Fixing Healthcare Podcast

Robert Pearl and Jeremy Corr
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May 2, 2023 • 51min

FHC #90: Malcolm Gladwell on a new kind of healthcare leader

Malcolm Gladwell—author of “Outliers: The Story Of Success” and “David and Goliath: Underdogs, Misfits, and the Art of Battling Giants”—knows a thing or two about good leaders and bad ones. His insights on leadership blanket his popular books, articles and speeches. He also knows a thing or two about navigating the American healthcare system. As a relatively new father and the son of a woman in her 90s, Gladwell says, “Observing people at those ends of life, you realize that what you really want from the healthcare system is reassurance as much as anything … You want someone you can call on the phone or email, and who will respond really quickly and tell you it’s going to be okay.” In this episode of Fixing Healthcare, Gladwell combines his passion for codifying and analyzing effective leadership with his healthcare experiences to prescribe a new path forward. He joins Robert Pearl, a longtime physician leader and healthcare CEO,  and Jeremy Corr, CEO of Executive Podcast Solutions, for a sprawling discussion about blazing new trails in medicine—from hospital C-suites to physician offices to the AI systems that will undoubtedly impact the future of medical care. Helpful links: Revisionist History (A Malcolm Gladwell podcast) Malcolm Gladwell on breaking the rules of healthcare (FHC #43) Outliers (book) David and Goliath (book) The ordinary greatness of Roger Bannister (The New Yorker) Was Jack Welch the greatest CEO of his day—or the worst? (The New Yorker) * * * Dr. Robert Pearl is the author of a new book about medicine’s invisible yet highly influential physician culture. Check out “Uncaring: How Physician Culture Is Killing Doctors & Patients.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #90: Malcolm Gladwell on a new kind of healthcare leader appeared first on Fixing Healthcare.
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6 snips
Apr 25, 2023 • 46min

MTT #72: The Covid-19 pandemic is over! Did anyone notice?

On today’s episode of “Medicine: The Truth” (formerly “Coronavirus: The Truth”), hosts Dr. Robert Pearl and Jeremy Corr tackle more of healthcare’s hottest issues and biggest problems. Today’s show begins with the “end” of the Covid-19 pandemic. This month, the Biden administration signed a bipartisan congressional resolution to end the national emergency declaration that began in March 2020 under then-president Trump. Pearl points out that the official White House notice brought the pandemic to a rather anticlimactic conclusion. After more than 1,000 days of “emergency,” there were no fireworks, no parades, nothing to celebrate a moment for which our nation waited years. Pearl and Corr then take a step-back look at our nation’s Covid-19 response, offering perspective by comparing it with other high-level government failures. “When I think of conflicts that ended poorly for the U.S., like Vietnam or Iraq, the conclusions of those wars were treated similarly to how the end of the Covid-19 emergency declaration was handled,” observed Pearl who then asks his cohost, “Do you think the lack of enthusiasm shown by how the government managed the official conclusion to the pandemic reflected a sense of failure or just an acknowledgement that Americans put the pandemic in the rearview mirror months earlier?” Tune in for the full conversation around Covid-19 and a host pressing healthcare topics. As always, Dr. Pearl and Jeremy eagerly follow the facts, uncover the truth, and help listeners understand how the world’s biggest healthcare stories affect us all. Click here for more info: https://www.fixinghealthcarepodcast.com/. * * * Dr. Robert Pearl is the author of a book about medicine’s invisible yet highly influential physician culture. Check out “Uncaring: How Physician Culture Is Killing Doctors & Patients.” All profits from the book go to Doctors Without Borders. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.   The post MTT #72: The Covid-19 pandemic is over! Did anyone notice? appeared first on Fixing Healthcare.
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Apr 19, 2023 • 42min

FHC #89: Diving deep into medical regulations and monopolies

Healthcare regulations have played an essential role in our nation’s health and safety. The FDA has, historically, protected the public from harmful food and medications. The DEA has prevented and investigated illicit drugs. CMS, the Centers for Medicare and Medicaid, has regulated the healthcare system for seniors and people in need. Fixing Healthcare cohosts Dr. Robert Pearl and Jeremy Corr discuss the role of regulators in the context of modern-day healthcare. They find that these regulatory bodies are in a position now to do more harm than good thanks to outdated thinking about technology and present-day healthcare delivery. In this episode of Diving Deep, Pearl and Corr also return to a previous topic: the conglomerate of healthcare monopolies: hospitals, drug companies, insurer. These players wield tremendous power. But none is poised to win healthcare’s long game. The duo concludes today’s show by explaining who will control the “monopoly” board in five to 10 years. HELPFUL LINKS Healthcare Regulators’ Outdated Thinking Will Cost American Lives In Healthcare’s Game Of Monopoly, One Player Will Control The Board   * * * Dr. Robert Pearl is the author of a book about medicine’s invisible yet highly influential physician culture. Check out “Uncaring: How Physician Culture Is Killing Doctors & Patients.” All profits from the book go to Doctors Without Borders. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #89: Diving deep into medical regulations and monopolies appeared first on Fixing Healthcare.
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Apr 12, 2023 • 49min

FHC #88: Good healthcare leaders vs. bad healthcare leaders

The Fixing Healthcare podcast welcomes back Ian Morrison. He is a globalist, futurist and popular returning guest who, in Season 1, taught us that “every healthcare system sucks in its own unique way.” Now in Season 8, podcast cohosts Jeremy Corr and Dr. Robert Pearl ask Ian to focus on leadership—how doctors, government officials and others can bring about meaningful change in the U.S. healthcare system. He highlights leaders who have driven healthcare improvement and ones who have stood in the way. And he describes what our nation will need to do in order to develop the leaders of tomorrow. FHC episode 6: Every healthcare system sucks in its own unique way FHC episode 45: Drs. Alexa and Siri? A healthcare futurist weighs in. Large Employers Are Suiting Up to Fix Healthcare (Medpage Today) * * * Dr. Robert Pearl is the author of a book about medicine’s invisible yet highly influential physician culture. Check out “Uncaring: How Physician Culture Is Killing Doctors & Patients.” All profits from the book go to Doctors Without Borders. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #88: Good healthcare leaders vs. bad healthcare leaders appeared first on Fixing Healthcare.
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Apr 4, 2023 • 41min

FHC #87: An unfiltered look at death, medicine’s No. 1 villain

This Unfiltered episode of Fixing Healthcare features Dr. Jonathan Fisher, a respected cardiologist and renowned advocate for physician well-being. He joins cohosts Jeremy Corr and Dr. Robert Pearl to discuss a pair of difficult topics in medicine: death and love. To begin, Dr. Pearl asks Dr. Fisher to elaborate on why physicians find it so difficult to accept death as a natural part of life. Later, Pearl describes a patient who suffered greatly as a result of physicians continuing to provide treatments with no hope for cure or a return to normal. He wonders if patients and physicians alike would benefit from a measurement of the pain and discomfort inflicted on patients in their course of dying. In the second half of the podcast, the two talk about the post-apocalyptic HBO series The Last Of Us. The doctors both found the show powerful and filled with high drama. But they were moved most by the love that characters demonstrated in the face of fear and desperation. They discuss how the themes apply directly to healthcare today and to the Covid-19 pandemic. Warning: minor spoiler alters. To find out more, press play and check out these helpful links: Dealing with grief and shame—with Dr. Jonathan Fisher Life’s most difficult decision: An excerpt from ‘Uncaring’ The best medicine for patients: The truth Interview: How the culture of medicine kills doctors and patients Breaking The Rules Of Healthcare: Following The Science * * * Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple Podcasts or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #87: An unfiltered look at death, medicine’s No. 1 villain appeared first on Fixing Healthcare.
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Mar 29, 2023 • 39min

MTT #71: Why is this drug 19-times more expensive than it was in 2007?

On today’s episode of “Medicine: The Truth” (formerly “Coronavirus: The Truth”), hosts Dr. Robert Pearl and Jeremy Corr tackle more of healthcare’s hottest issues and biggest problems. In this show, the hosts discuss the promise (and pitfalls) of generative AI and its future applications in medicine. Are patients ready to get their diagnoses and treatment plans from something (like ChatGPT) rather than someone (their doctor)? The conversation then shifts to the monopolistic controls of drug makers and price-driving approaches that a longtime healthcare CEO and commentator Dr. Pearl says, “even I could never imagine.” Pearl describes a drug that generates $13 billion in revenue for a company that charges $200,000 per patient per year, 19-times more than it cost in 2007. As always, Dr. Pearl and Jeremy eagerly follow the facts, uncover the truth, and help listeners understand how the world’s biggest healthcare stories affect us all. Click here for more info: https://www.fixinghealthcarepodcast.com/ * * * Dr. Robert Pearl is the author of a book about medicine’s invisible yet highly influential physician culture. Check out “Uncaring: How Physician Culture Is Killing Doctors & Patients.” All profits from the book go to Doctors Without Borders. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post MTT #71: Why is this drug 19-times more expensive than it was in 2007? appeared first on Fixing Healthcare.
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Mar 21, 2023 • 43min

FHC #86: Diving deep into GPT-4 (the new ChatGPT) and medicine’s future

Fixing Healthcare cohost Dr. Robert Pearl has long been a go-to resource on all-things AI in medicine. His recent insights and perspectives on ChatGPT have appeared in USA Today, MedPage Today, Forbes and other outlets. In this episode of Diving Deep, Jeremy Corr asks Pearl about this new and highly controversial technology. How might it improve hospital care, medical education and patient health – and what are the potential pitfalls? That conversation is immediately followed by a familiar topic, as the hosts dive even deeper in healthcare’s conglomerate of monopolies. This time, they examine private equity-backed doctors and the health insurance industry. As always, this show probes some of healthcare’s most complex topics and deep-seated problems, delivering thoughtful analysis and solutions. To dive in, press play and peruse the links below. HELPFUL LINKS How Will ChatGPT Affect Medical Care? (USA Today) 5 Ways ChatGPT Will Change Healthcare Forever, For Better (Forbes) GPT-4 Is Here. How Can Doctors Use Generative AI Now? (MedPage Today) Poll: You down with ChatGPT? (RobertPearlMD.com) Private Equity And The Monopolization Of Medical Care (Forbes) Why Health Insurers Can, But Won’t, Break Up Medical Monopolies (Forbes) Breaking The Rules Of Healthcare (LinkedIn Newsletter) * * * Dr. Robert Pearl is the author of a book about medicine’s invisible yet highly influential physician culture. Check out “Uncaring: How Physician Culture Is Killing Doctors & Patients.” All profits from the book go to Doctors Without Borders. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #86: Diving deep into GPT-4 (the new ChatGPT) and medicine’s future appeared first on Fixing Healthcare.
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Mar 15, 2023 • 37min

FHC #85: Dr. Robert Pearl’s leadership vision for American healthcare

In this episode, Dr. Robert Pearl fields questions from Fixing Healthcare co-host Jeremy Corr about Pearl’s experiences as a healthcare leader, educator, author and columnist. This season’s focus: How better, bolder leadership can fix American healthcare. Few know better than Pearl how to turn a struggling healthcare enterprise into a category frontrunner. Under his leadership, Pearl turned Kaiser Permanente into a leader in healthcare technology, quality and patient satisfaction—all while reducing prices. His proven track record and bold vision for the future of medicine represent the gold standard for health systems and primary care organizations across the country. “Leadership is making things happen that otherwise would not,” says Dr. Pearl. “In broadest terms, leaders create a vision that others can see. Then they align people around that vision. And, finally, they motivate them to move forward.” Learn more about Pearl’s path from surgeon to healthcare executive and hear his lessons on leadership in this must-hear episode. Helpful links: Dr. Robert Pearl and Kaiser Permanente: A Lesson in Strategic Leadership (Stanford) Healthcare leadership: Making medicine a team sport (LinkedIn) Brain, Heart, Spine: The Anatomy Of Healthcare Leadership (Forbes) Becoming a Senior Physician Leader and the Power of Capitation (YouTube) Permanente CEO shares leadership lessons learned throughout his career (Fierce Healthcare) * * * Dr. Robert Pearl is the author of a new book about medicine’s invisible yet highly influential physician culture. Check out “Uncaring: How Physician Culture Is Killing Doctors & Patients.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #85: Dr. Robert Pearl’s leadership vision for American healthcare appeared first on Fixing Healthcare.
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Mar 8, 2023 • 56min

FHC #84: ChenMed brothers feel ‘moral imperative’ to give seniors affordable, VIP care

About 15 years ago, Dr. James Chen, a Taiwanese immigrant, was diagnosed with cancer. Throughout his treatment, he experienced the kind of fragmented, low-tech care that too many Americans accept as normal. After his recovery, Chen set out to create a new, better primary care system. Today, his sons Christopher and Gordon Chen carry forth their father’s mission, providing underserved patients (primarily low-income seniors managing multiple chronic conditions) with a level of concierge-style care typically reserved for the wealthy. Chris, now CEO, and his brother Gordon, Chief Medical Officer, now  oversee than 100 medical centers in 15 states. This is season eight of Fixing Healthcare, which focuses on how leadership can drive transformative improvements in medicine. In this episode, the Chen brothers discuss the future of primary care, the role Medicare Advantage (and capitation) will play, and how their leadership philosophy honors the example set by their father. HELPFUL LINKS Humana, ChenMed ink 5-year (Medicare Advantage) deal (Becker’s) Lessons on disrupting primary care (RobertPearlMD.com) Managing the most expensive patients (Harvard Business Review) The ChenMed channel (YouTube) * * * Dr. Robert Pearl is the author of a book about medicine’s invisible yet highly influential physician culture. Check out “Uncaring: How Physician Culture Is Killing Doctors & Patients.” All profits from the book go to Doctors Without Borders. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #84: ChenMed brothers feel ‘moral imperative’ to give seniors affordable, VIP care appeared first on Fixing Healthcare.
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Mar 1, 2023 • 43min

MTT #70: Why does U.S. healthcare rank last among wealthy countries (again)?

On today’s episode of “Medicine: The Truth” (formerly “Coronavirus: The Truth”), hosts Dr. Robert Pearl and Jeremy Corr tackle healthcare’s hottest issues and biggest problems. The show begins with a question: Why, according to the Commonwealth Fund, is American healthcare once again in last place, lagging its global peers? For the answer, Dr. Pearl borrows from the world of sports. Whether it’s “blocking and tackling” in football or “the plays you should make” in baseball, American healthcare falls short when it comes to the fundamentals: preventing disease, managing chronic illness, and keeping patients safe and out of the hospital. In Covid-19 news, Dr. Pearl addresses the latest data out of China. While it has long been assumed the country uncounted its Covid-19 death toll (attributing less than 100,000 fatalities to the virus), analysis of year over year mortality rates indicates the true mortality total is between 1 and 1.5 million. This, despite nearly three years of lockdowns, resulting in major economic difficulties. As always, Dr. Pearl and Jeremy eagerly follow the facts, uncover the truth, and help listeners understand how the world’s biggest healthcare stories affect us all. Click here for more info: https://www.fixinghealthcarepodcast.com/ * * * Dr. Robert Pearl is the author of a book about medicine’s invisible yet highly influential physician culture. Check out “Uncaring: How Physician Culture Is Killing Doctors & Patients.” All profits from the book go to Doctors Without Borders. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post MTT #70: Why does U.S. healthcare rank last among wealthy countries (again)? appeared first on Fixing Healthcare.

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