Fixing Healthcare

Fixing Healthcare

By Robert Pearl and Jeremy CorrNewsMedicineHealth & FitnessGovernmentPolitics
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Fixing Healthcare episodes

  • FHC #177: Inside TPMG’s bold AI strategy with CEO Maria Ansari

    In this special episode of Fixing Healthcare, hosts Dr. Robert Pearl and Jeremy Corr welcome Dr. Maria Ansari, CEO of The Permanente Medical Group, Northwest Permanente and Mid-Atlantic Permanente Medical Group.

    In this interview, Dr. Ansari offers a forward-looking perspective shaped by deep experience in value-based care and technological innovation. The conversation is part of Season 10’s focus on how technology—particularly generative AI—can reshape American medicine.

    When asked about the three most transformative technologies of the next decade, Dr. Ansari reframes the question around three existential challenges in American healthcare: a shrinking clinical workforce, a rapidly aging population and the growing unaffordability of care. She then connects each challenge to a corresponding technological solution.

    1. Easing workforce strain with ambient and generative AI.
    2. With an expected shortfall of 120,000 physicians by decade’s end, Dr. Ansari emphasizes the urgent need to “get doctors back to doctoring.” Kaiser Permanente has deployed ambient AI tools to more than 22,000 physicians, helping automate documentation and reduce inbox burden. Generative AI now drafts personalized responses to patient messages, allowing doctors to serve as editors rather than authors. And in oncology, AI tools already help match complex cancer cases with the most effective treatment options, accelerating the delivery of cutting-edge care.
    3. Supporting aging populations with predictive analytics and remote care.
    4. As patients grow older and sicker, AI-driven tools like digital care navigators and remote monitoring systems are helping close the gap between provider capacity and patient needs. One standout example: Kaiser’s “Care Plus” program uses AI to predict emergency department visits and triage patients to home-based or ambulatory care, reducing avoidable hospitalizations. Dr. Ansari also highlights emerging tools like wearables and digital “twins” to support self-management of chronic conditions like heart failure and prediabetes.
    5. Making care more affordable through prevention and personalization.
    6. Dr. Ansari argues that real cost savings in medicine come from avoiding diseases in the first place. With AI-powered early detection tools (such as those that analyze subtle breast imaging markers), The Permanente Medical Group identifies cancer risks invisible to the human eye. These technologies, paired with systems like advanced alert monitoring in hospitals, are saving thousands of lives annually by preventing complications before they arise.

      Throughout the interview, Dr. Ansari is careful to position AI as “augmented intelligence,” a tool to enhance, not replace, human judgment. Whether improving medical education, empowering patients or reshaping the future of chronic disease, she calls for bold leadership and rapid adoption.

      “If you want to have happy patients, you also have to have happy doctors,” she says, making a strong case for technology that supports both.

      * * *

      Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

      The post FHC #177: Inside TPMG’s bold AI strategy with CEO Maria Ansari appeared first on Fixing Healthcare.

      44 min
    7. FHC #176: What AGI means for medicine & what Trump means for healthcare

      In this month’s Diving Deep episode of the Fixing Healthcare podcast, cohosts Dr. Robert Pearl and Jeremy Corr tackle two major questions:

      • How have the first 100 days of Presidents Obama and Trump shaped American healthcare—and where is Trump’s second term headed?
      • What happens to medicine when artificial general intelligence (AGI) arrives, making generative AI as capable as human doctors?
      • The conversation begins with a comparison of the first 100 days of each president’s time in office. Dr. Pearl contrasts Obama’s focus on expanding access through the ACA with Trump’s emphasis on cutting costs by reducing federal spending. With Trump is back in the White House, what can Americans expect going forward? Pearl offers a clear-eyed assessment, drawing on past behavior, current executive orders, outside-the-box health agency appointments and campaign promises to project where healthcare may be headed next.

        In the second half of the show, the cohosts shift to what may seem like a more futuristic question: what will it mean when machines match or exceed doctors in clinical reasoning, diagnosis and decision-making? But as Pearl explains, the arrival of AGI isn’t decades away. It’s coming soon and will be understood as a milestone rather than a tool, one that fits into the exponential evolution of GenAI. Here, Pearl examines what systems and cultures need to change to prepare for this fast-approaching change in medicine.

        Together, these stories raise urgent questions about what’s driving American healthcare: Is it politics or technological progress? Listen to the full episode to hear both conversations and decide for yourself.

        HELPFUL LINKS

        • What Happens To Medicine When Machines Are As Good As Doctors? (Forbes)
        • Obama And Trump’s First 100 Days Of Healthcare Policy: A Comparison (Forbes)
        • Monthly Musings on American Healthcare (Robert Pearl’s newsletter)
        • * * *

          Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” All profits from the book go to Doctors Without Borders.

          Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

          The post FHC #176: What AGI means for medicine & what Trump means for healthcare appeared first on Fixing Healthcare.

          42 min
        • MTT #94: Measles, meds & misinformation: Can we still trust American science?

          In this episode of Medicine: The Truth, co-hosts Dr. Robert Pearl and Jeremy Corr unpack a troubling set of healthcare developments—from surging vaccine-preventable illnesses to steep hikes in drug costs and the looming threat of Medicaid cuts.

          Measles cases have now topped 1,000, with Texas experiencing the worst outbreak since the disease was declared eliminated in 2000. Meanwhile, other infectious diseases like pertussis and influenza are resurging. Dr. Pearl explains how falling vaccination rates could soon lead to tens of thousands of preventable deaths.

          The episode also addresses the latest federal budget proposal, which calls for massive cuts to government health programs, even as the U.S. faces new public health crises. Drug prices, already soaring, are now subject to additional stress from rising tariffs, putting more lifesaving medications out of reach.

          It’s not all bad news. A major new study suggests that shingles vaccination may reduce dementia risk by 20%, offering a powerful argument for broader preventive care. And despite rising costs, opioid-related deaths are dropping—thanks in part to expanded access to naloxone and other life-saving treatments.

          Other key topics covered in this episode include:

          • Measles outbreak in Texas becomes the largest in 25 years
          • Pertussis (whooping cough) cases double, marking a return to 1950s-era prevalence
          • S. drug prices up 11.4% in the past year, with 25% of prescriptions going unfilled
          • The Trump administration’s proposed $18 billion cut to the NIH and 3.6% CDC funding drop
          • New at-home tests approved for HPV and common STDs
          • Universal shingles vaccination may reduce dementia risk by 20%
          • GLP-1 weight-loss pills are on the horizon
          • New data reveal CT scans may be responsible for 100,000 cancer deaths
          • Pig-to-human kidney transplants hit new survival milestones
          • Smoking still contributes to 20% of all cancer cases
          • Universal vaccine effort raises scientific and political concerns
          • Autism’s true origins: What research does—and doesn’t—say
          • Marijuana during pregnancy linked to preterm birth, low weight, mortality
          • Five risk factors (including obesity and smoking) cut life expectancy by over a decade
          • Tune in as Dr. Pearl and Jeremy Corr bring clarity to the headlines and offer sharp insight into the policies, science and statistics shaping American healthcare.

            * * *

            Dr. Robert Pearl is the author of the new book “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine” about the impact of AI on the future of medicine. All profits from the book go to Doctors Without Borders.

            Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn

            The post MTT #94: Measles, meds & misinformation: Can we still trust American science? appeared first on Fixing Healthcare.

            50 min
          • FHC #175: Burnout, Broken Systems & The Severed Self

            In this episode of Unfiltered, cohosts Dr. Robert Pearl and Jeremy Corr are joined once again by cardiologist and physician wellness advocate Dr. Jonathan Fisher. The trio take an unfiltered look at physician burnout, asking whether the profession itself is pushing doctors to emotionally “split in two.”

            The discussion covers a wide range of pressing issues, from declining reimbursements and ineffective wellness programs to the cultural expectation that doctors must suppress grief, frustration and empathy to survive the workday.

            Dr. Fisher warns that this emotional compartmentalization resembles the plot of the dystopian show Severance, and he draws on both psychological research and personal experience to explain how it can corrode doctors’ professional fulfillment and personal lives.

            Dr. Pearl counters with skepticism that systemic change will happen unless clinicians lead the charge, proposing a bold, clinician-run experiment in preventive care that could reshape incentives and eliminate bureaucratic friction.

            For more, listen to the full episode and check out these helpful links:

            ‘Just One Heart’ (Jonathan Fisher’s newest book)

            ‘ChatGPT, MD’ (Robert Pearl’s newest book)

            Monthly Musings on American Healthcare (Robert Pearl’s newsletter)

            * * *

            Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple Podcasts or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

            The post FHC #175: Burnout, Broken Systems & The Severed Self appeared first on Fixing Healthcare.

            49 min
          • FHC #174: Zocdoc CEO says AI will cure healthcare’s scheduling chaos

            In the latest episode of Fixing Healthcare, hosts Dr. Robert Pearl and Jeremy Corr welcome Oliver Kharraz, founder and CEO of Zocdoc, for a conversation about the power of technology to eliminate one of medicine’s biggest pain points: access.

            This interview, part of Season 10’s focus on transformative technology, spotlights Zocdoc’s role as a digital marketplace where patients can search for providers by specialty, insurance, availability and location. As Kharraz explains, Zocdoc aims to be the “connective tissue” of healthcare, streamlining care navigation while empowering both patients and providers.

            Here are four key insights from the episode:

            1. Regulatory red tape still strangles innovation: Kharraz recalls how outdated laws nearly shut down Zocdoc in its early days. Because federal regulations didn’t clearly address whether providers could be charged per appointment booked, Zocdoc was forced into a flat-fee model that stifled its growth. “It took us years to secure permission,” he says, but it proved that reform is possible when innovators persist.
            2. AI will revolutionize patient access, starting with the phone. Zocdoc is rolling out Zo, an AI-powered phone assistant that autonomously handles 70% of inbound scheduling calls. Kharraz calls the phone “bad for business” because it wastes staff time, frustrates patients and leaves money on the table. Zo offers real-time, friendly and flexible support without hold times, dramatically improving the patient experience and ROI.
            3. Healthcare needs a ‘Shopify,’ not a walled garden. According to Kharraz, most healthcare platforms create friction by forcing patients to juggle multiple logins and portals. Zocdoc’s model is open, decentralized and designed to integrate with EHRs, insurance systems and external platforms. It prioritizes ease and choice. “We’re not trying to be the only platform,” he says, “we’re trying to manage the complexity.”
            4. The future is patient-centered, not provider-centric. Kharraz envisions a healthcare experience where patients receive proactive support — from appointment reminders to prescription refills — through augmentative AI that acts like a superhuman assistant. He’s optimistic that a more personalized, consumer-driven model is emerging. “This doesn’t come at the provider’s expense,” he says. “Both sides benefit when the right match is made.”
            5. Kharraz has long championed patient-first thinking. This conversation not only explains how Zocdoc is improving access today, but where digital health innovation is headed next. Don’t miss it.

              * * *

              Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

              The post FHC #174: Zocdoc CEO says AI will cure healthcare’s scheduling chaos appeared first on Fixing Healthcare.

              46 min
            6. FHC #173: Before ChatGPT, Vinod Khosla predicted healthcare’s AI revolution

              In this week’s Fixing Healthcare podcast, co-hosts Dr. Robert Pearl and Jeremy Corr flash back to a pivotal interview recorded in December 2021 with famed venture capitalist Vinod Khosla.

              Season 10 of the show is dedicated to exploring how technology can reshape American medicine. What better way to reflect on the promises and pitfalls of healthcare innovation than by revisiting Khosla’s bold predictions—made a full year before the release of ChatGPT.

              As an early investor in OpenAI and a tech visionary, Khosla discussed the transformative potential of AI, telemedicine and digital health platforms long before the current explosion of interest.

              “The most expensive part of the system is expertise,” Khosla told listeners. “And expertise can relatively be tamed with technology and AI.”

              In this flashback episode (#40 if you’re looking for the original airing), Khosla outlines how technology could bolster specialist access for rural communities, slash the cost of chronic disease care and eventually disrupt traditional hospital-centered healthcare systems.

              Dr. Pearl and Jeremy Corr encourage listeners to pair this 2021 conversation with Khosla’s more recent appearance on the show (episode #153), offering an opportunity to compare past predictions with today’s emerging realities.

              Helpful links:

              • Vinod Khosla: How venture-backed tech is transforming U.S. healthcare (FHC #153)
              • ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine (Pearl’s newest book)
              • Khosla Ventures (Official Site)
              • * * *

                Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

                The post FHC #173: Before ChatGPT, Vinod Khosla predicted healthcare’s AI revolution appeared first on Fixing Healthcare.

                52 min
              • FHC #172: 91% of Americans get subsidized healthcare. What if it vanishes?

                In this month’s Diving Deep episode of the Fixing Healthcare podcast, cohosts Dr. Robert Pearl and Jeremy Corr tackle one of healthcare’s most misunderstood facts: nearly 91% of Americans receive some form of government healthcare assistance.

                Whether your insurance comes through an employer, the online health insurance marketplace, Medicare or Medicaid, the government is footing part of the bill. But as federal debt surges and lawmakers search for places to cut spending, those subsidies—and your coverage—may be in jeopardy.

                Dr. Pearl breaks down each of the five main ways the government subsidizes healthcare and explains why those programs are now in the political crosshairs. He also offers solutions to America’s spiraling healthcare costs, ones that go beyond cutting services.

                Later in the episode, the focus turns to Robert F. Kennedy Jr., the new Secretary of Health and Human Services, and what his policies might mean for the future of American medicine.

                Kennedy has promised to address chronic disease, mental health and pandemic preparedness, but his vaccine skepticism and unscientific treatment suggestions could further undermine public trust and worsen health outcomes.

                Click play to hear the full conversation or check out these useful links below.

                HELPFUL LINKS

                • 91% Of Healthcare Is Government Subsidized. Is Yours Safe? (Forbes)
                • Americans Are Dying Younger: Will RFK Jr.’s Policies Help Or Harm? (Forbes)
                • Monthly Musings on American Healthcare (Robert Pearl’s newsletter)
                • * * *

                  Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” All profits from the book go to Doctors Without Borders.

                  Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

                  The post FHC #172: 91% of Americans get subsidized healthcare. What if it vanishes? appeared first on Fixing Healthcare.

                  47 min
                • MTT #93: Measles death toll rises, healthcare spending hits $5.2 trillion

                  In this episode of Medicine: The Truth, co-hosts Dr. Robert Pearl and Jeremy Corr examine the alarming spread of measles across 25 U.S. states (with outbreaks in six). The disease, as of this episode’s publication, has already led to 700 cases and the confirmed deaths of two unvaccinated children.

                  Meanwhile, healthcare costs have ballooned to $5.2 trillion, federal funding cuts are hampering outbreak response (as well as important scientific research), and Medicaid expansion under the ACA is facing serious threats.

                  Dr. Pearl discusses the broader implications of these events along with a host of key topics covered in this episode:

                  • Measles cases top 700, with 60 hospitalizations and two pediatric deaths so far—making this the worst year for measles since 2019.
                  • RFK Jr. draws criticism for downplaying vaccine safety and promoting unproven treatments like cod liver oil and vitamin A.
                  • Federal healthcare spending rose 7.4% in 2024 to $5.2 trillion, with site-neutral payment reform under serious consideration.
                  • Massive HHS layoffs are threatening vaccine oversight, chronic disease research and global health initiatives like tuberculosis detection.
                  • Medicaid expansion under the ACA may be on the chopping block as Republicans look to trim $880 billion from federal spending.
                  • New leaders confirmed at the FDA and NIH, but Dr. Pearl questions whether they’ll have true autonomy under RFK’s restructuring plan.
                  • Academic research slows, with grant freezes, staff cuts and rescinded PhD offers throughout leading universities and academic medical centers.
                  • AI scribes reduce burnout, but cost savings remain elusive for providers and health systems.
                  • Tuberculosis remains the world’s deadliest infectious disease, and U.S. funding cuts may allow global cases to surge.
                  • GLP-1 warnings grow for women of childbearing age amid limited research and concerns about fetal risks.
                  • New study shows GenAI experienced ‘anxiety’ after reading traumatic stories—raising fresh questions about emotional modeling in virtual therapy tools.
                  • Opioid deaths fall to 82,000, down 25% in the past year, thanks to better treatment access, more naloxone and less fentanyl availability.
                  • Low back pain study finds invasive treatments are least ineffective with ibuprofen, NSAIDs and exercise still the best options.
                  • Allergy seasons are worsening, with climate change driving longer frost-free periods and increased pollen counts.
                  • Tune in as Dr. Pearl and Jeremy Corr break down these pressing healthcare topics and explore what they mean for the future of American medicine.

                    * * *

                    Dr. Robert Pearl is the author of the new book “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine” about the impact of AI on the future of medicine. All profits from the book go to Doctors Without Borders.

                    Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn

                    The post MTT #93: Measles death toll rises, healthcare spending hits $5.2 trillion appeared first on Fixing Healthcare.

                    48 min
                  • FHC #171: The doctor is in … Lululemon?

                    In this lively episode of Unfiltered, cohosts Dr. Robert Pearl and Jeremy Corr are joined once again by cardiologist and physician wellness advocate Dr. Jonathan Fisher. The trio takes an unexpected but fascinating journey into the symbolism, psychology and culture of physician attire—and what shifting trends reveal about the status of American medicine.

                    What starts as an observation about the absence of neckties at a medical conference quickly unspools a broader discussion about generational shifts, burnout, respect, identity and power within the profession. The conversation weaves together personal stories, data, sociological insights and policy-level implications, ultimately questioning whether the erosion of formality is a symptom—or potentially a cause—of deeper challenges facing clinicians today.

                    Key topics discussed in this episode include:

                    • How physician attire reflects broader cultural and generational trends
                    • The changing public perception of medical expertise and authority
                    • Why younger patients prefer informality, and what it signals about healthcare relationships
                    • The power dynamics behind the residency match system and physician pay
                    • How primary care continues to be devalued in rhetoric, reimbursement and recruitment
                    • Strategies to reclaim pride, purpose and influence in a system that too often sidelines physicians
                    • As always, the episode ends with a thoughtful patient-perspective question from Jeremy, diving into the nuances of patient comfort, demographics and the enduring importance of trust.

                      For more raw, unfiltered commentary, listen to the full episode and check out these helpful links:

                      ‘Just One Heart’ (Jonathan Fisher’s newest book)

                      ‘ChatGPT, MD’ (Robert Pearl’s newest book)

                      Monthly Musings on American Healthcare (Robert Pearl’s newsletter)

                      * * *

                      Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple Podcasts or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

                      The post FHC #171: The doctor is in … Lululemon? appeared first on Fixing Healthcare.

                      50 min
                    • FHC #170: AI could save 500,000 lives, $1.5 trillion a year, says Dr. Pearl

                      In a special episode of Fixing Healthcare, Jeremy Corr flips the script and interviews fellow cohost Dr. Robert Pearl, who shares his expert view on the three most important technologies shaping the future of American medicine.

                      This conversation is part of Season 10’s exploration of tech-enabled healthcare transformation, featuring CEOs and leaders of healthcare leaders at major tech companies like Nvidia, Google, Oracle, Microsoft and Hippocratic AI. The season has showcased how leaders in the field are approaching the digital revolution in medicine. Now, it’s Pearl’s turn to offer his unique perspective—nearly one year after the release of his bestselling book, ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.

                      Pearl identifies three game-changing technologies:

                      1. Large language models (LLMs) like ChatGPT

                      Pearl calls these “the most significant breakthrough,” capable of offering patients real-time medical expertise and ushering in a new era of healthcare consumerism.

                      He shares several stories—including one about a CEO who used ChatGPT to identify his daughter’s rare illness in seconds—that illustrate the power of LLMs to close diagnostic gaps and empower patients with expertise in unprecedented ways.

                      2. Telemedicine as the perfect complement to AI

                      Pearl describes telemedicine as a “complementor,” a technology that, when paired with another (in this case, generative AI), becomes far more powerful than either could be alone. While AI can monitor patients 24/7 and identify emerging health issues, only telemedicine can instantly connect those patients to a human clinician for evaluation and care.

                      “The synergy of the two will be capable of overcoming the limitations and challenges of both time and distance,” Pearl explains. Together, these complementors can deliver real-time, personalized care while reducing costs and expanding access, especially in underserved and rural communities.

                      3. ‘Derivatives’ trained on distillation & real clinical interactions

                      Pearl introduces a new class of AI-powered assistants designed to manage chronic diseases, perform triage and monitor patients at home. These tools, built through “knowledge distillation” and trained on actual clinician-patient exchanges, could help prevent hundreds of thousands of heart attacks, strokes and other major complications from chronic disease every year.

                      Pearl also addresses concerns about bias, liability and job displacement. He argues that AI won’t replace doctors but will change their roles, reduce burnout and make healthcare more affordable for everyone.

                      Additionally, Pearl praises the foresight of prior Season 10 guests while also pointing out that most focused on today’s tools (like documentation automation) rather than imagining the radically different world five to 10 years from now. Pearl believes generative AI will go far beyond helping doctors with administrative tasks. It will empower patients, reduce costs improve outcomes, and shift the balance of power in healthcare.

                      Click play to hear this wide-ranging, insightful discussion about the digital future of medicine.

                      * * *

                      Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

                      The post FHC #170: AI could save 500,000 lives, $1.5 trillion a year, says Dr. Pearl appeared first on Fixing Healthcare.

                      44 min

                    About Fixing Healthcare

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                    A podcast with a plan to fix American healthare