Karen Clay

Economist and professor of public policy at Carnegie Mellon University who researches the historical and economic effects of medical-education reforms, and co-authored the Flexner-era medical school closures paper discussed in the episode.

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Oct 24, 2025 • 52min

650. The Doctor Won’t See You Now

Rochelle Walensky, a physician-scientist and former CDC director, teams up with economist Karen Clay to discuss the U.S. physician shortage. They reveal historical reforms that increased the gap, focusing on the legacy of the Flexner Report and its implications. Walensky highlights the burden of medical school applications and geographic distribution challenges, while Clay questions whether a bad doctor is worse than none at all. They also explore burnout among physicians and the need for better public health strategies to ease demand.

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