Episodes

Family physician Tod Stillson discusses his article "." Tod explains how his career evolution revealed that artificial intelligence is not a threat to the medical profession but a necessary tool for reshaping care delivery. He argues that physicians...

Surgeon and health tech strategist Sarah Matt discusses her article "." Sarah analyzes the friction between efficient digital health tools and an outdated payment system that rewards activity over quality. She proposes replacing analog metrics like...

Urologist William Lynes discusses his article "." William examines the medical plausibility of a former president being diagnosed with widespread metastatic prostate cancer just months after leaving office. He explains why the slow growth of this...

Fertility specialist Oluyemisi Famuyiwa discusses their article "." Oluyemisi explores the transition to "Genetic Carrier Screening 3.0," a new era where expanded panels reveal hidden complexities that defy simple positive or negative interpretations....

Professor and coach Kathleen Muldoon discusses their article "." Kathleen explores the dangerous misconception that peace in health care means silence or compliance. The conversation highlights how teaching medical students to smooth their edges and...

Obstetrician-gynecologist Priya Panneerselvam discusses their article "." Priya discusses how the quiet deference observed in their mother's generation continues to manifest in patients who apologize for their pain and hesitate to ask questions. The...

Health care executive Dave Wessinger discusses their article "." Dave explains why organizations must move beyond the hype of artificial intelligence to focus on measurable goals like driving growth and improving quality. The conversation highlights...

Urologist Tracy Gapin discusses their article "" Tracy explores the paradox of achieving professional success while feeling trapped in a demoralizing and insurance-driven health care system. The conversation highlights how factors like short visits...

Kenneth Botelho, founding director of the doctor of medical science (DMSc) program at The College of St. Scholastica and a physician assistant, discusses his article "Federal graduate-loan caps threaten rural health care access." Kenneth explains how impending borrowing limits for physician assistant and nurse practitioner programs create an insurmountable barrier for students from the very communities that need providers most. He illustrates the paradox where government grants aim to stabilize ...

Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article "." Muhamad opens with the tragic losses of Dr. Nolan R. Williams and Dr. Charles Szyman to illustrate the devastating toll of the profession on even...

Professor and senior associate dean of engagement Janet A. Jokela discusses her article "." Janet shares harrowing memories from her time as a medical student in the mid-1980s, recalling the fear and stigma that surrounded the early days of the AIDS...

Health care strategist Dana Y. Lujan discusses her article "" Dana explains how the rising cost of living and subscription fatigue are challenging the retail model of direct primary care for middle-class families. She contrasts this fragility with the...

Otolaryngologist Alan P. Feren and patient advocate Joyce Griggs discuss their article "Why health self-advocacy is an essential life skill." Alan and Joyce share the personal journey of becoming a "chief health executive" and explain why managing medical care should be treated with the same seriousness as financial planning. They outline the eight core pillars of advocacy, ranging from health literacy to financial navigation, and argue for the creation of condition-agnostic tools that help pati...

Medical oncologist, geriatrician, and physician scientist GJ van Londen and Chief of Genetic and Genomic Medicine at the University of Pittsburgh School of Medicine Gerald Vockley discuss the article "FDA delays could end vital treatment for rare disease patients." GJ and Gerald explore the complex regulatory impasse where the U.S. Food and Drug Administration denied standard approval for elamipretide despite a positive advisory committee vote, creating a financial crisis that threatens to cut o...

President and chief executive officer of the National Psoriasis Foundation (NPF) Leah M. Howard discusses her article "Pharmacy benefit manager reform vs. direct drug plans." Leah analyzes the recent emergence of direct-purchase drug programs and argues that while innovative thinking is welcome, it cannot replace the need for deep systemic change. She advocates for bipartisan legislative solutions such as the Safe Step Act to address the root causes of high costs in the U.S. health care system r...

Premedical student Samah Khan discusses her article "." Samah draws a powerful parallel between the medical exodus in Pakistan and the doctor deserts of California's Central Valley, revealing how structural neglect drives providers away from the...

We have a special sponsored episode from MagMutual. We welcome William Kanich. He's an emergency physician and currently the executive chairperson of MagMutual Insurance Company. We explore how physicians can navigate unexpected medical outcomes while preserving trust with their patients. Through Dr. Kanich's clinical and leadership experience, the conversation examines common challenges, practical approaches, and the role of structured support programs like the Preserve Program. The discussion ...

Health care executive Jason Griffin discusses his article "." Jason explains how rural providers in the U.S. face critical infrastructure failures and staffing shortages that threaten their ability to serve communities. He explores why standard...

Physician executive Christina Johns discusses her article "." Christina explains how clinicians in the U.S. are facing unprecedented burnout due to administrative burdens that detract from patient care. She explores how artificial intelligence can...

Emergency physician Kenneth Ro discusses his article "." Kenneth explains why men between 40 and 60 often visit clinics requesting hormone testing when they are actually suffering from a profound loss of identity and purpose. He distinguishes being...

Board-certified pediatrician and certified coach Jessie Mahoney discusses her article "." Jessie explores the unique psychological weight carried by firstborn women who are taught early on to hold everything together at the cost of their own...

Internal medicine and pulmonary physician Bharat Desai discusses his article "." Bharat shares the shocking moment he realized an obsolete pituitary extract from 1952 was being sold for the price of a house. He explains how pharmaceutical companies...

Certified coach and professor Kathleen Muldoon and co-founder of Ryan House and Children's Respite Homes of America Jonathan Cottor discuss the article "The need for pediatric respite care." Kathleen shares the personal story of raising her son Gideon who lives with over 42 medical diagnoses and explain why the family had to move across the country to find safety. They highlight the critical difference between taking a break and surviving the relentless cycle of 24/7 medical vigilance required f...

Orthopedic surgeon Kevin J. Campbell discusses his article "." Kevin explains how the current medical system is stuck in an obsolete pipeline model similar to early internet directories where human gatekeepers create dangerous delays in communication....