In this Take Two episode of Relentless Health Value, host Stacey Richter reflects on her conversation with Dr. John Lee to explore the challenging intersection between mission and margin in healthcare. 

They discuss the nuances of cognitive dissonance faced by healthcare professionals, particularly when organizational priorities conflict with patient care. Dr. Lee shares insights on finding a sense of mission within the constraints of the current healthcare system, emphasizing the importance of incremental improvements, team-based care, and peer support. 

The conversation also highlights real-world examples of systemic issues and practical advice on how individuals can contribute to meaningful change without feeling demoralized. This episode is part of an ongoing series addressing critical topics in healthcare, and listeners are encouraged to tune in next week for further discussions.

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08:05 What is cognitive dissonance relative to the healthcare industry?

09:23 What are the systems that start to bear down on individuals within the healthcare system?

10:15 EP391 with Scott Conard, MD.

10:53 EP415 with Rob Andrews.

11:50 EP326 with Rishi Wadhera, MD, MPP.

12:27 “The system has almost gamed them.”

15:44 How can alignment still be achieved in the face of cognitive dissonance?

17:12 EP431 with Kenny Cole, MD.

20:43 Why does it take more than one person to solve the dysfunction in the healthcare system?

23:01 What are some little changes that can help change the cognitive dissonance in healthcare?

24:57 Why is a hierarchical healthcare structure not necessarily beneficial?

27:12 The RaDonda Vaught story.

34:30 “Be happy in the small things.”