Moral Matters

Our season wraps up with Simon and Wendy discussing the whole experience of producing the 8 seasons of Moral Matters. We highlight excerpts from just a few of the amazing conversations we've had over the last four years: Jeremy Muller, Joe Crane, Blake Alkire, Rosemary Batt, Thom Mayer, Adam Beckman, Walter O'Donnell, L. Robert Burns, Ilana Yurkiewicz, and Luke Messac. We close with a teaser from 43cc, a new podcast co-hosted by Wendy Dean and Matt Ramsey that takes an irreverent look at healthcare, with a shot to dull the pain.

Link to 43cc podcast: https://podcasts.apple.com/us/podcast/43cc/id1715895952

This will be our last episode for a little while, but we are not going anywhere. Follow 43cc for the next steps after Moral Matters, and continue to support us at the links below.

We send a big "Thank you!" to all of our faithful listeners and supporters. Good bye and stay well.

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Today we're looking back to one of our favorite conversations from season 1 with Dr. Don Berwick, President Emeritus and Senior Fellow of the Institute for Healthcare Improvement. Dr. Berwick is a long-time advocate for improving healthcare for both patients and providers. During this conversation, we talk about the moral imperative of change in healthcare; how we can approach the challenges more effectively; and why working together will be critical.

We want to hear from you. Send a voice memo or note to [email protected].

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This week’s episode is a look back at a conversation from our very first season, amid the complexities of Covid19, and stands as a stunning example of how administrators and physicians can come together to ensure the well-being of their staff, patients, and community, even during a global pandemic. Ed Tufaro, SVP of Operations at the Rothman Orthopaedic Institute, and his team prioritized placing people over profit, even before state governments took action.

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Today we are revisiting a conversation from Season 6 Episode 2 with Adam Beckman, former Special Advisor to the US Surgeon General. He and Dr. David Chokshi, former New York City Health Commissioner, called on hospitals to end five administrative practices that harm patients in their October 2022 article in JAMA Health Forum. In our conversation, we dove deep into that article, and talked about ways individuals can get engaged.

JAMA article: https://jamanetwork.com/journals/jama-health-forum/fullarticle/2798115

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Is organizing a solution to moral injury? Joe Crane has been a union organizer for two decades. When we spoke with him in 2021, Joe was the national organizer for the Doctors Council. He has since moved to UPAD.  Joe walks us through the basic steps of organizing, what it can achieve, and how long it might take.

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More information about the Doctors Council: https://doctorscouncil.org/

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Understanding human development is an important part of leadership. In this conversation from Season 3, Dr. Will Torrey, then interim chair of psychiatry at Dartmouth Hitchcock Medical Center(he is now the chair), talks about helping people find their full selves, whether in clinical care, leadership, research or education, and how to channel your outrage toward change.

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What we choose to measure can distort our organizations, impact our workforce, and hijack our attention and resources. Jerry Muller, professor emeritus of history at the Catholic University of America and the author of The Tyranny of Metrics, describes how that happens then offers a way to create metrics that matter.

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The US went from small scale, local healthcare institutions to multibillion dollar megaproviders in barely a generation. Lawton R. Burns, MBA shares his perspective on how it happened, what the true costs are, and what we all can do about it.

Big Med:

Seemed Like a Good Idea:

If I Betray These Words:

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Rosemary Batt is the Alice Hanson Cook Professor of Women and Work at the Industrial Labor Relations School at Cornell University and a Professor in Human Resource Studies and International and Comparative Labor. Her research focuses on comparative international studies of management and employment relations, with particular attention to the impact of financialization on management and employment and the globalization and restructuring of service industries and its impact on low wage workers.

https://cepr.net/wp-content/uploads/2021/10/AB-Financialization-In-Healthcare-Spitzer-Rept-09-09-21.pdf

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In this episode, we look back at a conversation from Season 1 with Richard Lacquement, Dean of the US War College, about the idea of professionalism in the military and how that relates to some of the struggles in professionalism in healthcare.

Do us a favor? Let us know the tiniest bit about you, and who you want to hear from, so we can better plan future seasons: https://www.surveymonkey.com/r/9SBSMMF

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