Healthcare Reframed
Health and the delivery of healthcare are topics of importance around the globe. There is little debate that much of the world, and much of the United States, feels that their healthcare system needs to improve and perhaps even to change dramatically. The US healthcare system is our focus, and it has the dubious distinction of generating worse outcomes at greater cost than any peer nation. Why is that? What can we do about it? Why have we all been talking about this for what seems like forever and not made things better yet? If you share our passion for digging into these topics, gathering ideas and insights into how to change the system, and maybe want to stretch your world view a bit, you have come to the right place. Our Team Judson Howe Host, series creator Micah Buller Creative Director Lindsay Hunt Co-producer Todd Carpenter Co-producer
Episodes
In the mountainous regions of Puerto Rico, access to healthcare isn't guaranteed. With difficult terrain, limited infrastructure, and the lasting impact of disasters like Hurricane Maria, providers have had to rethink what care delivery looks like. This Federally Qualified Health Center is bringing care directly to patients—through outreach, home visits, and support systems that extend far beyond clinic walls. Because in rural heal...
Healthcare worker shortages aren't just about the job—they're about life outside of it.
In Hutchinson, Kansas, Hutchinson Regional Healthcare System is tackling retention by removing real-world barriers: offering housing support and providing $0-cost care for employees within their system.
The result?
Early signs of reduced turnover and a more stable workforce.
This is a look at how rural health systems can compete—not by paying mo...
What does it take to recruit doctors to rural America? In Cortez, Colorado, leaders at Southwest Health System are rethinking recruitment by focusing on something most systems overlook: community. Instead of traditional hiring, candidates and their families are invited to experience the town—meeting local leaders, exploring the outdoors, and building real connections before making a decision. As rural hospitals face growing physici...
Creator of Your Local Epidemiologist, Katelyn Jetelina, shares how she went from academia to reaching millions of people with clear, trusted, and actionable public health information.
After working in public health, academia, and alongside organizations like the Centers for Disease Control and Prevention, she saw firsthand how critical information often stays trapped in institutions—and why that creates confusion, mistrust, and mis...
What if the biggest driver of poor health isn't just housing, food, or income – but mistrust? In this episode, host Judson Howe sits down with Dr. Katherine Gergen Barnett (KGB) – family physician, health policy leader, and community-based researcher at Boston Medical Center – to unpack medical mistrust as a social determinant of health and what it really takes to rebuild trust in the exam room and beyond.
Drawing on two decades i...
Why would two elite physicians walk away from millions to fix healthcare's broken heart? In this compelling episode, Judson Howe sits down with Dr. Asaf Bitton and Dr. Bruce Finke of Ariadne Labs – two visionary leaders who chose purpose over profit – to challenge everything we think we know about American healthcare. Drawing on decades of experience at Harvard, the Indian Health Service, and the frontlines of innovation, Dr. Bitto...
Discover the framework reframing U.S. health from "sick care" to well-being.
In this feature-length conversation, host Judson Howe sits down with Becky Payne (20 years at CDC; now at The Rippel Foundation) to explore the Vital Conditions for Health & Well-Being, why Belonging & Civic Muscle
Is more healthcare always better healthcare?
Dr. Elliott Fisher has spent decades uncovering why high-spending regions fail to deliver better care or longer lives — and what this means for patients and policymakers.
In this episode of Healthcare Reframed, Fisher shares the inside story of how one 1973 paper shook the medical world, why towns with the same people and same hospitals have 10× differences in surgery rates, and what it ...
Rick Rawson on Healthcare Reframed
Production: Healthcare Reframed — Micah Buller | Todd Carpenter | Lindsay Swain Hunt
Rick Rawson explains why cutting costs and chasing transactions made hospitals weaker—and how a community-first, mission-driven strategy tripled revenue, rebuilt trust, and grew access across rural towns.
What You'll Learn
-
Escape th...
From Power Imbalance to Partnership — Dartmouth's Dr. Glyn Elwyn: Meaning & Purpose in the Exam Room
World leader in shared decision-making Dr. Glyn Elwyn (Dartmouth) joins Judson to unpack co-production in healthcare: what it looks like in real visits, why simple tools like Option Grid change choices, and how SDM can protect clinicians from burnout and moral injury while improving outcomes and patient trust.
Glyn traces his path from rural Wales—through a lab explosion, an arts degree, and a "back-door...
In this Healthcare Reframed You'll learn why waiting on DC won't transform care, how boards and big balance sheets can drive value (not just volume), what "one foot in Blockbuster, one in Netflix" means for strategy, and the inner work required to lead authentically at $2B+ scale.
Essentials are short episodes focused on essential takeaways from past full-length Healthcare Reframed episodes.
Watch the full-length episode: https://w...
35% of American physicians have considered leaving medical practice since the start of 2025, with burnout as the top reason (MedCentral, 2025).
Patients wait months for primary care. Physicians see thirty patients a day. Insurance premiums climb faster than wages. Hospitals lose money on the very service that should prevent admissions in the first place.
A quiet but growing group of physicians, entrepreneurs, and community le...
In this episode of Heal...
Does this Alaska healthcare system have the blueprint to save the American healthcare crisis?
Discover the story behind the health‑care system that Harvard, the Institute for Healthcare Improvement, and two U.S. Baldrige Awards all cite as living proof that American medicine can reinvent itself—even in one of the m...
This week's conversation is with Somava Saha of Well-being and Equity (WE) in the World.
Why this conversation matters:
Every year, U.S. health-system CEOs, their teams, and their boards, huddle in conference rooms late at night, with copious amounts of coffee, to finalize budgets that will govern billions in spend, dictate thousands of jobs, and silently decide which life-saving services will receive investment for the subsequent ...
Inside the mind of one of the most successful health system leaders in America: Scott...
Rethinking the system on conversation at a time.
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