It's Time to Transform our Health System

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It's Time to Transform our Health System

It's Time to Transform our Health System

39 episodes

8 months ago

In this episode, we dive into three fascinating ideas: the Two Loops Model of paradigm shift, the Impact Networks playbook by David Ehrlichman, and the Healthcare Reinvention initiative. We break down how systems evolve, why collaborative networks are key to large-scale change, and whether healthcare reform is truly addressing health or just fixing a broken system. Plus, we explore insights from Dr. Eric Bricker and Dr. Vinay Prasad on why medical schools and payment structures resist transfo...

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Health & Fitness

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In this episode, we dive into three fascinating ideas: the Two Loops Model of paradigm shift, the Impact Networks playbook by David Ehrlichman, and the Healthcare Reinvention initiative. We break down how systems evolve, why collaborative networks are key to large-scale change, and whether healthcare reform is truly addressing health or just fixing a broken system. Plus, we explore insights from Dr. Eric Bricker and Dr. Vinay Prasad on why medical schools and payment structures resist transfo...

Show more...

Health & Fitness

Episodes (20/39)

It's Time to Transform our Health System

Healthcare Reinvention, Impact Networks, and the Two Loops Model

In this episode, we dive into three fascinating ideas: the Two Loops Model of paradigm shift, the Impact Networks playbook by David Ehrlichman, and the Healthcare Reinvention initiative. We break down how systems evolve, why collaborative networks are key to large-scale change, and whether healthcare reform is truly addressing health or just fixing a broken system. Plus, we explore insights from Dr. Eric Bricker and Dr. Vinay Prasad on why medical schools and payment structures resist transfo...

8 months ago

15 minutes

It's Time to Transform our Health System

The Interprofessional Primary Care Institute: Transforming Healthcare Through Collaboration, Community, and Collective Action

The Interprofessional Primary Care Institute (IPCI) exists to address these challenges by promoting a team-based, community-oriented model of care. Rooted in the principles of relational care, collective action, and community engagement, IPCI trains and organizes healthcare professionals to work collaboratively, equitably, and with a shared sense of purpose. By harnessing the power of interprofessional teams and engaging deeply with communities, IPCI seeks to revitalize primary care and make ...

8 months ago

16 minutes

It's Time to Transform our Health System

RFK Jr, NIH, USAID: Complexity Right Before Our Eyes

The upheaval in health politics continues. In this episode, our AI hosts discuss the recent events with RFK Jr, NIH, and USAID. References: https://www.science.org/content/article/senate-confirms-robert-f-kennedy-jr-vaccine-opponent-health-secretary https://www.npr.org/sections/shots-health-news/2025/02/13/nx-s1-5294591/rfk-jr-trump-health-human-services-hhs-vaccines https://www.reuters.com/world/us/usaid-disruptions-leave-oxygen-tanks-tb-drugs-stuck-ships-warehouses-2025-02-13/ https://...

8 months ago

15 minutes

It's Time to Transform our Health System

Casey and Calley Means: Champions of Metabolic Health

What happens when a Stanford-trained doctor and a former food industry insider team up to challenge everything we think we know about health? Dr. Casey Means walked away from a career in surgery to revolutionize metabolic health, while her brother, Calley Means, went from consulting for Big Food and Pharma to exposing their deepest secrets. Together, they’re calling out the system’s failures—ultra-processed food, overmedication, and profit-driven healthcare—and offering a radical new vision f...

8 months ago

15 minutes

It's Time to Transform our Health System

Is Greed Driving Our Health Systems Woes?

Greed is certainly a major factor, but there are many more, such as flawed incentives, cognitive biases, institutional inertia, and a hyperfocus on clinical treatment, as our AI hosts explain in this episode. Disclaimer: This AI-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He considers this an informal conversation with the world about health systems transformation. It should not be considered medical advice. While Dr. Swanson reviews...

9 months ago

27 minutes

It's Time to Transform our Health System

We've Tried a Ton. And Here We Are. We Need to Do Things Differently

Managed Care. ACA. Healthcare reform has been stuck in a cycle of tweaks and patches, but the system itself is the problem. We don’t need more pilot programs or managed care tweaks—we need a total rewrite of how we define, finance, and deliver health. Just like the radical transformation of medicine in the early 1900s, it’s time to stop playing within the old rules and start building something entirely new.

9 months ago

21 minutes

It's Time to Transform our Health System

Fee for Service Has to Go! Bundled Payments, Capitation, etc

Fee for Service? Pay for Performance? Bundled Payments? Capitation? Global Payments? We discuss them all in this AI-generated and hosted podcast, created, edited, and managed by Dr. Chad Swanson.

9 months ago

25 minutes

It's Time to Transform our Health System

Buurtzorg’s Healthcare Revolution

Discover how Buurtzorg, founded by Jos de Blok in the Netherlands, reinvented healthcare with self-managed nurse teams and a patient-centered approach. With over 90% patient satisfaction and reduced costs, the model has gained global attention, inspiring adaptations in countries like the USA and Japan. In this episode, the hosts analyze Buurtzorg’s success, challenges in scaling, and potential lessons for healthcare systems worldwide. https://www.buurtzorg.com/ https://pmc.ncbi.nlm.nih.gov/...

9 months ago

11 minutes

It's Time to Transform our Health System

Rippel Foundation: These Folks Really Seem to Get it!

The Rippel Foundation is a diverse group of changemakers pursuing an ambitious vision for health and well-being. They join with partners who believe in the power of shared stewardship – people, organizations, networks, and communities coming together to reimagine our systems and work toward a future where all people can thrive. https://rippel.org/about/ Disclaimer: This AI-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He conside...

9 months ago

12 minutes

It's Time to Transform our Health System

Generative AI in Healthcare with Hippocratic AI

Dr. Robert Pearl recently interviewed Munjal Shah, CEO of Hippocratic AI, on the podcast "Fixing Healthcare." We summarize their discussion here. They discusses how generative AI is addressing the healthcare worker shortage with virtual agents that enhance patient care and chronic disease management. Learn about real-world AI applications, from preventing health emergencies to improving crisis response, and discover the safety measures ensuring reliable AI use in healthcare. This episode expl...

9 months ago

17 minutes

It's Time to Transform our Health System

3 Insights for Action in Chaos

The public health world is, it seems, living in chaos. In this episode, my AI hosts provide an overview of the events over the past few days, and provide 3 insights for action: keep relentlessly focused on what's most important; control what you can control; and connect with others around high leverage points. Your Local Epidemiologist: https://yourlocalepidemiologist.substack.com/p/data-and-communication-are-gold Inside Medicine: https://insidemedicine.substack.com/p/breaking-as-doge-repor...

9 months ago

23 minutes

It's Time to Transform our Health System

Nanoplastics in our Brains

In this episode, our AI-hosts discuss the discovery and potential public health implications of nanoplastics in (nearly?) every organ in our bodies. References: Eric Topol "There's Plastic in My Plaque!": https://erictopol.substack.com/p/theres-plastic-in-my-plaque Eric Topol "The Microplastic Concerns Elevate—To the Brain": https://erictopol.substack.com/p/the-microplastic-concerns-elevateto Disclaimer: This Ai-generated and hosted podcast is created, managed, and edited by Dr. Chad Swans...

9 months ago

19 minutes

It's Time to Transform our Health System

Learning Health System: A Response to Linkedin Comments

Disclaimer: This Ai-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He considers this an informal conversation with the world about health systems transformation. It should not be considered medical advice. While Dr. Swanson reviews and edits all of the text, given the nature of AI, there will be errors. Dr. Swanson welcomes questions, corrections, and criticisms. This is a learning journey, not a definitive source of information. ...

9 months ago

25 minutes

It's Time to Transform our Health System

Should physicians unionize?

More and more physicians are joining unions. Is that a good thing? Dr. Vinay Prasad's youtube video "Why the NIH is a broken funding system.": https://www.youtube.com/watch?v=CjUXbUXYZFI Dr. Jay Bhattacharya, President Trump's nominee for NIH Director: https://youtu.be/I0O0_Xbmvw4?si=06KBwfyLh2ugnY3i. Dr. Erik Bricker: https://youtu.be/ZyvxnH72Leg?si=D1CyBzaBb2kWeOq_ Dr. Eric Topol on physicians organizing: https://www.newyorker.com/culture/annals-of-inquiry/why-doctors-should-organize 5...

9 months ago

34 minutes

It's Time to Transform our Health System

Cityblock Health's Vision for Equitable Healthcare

Cityblock Health is transforming care for underserved communities by integrating healthcare with social services. Hosts discuss how addressing social determinants like housing and food access results in better health outcomes, while exploring the challenges in scaling this tech-enabled, community-driven model. They ask whether this approach represents the future of primary care or remains a targeted solution. Dr. Swanson read, listened to, and consulted the following sources when preparing, a...

9 months ago

15 minutes

It's Time to Transform our Health System

Rewriting the Rules of Healthcare: What If We Put Health First?

What if an entire community decided to stop just treating disease and instead went all in on health—radically rethinking how care is delivered, who’s involved, and what actually gets prioritized? In this episode, with AI hosts, we dive into a bold thought experiment: a city that ditches the status quo and builds a health system that actually works for everyone. We’re talking doctors, schools, businesses, policymakers—everyone aligning toward a single goal: the best health outcomes at the lowe...

9 months ago

28 minutes

It's Time to Transform our Health System

Trump Administration is Moving Fast and Breaking Things

The confirmation hearings of Robert F. Kennedy Jr. are contentious, with implications for health equity and policy stability. Sofia and David, AI-hosts, discuss the chaos within HHS under Trump-era policy shifts, including executive orders and internal operational turmoil, highlighting the risks of unstable leadership on public health. Insights into systemic dysfunction and strategies for resilience are explored to shed light on navigating such crises. Dr. Swanson, an ER physician and creator...

9 months ago

17 minutes

It's Time to Transform our Health System

ASU? UCLA? Where is transformation in health systems education and training happening?

We respond to some comments and questions on Linkedin. Our AI hosts also describe our understanding (based on web sources) of a health systems class at UCLA, and the learning health ecosystem at ASU.

9 months ago

19 minutes

It's Time to Transform our Health System

All Premed Students Should be Required to Major in Health Systems Transformation

Our health system needs historical transformation. If we keep doing the same things, that won't happen. In this episode, our AI hosts discuss the idea of requiring all premedical students to major in "health systems transformation."

9 months ago

37 minutes

It's Time to Transform our Health System

Learning from New Zealand

Concepts like the Viable System Model and adaptive learning systems can reshape the U.S. healthcare system, with insights from New Zealand's implementation and ophthalmology services. The AI hosts address equity imperatives, profit-driven challenges, and the need for cross-sector collaboration to create a resilient, health-centric system. Real-world examples highlight pathways to scalable and efficient reform. The academic paper discussed can be found here: https://pubmed.ncbi.nlm.nih.gov/398...

9 months ago

23 minutes