NEJM Interviews

Steven Lipstein is the former chief executive officer of BJC HealthCare. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. S. Lipstein. Insight into Corporate Governance — What Motivates Hospitals and Delivery Systems. N Engl J Med 2025;393:1249-1251.

Nancy Krieger is a professor of social epidemiology at the Harvard T.H. Chan School of Public Health. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. N. Krieger and M.T. Bassett. Structural and Scientific Racism, Science, and Health — Evidence versus Ideology. N Engl J Med 2025;393:1145-1148.

John Ayanian is the director of the Institute for Healthcare Policy and Innovation at the University of Michigan. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. J.Z. Ayanian. Protecting Medicaid Enrollees with Chronic Conditions amid Work Requirements. N Engl J Med 2025;393:1044-1046.

Darshali Vyas is a pulmonary and critical care fellow at Massachusetts General Hospital. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. D.A. Vyas, L.G. Eisenstein, and D.S. Jones. The Race-Correction Debates — Progress, Tensions, and Future Directions. N Engl J Med 2025;393:1029-1036.

Amanda Janitz is an associate professor at the University of Oklahoma Health Sciences Hudson College of Public Health. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A.E. Janitz and Others. Improving Care Coordination for Indigenous Patients with Cancer. N Engl J Med 2025;393:940-942.

Amitabh Chandra is a professor of public policy at the Harvard Kennedy School of Government and a professor of business administration at Harvard Business School. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A. Chandra and M. Shepard. The Corporatization Deal — Health Care, Investors, and the Profit Priority. N Engl J Med 2025;393:833-835.

Nicholas Bagley, a law professor at the University of Michigan, discusses a pivotal Supreme Court ruling on preventive healthcare coverage. He dives into the implications of the ruling for the Affordable Care Act and the authority of the U.S. Preventive Services Task Force. The conversation also touches on constitutional challenges and the role of leadership in shaping future preventive services. Bagley raises concerns about politicization in healthcare, particularly regarding sexual health services, and the broader impact on patient access.

Tom Frieden is the president and chief executive officer of Resolve to Save Lives and former director of the Centers for Disease Control and Prevention. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. T.R. Frieden. Dismantling Public Health Infrastructure, Endangering American Lives. N Engl J Med 2025;393:625-627.

Nancy Tomes, a history professor at Stony Brook University, discusses the century-long shift of the U.S. healthcare system toward a corporate model. She highlights how this transition began in the 1920s, changing the dynamics of patient care and physician practices. Tomes delves into the rise of patient-centered office environments and the impact of insurance-based healthcare, including the challenges of surprise billing. She also tackles the corporatization of healthcare, examining its implications for physician autonomy and patient access in today's profit-driven landscape.

Rohan Khazanchi, a research affiliate at Harvard's FXB Center for Health and Human Rights, discusses the urgent need to eliminate race-based algorithms in pulmonary function tests. He highlights the historical injustices and inaccuracies stemming from these practices, pointing to cases affecting marginalized workers. Khazanchi advocates for race-neutral guidelines and explores the complexities faced by clinicians in transitioning to equitable patient care. He emphasizes the importance of critical thinking in challenging outdated medical norms for a fairer healthcare system.