Comprehensive Cancer Network (NCCN) guideline updates to identify new therapeutic opportunities for previously profiled patients. In some cases, archived tumor specimens are revisited for additional IHC testing when emerging therapies become clinically relevant.The conversation also highlighted the value of multidisciplinary collaboration and tumor board discussions in complex diagnostic scenarios. The speakers described how integrated molecular analysis can help distinguish separate primary lung tumors from metastatic disease, resolve diagnostically challenging cases involving uncommon metastatic presentations, and support more confident staging and treatment decisions.Finally, the panel underscored that successful implementation of precision oncology workflows depends on seamless collaboration among pulmonologists, pathologists, oncologists, interventional radiologists, and molecular laboratories. Early test ordering, centralized communication systems, and multidisciplinary case review were identified as key components of efficient, patient-centered care that can accelerate diagnosis and improve treatment planning for patients with lung cancer.

"There's a lot of waiting around in comedy." A comedian who had been doing this for years gave me this advice during my first year of comedy. And he wasn't kidding. There IS a lot of waiting around, and being bored, before you actually hit the stage. In this episode, I talk about when I got my first taste of stage and being bored, and it was well before my comedy career began. Thanks for listening.  https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker, comedian, and funny motivational speaker who helps organizations use humor to handle change, build resilience, and strengthen leadership skills. With her laugh-out-loud stories and practical tips, Jan shows audiences how humor isn't just entertainment—it's a business skill that drives communication, connection, and stress relief.   A conference keynote speaker, Master of Ceremonies, and comedy writer, Jan has written material for The Tonight Show with Jay Leno as well as radio, TV, and syndicated cartoon strips. She's the author of two books—Finding the Funny Fast and Convention Comedian—and her insights on humor in business have been featured in The Wall Street Journal, The Washington Post, and The Huffington Post. For over 25 years, she has been helping leaders and teams discover how to bounce back from setbacks, embrace change, and connect through comedy.   Jan has delivered keynote speeches at thousands of events nationwide, from the Federal Reserve Banks to the Mayo Clinic, for industries that include healthcare, finance, government, education, women's leadership events, technology, and safety & disaster management. Her client list features respected organizations such as: Healthcare: Mayo Clinic, Kaiser Permanente, Abbott Pharmaceuticals, Health Information Management Associations, Assisted Living Associations Finance: Federal Reserve Banks, Merrill Lynch, Transamerica Insurance, BDO Accounting, American Institute of CPAs, credit unions, banking associations Government: U.S. Air Force, Social Security Administration, International Institute of Municipal Clerks, National League of Cities, public utilities, correctional associations Women's Leadership Events: Toyota Women's Conference, Go Red for Women, Speaking of Women's Health, Soroptimists, Women in Insurance & Financial Services Education: State superintendent associations, community college associations, Head Start associations, National Association of Elementary and Middle School Principals Safety & Disaster: International Association of Emergency Managers, Disney Emergency Management, Mid-Atlantic Safety Conference, risk management associations   Her background as a Washington, D.C. marketing executive gives her a unique perspective that blends business acumen with stand-up comedy. Jan was also honored with the Greater Washington Society of Association Executives "Excellence in Education" Award. Along with her podcast Finding the Funny: Leadership Tips from a Comedian, Jan also produces Comedian Stories: Tales From the Road in Under 5 Minutes. Whether she's headlining a major convention, hosting a leadership retreat, or teaching resilience at a safety conference, Jan's programs give audiences the tools to laugh, learn, and lead.  

Deacon Victor Valenzuela is assigned to St. Mary Church in Fullerton.  He is married, with two adult children.  He is a licensed social worker who is retired from 31 years of employment at Kaiser Permanente.  He is a former seminarian who has worked in a variety of ministries.  His wife is Diane.  Today, speaks with guests Megan Morris and Sebastian Jaime. Support the show

Have you ever found yourself having to address a group that you have pretty much nothing in common with? As a comedian and keynote speaker, it happens. Here's a quick story about a time that I had to connect. . .and I did. It's a fun story and I hope you enjoy it.  https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker, comedian, and funny motivational speaker who helps organizations use humor to handle change, build resilience, and strengthen leadership skills. With her laugh-out-loud stories and practical tips, Jan shows audiences how humor isn't just entertainment—it's a business skill that drives communication, connection, and stress relief.   A conference keynote speaker, Master of Ceremonies, and comedy writer, Jan has written material for The Tonight Show with Jay Leno as well as radio, TV, and syndicated cartoon strips. She's the author of two books—Finding the Funny Fast and Convention Comedian—and her insights on humor in business have been featured in The Wall Street Journal, The Washington Post, and The Huffington Post. For over 25 years, she has been helping leaders and teams discover how to bounce back from setbacks, embrace change, and connect through comedy.   Jan has delivered keynote speeches at thousands of events nationwide, from the Federal Reserve Banks to the Mayo Clinic, for industries that include healthcare, finance, government, education, women's leadership events, technology, and safety & disaster management. Her client list features respected organizations such as: Healthcare: Mayo Clinic, Kaiser Permanente, Abbott Pharmaceuticals, Health Information Management Associations, Assisted Living Associations Finance: Federal Reserve Banks, Merrill Lynch, Transamerica Insurance, BDO Accounting, American Institute of CPAs, credit unions, banking associations Government: U.S. Air Force, Social Security Administration, International Institute of Municipal Clerks, National League of Cities, public utilities, correctional associations Women's Leadership Events: Toyota Women's Conference, Go Red for Women, Speaking of Women's Health, Soroptimists, Women in Insurance & Financial Services Education: State superintendent associations, community college associations, Head Start associations, National Association of Elementary and Middle School Principals Safety & Disaster: International Association of Emergency Managers, Disney Emergency Management, Mid-Atlantic Safety Conference, risk management associations   Her background as a Washington, D.C. marketing executive gives her a unique perspective that blends business acumen with stand-up comedy. Jan was also honored with the Greater Washington Society of Association Executives "Excellence in Education" Award. Along with her podcast Finding the Funny: Leadership Tips from a Comedian, Jan also produces Comedian Stories: Tales From the Road in Under 5 Minutes. Whether she's headlining a major convention, hosting a leadership retreat, or teaching resilience at a safety conference, Jan's programs give audiences the tools to laugh, learn, and lead.  

Episode 480 of The Andrew Parker Show takes listeners inside the fascinating and often dangerous world of workplace safety with special guest Marc Axelrod, author of The Flame Bucket: Adventures in Workplace Safety.Marc Axelrod spent nearly three decades working in high-stakes safety roles at Rockwell International and Boeing during the Cold War era, helping protect employees working around some of the world's most hazardous technologies — including toxic beryllium used in missile guidance systems and nuclear defense programs. From classified defense projects and aerospace innovation to healthcare safety, public sector politics, and corporate accountability, Marc shares remarkable real-life stories that sound more like a thriller than a career memoir.Andrew and Marc discuss:The true story behind the title The Flame Bucket and the Challenger disasterThe tension between profit and safety inside major corporationsWorking with dangerous materials like berylliumCorporate culture, ethics, and speaking up when lives are at riskLessons from Boeing, Kaiser Permanente, UCLA, and the City of Beverly HillsWhy safety is ultimately about anticipation, resilience, and moral courageThis episode is thoughtful, entertaining, funny, and deeply relevant in today's world where leadership, accountability, and risk management matter more than ever.Support the showThe Andrew Parker Show - Politics, Israel & The Law.  Follow us on Facebook, LinkedIn, YouTube and X. Subscribe to our email list at www.theandrewparkershow.comCopyright © 2026 The Andrew Parker Show - All Rights Reserved. 

If charting is taking over your evenings, weekends, and mental space, this episode is for you. Dr. Jessie Mahoney, board-certified pediatrician, physician coach, and former physician wellness leader at Kaiser Permanente, shares a mindful, sustainable approach to clinical documentation that doesn't require working faster, working later, or another productivity hack. Most charting advice for doctors focuses on efficiency tools, templates, dot phrases, AI scribes, and time-blocking. Those things help. But they don't address the real reason so many physicians chart late into the night: the nervous system state we are in when we sit down to chart. In this episode, you'll learn: Why charting feels harder than it should — even when you know what to write The mindset shift that makes notes flow instead of stalling How perfectionism, people-pleasing, and over-explaining quietly inflate every chart A presence-based practice you can use between patients to reset Why "charting with ease" is possible without sacrificing clinical quality This conversation is for women physicians, primary care doctors, pediatricians, family medicine, internal medicine, hospitalists, and any clinician who is tired of pajama-time charting and wants a sustainable, human approach to EHR documentation. Nothing shared in the Healing Medicine Podcast is medical advice. The Healing Medicine Podcast was formerly known as the Mindful Healers Podcast. If this resonates, go deeper with 1:1 Coaching: www.jessiemahoneymd.com/ Connect in Nature & CME Wellness Retreats: www.jessiemahoneymd.com/retreats Free Live-Stream Mindful Yoga: www.jessiemahoneymd.com/yoga Blog: www.jessiemahoneymd.com/jessies-blog

The San Francisco Comedy Competition is a very prestigious comedy competition. Comics are thrilled when they get invited, and that happened to me. Here's a quick story about my exeperience in the competition, and what I got out of it. I believe the competition is still going strong, so if you're a comedian, go for it! https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker, comedian, and funny motivational speaker who helps organizations use humor to handle change, build resilience, and strengthen leadership skills. With her laugh-out-loud stories and practical tips, Jan shows audiences how humor isn't just entertainment—it's a business skill that drives communication, connection, and stress relief.   A conference keynote speaker, Master of Ceremonies, and comedy writer, Jan has written material for The Tonight Show with Jay Leno as well as radio, TV, and syndicated cartoon strips. She's the author of two books—Finding the Funny Fast and Convention Comedian—and her insights on humor in business have been featured in The Wall Street Journal, The Washington Post, and The Huffington Post. For over 25 years, she has been helping leaders and teams discover how to bounce back from setbacks, embrace change, and connect through comedy.   Jan has delivered keynote speeches at thousands of events nationwide, from the Federal Reserve Banks to the Mayo Clinic, for industries that include healthcare, finance, government, education, women's leadership events, technology, and safety & disaster management. Her client list features respected organizations such as: Healthcare: Mayo Clinic, Kaiser Permanente, Abbott Pharmaceuticals, Health Information Management Associations, Assisted Living Associations Finance: Federal Reserve Banks, Merrill Lynch, Transamerica Insurance, BDO Accounting, American Institute of CPAs, credit unions, banking associations Government: U.S. Air Force, Social Security Administration, International Institute of Municipal Clerks, National League of Cities, public utilities, correctional associations Women's Leadership Events: Toyota Women's Conference, Go Red for Women, Speaking of Women's Health, Soroptimists, Women in Insurance & Financial Services Education: State superintendent associations, community college associations, Head Start associations, National Association of Elementary and Middle School Principals Safety & Disaster: International Association of Emergency Managers, Disney Emergency Management, Mid-Atlantic Safety Conference, risk management associations   Her background as a Washington, D.C. marketing executive gives her a unique perspective that blends business acumen with stand-up comedy. Jan was also honored with the Greater Washington Society of Association Executives "Excellence in Education" Award. Along with her podcast Finding the Funny: Leadership Tips from a Comedian, Jan also produces Comedian Stories: Tales From the Road in Under 5 Minutes. Whether she's headlining a major convention, hosting a leadership retreat, or teaching resilience at a safety conference, Jan's programs give audiences the tools to laugh, learn, and lead.  

"Employers are at a point where they want to help create that ideal healthcare system, not the one that they have been dictated to."Is your company's health plan actually keeping your employees healthy, or is it just waiting for them to get sick?My guest this week is Ben Miller, Chief Revenue Officer at Premise Health, the nation's largest direct healthcare provider operating over 850 onsite and near-site wellness centers. Ben joins the show to discuss why the traditional fee-for-service model is failing both employers and employees, and how Advanced Primary Care is stepping in to serve as the new "front door" to the healthcare system.In this episode, we break down what Advanced Primary Care actually entails, from integrated behavioral health and lifestyle medicine to onsite pharmacies offering 90-day prescriptions for $1. Ben shares the results of a massive Milliman study showing how this model reduces total claims costs by an astonishing 30%. We also cover how employers of various sizes can implement near-site clinics, address employee privacy concerns, and utilize Epic-integrated care navigation to guide patients to high-quality, cost-effective specialists.If you are an employer or benefits consultant looking for a proven strategy to bend the cost curve while delivering an incredible healthcare experience to employees, this episode is a must-listen.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: The Shift Towards Advanced Primary Care (00:00:33) Meet Ben Miller & Premise Health (00:02:17) Defining Advanced Primary Care, On-Site, and Near-Site Clinics (00:05:06) Ben's Journey from Kaiser Permanente to Premise Health (00:10:32) The Breaking Point: Why Employers are Flocking to APC (00:16:07) How to Build and Customize an On-Site Clinic (00:20:11) Creating the "Front Door" to Healthcare & Navigating GLP-1s (00:25:20) Integrating Behavioral Health & Lifestyle Medicine (00:28:29) The On-Site Pharmacy Experience ($1 Medications) (00:30:22) Overcoming the "Big Brother" Privacy Stigma (00:32:36) The Milliman Study: Proving a 30% Reduction in Claims Cost (00:36:12) Group Size Requirements & The Power of "Coopetition" (00:39:35) Managing Catastrophic Risk & Epic Care Navigation (00:43:43) Expanding the Clinic: PT, Dental, and Vision Services (00:49:54) How Claims & TPA Integration Actually Work (00:52:33) Closing Thoughts: The Future of Employer-Sponsored CareKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

"Employers are at a point where they want to help create that ideal healthcare system, not the one that they have been dictated to."Is your company's health plan actually keeping your employees healthy, or is it just waiting for them to get sick?My guest this week is Ben Miller, Chief Revenue Officer at Premise Health, the nation's largest direct healthcare provider operating over 850 onsite and near-site wellness centers. Ben joins the show to discuss why the traditional fee-for-service model is failing both employers and employees, and how Advanced Primary Care is stepping in to serve as the new "front door" to the healthcare system.In this episode, we break down what Advanced Primary Care actually entails, from integrated behavioral health and lifestyle medicine to onsite pharmacies offering 90-day prescriptions for $1. Ben shares the results of a massive Milliman study showing how this model reduces total claims costs by an astonishing 30%. We also cover how employers of various sizes can implement near-site clinics, address employee privacy concerns, and utilize Epic-integrated care navigation to guide patients to high-quality, cost-effective specialists.If you are an employer or benefits consultant looking for a proven strategy to bend the cost curve while delivering an incredible healthcare experience to employees, this episode is a must-listen.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: The Shift Towards Advanced Primary Care (00:00:33) Meet Ben Miller & Premise Health (00:02:17) Defining Advanced Primary Care, On-Site, and Near-Site Clinics (00:05:06) Ben's Journey from Kaiser Permanente to Premise Health (00:10:32) The Breaking Point: Why Employers are Flocking to APC (00:16:07) How to Build and Customize an On-Site Clinic (00:20:11) Creating the "Front Door" to Healthcare & Navigating GLP-1s (00:25:20) Integrating Behavioral Health & Lifestyle Medicine (00:28:29) The On-Site Pharmacy Experience ($1 Medications) (00:30:22) Overcoming the "Big Brother" Privacy Stigma (00:32:36) The Milliman Study: Proving a 30% Reduction in Claims Cost (00:36:12) Group Size Requirements & The Power of "Coopetition" (00:39:35) Managing Catastrophic Risk & Epic Care Navigation (00:43:43) Expanding the Clinic: PT, Dental, and Vision Services (00:49:54) How Claims & TPA Integration Actually Work (00:52:33) Closing Thoughts: The Future of Employer-Sponsored CareKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

There are a lot of things that can keep you from the stage. Here's a unique one that happened to me, that I never even considered! It's okay. I made the gig. But I can now add this to a list of ridiculous things that have happened to me in my comedy career. https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker, comedian, and funny motivational speaker who helps organizations use humor to handle change, build resilience, and strengthen leadership skills. With her laugh-out-loud stories and practical tips, Jan shows audiences how humor isn't just entertainment—it's a business skill that drives communication, connection, and stress relief.   A conference keynote speaker, Master of Ceremonies, and comedy writer, Jan has written material for The Tonight Show with Jay Leno as well as radio, TV, and syndicated cartoon strips. She's the author of two books—Finding the Funny Fast and Convention Comedian—and her insights on humor in business have been featured in The Wall Street Journal, The Washington Post, and The Huffington Post. For over 25 years, she has been helping leaders and teams discover how to bounce back from setbacks, embrace change, and connect through comedy.   Jan has delivered keynote speeches at thousands of events nationwide, from the Federal Reserve Banks to the Mayo Clinic, for industries that include healthcare, finance, government, education, women's leadership events, technology, and safety & disaster management. Her client list features respected organizations such as: Healthcare: Mayo Clinic, Kaiser Permanente, Abbott Pharmaceuticals, Health Information Management Associations, Assisted Living Associations Finance: Federal Reserve Banks, Merrill Lynch, Transamerica Insurance, BDO Accounting, American Institute of CPAs, credit unions, banking associations Government: U.S. Air Force, Social Security Administration, International Institute of Municipal Clerks, National League of Cities, public utilities, correctional associations Women's Leadership Events: Toyota Women's Conference, Go Red for Women, Speaking of Women's Health, Soroptimists, Women in Insurance & Financial Services Education: State superintendent associations, community college associations, Head Start associations, National Association of Elementary and Middle School Principals Safety & Disaster: International Association of Emergency Managers, Disney Emergency Management, Mid-Atlantic Safety Conference, risk management associations   Her background as a Washington, D.C. marketing executive gives her a unique perspective that blends business acumen with stand-up comedy. Jan was also honored with the Greater Washington Society of Association Executives "Excellence in Education" Award. Along with her podcast Finding the Funny: Leadership Tips from a Comedian, Jan also produces Comedian Stories: Tales From the Road in Under 5 Minutes. Whether she's headlining a major convention, hosting a leadership retreat, or teaching resilience at a safety conference, Jan's programs give audiences the tools to laugh, learn, and lead.  

The rise in use and function of ambient AI scribes is arguably one of the fastest technologic changes ever seen in health care. In this episode of Healthy Dialogue, host Derek Angus, MD, MPH, is joined by Vincent Liu, MD, MS, Chief Data Officer of The Permanente Medical Group in Kaiser Permanente, to discuss the rapidly changing world of ambient AI. Related Content: Ambient AI Scribes and the Quintuple Aim Changes in Clinician Time Expenditure and Visit Quantity With Adoption of Artificial Intelligence–Powered Scribes AI Scribes Are Here, but Is Health Care Ready?

Send us Fan MailIs American healthcare collapsing?In this clip from our episode "How AI Could Save a Collapsing Healthcare System," host David E. Williams and Dr. Robert Pearl, Author of ChatGPT MD, break down why the current system is financially unsustainable and why physicians have never had the tools to fight back. Until now.Listen to the full episode here

Ralph welcomes six authors to discuss their books: “Beyond Nuclear” founder Linda Gunter; trial lawyer Sean Simpson; law professor Elizabeth Burch; naturalist David Schmidt; industrial hygienist Marc Axelrod; and educator and advocate Jonathan Kozol.Linda Gunter is the founder of the US-based non-profit Beyond Nuclear and serves as its international specialist. Previously, she was a journalist at USA Network, Reuters, and The Times. She launched, and writes for Beyond Nuclear's online magazine, Beyond Nuclear International. And she is the author of No To Nuclear: Why Nuclear Power Destroys Lives, Derails Climate Progress and Provokes War.We need to reduce the most carbon, the fastest, for the least cost—and that's renewables every time. But it's also an issue of: as we divert funds towards nuclear power (new reactors, which are not here now, they're just aspirational ideas on paper, none of the designs have certifications or licenses yet) as we divert time and our money towards waiting for something that will perhaps take a decade or two (or never) to materialize, and as we squeeze out renewables in the process, what do we do? We continue to burn fossil fuels. So actually, choosing nuclear as an answer to climate makes the climate crisis worse.Linda GunterSean Simpson is an attorney specializing in civil jury trials, representing individuals who have been harmed by someone else's carelessness or intentional wrongdoing. He is the author of Punitive Damages: The Lawyer's Tool for Shaping Society.[Punitive damages are] typically not covered by insurance. But oddly enough, there's a trend coming now where these corporations—because they're in control, we've let them have the reins, and now they're getting insurance companies to sell them coverage to cover their punitive damages, which is totally a 180. If somebody else is going to pay your punishment for you, it's not going to sting your rump if somebody gets spanked on somebody else's behind.Sean SimpsonElizabeth Burch is a professor at the University of Georgia School of Law, and co-author of Perceptions of Justice in Multidistrict Litigation: Voices from the Crowd. She is the author of The Pain Brokers: How Con Men, Call Centers, and Rogue Doctors Fuel America's Lawsuit Factory.Imagine that you are sitting in your kitchen and you get a phone call one night. And you answer, and the person on the other end of the line knows an inordinate amount of information about you—they know your name, they know your birth date, they know the name of your doctor, the name of your hospital, the date and type of medical implant that you had put in you. And then they tell you that you have a ticking time bomb in you. And if you don't have this removed immediately (that in this case was pelvic mesh, which is designed to deal with incontinence and pelvic organ prolapse) that you are going to die. But not to worry, they are setting up appointments down in South Florida to have the mesh removed. What they don't say is all of the important things.Elizabeth BurchDavid Schmidt is lifelong San Francisco Bay Area resident, naturalist, and environmental historian. He worked as a writer in the public affairs office of the U.S. Environmental Protection Agency in San Francisco from 1991 to 2021, led dozens of hikes for the Greenbelt Alliance in the region's extensive public parklands, and volunteered on habitat restoration projects for the Golden Gate National Parks and the California Native Plant Society. He is the author of San Francisco Bay Area: An Environmental History.I think [the environmental movement in the Bay Area] is the most successful regional environmental movement in US history. Its victories have had a tremendous impact on protecting the natural landscape, the agricultural landscape. And this is a landscape that is famous for its scenic beauty. It's among the world's most biodiverse landscapes with more than a thousand species of plants and wildlife. And persistence pays off. That is the theme that comes across time and again with environmental victories is: persistence pays off.David SchmidtMarc Axelrod is an award-winning front line industrial hygienist and workplace safety professional. He has developed and implemented programs to protect people from industry's most hazardous technologies. He has worked for employers including Boeing, Kaiser Permanente, UCLA and the City of Beverly Hills. He is the author of The Flame Bucket: Adventures in Workplace Safety.You can lie down in the flame bucket and stop a [rocket] launch, but you can only do it once. So I decided that we had a very risky program [at the city of Beverly Hills]. It was for testing our commercial drivers for alcohol and drugs. And somehow they got a big percentage of them, almost a third of them, got left out of the program. And I can see, being backstage, what happens in city government where people leave and people come and how these kinds of things can occur. But when they do happen, what you've got to do is stop everything, blame the people that left, and then fix it right away. But this program—even though people knew that there was a big gap in it, they just didn't want to fix it. But I knew as City Safety Officer, I was responsible. So after months of delay, I said, “Listen, these drivers can't drive anymore. They can't do their safety functions without a clearance test from our drug and alcohol program.” And so that got their attention, and we quickly fixed the program, and I got a lot of thank yous. And then a few days later, I was fired.Marc AxelrodJonathan Kozol is a leading advocate for child-centered learning, equality, and racial justice in our nation's schools, and he travels and lectures about educational inequality and racial injustice. Mr. Kozol is the author of nearly a dozen books about young children and their public schools, including Death at an Early Age, An End to Inequality: Breaking Down the Walls of Apartheid Education in America, and We Shall Not Bow Down: Children of Color Under Siege: An Invocation to Resistance.My book is not simply a polite description of these problems. It's probably the most militant book I've ever written. It's an open call for militant resistance. And, you know, I get condemned for that, but I'm not afraid to say that I'm an unregenerate activist, and I'm too old to change my stripes.Jonathan KozolNews 5/1/26* Perhaps the biggest news of the week is the Supreme Court's 6-3 decision in Louisiana v. Callais to gut Section 2 of the Voting Rights Act, which preserved majority-minority congressional districts. In practice, this ruling gives conservative Southern states license to draw these districts out of existence. Jonathan Cervas, a political scientist at Carnegie-Mellon University who has served as a special master in multiple Voting Rights Act cases, is quoted in AP saying “The Voting Rights Act as a means to protect minority voters from vote dilution is essentially dead.” In the Washington Post, NAACP President Derrick Johnson called the decision “a devastating blow to what remains of the Voting Rights Act, and a license for corrupt politicians who want to rig the system by silencing entire communities,” and “a major setback for our nation and…the hard-won victories we've fought, bled, and died for.” In practice, this ruling is sure to set off a new round of redrawing congressional districts, likely resulting in a net gain of 12 seats – half of the Southern Section 2 districts – for the GOP. In Louisiana itself, CNN reports Governor Jeff Landry has halted House primaries, where “Early voting was scheduled to begin Saturday and overseas ballots had already gone out.” Moreover, “Democratic Rep. Cleo Fields, whose district is at the center of the Supreme Court's redistricting decision, said…Landry had told him he anticipated issuing an executive order to suspend the House election and call a new one.”* Speaking of Southern congressional districts, in Florida's 20th district, Sheila Cherfilus-McCormick has “defiantly” filed to run again in the special election for her former district, per NOTUS. Cherfilus-McCormick resigned her seat in Congress last week just minutes before the House Ethics Committee was scheduled to “recommend punishment on an array of charges.” She had previously been found guilty of “25 ethics violations, including allegedly stealing $5 million dollars in federal disaster-aid funds used to bolster her 2021 campaign,” following an extensive investigation running for two years and including “issuing 58 subpoenas, interviewing 28 witnesses and reviewing over 33,000 documents.” Elijah Manley, the young progressive running for the seat, is quoted saying “Sheila Cherfilus-McCormick resigned in disgrace moments before her colleagues were set to expel her from Congress…The last thing our community needs is a second round of chaos and instability. She should focus on her legal troubles.”* In more positive news from Congress, Rep. Greg Casar announced this week that the Congressional Progressive Caucus he chairs is issuing a new Affordability Agenda, bringing together a slew of bills sponsored by progressives – on topics ranging from housing to groceries to prescription drugs and more – into a unified package. In an introduction, the Caucus emphasizes that “Americans are facing a cost-of-living crisis and…At the same time, Democrats are searching for a vision that wins back the trust of working families and provides a mandate to deliver the big changes our country needs in 2026.” The question now is whether the Democratic Party will take up this banner and run with it or once again spurn their progressive base.* Meanwhile, the Trump administration is occupied with their continuing efforts to persecute comedians for anodyne jokes. The latest on this front is the Federal Communications Commission ordering the Walt Disney Company's ABC to seek early broadcast license renewals for the eight TV stations it owns, following a joke about Melania Trump on Jimmy Kimmel's late night show, NPR reports. The joke, a “mock speech for an alternative White House Correspondents' Dinner,” which went “Our first lady Melania is here. So beautiful. Mrs. Trump, you have a glow like an expectant widow,” aired three days before the actual White House Correspondents' Dinner and the corresponding security threat. Kimmel has stressed that the joke was about the age difference between the President and First Lady “not, by any stretch of the definition, a call to assassination. And they know that.” FCC Commissioner Anna M. Gomez, sole Democrat still on the commission, issued a statement calling this “the most egregious action this FCC has taken in violation of the First Amendment to date…As part of its ongoing campaign of censorship and control, the White House called publicly for the silencing of a vocal critic, and this FCC has now answered that call.”* Another scandalous act of corruption from inside the federal government came to light this week with Gannon Ken Van Dyke, a special operations soldier stationed at Fort Bragg being charged with insider trading. Specifically, Van Dyke is charged with three counts of violating the Commodity Exchange Account, one count of wire fraud and one count of an unlawful money transaction for using classified government information to win over $400,000 via prediction betting site Polymarket vis-a-vis the kidnapping of Venezuelan President Nicolás Maduro, per the Hill. U.S. Attorney for the Southern District of New York Jay Clayton, also heading up the prosecution of President Maduro, is quoted saying “Prediction markets are not a haven for using misappropriated confidential or classified information for personal gain.” For their part, Polymarket has announced tightened insider trading rules, but continues to insist that “When we identified a user trading on classified government information, we referred the matter to the DOJ & cooperated with their investigation,” and that Van Dyke's arrest is “proof the system works.”* In more news related to Latin America, a new poll shows leftist Senator and presidential candidate Iván Cepeda with a substantial lead, according to the City Paper Bogotá. In polls of the first round, Cepeda drew 44.3%, while his rivals, Abelardo de la Espriella and Paloma Valencia drew 21.5% and 19.8% respectively, an impressive showing for Valencia who has nearly doubled her support since the last poll was taken. In the second round, polling shows Cepeda besting both rivals, 54.6% to 42.6% against de la Espriella and a narrower 51.2% versus 46.6% against Valencia. A Cepeda victory would continue the leftward trend in Colombian politics begun with the election of Gustavo Petro in 2022, a remarkable turnaround for one of the most stalwart conservative countries in the region.* Elsewhere on the globe, a new poll shows Jeremy Corbyn – the British left icon, former Labour Party leader and founder of Your Party – in danger of losing his long-held seat in the riding of Islington North. Corbyn, who was first elected to the seat in 1983, was able to keep his seat as an independent MP even after his expulsion from the Labour Party following the hostile takeover of the party by the centrist Keir Starmer regime. Yet now, with Your Party coming apart at the seams, the Greens look poised to capture the seat. However, the Canary notes that this poll only asked voters about their partisan voting intentions, with no mention of individual candidates. This means even if voters in Islington North are more sympathetic to the Greens overall, they could still return Corbyn himself to Parliament. Nevertheless, this poll gives some indication of how successfully the Greens have outmaneuvered Your Party, even in what should be their most solid riding.* Another iconic British public figure – King Charles III – is in America this week for a royal visit in which he addressed a joint session of Congress, met with President Trump and enjoyed a White House dinner. On Wednesday, the King attended a wreath-laying ceremony at Ground Zero in New York City, along with New York Governor Kathy Hochul, New Jersey Governor Mikie Sherrill and, most strikingly, New York City Mayor Zohran Mamdani. This unlikely pairing has clearly piqued the interest of the press, who asked Mayor Mamdani what he would talk about with the King if they were to have a private moment together. While the duo did not ultimately have a private meeting, Mamdani responded that he would “probably encourage [the King] to return the Kohinoor diamond,” which POLITICO identifies as “an enormous bauble set into a royal crown on display in the Tower of London,” noting that the diamond has “become a point of contention between England and India.”* In more local news, with the protracted California gubernatorial primary on the horizon at last, the International Alliance of Theatrical Stage Employees or IATSE, has thrown their weight behind progressive billionaire Tom Steyer, Variety reports. This piece notes Steyer's pledge to keep film and television production in Los Angeles along with his outspoken criticism of the merger between Paramount Skydance and Warner Bros. as well as his proposal to levy a tax on AI computations and use the proceeds to “fund training for displaced workers.” IATSE represents around 50,000 workers in California and 130,000 workers nationwide. Steyer has amassed considerable union support in his bid for perhaps the second most powerful political executive position in the country after the presidency, including the California Teachers Association, the California Federation of Teachers, and the California Nurses Association. Steyer's closest Democratic rival in the open primary, former Congressman, state Attorney General and HHS Secretary Xavier Becerra is racking up endorsements as well, including from Planned Parenthood Affiliates of California and powerful California politicianss such as Assembly Speaker Robert Rivas. With a close race between the top four leading Democrats and Republicans, the June 2nd primary is sure to conclude with a photo finish.* Finally, in Washington DC, the Democratic Mayoral primary continues to grow more acrimonious. This week, former Councilmember Kenyan McDuffie, the candidate backed by corporate donors and the DC political establishment, criticized progressive Councilmember Janeese Lewis-George in a fundraising email for supposedly accepting “dark money from outside interest groups.” Which groups you may ask? Local unions, representing tens of thousands of DC workers, including local branches of the AFL-CIO, UFCW, transit workers, teachers, the building trades and more. In a stinging rebuke, the unions excoriated McDuffie for his “disturbing pattern of anti-union talking points and votes” including opposition to wage increases for DC restaurant and child-care workers – while simultaneously accepting donations from “MAGA developers…[and] utility and energy executives.” Moreover, Axios reports Safe & Affordable DC, a labor-aligned super PAC, is launching a half-million dollar ad blitz attacking McDuffie on his record of favoritism towards the utilities at a moment when bills are higher than ever. Tensions mounted even higher this week, when the D.C. Office of Campaign Finance opened an investigation to determine whether Lewis George's campaign is collaborating too closely with her union allies – an allegation she has dismissed as “baseless.” It is worth noting that DC progressives have had this accusation leveled at them in the past, only for it to indeed prove baseless. Expect this race to get more heated, and more expensive, the closer we get to the June 16th primary.This has been Francesco DeSantis, with In Case You Haven't Heard. Get full access to Ralph Nader Radio Hour at www.ralphnaderradiohour.com/subscribe

Send us Fan MailAmerican employers now spend over $25,000 a year to cover a single family, and chronic disease is driving the system toward collapse. Yet medicine is still built around a doctor's office visit every three to four months.Dr. Robert Pearl, former CEO of the Permanente Medical Group, Stanford professor, and author of ChatGPT MD, joins host David E. Williams to make the case that generative AI is the only tool that can shift medicine from episodic to continuous care, and why without it, the chronic disease crisis will break American healthcare entirely.

In this episode, Maria Ansari, MD, Co-Chief Executive Officer of The Permanente Federation and Chief Executive Officer and Executive Director of The Permanente Medical Group at Kaiser Permanente, joins the podcast to reflect on memorable moments throughout her career. She discusses how AI is driving new efficiencies, the ongoing challenge of rising healthcare costs, and the impact of an increasing disease burden on health systems and patient care.

Episode 6.17 features Todd Jason, a reinvention coach and podcast host, who joins David Mandell to explore physician burnout, career transitions, and the evolving nature of work. Drawing on his experience working with organizations like Kaiser Permanente, Todd highlights the growing prevalence of burnout among physicians, driven by overwhelming workloads, administrative burdens, and lack of support systems. He emphasizes that burnout is not a personal failure but a systemic issue affecting many professionals, particularly those in high-stakes, service-oriented careers like medicine. Todd shares practical strategies to manage burnout, focusing on small, intentional actions that can be integrated into daily routines. These include taking mindful breaks, spending time outdoors, journaling, and using tools like AI to reduce cognitive load. He also stresses the importance of setting boundaries outside of work and delegating tasks where possible to reduce overwhelm. By reframing how physicians approach their workday and personal time, Todd suggests that even incremental changes can significantly improve mental and emotional well-being. The conversation then shifts to the concept of reinvention—particularly for mid-career professionals. Todd defines reinvention as a proactive, mindset-driven approach to aligning one's career with personal fulfillment, rather than simply reacting to burnout or external changes. Through exercises like writing one's own eulogy, he encourages individuals to reflect on what truly matters and explore new opportunities, income streams, and career paths. Ultimately, the episode underscores the importance of adaptability, self-awareness, and intentional decision-making in navigating both burnout and long-term career satisfaction. Key Takeaways: Burnout is systemic, not personal: Physicians are facing increasing complexity and workload, making burnout a widespread and legitimate challenge.   Small, intentional habits matter: Simple daily practices (breaks, movement, journaling, AI tools) can significantly reduce stress over time.   Reinvention is a mindset shift: Mid-career professionals should proactively explore what fulfillment looks like and align their work accordingly.   Learn more, including additional show notes, links, and detailed key takeaways, by visiting physicianswealthpodcast.com. Click here to get your FREE copy of our latest book, Wealth Strategies for Today's Physician!

Bestselling rhetorician Jay Heinrichs shows just how powerful and fun this ancient art can be.— YOU'LL LEARN — 1) How shifting tenses can ease tensions2) A huge tip from Donald Trump about speaking in 12-second periods3) The essential steps of making a persuasive argumentSubscribe or visit AwesomeAtYourJob.com/ep69 for clickable versions of the links below. — ABOUT JAY — Jay Heinrichs is the author of the bestselling book, Thank You for Arguing: What Aristotle, Lincoln, and Homer Simpson Can Teach Us About the Art of Persuasion. His book, Word Hero, teaches how to craft memorable content. Combining tested tools of classical rhetoric with modern neuroscience, Jay has given presentations, workshops, and consults around the world. Jay has served clients including Southwest Airlines, NASA, the Pentagon, Walmart, Ogilvy UK, Mindshare, the National Association of Realtors, Harvard, Dartmouth, University of Virginia, Beachbody, and Kaiser Permanente.He maintains one of the leading language websites, Figarospeech.com, along with Arguelab.com. With more than 30 years in publishing as a writer, editor, and executive, Jay has written for several dozen publications, from The New York Times Magazine to Reader's Digest.• Book: Thank You for Arguing• Website: ArgueLab.com• Website: JayHeinrichs.com• Profile: Bloomberg Business— RESOURCES MENTIONED IN THE SHOW — • Study: Gottman Marriage Research• Book: Moby-Dick: or, The Whale by Herman Melville— THANK YOU SPONSORS! — • Keepsake Voices. Get mom something special and save about $100 with keepsakevoices.com/pete• Narwhal. Treat your home to spotless, fresh floors with us.narwhal.com/pete.• Monarch.com. Get 50% off your first year on with the code AWESOME.• Gusto. Get three months free when you run your first payroll with gusto.com/AWESOME• Shopify. Sign up for your $1/month trial at Shopify.com/better• Vanguard. Give your clients consistent results year in and year out with vanguard.com/AUDIOSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What Makes a Successful Security Vendor Demo? All links and images can be found on CISO Series. Check out this post from Adam Palmer for the discussion that is the basis of our conversation on this week's episode co-hosted by David Spark, the producer of CISO Series, and Geoff Belknap. Joining is Ken Beasley, BISO, Kaiser Permanente. In this episode: Show me the problem, not the product Walking in blind Discovery is the demo Define the use case, set the clock A huge thanks to our sponsor, Fenix24 Fenix24 is the world's leading breach recovery firm, providing rapid ransomware restoration, full asset visibility, and threat informed hardening. Alongside expert recovery services, Fenix24 delivers ongoing managed protection that secures backups, infrastructure, and critical controls, helping organizations stay resilient, recoverable, and prepared for modern cyber threats. Learn more at fenix24.com.

Sometimes people wait to pick an airline seat until they board the plane, and then they want YOURS. People trying to bully others into switching seats with them is a real thing on the airlines. I've had a few good and bad situations with airplane musical chairs. Here's a couple short stories about people wanting me to move.  https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker, comedian, and funny motivational speaker who helps organizations use humor to handle change, build resilience, and strengthen leadership skills. With her laugh-out-loud stories and practical tips, Jan shows audiences how humor isn't just entertainment—it's a business skill that drives communication, connection, and stress relief.   A conference keynote speaker, Master of Ceremonies, and comedy writer, Jan has written material for The Tonight Show with Jay Leno as well as radio, TV, and syndicated cartoon strips. She's the author of two books—Finding the Funny Fast and Convention Comedian—and her insights on humor in business have been featured in The Wall Street Journal, The Washington Post, and The Huffington Post. For over 25 years, she has been helping leaders and teams discover how to bounce back from setbacks, embrace change, and connect through comedy.   Jan has delivered keynote speeches at thousands of events nationwide, from the Federal Reserve Banks to the Mayo Clinic, for industries that include healthcare, finance, government, education, women's leadership events, technology, and safety & disaster management. Her client list features respected organizations such as: Healthcare: Mayo Clinic, Kaiser Permanente, Abbott Pharmaceuticals, Health Information Management Associations, Assisted Living Associations Finance: Federal Reserve Banks, Merrill Lynch, Transamerica Insurance, BDO Accounting, American Institute of CPAs, credit unions, banking associations Government: U.S. Air Force, Social Security Administration, International Institute of Municipal Clerks, National League of Cities, public utilities, correctional associations Women's Leadership Events: Toyota Women's Conference, Go Red for Women, Speaking of Women's Health, Soroptimists, Women in Insurance & Financial Services Education: State superintendent associations, community college associations, Head Start associations, National Association of Elementary and Middle School Principals Safety & Disaster: International Association of Emergency Managers, Disney Emergency Management, Mid-Atlantic Safety Conference, risk management associations   Her background as a Washington, D.C. marketing executive gives her a unique perspective that blends business acumen with stand-up comedy. Jan was also honored with the Greater Washington Society of Association Executives "Excellence in Education" Award. Along with her podcast Finding the Funny: Leadership Tips from a Comedian, Jan also produces Comedian Stories: Tales From the Road in Under 5 Minutes. Whether she's headlining a major convention, hosting a leadership retreat, or teaching resilience at a safety conference, Jan's programs give audiences the tools to laugh, learn, and lead.  

What if we trained surgeons to recover from complications, not just avoid them? In this BackTable OBGYN episode, Dr. Joseph Chen, a complex benign gynecologic surgeon at Kaiser Permanente and certified surgical coach, joins host Dr. Nicole Faulkner to explore how surgeons process and recover from complications. --- Get the BackTable app https://www.backtable.com/app --- Timestamps 00:00 - Introduction01:15 - Dr. Chen's Origin Story06:34 - Coaching Framework08:08 - Second Victim Phenomenon10:10 - Four Phases Of Stress15:07 - Managing OR Chaos19:22 - Delegation as Surgeons22:11 - Peer Review Programs25:09 - How Coaching Programs Work30:52 - Timeline After Complications33:16 - Avoiding The Advice Trap35:37 - Debriefing With Residents40:51 - Future of Coaching and AI47:13 - Resolution of Complic --- More about this episode Dr. Chen reflects on a serious complication during his fellowship that exposed an “emotional gap” in surgical training beyond technical solutions. This experience shaped his focus on psychological safety, crisis-management frameworks, and supportive coaching. He outlines the phases following an adverse event, from the initial chaos and cognitive overload to reflection, identity challenges, and resolution. Do these factors influence whether one experiences burnout, survival or growth. This episode also recommends practical strategies such as focused breathing, effective delegation, and simulation training to improve performance under pressure. Dr. Chen discusses the “second victim” phenomenon, reviews data on surgeons' emotional responses after complications, and emphasizes the importance of allowing time before debriefing. They advocate for peer support, non-punitive systems, and coaching programs to improve surgeon well-being, patient safety, and operating room efficiency. Finally, they explore future roles for AI and video review in surgical learning. --- Resources Medical error: the second victim. The doctor who makes the mistake needs help toohttps://pubmed.ncbi.nlm.nih.gov/10720336/ Dare to Lead by Brené Brownhttps://brenebrown.com/book/dare-to-lead/ Atlas of the Heart by Brené Brownhttps://brenebrown.com/book/atlas-of-the-heart/ The Advice Trap by Michael Bungay Stanierhttps://www.mbs.works/advice-trap-book/#purchase-options --- BackTable OBGYN is the go-to podcast for gynecologists, gynecologic surgeons, and other healthcare professionals focused on women's health.Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

This episode of Dean's Chat features an engaging and wide-ranging conversation with Dr. Sandeep Patel, Chief of Podiatric Surgery for Kaiser Permanente -Diablo Service Area in Northern California. Dr. Patel is a podiatric surgeon and longtime leader within the Kaiser Permanente system. The discussion blends personal career insights with broader reflections on medical training, healthcare systems, research, and the evolving role of technology and social media in medicine. In reflecting on his leadership role as Chief of Podiatric Surgery, Dr. Patel shares insights into team dynamics, administrative challenges, and personal growth. He emphasizes collaboration, thoughtful decision-making, and maintaining a clear separation between work and personal life. He also acknowledges the difficulty of leadership, particularly in managing people and navigating competing priorities.Dr. Patel begins by sharing his educational and professional journey, including his training at UCLA, the California College of Podiatric Medicine, and the Kaiser San Francisco Consortium—where he was part of the inaugural residency class. He reflects on the unique opportunity and uncertainty of being a “first resident,” emphasizing how it allowed him to help shape the program while benefiting from strong mentorship and academic exposure. A key theme early on is the importance of feeling valued and supported during formative training years.The conversation then explores the Kaiser Permanente model, highlighting its integrated structure that combines physicians, hospitals, and insurance into a single system. Dr. Patel explains how this model fosters collaboration, efficiency, and a sense of professional equality across specialties. He notes that while no system is perfect, Kaiser offers streamlined care delivery, strong access to patient data, and an environment conducive to both clinical practice and resident education. Dr. Patel emphasizes that Kaiser's model gives residents broad exposure and autonomy, often treating them as true consultants within the healthcare team. His educational philosophy focuses on mastering foundational principles—clinical, surgical, and interpersonal—rather than relying on newer technologies or trends. He stresses that residents must earn responsibility, build trust, and develop competence before expecting independence.Research is another major theme. Dr. Patel underscores its enduring value—not just for career advancement, but for challenging dogma, improving patient care, and guiding cost-effective decision-making. He contrasts traditional research with the growing influence of social media, acknowledging that while online presence can enhance visibility, it cannot replace the credibility and rigor of peer-reviewed work. He advocates for a balanced approach, warning against prioritizing “flash over substance.”Overall, this episode offers a thoughtful exploration of what it means to train, practice, and lead in modern podiatric medicine—balancing tradition with innovation, and credibility with visibility in an ever-changing professional landscape. We hope you enjoy!

Deacon Victor Valenzuela is assigned to St. Mary Church in Fullerton.  He is married, with two adult children.  He is a licensed social worker who is retired from 31 years of employment at Kaiser Permanente.  He is a former seminarian who has worked in a variety of ministries.  His wife is Diane.  Today, Deacon Victor continues his discussion with guest Dr. Paul Chang. Support the show

Many of us have had frustrating experiences with AI — not because we lack intelligence or willingness, but because no one has translated it in a way that makes sense for how we actually work and live. This is part two of a conversation with my son Slade about using AI in mindful, practical ways. We talk about real use cases — reviewing a lease, finding a job, making a blog findable, writing show notes — and what it actually takes to communicate clearly with a tool that cannot read your mind. What emerged is something we did not expect: the skills that make AI work well are the same skills we teach in coaching. Get clear on your end goal. Offer the right context. Know where your own judgment and voice still matter. PEARLS OF WISDOM • AI cannot replace your authentic voice. Its output is never you, and that is where your value and job security live. • Communicating well with AI requires the same skills as communicating well with humans — clarity, context, and knowing your desired outcome. • AI can amplify your work and help people find you, but the creative and human parts still belong to you. • Knowing what AI can and cannot help with brings simplicity and reduces the overwhelm of endless possibilities. Reflection Questions Where in our work or life might AI save us energy on tasks that are not our unique gift, so we can protect time for what is? What would it look like to approach AI the way we approach learning a new language — with patience, curiosity, and a willingness to ask for help? Where might we be avoiding AI out of frustration rather than true limitation, and what would one small experiment look like? If you are curious about using AI in a more grounded, intentional way, Slade now offers sessions to help you build your own relationship with these tools. You can find him at AIWithSlade.com. Slade will also share his wisdom and answer questions in a live Zoom session for the Mindful Healthcare Collective and Pause & Presence. April 24th, 9:30 am Pacific Register here: www.jessiemahoneymd.com/curious-about-coaching He will share a practical, grounded, and mindful approach to AI. You will leave able to relate to it more easily, effectively, and efficiently — so you can spend more time on what matters most in your practice, your business, and/or your life. This session will be clear, honest, and jargon-free. No technical background required. About Slade  Slade Mahoney is an AI consultant and strategist based in San Diego — and the son of Dr. Jessie Mahoney, founder of Pause and Presence Coaching and Retreats. He got into this work because he believes AI should make us more human, not less. Too many brilliant, accomplished people are spending their most valuable hours on things that have nothing to do with why they became brilliant and accomplished in the first place — the emails, the scheduling, the follow-ups, the research — tasks that have nothing to do with why they built something of their own. The work that means most to him is helping people like his mom: smart, accomplished people who are curious about what AI can do and want to explore it for their business, their work, or their life. In his career, he has built AI tools for organizations ranging from small businesses to Kaiser Permanente, The Walt Disney Company, and the CDC — giving him a rare view into how AI is actually being deployed at every level and what it means for the rest of us. He works one-on-one with physician entrepreneurs and small business owners — teaching them how to use AI to build real tools for their businesses and get back to the work only they can do. Find him at aiwithslade.com (http://aiwithslade.com). And if you are a physician who wants support in a deeply human space — through coaching, retreats, yoga, or simply being in community with other physicians who understand — I would love to connect with you. www.jessiemahoneymd.com www.jessiemahoneymd.com/retreats www.jessiemahoneymd.com/yoga  www.jessiemahoneymd.com/jessies-blog  www.jessiemahoneymd.com/mindful-healers-podcast   Nothing shared in the Healing Medicine Podcast is medical advice. The Healing Medicine Podcast was formerly known as the Mindful Healers Podcast.

Reflections from host Sarah Olivieri ... What Vulnerability Actually Has to Do With Change I had a conversation with Becca Pearce recently — executive coach, former nonprofit CEO, brain tumor survivor, author of You Don't Have to Achieve to Be Loved — and one thing she said has been sitting with me since. She was walking through the ten realizations in her book, and she said this: vulnerability is the key to making change because if you're not vulnerable, there will be no change. That's not a soft observation. It's a description of a mechanism. And the more I think about it in the context of nonprofit leadership specifically, the more I think most leaders are trying to create change without doing the thing that actually makes change possible. The Real Reason Change Stalls When nonprofit leaders tell me they're stuck, the conversation usually starts with the usual suspects: Not enough funding Not enough staff Too many competing priorities And yes, those are real. But they're rarely the root of the problem. What I see more often is this: leaders are operating inside a set of assumptions they've never questioned. About what success looks like. About what their role requires of them. About what good leadership is supposed to feel like. And those assumptions — most of them inherited, not chosen — are doing a lot of quiet damage. When your actions are out of alignment with what you actually value, everything gets harder. Not because you're doing things wrong, but because you're measuring yourself against a standard that was never yours to begin with. Becca put it plainly:  "You're probably living somebody else's definition of success." That's true for individuals. It's also true for organizations. The Nonprofit Version of This Problem Here's what I see happen in nonprofits specifically. Most organizations start out on a clear path — usually tied directly to the founder's vision, their proximity to the problem, their lived understanding of what needs to change. That clarity is one of the great assets of early-stage nonprofits. Then things shift. Funders come in with their own definitions of impact. Industry norms start to accumulate. Boards begin setting direction — and boards, while essential for oversight, are watching the journey from the outside. They aren't walking it. And when the people setting the path aren't the ones who have to walk it, the path usually isn't as good as the one the organization would have found for itself. So the mission stays intact. But the how — how to pursue it, what it looks like in practice, what success actually means day-to-day — gets progressively shaped by other people's expectations. And the leader is left trying to execute someone else's vision with their own energy. No wonder they're exhausted. This isn't because people are bad. It's because the system makes it very easy to inherit a direction without noticing you've done it. What Vulnerability Has to Do With It Here's the part that tends to make high-achieving leaders uncomfortable: to question those inherited assumptions, you have to be willing to not know. You have to be willing to look at what you've built and ask honestly whether it's what you actually want to build — and whether the way you're measuring success is actually measuring the right thing. That's what vulnerability means in practice. Not oversharing. Not performing openness. It means being willing to ask: Is this definition of success mine, or did I absorb it from somewhere else? Are the things I'm spending my time on actually connected to what I care about? What would I do differently if I started from what I value instead of what I've inherited? Those questions are uncomfortable precisely because the answers might require you to change something. Time Doesn't Care About Your Assumptions One of the other things Becca said that I keep thinking about:  "Time is your only non-renewable resource." This matters more than it sounds. Leaders often try to solve misalignment problems with efficiency — better time management, tighter systems, more focus. And those things help. But if the underlying direction is off, being more efficient just means executing the wrong things faster. You will get very, very good at building something you didn't actually want to build. If the system is running on inherited values you haven't examined, the results are predictable: leaders who are constantly busy and persistently unfulfilled. Organizations that are technically functional and quietly stuck. What This Actually Requires Becca works with leaders who have, in her words, done everything they were supposed to do and are waking up to the fact that it still doesn't feel right. That's a specific and uncomfortable place to be. And it takes real vulnerability to stay in that discomfort long enough to figure out what's actually going on instead of just working harder. For nonprofit leaders, I'd add one layer: this work isn't optional. The clarity you have about your own values, the degree to which your daily decisions actually reflect those values, the willingness to question whether the direction you're heading is the one you'd choose — that's not just personal development. It shapes everything downstream. It shapes your culture, your team, your relationship with your board, your ability to make good decisions under pressure. Values misalignment is actually a structural problem. And you can't fix it by adding more capacity or tightening your operations. You have to look at it directly. That's the vulnerable part. That's also the necessary part. About the Guest Becca Pearce, author of You Don't Have to Achieve to Be Loved, has spent much of her career as a corporate warrior, leading teams at CareFirst BlueCross BlueShield and Kaiser Permanente before being appointed CEO of Maryland's Health Benefit Exchange. After a very public separation from the Exchange, Becca was diagnosed with a brain tumor, triggering a life-altering health battle that forced her to redefine success. Today, as an inspirational speaker, growth strategist and executive coach, she sparks transformation in organizations and empowers professionals to lead with authenticity and purpose.  She shares her journey as living proof that no matter how many times you've been "chewed up and spit out" by life, you can rise stronger and live fully. When she's not on stage, she can be found on her boat, surrounded by family, friends, and her beloved pit bull mix, Nia. Connect with Becca: Personal Website: www.morebeccapearce.com Book Website: www.youdonthavetoachievetobeloved.com  LinkedIn: https://www.linkedin.com/in/beccapearce/ Be sure to subscribe to Inspired Nonprofit Leadership so that you don't miss a single episode, and while you're at it, won't you take a moment to write a short review and rate our show? It would be greatly appreciated! Let us know the topics or questions you would like to hear about in a future episode. You can do that and follow us on LinkedIn.

Eanes is treating a $6M deficit like a mystical puzzle, but for healthcare executive Swasti Apte, it's just arithmetic. Swasti joins Aaron Silva to discuss how she recouped $2M in lost revenue at Kaiser Permanente and why she's bringing that forensic eye to our Board. From the "Skittles for breakfast" communication gap to a 10-year plan to save our feeder schools, it's time for adult supervision. If you don't vote, the wheel stays in the ditch.

Getting representation in hollywood or in entertainment in general can be a jungle. There's good and bad advice and you can end up chasing representation for most of your career. Here's a short story about when the hollywood representation came to me!  Take a listen and please subscribe or check out my website.    https://www.TheWorkLady.com  Jan McInnis is a top change management keynote speaker, comedian, and funny motivational speaker who helps organizations use humor to handle change, build resilience, and strengthen leadership skills. With her laugh-out-loud stories and practical tips, Jan shows audiences how humor isn't just entertainment—it's a business skill that drives communication, connection, and stress relief.   A conference keynote speaker, Master of Ceremonies, and comedy writer, Jan has written material for The Tonight Show with Jay Leno as well as radio, TV, and syndicated cartoon strips. She's the author of two books—Finding the Funny Fast and Convention Comedian—and her insights on humor in business have been featured in The Wall Street Journal, The Washington Post, and The Huffington Post. For over 25 years, she has been helping leaders and teams discover how to bounce back from setbacks, embrace change, and connect through comedy.   Jan has delivered keynote speeches at thousands of events nationwide, from the Federal Reserve Banks to the Mayo Clinic, for industries that include healthcare, finance, government, education, women's leadership events, technology, and safety & disaster management. Her client list features respected organizations such as: Healthcare: Mayo Clinic, Kaiser Permanente, Abbott Pharmaceuticals, Health Information Management Associations, Assisted Living Associations Finance: Federal Reserve Banks, Merrill Lynch, Transamerica Insurance, BDO Accounting, American Institute of CPAs, credit unions, banking associations Government: U.S. Air Force, Social Security Administration, International Institute of Municipal Clerks, National League of Cities, public utilities, correctional associations Women's Leadership Events: Toyota Women's Conference, Go Red for Women, Speaking of Women's Health, Soroptimists, Women in Insurance & Financial Services Education: State superintendent associations, community college associations, Head Start associations, National Association of Elementary and Middle School Principals Safety & Disaster: International Association of Emergency Managers, Disney Emergency Management, Mid-Atlantic Safety Conference, risk management associations   Her background as a Washington, D.C. marketing executive gives her a unique perspective that blends business acumen with stand-up comedy. Jan was also honored with the Greater Washington Society of Association Executives "Excellence in Education" Award. Along with her podcast Finding the Funny: Leadership Tips from a Comedian, Jan also produces Comedian Stories: Tales From the Road in Under 5 Minutes. Whether she's headlining a major convention, hosting a leadership retreat, or teaching resilience at a safety conference, Jan's programs give audiences the tools to laugh, learn, and lead.  

Join the Channel 23 podcast as the JFW team and guests Nicole Sullivan from Kaiser Permanente and Steve Miller from Holmes & Murphy break down insurance highlights, telehealth options, wellness rewards, and member support for employees. The episode also covers hands-on trucking topics — fuel and tarp best practices, DVIR usage, lift-axle checks, and safe backing/spotting techniques — plus workplace shout-outs, celebrations, and a few dad jokes to keep it light.

“It's ultra stable. Health care doesn't move. If you biopsied American health care in 2010 and again in 2026, no one could figure out which slide was which.” — Robert Pearl, MDBad news. The patient, I'm afraid, is ultra-stable. Robert Pearl, former CEO of Kaiser Permanente for eighteen years and author of ChatGPT MD, returns with the bleakest diagnosis we've heard all month. American healthcare, Dr Pearl says, is “ultra stable.” That might sound good. But it's actually very very bad.If you biopsied American healthcare in 2010 and again in 2026, Pearl says, no clinician could tell the slides apart. Both were and are overpriced. Both underperforming. Hospitals still represent between 30-35% of expenses. Costs continue to rise at between 7-9% a year. There remain four hundred thousand misdiagnosis deaths annually. Burnout is stuck at 50%. The numbers haven't moved in fifteen years.Meanwhile, a stealth revolution is already underway. 40% of Americans use generative AI every month for medical questions. 70-80% of physicians use it weekly. While the patients and doctors have moved, the system hasn't. It remains ultra-stable. It's a Kodak moment — healthcare's business model, Pearl suggests, is selling sickness. So, for example, the new new medical thing is GLP-1 drugs that cost $5 to manufacture and sell for $400.So will the system collapse? No, Pearl insists. It has too much strength for that kind of drama. Instead, it will quietly ration us to death — more chronic disease, earlier deaths, more people making a major sacrifice to pay their healthcare bills. Ultra-stability, then, is what is killing the American healthcare system. It will, quite literally, ration us to death. Five Takeaways•       Ultra Stable: Pearl's diagnosis of American healthcare in one phrase. Hospitals stay at thirty to thirty-five per cent of total expenses. Costs rise at seven to nine per cent annually. Life expectancy hasn't budged. Four hundred thousand misdiagnosis deaths a year. Burnout at fifty per cent. Biopsy 2010 and 2026 — no one could tell the slides apart. Both overpriced. Both underperforming.•       The Stealth Revolution Has Already Happened: Forty per cent of Americans use generative AI every month for medical questions. Seventy to eighty per cent of physicians use it weekly. The patients and doctors have moved. The system hasn't. It's a Kodak moment — they had the first filmless camera and let it die because their business model was selling film. Healthcare's business model is selling sickness.•       Quietly Rationed to Death: There will be no dramatic collapse. The system has too much strength for that. Instead: rationing, more chronic disease, earlier deaths. Like airlines moving everyone into first class while the rest drive. Twenty-five per cent of Americans already made a major sacrifice to pay healthcare bills last year. When it hits fifty per cent, maybe the polling places will notice. Pearl is doubtful.•       GLP-1s Cost $5 to Make and $400 to Buy: Yale's analysis: the manufacturing cost of a GLP-1 drug is $5 a month. They sell at a discounted price of $400. That's eighty times markup. Pearl's math: to make GLP-1s cost-neutral against the medical savings, the price has to be under $200. Trump Rx won't help most people because you can't use insurance there and $400 cash is still impossible on $60,000 a year.•       Vibe Coding Is the Prescription: One year old. Lets clinicians build software in plain English without code. Pearl's example: a heart failure patient at home, weighed daily on a Bluetooth scale, with an electronic stethoscope, ankle video, blood oxygen, exercise tolerance — all in an app a doctor could build in a weekend. Three days of fluid retention caught before the ICU admission. Cost: twenty dollars a month. The fix has arrived. The system isn't using it. About the GuestBeverly Gage is the John Lewis Gaddis Professor of History and American Studies at Yale. She is the author of G-Man: J. Edgar Hoover and the Making of the American Century, which won the Pulitzer Prize for Biography, and This Land Is Your Land: A Road Trip Through US History. She is currently at work on a biography of Ronald Reagan.References:•       This Land Is Your Land: A Road Trip Through US History by Beverly Gage.•       G-Man: J. Edgar Hoover and the Making of the American Century by Beverly Gage — the Pulitzer-winning biography.•       Episode 2859: Stop, Don't Do That — Peter Edelman on Bobby Kennedy and the heart of America. The companion conversation.About Keen On AmericaNobody asks more awkward questions than the Anglo-American writer and filmmaker Andrew Keen. In Keen On America, Andrew brings his pointed Transatlantic wit to making sense of the United States — hosting daily interviews about the history and future of this now venerable Republic. With nearly 2,800 episodes since the show launched on TechCrunch in 2010, Keen On America is the most prolific intellectual interview show in the history of podcasting.WebsiteSubstackYouTubeApple PodcastsSpotify Chapters:(00:31) - Introduction: AI and the American healthcare sector (01:47) - ChatGPT MD: chronic disease and the trillion-dollar opportunity (04:50) - The stealth revolution: 40% of patients, 80% of doctors (06:53) - Ultra stability: the 2010-vs-2026 biopsy (09:50) - Three years of generative AI and counting (11:13) - Will the system collapse? No — it will quietly ration (13:33) - The drip-drip of preventable deaths (16:08) - GLP-1 drugs: $5 to make, $400 to buy (18:23) - Vibe coding enters the conversation (21:22) - Will AI replace clinicians? (28:08) - Trump Rx and why it won't help most people (30:41) - RFK Jr., vaccines, and the war on science (33:23) - The midterms as the political reckoning (35:29) - The three-step fix: capitation, transition, capital (39:48) - Vibe coding and the heart failure example

In this podcast, Greg Voisen sits down with the legendary Dr. Brian Alman—a mind-body healing pioneer and clinical psychologist—to discuss his groundbreaking new book, From Trauma to Enlightenment. Have you ever wondered why, despite your best efforts, you remain stuck in cycles of chronic pain, stress, or weight gain? Dr. Alman reveals a revolutionary 4-step framework for unconditional self-acceptance, rooted in his landmark ACE (Adverse Childhood Experiences) research with the CDC and Kaiser Permanente. From a personal 5:00 AM epiphany that saved him from a "crippling" spinal diagnosis to high-level corporate success stories, this episode uncovers how to use unique "non-dominant hand" journaling and "committee meeting" strategies to silence your inner critic. It's time to stop letting your past run your present and finally let your "enlightened" wisdom take the wheel.

Derek Champagne talks with Terry Healey, author of The Resilience Mindset: How Adversity Can Strengthen, Individuals, Teams, & Leaders.A survivor of a permanent facial difference and life-threatening cancer, Terry Healey is anauthor, keynote speaker, and business strategist. Healey challenges audiences to face theiradversities and apply his framework of four key principles to gain confidence, build resilience,and find joy in their personal and professional lives.Having endured more than thirty surgical procedures to reconstruct his face while in his earlytwenties, Healey discovered tools that could help him transform his changed life. He sharesways to take control, overcome challenges, build trust and teams, embrace change, and learnthe value of acceptance and tolerance. He views the lessons he learned as gifts, and believeshis greatest reward is being able to teach others how to overcome any kind of adversity andcelebrate life.His experience led him to a successful thirty-five-year career as a high-tech sales and marketingexecutive, including being on the founding team of a company that had a successful initialpublic offering. His popular programs are presented to healthcare organizations, corporations,educational institutions, associations, and nonprofits nationwide. They include Cisco Systems,Inc., Charles Schwab, the University of California Berkeley football team, Santa Clara University,Ligand Pharmaceuticals, Genomic Health, Perkin Elmer, Stanford University, UC San Francisco,Kaiser Permanente, Northwestern Memorial Hospital, Greater Baltimore Medical Center,Lawrence Livermore National Laboratory, and many others.A graduate of UC Berkeley, Healey is the author of The Resilience Mindset: How Adversity CanStrengthen Individuals, Teams, and Leaders [September 2025], and his previous title, At FaceValue: My Triumph over a Disfiguring Cancer, and is a contributing author to Open My Eyes,Open My Soul: Celebrating Our Common Humanity; Make Your Own Miracle: SurvivingCancer, an Anthology; and Reading Lips and Other Ways to Overcome a Disability.His work has appeared in Psychology Today, Metro UK, The San Francisco Chronicle,Guideposts, NurseWeek, U.S. News and World Report, Sales and Marketing Magazine, Copingand CURE Today. He has appeared on dozens of national and local TV networks and has beeninterviewed on more than seventy-five radio stations across the U.S. and Canada.Order a copy of The Resiliance Mindset here: https://terryhealey.com/product/the-resilience-mindset/Business Leadership Series Intro and Outro music provided by Just Off Turner: https://music.apple.com/za/album/the-long-walk-back/268386576

MY NEWSLETTER - https://nikolas-newsletter-241a64.beehiiv.com/subscribeJoin me, Nik (https://x.com/CoFoundersNik), as I interview Scott A Zalkind (https://x.com/LuckyDogHotSaus).In this episode, I sit down with the founder of Lucky Dog Hot Sauce to talk about his transition from a high-stress career in Project Management at Kaiser to running a successful gourmet food brand. Scott shares how he spent seven years as a hobbyist "failing up" to perfect his recipes before ever launching the business. We discuss the benefits of using a co-packer to scale without massive capital, the reality of landing a spot on the hit show Hot Ones, and why Scott believes no experience in your past career is ever wasted. If you've ever felt stuck in the corporate world and dreamed of building something of your own, this conversation is packed with entrepreneurial wisdom on pricing, branding, and finding success on your own terms.Questions This Episode Answers:What is a co-packer, and how can it save a food startup from massive equipment costs?How does a Project Management background translate into building a consumer product?What is the process of "failing up" to create a high-quality, award-winning recipe?How should a small business approach pricing when competing against mass-market giants?What is the actual business impact of being featured on a major platform like Hot Ones?Enjoy the conversation!__________________________Love it or hate it, I'd love your feedback.Please fill out this brief survey with your opinion or email me at nik@cofounders.com with your thoughts.__________________________MY NEWSLETTER: https://nikolas-newsletter-241a64.beehiiv.com/subscribeSpotify: https://tinyurl.com/5avyu98yApple: https://tinyurl.com/bdxbr284YouTube: https://tinyurl.com/nikonomicsYT__________________________This week we covered:00:00 – Introduction to Lucky Dog Hot Sauce & The Co-Packer Model01:31 – From IT Management to a Creative Career02:12 – The "Hot Ones" Experience03:22 – Lessons from Kaiser Permanente & Healthcare04:19 – Why "No Step is Wasted"08:03 – Entrepreneurship & Artistic Freedom11:05 – The "Failing Up" Methodology15:17 – The Science of Flavor Balancing20:21 – Navigating Food Regulations & Licensure23:00 – Scaling with a Co-Packer & Insurance27:33 – Pricing Strategy: Gourmet vs. Mass Market30:33 – Distribution Channels & E-commerce33:46 – Redefining Success & The Mexican Fisherman Parable38:16 – The Impact of Viral Publicity41:56 – Where to Find Lucky Dog Hot Sauce43:10 – Closing Advice: "Watch Your Nut"

Abbie is joined by adolescent medicine specialist Dr. Lauren Hartman to talk about what it really means to care for kids in a culture obsessed with shrinking them.They explore the rise in eating disorders among younger children, the sneaky evolution of diet culture into “wellness,” and the complicated, high-stakes reality of GLP-1 medications in adolescence. At its heart, this conversation is about protecting kids from shame — and helping parents trust their instincts.In this episode, we discuss:* What adolescent medicine actually is — and why ages 10–25 (and even younger) require specialized, developmentally informed care* The moment that shifted Lauren away from weight-centric medicine* Why disordered eating is on the rise in young kids* How diet culture has become more insidious under the branding of “health,” “wellness,” and “longevity”* Early red flags parents can look for* The impact of social media on both girls and boys — from protein obsession to muscle dysmorphia* What happens when doctors dismiss parental concerns because a child's BMI is “normal”* A nuanced conversation about GLP-1 medications in adolescents* How to repair harm — whether you're a parent, provider, or educatorThis is a conversation about growth — literal and emotional. About letting kids develop in bodies that are allowed to change. And about building systems of care that prioritize safety over stigma.Dr. Hartman's book: https://www.aspengroveayam.com/copy-of-presentations-publicationsDr. Hartman is double board certified in Adolescent Medicine and Pediatrics. She is known for her patient-centered approach, and has dedicated her career to supporting teens, young adults, and their loved ones as they navigate adolescence.  She aims to focus on the strengths in every patient and nurture a sense of hope to help support them to live their most fulfilling and healthy lives.  She has held numerous leadership positions, including the chair of adolescent medicine at Kaiser Permanente for Northern California, the director of the pediatric eating disorder program in the East Bay, and served as the West Coast Medical Director at Equip.  She also helped create programs and held leadership positions in multidisciplinary programs for gender expansive youth and pediatric autonomic disorders.With more than a decade of dedicated practice, she has honed her skills in the specialized field of adolescent medicine, particularly in the realm of eating disorders in the hospital, outpatient and virtual settings. Support the show: Enjoying this podcast? Please support the show on Substack for bonus episodes, community engagement, and access to "Ask Abbie" at abbieattwoodwellness.substack.com/subscribeApply for Abbie's Group Membership:Already been at this anti-diet culture thing for a while, but want community and continued learning? Apply for Abbie's monthly membership: https://www.abbieattwoodwellness.com/circle-monthly-group Social media:Find the show on Instagram: @fullplate.podcastFind Abbie on Instagram: @abbieattwoodwellnessPodcast Cover Photography by Anya McInroyPodcast Editing by Brian WaltersThis podcast is ad-free and support comes from your support on Substack. Subscribe HERE. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit abbieattwoodwellness.substack.com/subscribe

Strike Over, Margins Up & AI Saving Lives at Advocate HealthThe final Monday News Drop of Q1 2026. Luke Carignan and ASHHRA Executive Director Jeremy Sadlier close out the quarter with three stories that are actually moving in a positive direction — and one significant asterisk on each of them.

We start this week's episode with headlines from CBS, ProPublica, Portland Community College, REI, Starbucks, Corewell Health, the WNBA, Atlassian Software, and the Tornel Rubber Company. Our first story checks in on the strike by Colorado meatpackers at JBS in a fight for safety and dignity on the job. Workers at Kaiser Permanente both ended a major strike with a win AND started a new strike in the same week. Horrific revelations of abuse by UFW co-founder Cesar Chavez rocked the labor world this week, we discuss the impact and lessons for the future of the movement. Finally, a recent interview in Jacobin discussed the way workers in Australia are fighting a similar issue we have here in the US, the disconnect between struggle on the shop floor and political action for the working class. Join the discord: discord.gg/tDvmNzX  Follow the pod at instagram.com/workstoppage, @WorkStoppagePod on Twitter,  John @facebookvillain, and Lina @solidaritybee

In this Dean's Chat episode of Dean's Chat, Jo and I sit down with Dr. Zachary Brooks, graduate of the Arizona College of Podiatric Medicine Class of 2019, former class president, and residency-trained foot and ankle surgeon through Kaiser Permanente North Bay Consortium.Dr. Brooks shares his journey from medical student leadership to chief resident, and now to private practice in Eugene, Oregon. We discuss the value of strong residency training, the transition into practice, and advice for students considering podiatric medicine.This conversation highlights the importance of preparation, mentorship, and taking advantage of opportunities during training.

Deacon Victor Valenzuela is assigned to St. Mary Church in Fullerton.  He is married, with two adult children.  He is a licensed social worker who is retired from 31 years of employment at Kaiser Permanente.  He is a former seminarian who has worked in a variety of ministries.  His wife is Diane.  Today, Deacon Victor speaks with guest Dr. Paul Chang. Support the show

Sometimes it's hard to say what you mean. Oren Jay Sofer says, "Communication is a learnable skill and it's one of the most powerful levers for making change in your life and the world." Non-violent communication is about taking responsibility for what we are experiencing using empathy, deep listening, know how to make requests.// This episode is a replay from the Sonya Looney Show. It originally aired October 22, 2020. //Author and renowned meditation instructor Oren Jay Sofer regularly teaches a mindful approach to non-violent communication. spent two and a half years of living as an Anagarika (renunciate) at branch monasteries in the Ajahn Chah Thai Forest lineage. Today, his teaching combines classical Buddhist training with the accessible language of secular mindfulness.  Since the early 2000s, Oren has had a deep interest in the relationship between contemplative practice and communication. A graduate of the BayNVC North American Leadership Training, he has taught classes and workshops in Marshall Rosenberg's Nonviolent Communication (NVC) nationally since 2006. His innovative retreats and online programs in Mindful Communication offer one of the only opportunities in the U.S today to explore the intersection between formal meditation practice, Right Speech and NVC.  Oren  is the founder and Guiding Teacher of Next Step Dharma, an innovative online course focused on bringing the tools of meditation to daily life, and co-founder of Mindful Healthcare.  Oren has created mindfulness programs for organizations, companies, and apps including Apple, Kaiser Permanente, Lumosity, Calm, 10% Happier, Simple Habit and others.I loved his book, Say What You Mean: A Mindful Approach to Nonviolent Communication.  In the book, a main theme is that every thought or feeling is there to try to meet a need.  If you can try to figure out what need your thoughts are tied to, it's easier to articulate what you need to those around you.  It's also useful when listening to someone in a disucssion or conflict to tease out what need they are trying to have met.  I also enjoyed learning about conflict and viewing it as a way to deepen relationships. I also learned that non-violent communication and conflict resolution isn't necessarily to try to get someone to do things your way, it's about deepening understanding of one another because sometimes we simply can't agree to have the same viewpoint.   Non-violent communication has a framework of observation, the feeling, the needs and values to be met, and the request.Three questions you can ask yourself are what happened, how do I feel about it, and why?I also loved learning about how to use mindfulness in listening and communication as well as how to ground yourself in your own body when tensions rise.Topics Discussed in the Podcast from childhood actor to meditation instructor4 types of conflict avoidanceself-empathytools for internal pressureNo mud, no lotusaddressing the voiceless and gender constructshow to make requests of othersResourcesOren Jay Sofer's websiteGet Oren's book: Say What You Mean: A Mindful Approach to Nonviolent Communication--------------The Grow the Good Podcast is produced by Palm Tree Pod Co. 

Well folks, 60 Minutes just confirmed that a classified U.S. intelligence mission recovered an actual directed-energy weapon — concealable, portable, silent, programmable, remote-operated, penetrates walls — and they tested it on animals in a military lab for over a year. It does what the victims said it does. So that's fun.Remember when these diplomats and spies with top-secret clearances and zero psychiatric history were told they were delusional? The FBI's early assessment was “mass hysteria.” The 2023 intelligence community report — still officially standing — says it's “very unlikely” a foreign adversary was responsible. There is now a weapon in a lab that says otherwise. Whoopsie.A former CIA officer in the Anomalous Health Incidents unit — speaking publicly for the first time — describes being told the goal was to prove it was psychosomatic and environmental. He watched a senior AHI officer mock victims by simulating a stroke at a unit happy hour. That's your tax dollars funding workplace comedy about brain injuries. Incredible.Now here's where it gets interesting for us. MKUltra didn't pick subjects randomly. CIA started with their own people — hi Frank Olson — then military subjects at Edgewood Arsenal, then systematically pivoted to populations whose testimony would be automatically discredited. Psychiatric patients. Prisoners. Addicts at the Lexington Narcotic Farm. Sex workers at Operation Midnight Climax. The selection logic wasn't random. It was about deniability.Map that onto our population. Four hundred episodes of testimony. People institutionalized as adolescents. Boarding school kids. People flagged through giftedness testing — programs that sometimes trace back to federal or military funding pipelines. Musicians — internationally traveling, high sensory sensitivity, unusual venue-exposure profiles. Joni Mitchell talked about this and got demolished. Charles Holman, musician, MRF-connected, dead. Roy Houchin, musician, MRF board. Barbara Mandrell, musician. That's not random. That's a selection signature.And “delusional parasitosis” does to this population exactly what “delusional” did to those intelligence officers. It's both the effect and the cover. Self-sealing.The CDC's 2012 Kaiser Permanente study did the same thing as the 2023 intelligence assessment: produce an official finding, foreclose inquiry, move on. Same playbook, different decade, different agency.Now — the archive we've built here is the only dataset that isn't compromised or locked in a university vault. Speaking of which: Oklahoma State University, the MRF patient registry of 12,000 families is still missing. Open records request 26-100, filed February 23rd. No substantive response. If you donated data, money, or samples to the Morgellons Research Foundation or Randy Wymore at OSU, maybe give them a call.And speaking of foreign actors — next episode we're opening the Shanghai thread. Early Wayback captures of morgellons.org linked to a personal site documenting roughly ten cases in Shanghai, built by the husband of a woman with initials H.L. He worked at Ansoft Corporation — a Pittsburgh electromagnetic field simulation software company with offices in China — and used his Ansoft work email. They reportedly funded research at Fudan University into her case. Pittsburgh to Shanghai to Fudan. We're going to verify every piece of it transparently.The government closed their investigation. We didn't. Stay tuned.

In this episode, Jay L. Robinson III, PsyD, MBA, Senior Vice President and Area Manager at Kaiser Permanente, discusses leading a 10,000 person operation serving more than half a million members in Northern California. He shares his focus on workforce culture, AI driven innovation, patient experience as an operating model, and building new care pathways that reduce hospitalizations while strengthening community health.

In this episode, Dr. Amy Compton-Phillips, Executive Vice President and Chief Medical Officer at CVS Health, discusses how her experience at Kaiser Permanente and Providence shaped her mission to simplify care delivery. She shares how CVS is leveraging its national footprint to improve access, navigation, and cost transparency while reducing payer provider friction and rebuilding trust across the healthcare ecosystem.

On this week's episode of Economic Update, Professor Wolff provides updates on the shared significance of three major strikes: New York City nurses, San Francisco teachers, Kaiser Permanente health workers in California; the cause of U.S./European discord at the 63rd annual Munich Security Conference in Germany in February. The second half of today's show features an interview with a New York City psychotherapist on the social significance of the Jeffrey Epstein scandal.   The d@w Team Economic Update with Richard D. Wolff is a DemocracyatWork.info Inc. production. We make it a point to provide the show free of ads and rely on viewer support to continue doing so.  You can support our work by joining our Patreon community:  https://www.patreon.com/democracyatwork Or you can go to our website: https://www.democracyatwork.info/donate     Every donation counts and helps us provide a larger audience with the information they need to better understand the events around the world they can't get anywhere else.  We want to thank our devoted community of supporters who help make this show and others we produce possible each week. We kindly ask you to also support the work we do by encouraging others to subscribe to our YouTube channel and website: www.democracyatwork.info

On today's 2.24.26 show we talked about the Year of the Crack, someone has landed the role for Audrey Hepburn, the strike is over for Kaiser Permanente, Burger King wants feedback, fans who went to the Lady Gaga shows in LA are upset, the Earth's heart beat has changed, Netflix has another big fight planned and more!

Since last summer, when the Trump administration ramped up deportation efforts, a group of volunteer observers has kept a constant presence at the Santa Ana Immigration Court. Reporter: Jill Replogle, LAist A four-week strike by thousands of Kaiser Permanente health care workers in California and Hawaii is ending Tuesday morning, even though no contract deal has been reached. Cities on the US-Mexico border remain on high alert following a weekend of violence, in response to the killing of a cartel leader. Reporter: Gustavo Solis, KPBS Learn more about your ad choices. Visit megaphone.fm/adchoices

Nearly 31,000 health care workers with the United Nurses Associations of California/Union of Health Care Professionals have been on strike for the last four weeks. Nurses, physicians assistants, pharmacists and other workers at Kaiser Permanente say that their wages have not kept up with inflation and that their workloads have negatively impacted patient care. As the strike drags on and negotiations continue to stall, more patients face canceled surgeries and appointments without an end in sight. Learn more about your ad choices. Visit megaphone.fm/adchoices