It's Time to Transform our Health System
Everyone knows that we need to transform our health system. It's time that we do it. On this podcast, Sofia and David - two AI generated hosts - seek to understand the current system, how we got here, and share concrete steps to move things forward. We ground our ideas in theory of complex systems, and we're not afraid to shake things up. This AI podcast was created, and is managed by Dr. Chad Swanson, an emergency physician. chadswanson.comThis podcast and website does not provide medical, professional, or licensed advice and is not a substitute for consultation with a health care professional. You should seek medical advice from a qualified health care professional for any questions. Do not use this podcast for medical diagnosis or treatment. None of the content on this website represents or warrants that any particular device, procedure, or treatment is safe, appropriate or effective for you.
Episodes
39 episodes
Healthcare Reinvention, Impact Networks, and the Two Loops Model
In this episode, we dive into three fascinating ideas: the Two Loops Model of paradigm shift, the Impact Networks playbook by David Ehrlichman, and the Healthcare Reinvention initiative. We break down how systems evolve, why collaborative netwo...
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Season 1
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Episode 39
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15:17
The Interprofessional Primary Care Institute: Transforming Healthcare Through Collaboration, Community, and Collective Action
The Interprofessional Primary Care Institute (IPCI) exists to address these challenges by promoting a team-based, community-oriented model of care. Rooted in the principles of relational care, collective action, and community engagement, IPCI t...
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16:49
RFK Jr, NIH, USAID: Complexity Right Before Our Eyes
The upheaval in health politics continues. In this episode, our AI hosts discuss the recent events with RFK Jr, NIH, and USAID.References:https://www.science.org/content/article/senate-confirms-robert-f-kennedy-jr-vaccine-oppone...
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15:18
Casey and Calley Means: Champions of Metabolic Health
What happens when a Stanford-trained doctor and a former food industry insider team up to challenge everything we think we know about health? Dr. Casey Means walked away from a career in surgery to revolutionize metabolic health, while her brot...
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15:54
Is Greed Driving Our Health Systems Woes?
Greed is certainly a major factor, but there are many more, such as flawed incentives, cognitive biases, institutional inertia, and a hyperfocus on clinical treatment, as our AI hosts explain in this episode.Disclaimer: This AI-generate...
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27:55
We've Tried a Ton. And Here We Are. We Need to Do Things Differently
Managed Care. ACA. Healthcare reform has been stuck in a cycle of tweaks and patches, but the system itself is the problem. We don’t need more pilot programs or managed care tweaks—we need a total rewrite of how we define, finance, and deliver ...
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21:23
Fee for Service Has to Go! Bundled Payments, Capitation, etc
Fee for Service? Pay for Performance? Bundled Payments? Capitation? Global Payments? We discuss them all in this AI-generated and hosted podcast, created, edited, and managed by Dr. Chad Swanson.
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25:51
Buurtzorg’s Healthcare Revolution
Discover how Buurtzorg, founded by Jos de Blok in the Netherlands, reinvented healthcare with self-managed nurse teams and a patient-centered approach. With over 90% patient satisfaction and reduced costs, the model has gained global attention,...
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11:23
Rippel Foundation: These Folks Really Seem to Get it!
The Rippel Foundation is a diverse group of changemakers pursuing an ambitious vision for health and well-being. They join with partners who believe in the power of shared stewardship – people, organizations, networks, and communities com...
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Season 1
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Episode 32
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12:18
Generative AI in Healthcare with Hippocratic AI
Dr. Robert Pearl recently interviewed Munjal Shah, CEO of Hippocratic AI, on the podcast "Fixing Healthcare." We summarize their discussion here. They discusses how generative AI is addressing the healthcare worker shortage with virtual agents ...
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17:07
3 Insights for Action in Chaos
The public health world is, it seems, living in chaos. In this episode, my AI hosts provide an overview of the events over the past few days, and provide 3 insights for action: keep relentlessly focused on what's most important; control what yo...
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Season 1
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Episode 29
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23:09
Nanoplastics in our Brains
In this episode, our AI-hosts discuss the discovery and potential public health implications of nanoplastics in (nearly?) every organ in our bodies.References:Eric Topol "There's Plastic in My Plaque!": https://erictopol.substack.co...
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Season 1
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Episode 28
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19:34
Learning Health System: A Response to Linkedin Comments
Disclaimer: This Ai-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He considers this an informal conversation with the world about health systems transformation. It should not be considere...
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25:12
Should physicians unionize?
More and more physicians are joining unions. Is that a good thing?Dr. Vinay Prasad's youtube video "Why the NIH is a broken funding system.": https://www.youtube.com/watch?v=CjUXbUXYZFIDr. Jay Bhattacharya, President Trump's nom...
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Season 1
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Episode 26
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34:25
Cityblock Health's Vision for Equitable Healthcare
Cityblock Health is transforming care for underserved communities by integrating healthcare with social services. Hosts discuss how addressing social determinants like housing and food access results in better health outcomes, while exploring t...
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15:45
Rewriting the Rules of Healthcare: What If We Put Health First?
What if an entire community decided to stop just treating disease and instead went all in on health—radically rethinking how care is delivered, who’s involved, and what actually gets prioritized? In this episode, with AI hosts, we dive into a b...
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28:09
Trump Administration is Moving Fast and Breaking Things
The confirmation hearings of Robert F. Kennedy Jr. are contentious, with implications for health equity and policy stability. Sofia and David, AI-hosts, discuss the chaos within HHS under Trump-era policy shifts, including executive orders and ...
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Season 1
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17:38
ASU? UCLA? Where is transformation in health systems education and training happening?
We respond to some comments and questions on Linkedin. Our AI hosts also describe our understanding (based on web sources) of a health systems class at UCLA, and the learning health ecosystem at ASU.
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Season 1
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Episode 22
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19:48
All Premed Students Should be Required to Major in Health Systems Transformation
Our health system needs historical transformation. If we keep doing the same things, that won't happen. In this episode, our AI hosts discuss the idea of requiring all premedical students to major in "health systems transformation."
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37:36
Learning from New Zealand
Concepts like the Viable System Model and adaptive learning systems can reshape the U.S. healthcare system, with insights from New Zealand's implementation and ophthalmology services. The AI hosts address equity imperatives, profit-driven chall...
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Season 1
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Episode 30
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23:31
"Blind Spots" Book Review
In today’s episode, we as AI hosts explore Blind Spots by Dr. Marty Makary, a hard-hitting critique of systemic inefficiencies in U.S. healthcare. Dr. Makary exposes critical failures in medical practices—from misguided peanut allergy guideline...
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Season 1
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Episode 19
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16:39
Rethinking Healthcare Credentialing
Sofia and David, AI hosts, discuss the inefficiencies of credential-focused systems in healthcare and their impact on the workforce and patient care. They explore competency-based models, drawing on examples like scenario-based assessments and ...
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24:52
Converging Forces, Co-Evolution: Could Utah be Approaching a Tipping Point?
There are many reasons to celebrate the health ecosystem in the state of Utah. In this episode of It’s Time, our AI hosts dive into how Utah could take things to a new level, by leading the charge in revolutionizing community health systems. In...
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Season 1
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Episode 17
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24:52
GLP-1s, Metabolic Health, and Systemic Change
In this episode, AI hosts unpack the significance of GLP-1 receptor agonists in managing metabolic health and their broader societal impacts. From issues of inequitable access and profit-driven motives to envisioning systemic healthcare reforms...
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20:45
Public Health Gag Order, Ochsner Health, We're all invested!
In this episode, the AI-hosts dive into topics ranging from personal health choices to systemic healthcare challenges. The conversation highlights the transformative work of organizations like Ochsner Health, which achieved significant cost sav...
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Season 1
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Episode 16
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16:29