What's Up with Tech?

Healing The Sick Care System


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What if the fastest way to fix American healthcare is the simplest: put people back at the center. Sitting down with Gil Bashe—chair of Health and Purpose at Finn Partners, editor of Medical Life, and author of Healing the Sick Care System: Why People Matter—we unpack the paradox of a nation that spends more, trains the best, and still delivers poorer outcomes than its peers. Gil brings hard numbers, lived stories, and a clear blueprint for moving from fragmented “sick care” to coordinated care grounded in relationships and results.

We explore the rising frustration across every corner of the system: patients feeling sidelined by delays and denials, clinicians burning out under prior auth and paperwork, payers caught between risk and regulation, and innovators struggling to communicate value. Gil argues for a mission-first mindset where business supports care, not the other way around. He shares how continuity of care, team-based primary care, transparent data-sharing, and measurement that values function and time-to-therapy can rebuild trust while bending the cost curve.

With a global lens—from integrated systems like Clalit to policy lessons shaped by his work across countries—Gil highlights what the U.S. can adapt without importing entire models. We also get tactical on artificial intelligence: where AI can reduce cognitive load, triage more effectively, and streamline documentation, and where governance, bias checks, and explainability must anchor deployment. Along the way, Gil previews the growing bookshelf of patient-centered reform and reads a striking paragraph from his book that reframes health as mission plus discipline.

If you’re hungry for practical hope, this conversation delivers clear steps and a human compass: pay for relationships, simplify the rules, open the data, and design technology that frees clinicians to care. Subscribe, share with a colleague who needs a lift, and leave a review with one change you’d make tomorrow—what would put people first where you work?

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What's Up with Tech?By Evan Kirstel