Did you know that life expectancy in Brownsville is 11 years shorter than on the Upper East Side? Dr. Ashwin Vasan, former city health commissioner, joins Bradley to discuss the funding crisis, mounting inequities and stratospheric administrative costs of public healthcare. Vasan explains why real reform starts with rebuilding trust—through ethics rules, revamped incentives, transparency, and a less officious posture. "People don't like being made to feel dumb," he says. The coming era will be defined by a messy transition: fewer paper-pushers, more direct contracting and a political fight over who loses first.

This episode was taped at P&T Knitwear at 180 Orchard Street — New York City’s only free podcast recording studio.

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