Breaking Down Healthcare’s Structural Flaws and Realigning Incentives for Better Outcomes Artwork

Relocalizing Health with Dave Chase

While Washington argues and Wall Street profits, a quiet transformation is reshaping healthcare — one community at a time.

Relocalizing Health takes you inside this movement with Dave Chase, founder of Health Rosetta, as he talks with the people leading healthcare's ground-up transformation. Their approach? Keep care local, rebuild trust, and redirect healthcare wasted spending into something that actually serves people.

You'll hear real-world stories from employers, clinicians, and civic leaders who are designing health plans and ecosystems that work — and strengthening their local economies in the process.

Featured guests include:

- Public sector leaders who've redesigned employee health benefits to free up millions for essential services.

- Physicians who've left corporate systems to practice relationship-based care.

- Manufacturing executives using healthcare as a competitive advantage - not a cost burden.

- Civic leaders helping communities reclaim control of their healthcare destiny.

If you care about your community's future and want to see what's actually working in healthcare transformation, this show offers a clear-eyed look at proven models and how to implement them.

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Relocalizing Health with Dave Chase

Breaking Down Healthcare’s Structural Flaws and Realigning Incentives for Better Outcomes

July 01, 2025 • TopHealth Media • Season 1 • Episode 4

Welcome to another episode of Relocalizing Health! In today’s conversation, host Dave Chase sits down with Dr. Eric Bricker, a renowned internal medicine physician, board member for a leading direct primary care organization, and the mastermind behind those wildly popular whiteboard healthcare explainers online.

Together, Dave and Dr. Bricker dive into the heart of America’s healthcare challenges: from deeply misaligned financial incentives to the separation of health and social care funding streams. You’ll hear candid stories and sharp insights from Dr. Bricker’s career working with millions across the country, and learn why fixing payment models could be the key to unlocking better primary care.

The episode also unpacks the crucial role of local leadership, using real-world examples like the transformation in McAllen, Texas, and how direct primary care models are gaining traction among public employers. Dr. Bricker doesn’t just cut through the theoretical; he brings a dash of humor, some tough truths about medical training and system inertia, and inspiration for anyone striving to build healthier communities.

Whether you're a health plan wonk, a city leader, or just itching to see change, this episode will leave you with a fresh perspective and a few memorable quotes. Tune in to hear why, when it comes to transforming health systems, enthusiasm, persistence, and community leadership matter just as much as bright ideas.

Timestamps:

00:00 "Navigating U.S. Healthcare Insights"

07:53 "Fixing U.S. Healthcare Flaws"

12:59 Healthcare Politics and Resource Allocation

18:27 Doctors Face Unexpected Social Work

25:26 Primary Care Requires More Time

31:04 Social Isolation to Social Prescription

33:55 Scaling Direct Primary Care Practices

42:11 "Influential Historians: The Durants"

47:40 "Independent Thinkers Drive Health Innovation"

51:53 Finding Your Purpose and Calling

56:09 Localized Ecosystem Growth Explained