In this episode, we dive into three fascinating ideas: the Two Loops Model of paradigm shift, the Impact Networks playbook by David Ehrlichman, and the Healthcare Reinvention initiative. We break down how systems evolve, why collaborative networks are key to large-scale change, and whether healthcare reform is truly addressing health or just fixing a broken system. Plus, we explore insights from Dr. Eric Bricker and Dr. Vinay Prasad on why medical schools and payment structures resist transformation—get ready for a lively, thought-provoking discussion!

https://youtu.be/Ozg-X0R5Uh4?si=mbDwM5P7LF1oeagz
https://youtu.be/crrYsUPLn1Q?si=3l-B5UzY3VrMwx14
https://www.healthcarereinvention.com/
https://www.converge.net/book

Disclaimer: This AI-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He considers this an informal conversation with the world about health systems transformation. It should not be considered medical advice. While Dr. Swanson reviews and edits all of the text, given the nature of AI, there will be errors. Dr. Swanson welcomes questions, corrections, and criticisms. This is a learning journey, not a definitive source of information. 

The Interprofessional Primary Care Institute (IPCI) exists to address these challenges by promoting a team-based, community-oriented model of care. Rooted in the principles of relational care, collective action, and community engagement, IPCI trains and organizes healthcare professionals to work collaboratively, equitably, and with a shared sense of purpose. By harnessing the power of interprofessional teams and engaging deeply with communities, IPCI seeks to revitalize primary care and make healthcare work better for everyone—especially those most in need.

Disclaimer: This AI-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He considers this an informal conversation with the world about health systems transformation. It should not be considered medical advice. While Dr. Swanson reviews and edits all of the text, given the nature of AI, there will be errors. Dr. Swanson welcomes questions, corrections, and criticisms. This is a learning journey, not a definitive source of information. 

https://www.linkedin.com/company/interprofessional-primary-care-institute/about/

https://www.linkedin.com/search/results/all/?fetchDeterministicClustersOnly=true&heroEntityKey=urn%3Ali%3Aorganization%3A76609624&keywords=interprofessional%20primary%20care%20institute&origin=RICH_QUERY_SUGGESTION&position=0&searchId=d3125536-cb92-400a-8358-bdefcda610b1&sid=V6g&spellCorrectionEnabled=false

The upheaval in health politics continues. In this episode, our AI hosts discuss the recent events with RFK Jr, NIH, and USAID.

References:

https://www.science.org/content/article/senate-confirms-robert-f-kennedy-jr-vaccine-opponent-health-secretary

https://www.npr.org/sections/shots-health-news/2025/02/13/nx-s1-5294591/rfk-jr-trump-health-human-services-hhs-vaccines

https://www.reuters.com/world/us/usaid-disruptions-leave-oxygen-tanks-tb-drugs-stuck-ships-warehouses-2025-02-13/

https://www.nbcnews.com/news/politics-news/trump-usaid-upheaval-paralyzing-global-delivery-food-medicine-rcna190565

https://www.washingtonpost.com/podcasts/post-reports/the-battle-over-usaid/

Disclaimer: This AI-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He considers this an informal conversation with the world about health systems transformation. It should not be considered medical advice. While Dr. Swanson reviews and edits all of the text, given the nature of AI, there will be errors. Dr. Swanson welcomes questions, corrections, and criticisms. This is a learning journey, not a definitive source of information. 

What happens when a Stanford-trained doctor and a former food industry insider team up to challenge everything we think we know about health? Dr. Casey Means walked away from a career in surgery to revolutionize metabolic health, while her brother, Calley Means, went from consulting for Big Food and Pharma to exposing their deepest secrets. Together, they’re calling out the system’s failures—ultra-processed food, overmedication, and profit-driven healthcare—and offering a radical new vision for disease prevention.

In this episode, our AI hosts break down their provocative ideas, the science behind their claims, and the controversy they’ve stirred. Are they the heroes modern medicine needs, or just disruptors with an oversimplified message? Tune in to find out.

Disclaimer: This AI-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He considers this an informal conversation with the world about health systems transformation. It should not be considered medical advice. While Dr. Swanson reviews and edits all of the text, given the nature of AI, there will be errors. Dr. Swanson welcomes questions, corrections, and criticisms. This is a learning journey, not a definitive source of information. 

Greed is certainly a major factor, but there are many more, such as flawed incentives, cognitive biases, institutional inertia, and a hyperfocus on clinical treatment, as our AI hosts explain in this episode.

Disclaimer: This AI-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He considers this an informal conversation with the world about health systems transformation. It should not be considered medical advice. While Dr. Swanson reviews and edits all of the text, given the nature of AI, there will be errors. Dr. Swanson welcomes questions, corrections, and criticisms. This is a learning journey, not a definitive source of information. 

Managed Care. ACA. Healthcare reform has been stuck in a cycle of tweaks and patches, but the system itself is the problem. We don’t need more pilot programs or managed care tweaks—we need a total rewrite of how we define, finance, and deliver health. Just like the radical transformation of medicine in the early 1900s, it’s time to stop playing within the old rules and start building something entirely new.

Fee for Service? Pay for Performance? Bundled Payments? Capitation? Global Payments? We discuss them all in this AI-generated and hosted podcast, created, edited, and managed by Dr. Chad Swanson.

Discover how Buurtzorg, founded by Jos de Blok in the Netherlands, reinvented healthcare with self-managed nurse teams and a patient-centered approach. With over 90% patient satisfaction and reduced costs, the model has gained global attention, inspiring adaptations in countries like the USA and Japan. In this episode, the hosts analyze Buurtzorg’s success, challenges in scaling, and potential lessons for healthcare systems worldwide.

https://www.buurtzorg.com/

https://pmc.ncbi.nlm.nih.gov/articles/PMC4311562/

Disclaimer: This AI-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He considers this an informal conversation with the world about health systems transformation. It should not be considered medical advice. While Dr. Swanson reviews and edits all of the text, given the nature of AI, there will be errors. Dr. Swanson welcomes questions, corrections, and criticisms. This is a learning journey, not a definitive source of information. 

The Rippel Foundation is a diverse group of changemakers pursuing an ambitious vision for health and well-being. They  join with partners who believe in the power of shared stewardship – people, organizations, networks, and communities coming together to reimagine our systems and work toward a future where all people can thrive.

https://rippel.org/about/

Disclaimer: This AI-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He considers this an informal conversation with the world about health systems transformation. It should not be considered medical advice. While Dr. Swanson reviews and edits all of the text, given the nature of AI, there will be errors. Dr. Swanson welcomes questions, corrections, and criticisms. This is a learning journey, not a definitive source of information. 

Dr. Robert Pearl recently interviewed Munjal Shah, CEO of Hippocratic AI, on the podcast "Fixing Healthcare." We summarize their discussion here. They discusses how generative AI is addressing the healthcare worker shortage with virtual agents that enhance patient care and chronic disease management. Learn about real-world AI applications, from preventing health emergencies to improving crisis response, and discover the safety measures ensuring reliable AI use in healthcare. This episode explores the impact of AI on making patient support scalable and accessible.

https://www.fixinghealthcarepodcast.com/2025/02/05/fhc-164-hippocratic-2/

Disclaimer: This AI-generated and hosted podcast is created, managed, and edited by Dr. Chad Swanson. See chadswanson.com. He considers this an informal conversation with the world about health systems transformation. It should not be considered medical advice. While Dr. Swanson reviews and edits all of the text, given the nature of AI, there will be errors. Dr. Swanson welcomes questions, corrections, and criticisms. This is a learning journey for Dr. Swanson, not a definitive source of information.