In this episode of Unstable Vitals, Dr. Adam Brown and Dr. Lara Zibners dive into one of the biggest challenges in healthcare today: misaligned incentives. Should our system prioritize profit or patients? How do payment models, public policy, and personal responsibility collide to shape health outcomes?

From fee-for-service vs. value-based care to the impact of public transportation, food policy, and behavioral nudges, Adam and Lara unpack the hidden forces driving both innovation and inequity in modern medicine. Along the way, they share personal stories, debate policy trade-offs, and explore how we can make healthy choices easier, care more accessible, and incentives better aligned, without sacrificing innovation.

If you’ve ever wondered why our healthcare system feels broken (and what it would take to fix it) this episode is for you.

🎧 Listen now to hear:

• Why profit-driven incentives often work against patient health
• How public health policies intersect with economic growth
• The promise and pitfalls of value-based care
• Behavioral nudges  and making healthy choices easier
• Why doctors need to understand the business of healthcare

Listen to Part 1 before diving into Part 2.