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.
Relocalizing Health with Dave Chase
Redesigning Health and Wealth in Our Communities
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Welcome to Relocalizing Health. In today’s episode, host Dave Chase sits down with Kevin Bayuk, a partner at Lift Economy and a pioneer in redefining how communities can thrive by redesigning local systems. With over 20 years of experience questioning why wealth leaves local communities and how to rebuild systems that circulate, compound, and benefit all, Kevin Bayuk shares his journey from Silicon Valley tech entrepreneur to advocate for regenerative enterprise and bioregional self-reliance.
Together, they explore the root causes of ill health in society, including the “loneliness epidemic,” and discuss the vision and practicality of economies and healthcare systems that put well-being, community connection, and ecological thriving at the center. Through stories drawn from permaculture, multi-stakeholder co-ops, and innovative healthcare models like direct primary care, Kevin Bayuk and Dave Chase challenge business-as-usual approaches and invite us to imagine what is possible if we reclaim agency over health, wealth, and the future of our communities. Whether you’re leading a business, a school district, or simply curious about holistic approaches to community health, this episode will inspire you to see that the tools and models for transformation already exist; you just have to look a little closer.
Timestamps:
00:00 Early Silicon Valley entrepreneurship
06:04 Rethinking healthcare and wellbeing
10:01 Imagining a future economy
13:42 Community-focused motivation and cooperative structures
15:52 Workers owning the farm
18:40 Community-owned farming cooperatives
21:48 Direct primary care model explained
24:52 Community-driven profit reinvestment
29:01 Structural flaws in healthcare systems
33:37 Anna O'Malley's community medicine circles
35:28 Story of health intervention success
39:14 Future of Work and AI Automation
42:20 Slowing down for sustainability
46:00 Closing thoughts and action steps
Learn More:
RosettaFest 2026 - https://rosettafest.org/
Health Rosetta - http://healthrosetta.org/
Nautilus - https://www.nautilushealth.org/
Kynexions - https://kynexions.com/
Dave Chase - https://www.linkedin.com/in/chasedave/
Podcast Website - https://relocalizinghealth.com/