A Note from James:

Marty Makary is the new head of the FDA, but he is also an old friend of the podcast. He's been on several times, and it's really important to know how this is going to be a new and different FDA, and it's going to be molded by Marty's very specific opinions about healthcare and the medical industry—and here they are.

Episode Description:

In this episode, James reconnects with Dr. Marty Makary, now heading the FDA, to discuss what’s broken in the American healthcare system—and what can actually be done about it. Marty pulls back the curtain on the realities of medical pricing, why unnecessary surgeries happen more often than most suspect, and how medical education is failing future doctors and patients alike. They explore the origins of Marty’s bestselling books, the TV adaptation of Unaccountable, and why your hospital bill may have little to do with actual care. This conversation is a rare window into what’s really happening inside hospitals and policy rooms—and what the future of smarter, more humane healthcare could look like.

What You’ll Learn:

Why 11% of surgeries and 21% of all medical care may be unnecessary—and what’s driving that trend.
How hidden costs, out-of-network billing, and surprise charges are crippling Americans financially.
What reforms are gaining traction in Congress and why hospitals may be resisting them.
How nutrition, inflammation, and simple wellness practices are overlooked in modern medicine.
What questions you should ask your doctor to avoid inappropriate or excessive care.

Timestamped Chapters:

[00:00] Introduction to Marty Makary and the New FDA
[01:17] From Book to TV Show: The Journey of Unaccountable
[03:42] The Price We Pay: Unveiling Healthcare Costs
[09:06] Medical Education and Its Flaws
[15:01] The Hidden Costs of Healthcare
[34:52] Inappropriate Care and Its Consequences
[43:14] The Referral Business in Medicine
[44:00] Unnecessary Surgeries: A National Concern
[44:48] Malpractice Fears and Their Impact
[47:33] The Overuse of Antibiotics
[50:28] Inappropriate Medical Care: Real-Life Examples
[53:45] The Role of Nutrition and Wellness in Healthcare
[58:15] Innovative Medical Education and Training
[01:00:36] The Importance of Experience in Medical Practice
[01:18:32] The Future of Healthcare: Inflammation and Biome Health
[01:20:53] Final Thoughts and Practical Health Tips

Additional Resources:

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118. The Codependency Chronicles: People Pleasing Isn’t Who You Are, It’s What You Learned