Everyone knows that we need to transform our health system. It's time that we do it. On this podcast, Sofia and David - two AI generated hosts - seek to understand the current system, how we got here, and share concrete steps to move things forward. We ground our ideas in theory of complex systems, and we're not afraid to shake things up. This AI podcast was created, and is managed by Dr. Chad Swanson, an emergency physician. chadswanson.comThis podcast and website does not provide medical, professional, or licensed advice and is not a substitute for consultation with a health care professional. You should seek medical advice from a qualified health care professional for any questions. Do not use this podcast for medical diagnosis or treatment. None of the content on this website represents or warrants that any particular device, procedure, or treatment is safe, appropriate or effective for you.
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 Prasa...
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 wit...
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...
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, an...
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....
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.
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.
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 worldwi...
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,...
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 s...
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
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-el...
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 lea...
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 ...
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, list...
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 align...
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 na...
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.
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."
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 pap...
Welcome to Bookmarked by Reese’s Book Club — the podcast where great stories, bold women, and irresistible conversations collide! Hosted by award-winning journalist Danielle Robay, each week new episodes balance thoughtful literary insight with the fervor of buzzy book trends, pop culture and more. Bookmarked brings together celebrities, tastemakers, influencers and authors from Reese's Book Club and beyond to share stories that transcend the page. Pull up a chair. You’re not just listening — you’re part of the conversation.
I’m Jay Shetty host of On Purpose the worlds #1 Mental Health podcast and I’m so grateful you found us. I started this podcast 5 years ago to invite you into conversations and workshops that are designed to help make you happier, healthier and more healed. I believe that when you (yes you) feel seen, heard and understood you’re able to deal with relationship struggles, work challenges and life’s ups and downs with more ease and grace. I interview experts, celebrities, thought leaders and athletes so that we can grow our mindset, build better habits and uncover a side of them we’ve never seen before. New episodes every Monday and Friday. Your support means the world to me and I don’t take it for granted — click the follow button and leave a review to help us spread the love with On Purpose. I can’t wait for you to listen to your first or 500th episode!
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