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52 minutes | 19 days ago
Episode 27: Dr. Amanda Calhoun on white coats and Black Lives
Back in June, a young Black physician stood outside the Sterling Hall of Medicine at Yale University with a sign in her hands that read: “Stop Killing Black People.” Then she set down the sign, removed her mask, grabbed a megaphone and opened people’s eyes. “My name is Dr. Amanda Calhoun,” she told the crowd, “and I am a Pediatrics and Psychiatry intern at Yale. But long before I was a doctor, I was a Black person in America. And this white coat does not protect me.” This episode of Fixing Healthcare asks the question: Is the culture of medicine racist? Dr. Calhoun, an Adult/Child Psychiatry Resident at Yale and an emerging voice in the national discussion about race relations in medicine, believes every doctor should be an anti-racism advocate. She sat down with co-hosts Dr. Robert Pearl and Jeremy Corr to share her experiences and insights. Season five of Fixing Healthcare focuses on the culture of American medicine, covering what Dr. Robert Pearl calls, “the good, the bad, the beauty, the ugliness, the things that inspire, and the things about which we are embarrassed.” Highlights from Episode 27 with Dr. Calhoun On Calhoun’s own experience with racism in medicine I’ve been on units where it’s common to make jokes about a patient’s hair texture, it’s okay to joke and say that a Black patient wants to join a gang, to joke and say a patient is ghetto, to me that’s institutionalized racism because if you would go to the individual person, they would say they aren’t racist, but that’s really almost a racist institutionalized culture that’s been baked into the system and then people start to believe that it’s okay. It’s very insidious. On distrust between black patients and white doctors A lot of my Black patients have concerns about whether they trust what the attending is saying, whether doctors are going to be experimenting on them. And I’ve had colleagues say, ‘That’s so funny. That’s ridiculous. Why would we experiment on them?’ And I said, are you aware of Henrietta Lacks, the Havasupai Tribe lawsuit, Tuskegee, and a number of other studies that have shown that medicine has a history of experimenting on Black people and other people of color? On undertreating pain in Black patients We know that Black patients are undertreated for their pain compared to white patients. Meaning that if a Black patient and a white patient comes into the clinic or the emergency department with similar pain symptoms for presentation, the white patients are more likely to be worked up more, they receive more testing and also studies have come out that have shown that minority patients in general are less likely to be treated with empathy and understanding compared to white patients. On educating doctors about racism A 2015 survey showed that white residents and medical students still felt that Black people felt less pain, which is wild to me because Black is a race. It’s not biological, right, it’s a social construct that was made up and they still think that Black people feel less pain. Then when you bring in the history of it, you start learning about J. Marion Sims, the father of gynecology, and the fact that he experimented on African slaves with anesthesia to perfect his vestigial vaginal fistula repair, and then would take those perfected procedures and perform them on white women with anesthesia. So you can see how this historical belief that Black people felt less pain has persisted and continues to persist today. On sexism vs. racism in medicine The sexism I experienced pales in comparison to the racism I experience. I mean, it’s not even on the same level. White women are benefiting far more from societal advantages than Black women. That’s just a fact. White women are paid more in the same jobs than Black women are. There are more white women represented in psychiatry, for example, than Black women by far. And so, I don’t want to minimize sexism. Of course, sexism is terrible and there is a lot that needs to be done on that front, but I do not think the sexism that I experienced is nearly as damaging as the racism. On getting Black people vaccinated against COVID-19 When this vaccine comes out it’s going to be very interesting because trying a new vaccine requires trust and I think that trust has been eroded and really, honestly eroded, and was never truly earned in the Black community. I think one of the biggest things that we can do as the medical system is work on rebuilding that trust with the Black community. On Black mothers dying in childbirth For me, as a Black woman, one of the studies that really touched me was looking at the rising maternal mortality in Black women due to preventable childbirth complications and the fact that for the longest time people were citing poverty and lack of education as the reason behind these racial disparities. However, recent studies have shown that college graduate Black women are more likely to die due to preventable childbirth complications than white women who have never completed high school. That argument that it’s just poverty, it’s just education, falls to the wayside when you still see that these disparities exist. READ: Full transcript of our discussion with Dr. Amanda Calhoun Listener note: Dr. Robert Pearl has spent years researching and reporting on the culture of medicine. That work will culminate in the publication of his 2021 book, “Uncaring: How Physician Culture Is Killing Doctors And Patients.” To learn more, subscribe to his newsletter Monthly Musings on American Healthcare. * * * Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple Podcasts or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post Episode 27: Dr. Amanda Calhoun on white coats and Black Lives appeared first on Fixing Healthcare.
37 minutes | 2 months ago
#22: What do (and don’t) we know about Trump’s illness and treatments?
President Donald Trump tweeted today that he will soon leave Walter Reed National Military Medical Center, where he has been receiving treatment for Covid-19. Trump’s physician said the president is not “entirely out of the woods yet” but that the patient could continue his ongoing treatment regimen from the White House. In this episode Dr. Robert Pearl and Jeremy Corr examine the available facts about the U.S. president’s illness, current condition and ongoing medical care. In addition, our co-hosts have answers to the following Covid-19 questions: [00:51] What’s the latest on President Trump’s health status following his diagnosis of COVID-19 late last week? What treatment(s) has he received? Why was he given them under a “compassionate use” request? And what’s next? [04:17] Does Trump have a legal right to patient privacy or do Americans deserve to know the president’s health status? [07:18] What are the latest virus developments *outside* of the White House? [10:42] The U.S. mortality rate: what is it for Covid-19 and why is it important? [14:46] What’s happening economically in the county right now? [17:23] Where do drug makers stand with vaccine development? [22:11] People remain skeptical about the safety of the vaccine. Are they wise to be concerned at this stage? [25:07] Trump continues to tout new treatments. Do any of them look scientifically promising yet? [28:50] News outlets are reporting about a new strain of the virus. What are the medical implications? Is it more lethal? [30:41] Which healthcare topics did the presidential candidates fail to touch on in last week’s debate? [32:07] Will the healthcare specifics (or lack of) in last week’s debate sway votes? [34:14] Listener question: If the Supreme Court strikes down the Affordable Care Act in the near future, how would that impact coronavirus treatments? This episode is available on Apple Podcasts, Google Play, Spotify and other podcast platforms. If you have coronavirus questions for the hosts, please visit the contact page or send us a message on Twitter or LinkedIn. *To ensure the credibility of this program, Coronavirus: The Truth refuses to accept sponsorship, outside funding sources or guests with any financial or personal conflicts of interest. The post #22: What do (and don’t) we know about Trump’s illness and treatments? appeared first on Fixing Healthcare.
40 minutes | 2 months ago
#21: Do these coronavirus statistics surprise you?
There has been no shortage of surprising statistics to emerge from this pandemic. Dr. Robert Pearl’s upcoming Forbes article, “Three Misleading, Dangerous Coronavirus Statistics” (available here on Tuesday, Sept. 21), examines a trio of figures that are based on actual data but have proven to be misleading and hazardous to the nation’s health. This episode of Coronavirus: The Truth features several statistics that might surprise you. Take the recent CBS opinion poll, which found that just 21% of voters would take a free vaccine if one became available in the near future (more on that at the 18:32 mark of this podcast). Or what about the new Axios poll, which found that 51% of college students who say it was not the right choice for their schools to allow students on campus (see 21:56 below). Tune in for more surprising stats, along with answers to the following Covid-19 questions: [00:51] What did health experts learn this past week about the coronavirus? [06:28] How are other nations dealing with resurgences of the diseases? [07:47] What are the latest “miscommunications” to come out of the CDC? [09:41] Where are we on the passage of a new stimulus bill in Congress? [12:02] What’s the status of Covid-19 vaccine development? [16:28] How will we know if a vaccine is truly safe and effective? [18:32] Will Americans trust and be willing to take an FDA approved vaccine? [19:49] What’s known about the potential long-term health effects of the virus? [21:56] What’s the deal with college campuses and spikes in cases? [24:54] Why do people in different parts of the country interpret the threat of this virus so differently? [26:36] Elected officials in New York are under fire from critics and local business owners. What’s the latest? [29:28] Listener question: “Is there any chance this virus will be here forever?” [34:42] What hobbies/activities keep our co-hosts happy and mentally healthy? This episode is available on Apple Podcasts, Google Play, Spotify and other podcast platforms. If you have coronavirus questions for the hosts, please visit the contact page or send us a message on Twitter or LinkedIn. *To ensure the credibility of this program, Coronavirus: The Truth refuses to accept sponsorship, outside funding sources or guests with any financial or personal conflicts of interest. The post #21: Do these coronavirus statistics surprise you? appeared first on Fixing Healthcare.
51 minutes | 2 months ago
Episode 25: Why U.S. doctors provide low-value care
No expert has gained more insight into the organizational factors associated with physician and health-system performance than Stephen M. Shortell. He is a graduate school professor and dean emeritus of UC Berkeley’s School of Public Health. He is currently conducting research on Accountable Care Organizations (ACOs) integrated care models, innovations in healthcare delivery, and examining the application of the Lean management in U.S. hospitals. He is the author or co-author of 10 books and has published more than 300 peer-reviewed papers in a variety of organizational and health services/health policy research journals. Dr. Shortell is an elected member of the National Academy of Medicine (formerly the Institute of Medicine), past editor of Health Services Research, and past president of the Association for Health Services Research (Academy Health). He holds PhD, MBA and MPH degrees. In this episode of Fixing Healthcare, he explains how perverse financial incentives combine with a lack of technology to prevent American doctors from providing high-value, patient-centered care. In addition, Dr. Shortell dives deep into the current state of U.S. healthcare and what it will take to emerge from the coronavirus crisis better than before. Also in this episode, we cover the following topics: Why so many doctors fail to follow evidence-based approaches. Why a third of Medicare beneficiaries receive low-value services. What Dr. Shortell has learned from studying the “social determinants of health” and their impact on clinical outcomes. The role of race and the effects of racism in American healthcare. Whether the Affordable Care Act will survive, adapt, or die. What American healthcare has gotten right and wrong during its coronavirus response. How to address the rapidly rising cost of drugs. What to do about the decline of hospitals in the United States. How to improve rural healthcare. Whether a program like Medicare Advantage could be a national solution to high costs and poor quality. READ: Full transcript of our discussion with Stephen Shortell * * * Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple Podcasts or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post Episode 25: Why U.S. doctors provide low-value care appeared first on Fixing Healthcare.
37 minutes | 3 months ago
#20: What’s the truth about super spreaders, saliva tests and vaccine safety?
In this, the 20th episode of Coronavirus: The Truth, hosts Dr. Robert Pearl and Jeremy Corr address the most pressing questions concerning the COVID-19 pandemic. What are “super spreaders”? Will the FDA approve a COVID-19 vaccine before phase-three testing wraps up? What do we know about latest testing controversy enshrouding the CDC? And how did Iowa, of all places, become the latest coronavirus hotspot? Since March 2020, this podcast has delivered science-based updates on the coronavirus, insights from public health officials and clinicians, along with an unbiased look at how the COVID-19 news and information impact American life. With informed commentary, helpful context and reporting from only the most credible sources, Coronavirus: The Truth cuts through the politics and misinformation to bring listeners the truth. Questions answered in this episode include: [00:50] What did we learn last week about the coronavirus pandemic? [03:22] The CDC is at the center of another COVID-19 testing controversy. What are the details? [05:48] Research on the much-ballyhooed saliva test was just published in NEJM. Are these less-painful tests accurate or not? [07:51] The FDA said it might approve vaccines before phase-three testing results are in. Will that spook the public and would Dr. Pearl take it, himself? [10:51] Why are men faring worse in this pandemic than women? [12:27] Listener question: What is a super spreader? [14:17] What’s with this 6% statistic that pandemic deniers are touting? [19:15] Do scientists know anything about the psychological consequences of the pandemic so far? [21:43] Jeremy Corr’s home state of Iowa now has highest incidence of coronavirus infection. What’s going on there? [23:40] Why are meat packing facilities continuing to see such high rates of coronavirus infections? Is further disruption to the food chain possible? [25:41] Is “planned herd immunity” (allowing ~150 million relatively healthy people to get infected) a feasible strategy for ending the pandemic in this country? [33:06] Listener question: Should the United States join the global search for a vaccine or continue to go it alone? This episode is available on Apple Podcasts, Google Play, Spotify and other podcast platforms. If you have coronavirus questions for the hosts, please visit the contact page or send us a message on Twitter or LinkedIn. *To ensure the credibility of this program, Coronavirus: The Truth refuses to accept sponsorship, outside funding sources or guests with any financial or personal conflicts of interest. The post #20: What’s the truth about super spreaders, saliva tests and vaccine safety? appeared first on Fixing Healthcare.
35 minutes | 6 months ago
#14: How will historians look back on our nation’s handling of the coronavirus?
Looking back on the coronavirus pandemic and the national response, Dr. Robert Pearl says, “I believe that historians will judge the American people well and nearly all of our leaders poorly.” Robert’s co-host and fellow history buff Jeremy Corr notes that past outbreaks led to significant social and political shakeups: “Epidemics are the kinds of events in history that set off a chain reaction of other events that often have very serious consequences that change things forever.” In episode 14 of Coronavirus: The Truth, Robert and Jeremy examine the available facts and historical trends to imagine what historians will see when they look back on the year 2020. Also, in this podcast, the hosts answer your coronavirus questions relating to masks, sexual transmission and more: [00:51] What were the biggest coronavirus news updates from the past week? [04:12] What can be done about the uptick in new cases as states reopen? [08:56] The World Health Organization (WHO) caused mass confusion last week concerning asymptomatic transmission of the virus. What happened and what’s the truth? [16:02] As political debate rages over the use of masks, how can people make sense of what will or won’t keep them safe? [17:58] Listener question: Can the coronavirus spread through sexual transmission? [20:23] Are we at the beginning of another surge or a “second wave” of the pandemic? [22:03] In hindsight, did we shut down too hard for too long? [25:28] Many have compared the coronavirus to war. What are the biggest parallels and differences? [29:34] How might historians talk about our current response to this viral pandemic 25 years from now? This episode is available on Apple Podcasts, Google Play, Spotify and other podcast platforms. If you have coronavirus questions for the hosts, please visit the contact page or send us a message on Twitter or LinkedIn. *To ensure the credibility of this program, Coronavirus: The Truth refuses to accept sponsorship, outside funding sources or guests with any financial or personal conflicts of interest. The post #14: How will historians look back on our nation’s handling of the coronavirus? appeared first on Fixing Healthcare.
51 minutes | 6 months ago
Episode 22: Former FDA commissioner on ending the COVID-19 pandemic
As head of the Food and Drug Administration from 1990 to 1997, Dr. David A. Kessler went to war with cigarette companies, approved life-saving HIV/AIDS medications, and introduced consumers to Nutrition Facts. He is the author of several books, including his latest, “Fast Carbs, Slow Carbs: The Simple Truth About Food, Weight, and Disease.” In this interview, Kessler comments on what it will take to end COVID-19, how he handled the pressures of the FDA, and why we shouldn’t overlook the dangers of marijuana or bagels. Here are some of Dr. Kessler’s highlights from Episode 22: On the most promising COVID-19 medications Without a vaccine, you certainly have the hope for an antiviral before a vaccine. And then the question is what type of antiviral? Is it going to be an antiviral to treat this disease or prevent infection? It would be great to have a prophylactic antiviral. And there are certainly a lot of clinical trials underway. There’s anecdotal information right now. There’s reason to hope that there … may be an existing antiviral or a new antiviral will be able to demonstrate efficacy. On slowing the spread of COVID-19 without a vaccine I’ve been thinking very hard about this question and the only answer that I can come up with of how to allow people to come out of their homes, out of the sheltering in place, is widespread testing. And the basics of public health, contact tracing, but either serological or virological, we’ll see where we are … in the absence of a way to treat this virus or prevent this virus, the only thing we have is that we identify those who are infected, and we do that through widespread testing. So I think the answer is testing, testing, testing, and to do what China and South Korea and several other communities have done, identify those who are spreading the virus and protect others from that spread. On the CDC’s COVID-19 testing delays We’re still very much in the midst of this crisis. I think at certain point we will look back and try to sort that out. I certainly have questions about what happened and I don’t think we have the whole story yet, why we lost a number of crucial weeks, if not months, in fighting this virus. I don’t know the whole story, and I don’t think anybody does. I think that’s for some time in the future, once this is behind us. We have to make sure that it doesn’t occur again. On approving new drugs The way the law is written, a drug has to be both safe and effective. It doesn’t have to, under the law, be better than something on the market, right? So. you have to show that your drug works. You have to show your drug works, for example, compared to a placebo. And you have to show that the drug is safe … but generally we don’t require, Congress has never required, relative efficacy to be shown. On his advice for current FDA commissioner Stephen Hahn The job is white heat. There are thousands and thousands and thousands of people who try to influence the agency’s decisions and today, or you could see it play out at the highest levels of government. The administration trying to influence, get this drug to the market, approve this drug, do it immediately. And what you have to do is be willing to put your body on the line and allow the people of the agency to look at the data and to focus on the science and make the best decisions they know how to do. And your job is to protect that decision-making process. On handling the pressures of the FDA In the same breath, reporters can write that the agency is either acting too fast and not taking safety into consideration or too slow and holding up important drugs. I think we’ve developed probably the most sophisticated drug regulatory system in the world. I think we are as fast as any country in the world and yet I have tried to maintain rigorous standards. That doesn’t mean FDA doesn’t a mess up. It does do that sometimes. READ: Full transcript of our discussion with David A. Kessler * * * Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple Podcasts or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post Episode 22: Former FDA commissioner on ending the COVID-19 pandemic appeared first on Fixing Healthcare.
34 minutes | 6 months ago
#13: Can we trust scientific research in the era of COVID-19?
For prestigious, peer-reviewed medical journals, the retraction of an article is an incredibly rare event. Last week, it happened twice: in The Lancet and the New England Journal of Medicine. Both articles examined the effects of potential COVID-19 treatments and, following publication, had both an immediate and a significant influence on healthcare delivery in the United States. The data, it turned out, was suspect at best and fraudulent at worst. With egg on their face, the editors of these journals faced a barrage of questions. Chief among them: How did this happen? In episode 13 of Coronavirus: The Truth, co-hosts Dr. Robert Pearl and Jeremy Corr examine the contentious debate over the research of possible COVID-19 cures, along with the following subjects: [00:48] What are the most important coronavirus news highlights from last week? [06:24] Why did two of the most prestigious medical journals to retract articles tied to coronavirus treatments? [10:51] What does it mean that reports of child abuse are down during the pandemic? Will schools give in to pressures to reopen this fall? [12:12] Will protesters, many marching in close proximity without masks, suffer higher rates of coronavirus infections? [15:08] With air travel picking up, what are risks for those choosing to fly? What’s the safest seat on an airplane? [16:32] How optimistic should we be about an effective coronavirus treatment coming soon? What do “promising findings” really mean? [18:47] As the Black Lives Matter (BLM) movement gains momentum, what is the nation learning about the populations most affected by the coronavirus? [20:55] Few people in America’s heartland are wearing masks or social distancing. Why? [23:38] As co-host of a podcast on the coronavirus, how’s Jeremy feeling about his son returning to daycare this week? [25:16] Listener question: “What do we know now about how the coronavirus is transmitted and has the risk been overrated?” [27:00] Listener question: “I can’t stand my kids not seeing their grandfather for another month. How can I minimize the risk of harming dad?” This episode is available on Apple Podcasts, Google Play, Spotify and other podcast platforms. If you have coronavirus questions for the hosts, please visit the contact page or send us a message on Twitter or LinkedIn. *To ensure the credibility of this program, Coronavirus: The Truth refuses to accept sponsorship, outside funding sources or guests with any financial or personal conflicts of interest. The post #13: Can we trust scientific research in the era of COVID-19? appeared first on Fixing Healthcare.
36 minutes | 6 months ago
#12: How does racial inequality fuel the coronavirus crisis?
Recent demonstrations and violence sparked by the death of George Floyd are “like a river,” as Dr. Robert Pearl puts it, with many streams coming together to form a powerful current. Floyd’s preventable death at the hands of Minneapolis police is the most recent stream. Others go back much farther. They include systemic racism and generations of unfair treatment by law enforcement. There is yet another source to this river, which is health-related. Though the coronavirus does not see color, it does reveal the disastrous health consequences of racial, social and economic inequality in the United States. Currently, the mortality rate for people of color is more than double that of America’s white population. Meanwhile, research has found that poverty and inequality can exacerbate rates of transmission and mortality. In episode 12 of Coronavirus: The Truth, co-hosts Dr. Robert Pearl and Jeremy Corr examine the difficult truths of racial and income inequality during the coronavirus pandemic: [00:55] What coronavirus news popped up in the past week? [07:24] Why does the coronavirus hit African-American and low-income households hardest? [13:07] Will the protests and riots result in spikes of coronavirus cases? [14:29] What’s the latest on the Moderna vaccine and Remdesivir treatment? [17:18] How can church congregants reduce the risks of worshiping together? [23:22] What might school (elementary, high school and universities) like in the fall? [26:18] What do we know about the possibility of getting re-infected after recovering from the coronavirus? [27:32] Will Americans tolerate daily testing/monitoring as a condition of coming back to work? And will employers be held accountable for public safety? [28:55] Should the public be concerned about mutations of the coronavirus? [31:50] How is the “middle game” of the U.S. coronavirus response going? This episode is available on Apple Podcasts, Google Play, Spotify and other podcast platforms. If you have coronavirus questions for the hosts, please visit the contact page or send us a message on Twitter or LinkedIn. *To ensure the credibility of this program, Coronavirus: The Truth refuses to accept sponsorship, outside funding sources or guests with any financial or personal conflicts of interest. The post #12: How does racial inequality fuel the coronavirus crisis? appeared first on Fixing Healthcare.
30 minutes | 7 months ago
#10: What will the ‘new normal’ look like next year based on current facts?
Looking over the horizon of the current coronavirus pandemic, it’s hard to get a clear picture of the “new normal” everyone seems to be talking about. As Dr. Robert Pearl wrote in his latest Forbes column, health experts continue to debate the timeline for an effective coronavirus vaccine while financial experts continue to debate the best course for reopening the nation’s economy. In episode 10 of Coronavirus: The Truth, Robert and his co-host Jeremy Corr examine the possibilities for a “new normal” in the near future. To do so, they look at successes and failures of other nations’ recovery efforts so far, break down the biggest opportunities and threats facing American patients and businesses, and dive into the latest on congressional stimulus efforts: [00:59] What major coronavirus updates emerge from the past week? [03:31] What’s the difference between isolation and quarantine? [04:29] Sweden imposed only minimal restrictions on businesses and kept its schools open. What were the results and what can the U.S. learn? [06:56] South Korea responded quickly and aggressively early on to contain the virus. So why did the country close down businesses again last week? [08:35] Based on current facts, what will the “new normal” look like in spring 2021? [10:00] How big is the mental health threat of sheltering in place? [12:06] What were the three biggest failures of the U.S. coronavirus response? [14:52] Why isn’t saliva-based (oral) testing getting more attention on a national level? [17:23] When will we have all of the answers about the coronavirus? [22:59] From a sales and marketing perspective, will the majority of small businesses need shift to an eCommerce strategy? [24:56] The House just passed a $3 trillion bailout bill: What’s its fate and what difference would it make If you have questions you’d like the hosts to discuss on a future episode, visit the contact page or send us a message on Twitter or LinkedIn. This episode is available on Apple Podcasts, Google Play, Spotify and other podcast platforms. *To ensure the credibility of this program, Coronavirus: The Truth refuses to accept sponsorship, outside funding sources or guests with any financial or personal conflicts of interest. The post #10: What will the ‘new normal’ look like next year based on current facts? appeared first on Fixing Healthcare.
39 minutes | 7 months ago
#9: A practical survival guide to COVID-19
Each week, Dr. Robert Pearl and Jeremy Corr receive dozens of questions from friends, colleagues and listeners. Most questions are about practical, everyday concerns. “Can my son visit his girlfriend?” “Should I (finally) get a professional haircut?” “Do I need to wear a mask every time I step outside?” “Will my favorite restaurants bounce back from this?” With so much disinformation and opinion causing so much confusion in the United States, this episode is dedicated to the practical realities of the coronavirus and what the facts mean for our daily lives going forward. In episode 9 of ‘Coronavirus: The Truth, Robert and Jeremy offer listeners a medical and financial survival guide to COVID-19, with answers to these questions and more: [01:14] Could a healthy 20- or 30-something person safely go to a bar now? [03:47] Should I be wearing a mask everywhere I go? At the park? The grocery store? [06:04] When can my kids safely go back to the playground or daycare? [08:49] What about haircuts? When and how can I get back to the barbershop or salon? [11:38] Will restaurants rebound and survive the phased reopening strategies in most states? [15:42] Is it a good sign that so many “emergency field hospitals” are shutting down? [18:34] Will there be a second wave and how bad will it be? [21:05] Aren’t we likelier to die from driving our cars to work than from COVID-19? [26:25] Will more Americans take vaccines more seriously going forward? [27:32] How should we decide the order of who gets a COVID-19 vaccine? [29:11] Will it take 10-12 years to return the U.S. economy to its pre-coronavirus state as some financial experts predict? Have we made the cure worse than the disease? If you have any practical, medical or economical coronavirus questions you’d like the hosts to discuss, visit the contact page or send us a message on Twitter or LinkedIn. This episode is available on Apple Podcasts, Google Play, Spotify and other podcast platforms. *To ensure the credibility of this program, Coronavirus: The Truth refuses to accept sponsorship, outside funding sources or guests with any financial or personal conflicts of interest. The post #9: A practical survival guide to COVID-19 appeared first on Fixing Healthcare.
56 minutes | 7 months ago
Episode 21: Ex-Apple CEO talks tech and the rise of the healthcare consumer
John Sculley, the former CEO of PepsiCo and Apple, now has his “head in the cloud” as chairman of the Boston-based health-tech company RxAdvance. In this, the fourth season of Fixing Healthcare, Dr. Robert Pearl and Jeremy Corr are focused on spotlighting big ideas and the people behind them. Sculley, who grew Apple’s sales from $800 million to $8 billion, believes the legacy players in today’s healthcare system will be disrupted by new entrants who will focus on empowering consumers to make better health decisions. In this episode, Sculley answers the following questions about his career, his passion for healthcare and the future of American medicine: How did Steve Jobs convince Sculley to take over as Apple’s CEO? How is Apple different today from the company they built in the ‘80s and ‘90s? Why haven’t any healthcare technologies been able to lower healthcare costs and improve patient health on a national level? What makes the culture special at companies like Apple? Which technology will have the single biggest impact on healthcare in the next five to 10 years? Why are prescription drugs so expensive and what’s the solution? What’s going to motivate Americans to lose weight and lower the risk of diabetes? What will become of Haven, the healthcare startup that combines Amazon, Berkshire Hathaway and JPMorgan Chase? Is it possible to get doctors to view the people they care for as consumers rather than patients? What’s holding back disruptive innovation in U.S. healthcare? How do consumers go about separating the hype from the reality of new healthcare technologies? Are tech companies scared by the major legal risks that exist in healthcare? READ: Full transcript of our discussion with John Sculley * * * Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple Podcasts or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post Episode 21: Ex-Apple CEO talks tech and the rise of the healthcare consumer appeared first on Fixing Healthcare.
34 minutes | 7 months ago
#8: Testing, testing: Which COVID-19 test is best?
“I find this study to be one of the most encouraging since this pandemic began,” says Dr. Robert Pearl, referring to research out of Yale that confirms new saliva-based testing for COVID-19 is not only less painful and less intrusive than the widely used nasal swab, but also more consistently accurate in detecting the coronavirus. What’s more, these oral tests can be self-administered whereas nasal testing requires a clinical professional to insert six-inch swab deep into the nasal passage. At present, both must be completed at an approved, public testing site. However, scientists are determining whether saliva testing could be approved for in-home use. As politicians and health experts push for more testing in hopes of containing the pandemic, could a more convenient testing alternative prove to be a game-changer in the fight against coronavirus? In episode 8 of ‘Coronavirus: The Truth, Dr. Pearl and Jeremy Corr discuss this and other recent developments: [00:50] What are the most important COVID-19 updates of the past week? [02:22] Are we reopening the country too quickly or not quickly enough? [03:34] What do the latest corporate-earnings reports say about the impact of COVID-19? [04:54] Remdesivir: boom or bust as an effective coronavirus medication? [06:48] A national thinktank predicts the pandemic will last another 12 to 24 months. True? [08:59] What should people make of the latest unemployment and GDP numbers? [11:25] Which COVID-19 symptoms just got added the CDC’s list? Are more to come? [12:53] Will saliva testing be a game-changer in our fight against the pandemic? [16:20] Why has Germany been so successful in containing the virus? [18:11] How will we protect seniors and people with chronic diseases going forward? [19:30] When and how can in-person church services safely resume? [23:54] Why aren’t businesses willing to bail out hospitals and health insurers? [26:52] Will healthcare undergo a much-needed technological overhaul after the pandemic? [29:00] Which parts of the country are reopening the right way? [30:48] Approximately 3 million people have read this coronavirus article. What’s the appeal? This episode is available on Apple Podcasts, Google Play, Spotify and other podcast platforms. To submit a question or comment to the hosts, visit the contact page or send a message on Twitter or LinkedIn. *To ensure the credibility of this program, Coronavirus: The Truth refuses to accept sponsorship, outside funding sources or guests with any financial or personal conflicts of interest. The post #8: Testing, testing: Which COVID-19 test is best? appeared first on Fixing Healthcare.
35 minutes | 7 months ago
#7: Is it time to get back to work?
Dr. Robert Pearl, co-host of this show, struck a chord this week with his most recent Forbes column, “3 Coronavirus Facts Americans Must Know Before Returning To Work,” which quickly shot to No. 1 on the site’s “most popular” list, garnering more than 1 million views. His article offers a full-throated plea for politicians, business owners and workers to embrace the facts surrounding COVID-19 so that we can understand what will happen when our nation eases social-distancing restrictions. This episode examines the latest plans to reopen the country and the health implications of getting Americans back to work. In episode 7 of ‘Coronavirus: The Truth,’ Dr. Pearl and Jeremy Corr discuss these pressing questions: [00:53] What are the most important COVID-19 updates? [01:52] Why are nursing homes so disproportionately affected by the virus? [04:04] In what way is U.S. healthcare still vulnerable in the fight against COVID-19? [05:53] Has anyone pitched a viable strategy available to end the pandemic? [09:06] Does Congress have plan to revive the economy and keep us safe? [11:26] VP Pence said the U.S. is prepared for a second wave. Are we? [12:21] What should Americans know and do before returning to work? [16:44] Who was the first COVID-19 fatality in the U.S. and what can she teach us? [18:52] With 43% of small businesses closed, how long can owners stay afloat? [21:28] Can public surveillance keep Americans safe from another outbreak? [23:39] What painful economic truths await us in the months ahead? [26:36] What healthcare improvements can we expect, post-pandemic? [28:15] Are people immune from future infection once recovered from COVID-19? [30:42] What has surprised physicians about the coronavirus? This episode is available on Apple Podcasts, Google Play, Spotify and other podcast platforms. To submit a question or comment to the hosts, visit the contact page or send a message on Twitter or LinkedIn. *To ensure the credibility of this program, Coronavirus: The Truth refuses to accept sponsorship, outside funding sources or guests with any financial or personal conflicts of interest. The post #7: Is it time to get back to work? appeared first on Fixing Healthcare.
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