Creating a New Healthcare

Episode #105: The Need to Overhaul US Healthcare Payment, with Dr. Ezekiel Emanuel


Listen Later

Welcome to episode #105, Season 4 of Creating a New Healthcare. Today we welcome one of the most prolific and influential healthcare policy experts of our era. Professor Ezekial Emanuel is the Vice Provost for Global Initiatives and Co-Director of the Healthcare Transformation Institute at the University of Pennsylvania. He is also a Special Advisor to the Director General of the World Health Organization. Dr. Emanuel was the founding chair of the Department of Bioethics at the National Institutes of Health. From January 2009 to January 2011 he served as a Special Advisor on Health Policy to the Director of the Office of Management and Budget, and the National Economic Council. He is also a breast oncologist, having earned his MD at Harvard Medical School, completed a residency in Internal Medicine at the Beth Israel Hospital in Boston, and then completed an oncology fellowship at the Dana Farber Cancer Institute, where he was also appointed as faculty. Dr. Emanuel has written and edited 14 books and over 300 articles, and is the world’s most cited bioethicist. He is a frequent contributor to the Atlantic, the New York Times, the Wall Street Journal, and the Washington Post, and regularly appears on television and radio.

In this episode, we’ll touch on the following:

  • The fragility of the US employer-based healthcare payment system and how the COVID-19 pandemic is nudging us to a universal payment system.
  • The differences between a universal payment program and a single payer system.
  • An illustration of a capitated primary care trial demonstrating the advantages to providers and patients.
  • What the US can learn from other advanced nations in terms of primary care access and healthcare payment reform.
  • The multi-pronged solutions that Dr. Emanuel recommends to address the insidious institutional racism and the inequities that are embedded in US healthcare delivery
  • I believe it was H.L. Mencken who said that there are often simple solutions to complex problems, and those simple solutions are typically wrong. Dr. Emanuel does not offer simple solutions to the complex problems in our healthcare system. Instead, he offers thoughtful, studied, and ethical solutions that directly and realistically address the fundamental flaws in our healthcare system. These are serious flaws that leave tens of millions of Americans with no or sub-optimal health insurance, limit access to preventive primary and specialty healthcare for tens of millions of Americans, and create perverse and unethical incentives for providers and health systems that greatly inhibit them from delivering the type of healthcare they would like to offer.

    Dr. Emanuel is one of the most cited healthcare policy scholars and advisors of our era, as well as one of the most prolific researchers and authors. He is one of the finest healthcare educators and thought-leaders our country has ever produced. It is well worth our time to listen to and study the critically important lessons he is teaching us.

    Until next time,

    Be safe and be well.

    Zeev Neuwirth, MD

    ...more
    View all episodesView all episodes
    Download on the App Store

    Creating a New HealthcareBy Zeev Neuwirth

    • 4.8
    • 4.8
    • 4.8
    • 4.8
    • 4.8

    4.8

    164 ratings


    More shows like Creating a New Healthcare

    View all
    Marketplace by Marketplace

    Marketplace

    8,764 Listeners

    Pivot by New York Magazine

    Pivot

    9,520 Listeners

    The Daily by The New York Times

    The Daily

    112,758 Listeners

    What the Health? From KFF Health News by KFF Health News

    What the Health? From KFF Health News

    498 Listeners

    Worklife with Adam Grant by TED

    Worklife with Adam Grant

    9,157 Listeners

    The Peter Attia Drive by Peter Attia, MD

    The Peter Attia Drive

    9,137 Listeners

    An Arm and a Leg by An Arm and a Leg

    An Arm and a Leg

    1,082 Listeners

    Becker’s Healthcare Podcast by Becker's Healthcare

    Becker’s Healthcare Podcast

    189 Listeners

    Against the Rules: The Big Short Companion by Pushkin Industries

    Against the Rules: The Big Short Companion

    9,716 Listeners

    Fiction - Comedy Fiction by The Sunset Explorers

    Fiction - Comedy Fiction

    6,445 Listeners

    Tradeoffs by Tradeoffs

    Tradeoffs

    395 Listeners

    All-In with Chamath, Jason, Sacks & Friedberg by All-In Podcast, LLC

    All-In with Chamath, Jason, Sacks & Friedberg

    9,897 Listeners

    The Ezra Klein Show by New York Times Opinion

    The Ezra Klein Show

    16,042 Listeners

    The Weekly Show with Jon Stewart by Comedy Central

    The Weekly Show with Jon Stewart

    10,911 Listeners

    Not Otherwise Specified by NEJM Group

    Not Otherwise Specified

    63 Listeners