From selling deceased patients' body parts to denying cancer treatment over upfront payments, the Lown Institute's annual Shkreli Awards spotlight the most egregious examples of profiteering and dysfunction in American healthcare. Dr. Vikas Saini, President of the Lown Institute, walks us through 2024's (dis)honorees and what they reveal about the state of our healthcare system.

We cover:

🏆 The origin and impact of the Shkreli Awards

🏥 How a Texas medical school sold body parts without family consent

💉 The booming business of unnecessary infant tongue-tie procedures

💊 A Montana oncologist's shocking pattern of patient harm

🏦 UnitedHealth's growing control over American healthcare

💰 How private equity firm Steward Health Care bankrupted community hospitals

🔍 What these cases tell us about healthcare's future

--

Show notes:

➡️ Nominate someone for the $25k Bernard Lown Award for Social Responsibility

--

About our guest:

Vikas Saini, MD is president of the Lown Institute. He is a clinical cardiologist trained by Dr. Bernard Lown at Harvard, where he has taught and done research. Dr. Saini leads the Institute’s signature project, the Lown Institute Hospitals Index, the first ranking to measure hospital social responsibility. The Index, first launched in July 2020, evaluates hospitals on equity, value, and outcomes, and includes never-before-used metrics such as avoiding overuse, pay equity, and racial inclusivity.

In his role at the Lown Institute since 2012, Dr. Saini led the development of the Right Care series of papers published by The Lancet in 2017; convened six national conferences featuring world-renowned leaders in health care; and guided other Lown Institute projects such as the “Shkreli Awards.” Dr. Saini also serves as co-chair of the Right Care Alliance, a grassroots network of clinicians, patient activists, and community leaders organizing to put patients, not profits, at the heart of health care.

Prior to the Lown Institute, Dr. Saini was in private practice in cardiology for over 15 years on Cape Cod, where he also founded a primary care physician network participating in global payment contracts. He also co-founded Aspect Medical Systems, the pioneer in noninvasive consciousness monitoring in the operating room with the BIS device.

Dr. Saini is an expert on the optimal medical management of cardiologic conditions, medical overuse, hospital performance and evaluation, and health equity. He has spoken and presented research at professional meetings around the world, and has been quoted in numerous print media, radio, and television.

---

🙏 If you're enjoying the show, we would so appreciate it if you left us a review!

---

📍 Connect with us:

Heart of Healthcare website

LinkedIn

Twitter

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The Promise and Peril of AI

After Hours

Introduction

The AI-powered Podcast Player