Why Healthcare Is So Expensive and What Actually Fixes It with Sam Yeruva

Healthcare affects every single one of us. Yet most of what’s happening behind the scenes remains invisible until something goes wrong. In this episode, Josh Cary sits down with Sam Yeruva, Founder and CEO of Pycube, to unpack why healthcare is so expensive, so complex, and often so inefficient and what can actually be done about it.

This is not a tech-for-tech’s-sake conversation. It’s a grounded, human discussion about patient safety, lost samples, missing equipment, overstressed hospitals, and why operational efficiency isn't about profits first, but about better outcomes for doctors, nurses, and patients alike.

If you’ve ever wondered why hospitals feel chaotic, why delays happen, or how AI could genuinely improve healthcare without replacing humans, this episode connects the dots in a way that finally makes sense.

What You’ll Learn in This Episode

Why Healthcare Feels Broken From the Inside Out

How hospitals evolved from small community institutions into highly complex systems and why that complexity drives cost, waste, and inefficiency.

What Operational Efficiency Really Means for Patients

From missing equipment to lost pathology samples to expired devices, Sam explains how system failures directly impact patient care and how better workflows save lives.

The Hidden Cost of Chaos in Hospitals

Why hospitals lose billions not because of bad intentions, but because of outdated systems, poor visibility, and disconnected workflows.

Where Insurance Fits Into the Picture

A clear and balanced take on why insurers are often blamed, what role they actually play, and why removing them would likely create bigger problems, not fewer.

Why Profit and Efficiency Matter Even in Nonprofits

How financial stability allows hospitals to hire nurses, retain doctors, invest in technology, and continue serving local communities.

AI in Healthcare Without the Fear Narrative

A practical discussion on where AI belongs, where it doesn’t, and why every major technological leap has faced the same resistance before becoming essential.

What a Job Well Done Looks Like for the Future of Healthcare

Sam’s vision for preparing hospitals to be AI-ready, cutting waste, improving care delivery, and creating a healthier system for everyone involved.

Memorable Moments From the Conversation

• Why hospitals are the most expensive hotels in America and why that matters

• How a missing machine or sample can delay care at critical moments

• Why efficiency is a patient safety issue, not just a business metric

• The surprising parallels between AI, electricity, and early computers

• How small operational improvements can turn losses into sustainable care

About the Guest

Sam Yeruva is the Founder and CEO of Pycube, a healthcare technology company focused on improving operational efficiency across health systems. His work centers on reducing waste, increasing visibility, and ensuring resources are used where they matter most, patient care.