Problem Solvers, Not Just Brokers: Josh Butler’s Mission to Fix Healthcare 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

Problem Solvers, Not Just Brokers: Josh Butler’s Mission to Fix Healthcare

November 25, 2025 • TopHealth Media • Season 1 • Episode 12

Welcome to the 11th episode of Relocalizing Health, where we dive deep into how communities are reclaiming their local healthcare systems from extraction and inefficiency. This week, host Dave Chase is joined by Josh Butler, a benefit advisor based in Amarillo, Texas, who has been at the forefront of transformative change in his region.

Instead of telling a story from a neat conclusion, we’ll journey into the "messy middle", where real progress and real challenges coexist. Josh Butler shares his pivotal moments, including a powerful story about helping a truck driver finally receive surgical care after ten years of suffering due to unaffordable deductibles. Inspired by the Health Rosetta movement, Josh transitioned from selling traditional insurance to building innovative, local solutions through the High Plains Health Plan.

Listen in as we unpack the obstacles, breakthroughs, and the human impact of reimagining health benefits, where employers, clinicians, and advisors work together to create plans focused on accessibility, affordability, and genuine care. Whether you’re an employer, civic leader, or just someone passionate about change, this episode reveals what’s possible when communities take ownership of their healthcare dollars and destinies.

Join us for a compelling conversation about restoring the American dream, one local health system at a time.

Timestamps:

00:00 "Relocalizing Healthcare Transformation"

03:30 Health Insurance Broker Challenges

08:29 "Revolutionizing Healthcare Through Collaboration"

12:27 "Joining Health Rosetta: My Journey"

13:25 "Growth, Learning, and Overcoming Fear"

19:21 Physicians Prioritize Patients Over Profit

21:52 Healthcare Industry Resistance to Change

25:53 Choosing Partners Carefully

28:17 "High Plains Health Plan Benefits"

32:52 Brokerage Expansion and Partnerships