A patient who didn’t have to die: why Dr. Shannon Dowler worked so hard on expanding Medicaid, fixing rural care, and why sex education after 60 matters.

Dr. Shannon Dowler is a rural family physician from the Appalachian Mountains, former Chief Medical Officer of North Carolina Medicaid, author of Never Too Late: Your Guide to Safer Sex After 60, and a musician who makes STI education catchy because “STDs Never Get Old.” We discuss how personal stories drive policy, what Medicaid expansion really changed, and why creative, stigma-free sexual health education saves lives. We also cover dating apps, rising STIs in older adults, and why physician leaders should keep one foot in the clinic.

Topics we cover:

– The preventable deaths that shaped her mission

– Medicaid in North Carolina: expansion, outcomes, and new work requirements

– Rural medicine realities: distance, disasters, and access

– Sex after 60: practical STI prevention and talking about testing

– How humor, rap videos, and a book make important topics approachable

Tune in for a candid, hopeful conversation at the intersection of medicine, policy, and public health—told by someone who’s led at the state level and still shows up for patients.

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