Healthcare’s Hidden Star: Why Fixing the System Starts in the Middle

Why does the U.S. healthcare system feel so complex, expensive, and impossible to fix? In this eye-opening episode, healthcare strategist Judith Kunisch joins Joe Pardavila to demystify the labyrinth of American healthcare through the lens of her book, The Center of the Star: Understanding and Changing the US Healthcare System. Drawing on decades of frontline experience—from bedside nursing to Fortune 100 executive leadership—Kunisch breaks down the system’s five interconnected sectors (patients/consumers, payers, providers, policymakers, and the "health industrial complex") and reveals why sustainable change must start from the "center of the star." Judith shares powerful stories—like saving Hartford’s maternal health program by bridging insurers, policymakers, and providers—and debunks myths about AI’s limits in diagnosis. For anyone overwhelmed by healthcare’s complexity, this conversation offers clarity, hope, and a actionable framework for change.