

Delaware Health Care Reality
healthcarereality
The podcast is dedicated to providing insightful and engaging discussions on the latest healthcare challenges and innovations affecting Delaware. Hosted by the Medical Society of Delaware, each episode features interviews with leading healthcare professionals, policymakers, and experts who share their unique perspectives and expertise on a variety of topics.
The Medical Society of Delaware Podcast aims to:
Inform: Keep healthcare professionals, policymakers, and the public informed about current issues, trends, and changes in the healthcare landscape.
Engage: Foster a community of engaged listeners who are passionate about improving healthcare in Delaware and beyond.
Educate: Provide educational content that enhances the knowledge and skills of healthcare providers, ensuring the delivery of high-quality patient care.
Advocate: Highlight legislative and policy matters that impact healthcare delivery, advocating for positive changes that benefit patients and providers alike.
What to Expect:
Expert Interviews: Conversations with leading physicians, healthcare administrators, and industry experts.
Healthcare Policy: Analysis and discussion on how state and federal policies affect the healthcare system in Delaware.
Clinical Insights: Practical advice and insights on various medical specialties and patient care.
Innovations in Healthcare: Exploration of new technologies, treatments, and best practices in the medical field.
Community Focus: Stories and experiences from local healthcare providers and patients, shedding light on the unique aspects of Delaware’s healthcare community.
Join us on this journey to explore the evolving world of healthcare in Delaware. Whether you’re a physician, nurse, medical student, or simply interested in healthcare, our podcast offers valuable insights and information to help you stay informed and engaged.
The Medical Society of Delaware Podcast aims to:
Inform: Keep healthcare professionals, policymakers, and the public informed about current issues, trends, and changes in the healthcare landscape.
Engage: Foster a community of engaged listeners who are passionate about improving healthcare in Delaware and beyond.
Educate: Provide educational content that enhances the knowledge and skills of healthcare providers, ensuring the delivery of high-quality patient care.
Advocate: Highlight legislative and policy matters that impact healthcare delivery, advocating for positive changes that benefit patients and providers alike.
What to Expect:
Expert Interviews: Conversations with leading physicians, healthcare administrators, and industry experts.
Healthcare Policy: Analysis and discussion on how state and federal policies affect the healthcare system in Delaware.
Clinical Insights: Practical advice and insights on various medical specialties and patient care.
Innovations in Healthcare: Exploration of new technologies, treatments, and best practices in the medical field.
Community Focus: Stories and experiences from local healthcare providers and patients, shedding light on the unique aspects of Delaware’s healthcare community.
Join us on this journey to explore the evolving world of healthcare in Delaware. Whether you’re a physician, nurse, medical student, or simply interested in healthcare, our podcast offers valuable insights and information to help you stay informed and engaged.
Episodes
Mentioned books

Oct 28, 2025 • 21min
Episode 33: Exploring Multi-Cancer Early Detection: Understanding the Science Behind the Galleri Test
Join host Nicholas O. Biasotto, DO, for an insightful conversation with Lara Bagby, Board-Certified Genetic Counselor and Field Medical Director at GRAIL, as they discuss the science and clinical concepts behind the Galleri Test, a multi-cancer early detection screening that analyzes cell-free DNA for cancer signals.
In this episode, listeners will learn about key terms such as cell-free DNA, cancer fingerprint, binary results, and negative predictive value. They explore how this test fits into the broader landscape of cancer screening, who may qualify for testing, and important considerations such as risk factors and insurance coverage.
Note: At the time of this publication, the podcast, its host, and the Medical Society of Delaware encourage patient education and consultation with a qualified health care professional before pursuing any testing or procedures. The Galleri Test is not FDA-approved. This discussion is for educational purposes only and should not be interpreted as an endorsement or recommendation.

Oct 16, 2025 • 44min
Episode 32: A.I. and Its Future in Medicine
Artificial Intelligence is rapidly transforming healthcare — from improving diagnosis and streamlining clinical workflows to personalizing treatment and expanding access to care. Yet, as A.I. evolves, it brings new questions about ethics, safety, and the changing role of physicians.
In this episode, host Nicholas O. Biasotto, DO is joined by special guest Alexander Ding, MD, MS, MBA, Secretary of the Board of Trustees for the American Medical Association, and board-certified diagnostic and interventional radiologist. Dr. Ding shares how A.I. is shaping the future of medicine — and what it means for physicians, patients, and the art of healing.

Sep 24, 2025 • 43min
Episode 31: Inside Occupational Medicine
Host Nicholas O. Biasotto, DO, sits down with Matthew Cadell, DO, MPH, MBA, a seasoned expert with nearly 25 years in Occupational Medicine, to pull back the curtain on one of health care’s most misunderstood specialties.
What exactly is Occupational Medicine, and who do these physicians collaborate with? Discover the critical roles of organizations like the National Institute for Occupational Safety and Health (NIOSH), the importance of industrial hygiene, and how physicians navigate the often complex world of workers’ compensation, average weekly wage, and regulatory certification.
From real NIOSH case examples to the question every clinician should consider — Should you treat workplace injuries if you’re not workers’ comp certified? — this episode is a must-listen for any health care professional looking to better understand the medical, legal, and practical sides of workplace health.

Sep 17, 2025 • 46min
Episode 30: The Vaccine Conversation: From Polio to COVID-19
Welcome to Delaware Healthcare Reality, where medicine meets real conversation. In this episode, host Nicholas O. Biasotto, DO is joined by Kirsten Hauer, MD, FACP—Board Certified in Internal Medicine and Infectious Diseases, and Diplomat of the ABIM—for a deep dive into one of the most powerful tools in modern medicine: vaccines.
Together, they’ll explore the history and science behind vaccines like DPT, MMR, Polio, Varicella, Shingrix, HPV, and COVID-19—how they work, how they protect, and what we know about their benefits, risks, and side effects. The conversation doesn’t stop there—Dr. Hauer and Dr. Biasotto also tackle important questions about government mandates, patient autonomy, and freedom of choice in vaccination.
Get ready for an insightful discussion that blends medical expertise with real-world perspectives you won’t want to miss!

Sep 16, 2025 • 38min
Episode 29: Psychedelics in Medicine
Host Nicholas O. Biasotto, DO sits down with Jeffrey Meyers, MD, LAc—attending physician at Delaware Back Pain & Sports Rehabilitation Center and founder of Minute 2 Mastery Peak Performance Consult—to explore the evolving field of psychedelic medicine.
From their historical roots to cutting-edge research, Dr. Meyers breaks down the science behind psychedelics, federal regulations, treatment timelines, and certification requirements for physicians. Whether you’re a clinician, policymaker, or simply curious, this conversation sheds light on one of the most compelling frontiers in healthcare today.
Tune in for an insightful discussion that challenges perceptions and considers how psychedelics might reshape the way we treat mental health, pain, and beyond.

Aug 28, 2025 • 29min
Episode 28: Inside Dementia: Early Signs To Treatment Options
Join host Nicholas O. Biasotto, DO, as he sits down with neurologist Robert J. Varipapa, MD, for an important conversation on dementia. Together, they unpack the different types, common symptoms, how dementia is tested and evaluated, and the treatment options available today. Whether you’re a physician, caregiver, or simply curious, this episode sheds light on a condition that touches so many lives.

Aug 15, 2025 • 49min
Episode 27: Food is Medicine
Host Nicholas O. Biasotto, DO is joined by Michelle Axe, MS, CHES and Katelyn Fritzges, MD, CCMS for a powerful Food is Medicine conversation. Together, they explore how nutrition can transform patient outcomes, covering everything from integrating healthy food into care plans and addressing nutrition security, to navigating patient barriers, finding the right programs, and understanding reimbursement. Get expert insights on culinary medicine, ultra-processed foods, nutrient density, organic vs. non-organic, fresh vs. frozen, and even how to eat healthy on a budget.

Jul 25, 2025 • 55min
Episode 26: Legislation That Hits Home - Get the Updates!
Join host Nicholas O. Biasotto, DO and special guest Richard Henderson, MD, FACOG, a retired and formerly board-certified Obstetrician/Gynecologist, MSD Past President, and Chair of the MSD Government Affairs Committee for a rapid-fire update on the hottest health care Bills impacting Delaware physicians and patients. From the fight to address prior-authorizations to transparency in care titles, abortion consent laws, Tianeptine regulation, suicide prevention, and even red dye bans in schools—this episode is your fast-track briefing on what’s happening under the dome.
Catch the full list of legislative updates at www.medicalsocietyofdelaware.org.

Jul 2, 2025 • 42min
Episode 25: The Truth About Corticosteroid Injections: Myths, Science, and Solutions
Think you know everything about corticosteroid injections? Think again. Join host Nicholas O. Biasotto, DO and renowned Orthopaedic surgeon Michael J. Axe, MD as they bust long-standing myths, break down the science, and reveal what’s really happening inside the joint. From the truth about cartilage damage and steroid limits to the surprising effects on diabetic patients—not all injections are created equal. Wet joint vs. dry joint, Bupivacaine vs. Lidocaine, inflammation research, and why physical therapy must follow—don’t miss this eye-opening episode!

Jun 25, 2025 • 37min
Episode 24: Inside MedNet: Delaware’s Trusted Network for Independent Practices
Join host Nicholas O. Biasotto, DO for an insightful conversation with Michael J. Bradley, DO, Past President of the AMA State Medical Society and the Medical Society of Delaware, and Lori Ann Rhoads, CMPE, Director of Health System Innovation at MSD.
They discuss Medical Network Management Services of Delaware, LLC (MedNet)—a subsidiary of the Medical Society of Delaware, a physician-owned and led organization supporting over 1,300 clinicians across Delaware. Since 1996, MedNet has helped independent practices thrive in a changing health care landscape, offering:
Higher reimbursements through fee-for-service contracts
Support for value-based care, quality metrics, and care coordination
Credentialing and insurance issue resolution
Shared savings programs—with over $3 million returned to primary care
We explore MedNet’s collaboration with the Delaware Health Information Network (DHIN), efforts to close care gaps and improve outcomes. Tune in to learn whether there’s been any real progress with Primary Care Reform in Delaware.
Why MedNet? Because it's trusted, physician-led, and built for the future of independent practice in Delaware. Let’s get into it!


