Episodes

Jan. 9, 2024

FHC #119: Diving deep into clinician burnout and ChatGPT as a solution

Clinician burnout is a major problem in the United States. But as cohosts Dr. Robert Pearl and Jeremy Corr discuss in today’s episode of Diving Deep, burnout is not a distinctly American problem. Recent data from The Commonwealth Fund indicates that primary care doctors in the United States are as satisfied as their peers in the UK, Germany, Canada, Australia and New Zealand. This seems surprising given the unique challenges and frustrations posed by the American healthcare system. But if the s...
Jan. 3, 2024

FHC #118: 2023 in review plus 2024 preview and predictions

What a year it was for American healthcare. Generative AI exploded onto the scene and scored in the top echelon of test takers on the U.S. medical licensing exam. America’s largest retailers made several multibillion-dollar acquisitions in the primary care, telemedicine and home-health arenas. Diabetes drugs stunned researchers with their ability to help patients lose weight. These are just a few of the biggest stories from 2023 that cohosts Dr. Robert Pearl and Jeremy Corr discuss on today’s e...
Dec. 26, 2023

FHC #117: The Young and the Breathless

Bubbly and precocious, Hunter was every parent’s dream child and every teacher’s ideal student. By age 14, she had already enrolled in classes at a local college to augment her course schedule. She played soccer, softball, basketball and ran track in high school. She was on the swim team. She even tried cheerleading, though that wasn’t her cup of tea, said Maria, Hunter’s mom. Maria describes her daughter with words like “amazing” and “beautiful” and “unstoppable.” But to truly appreciate the p...
Dec. 19, 2023

FHC #116: Death of a Surgeon

Welcome to season nine of Fixing Healthcare with cohosts Dr. Robert Pearl and Jeremy Corr. This season tackles the difficult topic of death, examining end-of-life issues from multiple angles. Today’s episode features a reading from Dr. Robert Pearl’s most recent book “Uncaring: How the Culture of Medicine Kills Doctors & Patients,” which is available in audio book, eBook and hardcover. All profits from sales go to Doctors Without Borders. What you’re about to hear is the story of David, a coll...
Dec. 12, 2023

MTT #79: Why do viruses love the holidays?

As it was this time last year, ‘tis the season for sneezing once again. While carolers are coughing and shoppers are sniffling, podcast cohosts Dr. Robert Pearl and Jeremy Corr are tracking the seasonal surge in Covid-19, influenza and RSV. Half a year has passed since the federal government declared an end to the public health emergency for Covid-19. But public health experts are worried that the lack of masking and social distancing this year could send tens of thousands of Americans to the h...
Dec. 5, 2023

FHC #115: The bioethical dilemma of saving life ‘at any cost’

The 21st century has granted humanity incredible access to medications and procedures that can extend life almost indefinitely. Ventilators can breathe for us, intravenous tubes and pumps can nourish us, and hemodialysis machines can filter waste and excess water from our blood, all but replacing healthy kidneys. The fact that medicine can extend human lives almost indefinitely is considered by many to be a great scientific achievement. Still, many doctors feel beset by the gifts they’ve been g...
Nov. 28, 2023

FHC #114: An unfiltered look at empathy in medicine

This “Unfiltered” episode of Fixing Healthcare welcomes back Dr. Jonathan Fisher, a respected cardiologist and renowned advocate for physician well-being. Today’s show leads with an up-close look at a subject near and dear to Dr. Fisher’s heart, literally. “Empathy resides in the emotional heart, and it also has impacts on the physical heart and the physiologic heart, as well,” says Dr. Fisher adding that, “empathy helps steady the heart, lower heart rate, lower stress and, in the exam room, ca...
Nov. 21, 2023

FHC #113: Diving deep into Dr. ChatGPT and healthcare ‘skimping’

Listeners of Fixing Healthcare keep writing in and reaching out with questions about two hot-button healthcare topics: the high price of healthcare and the impact generative AI (like ChatGPT) will have on the future of medicine. This episode of Diving Deep begins with a look at “skimping,” which refers to the many ways in which healthcare prices are constrained, but at the expense of American patients. It’s equivalent to consumers purchasing a box of cereal at the regular price only to find 25%...
Nov. 14, 2023

FHC #112: How the culture of medicine can change

Season eight of the Fixing Healthcare podcast continues its focus on the role of leadership in driving change. Our guest today is an expert in this area. Jenny Chatman is Acting Dean at the Haas School of Business and the Paul Cortese Professor of Management at UC Berkeley. She’s a world-renowned researcher, teacher and consultant on leveraging organizational culture to boost team performance. Chatman is also editor-in-chief for the journal “Research in Organizational Behavior” (2019-2022) and ...
Nov. 7, 2023

MTT #78: How high will premiums rise? How low will patient satisfaction go?

This year, the cost of health insurance for a working family of four exceeded $24,000 for the first time ever. That’s up 7% from last year (the largest rate increase since 2011). But increased spending has not equated to happier patients. New research has uncovered an “unprecedented decline” in patient satisfaction throughout United States. In today’s episode of Medicine: The Truth, podcast cohost Dr. Robert Pearl discusses the rise of medical costs alongside the rise in patient displeasure. B...
Oct. 31, 2023

FHC #111: Among wealthy nations, U.S. docs rank average for burnout

This “Unfiltered” episode of Fixing Healthcare welcomes back Dr. Jonathan Fisher, a respected cardiologist and renowned advocate for physician well-being. Today’s show leads with an in-depth look at bias. In particular, the kind of cognitive biases studied by Nobel Prize researchers Daniel Kahneman and Richard Thaler, who identified the many reasons why the human brain makes illogical and irrational choices. The two then talk about how doctors view technologies like ChatGPT through the lens of ...
Oct. 25, 2023

FHC #110: Diving deep into drug-pricing wizardry and deep learning (AI)

Like magicians, the U.S. biopharmaceutical industry has used diversion to distract the public’s attention away from where the real action is really happening. This Fixing Healthcare episode of Diving Deep begins with a look at three illusions drug companies have crafted to maintain massive profitability and keep Americans from seeing important truths about pharma pricing, innovation and regulation. Cohosts Dr. Robert Pearl and Jeremy Corr then focus on the future of generative artificial intell...
Oct. 18, 2023

FHC #109: Dan Ariely on irrationality and misbelief in medicine

Dan Ariely is an expert in irrational behavior. He has extensively researched it, mulled it over and, more often than not, produced brilliant insights into what it means to be a human. His studies and observations have resulted in three New York Times bestsellers on human psychology. During the Coronavirus pandemic, he was attacked for his efforts to save lives through vaccination and mandatory masking. His newest book, “Misbelief: What Makes Rational People Believe Irrational Things,” recalls ...
Oct. 11, 2023

MTT #77: Is the ‘tripledemic’ returning? Will new vaccines help?

Last year, around this time, the CDC alerted physicians about the triple threat of Covid-19, seasonal influenza and RSV (respiratory syncytial virus). The result was one of the worst flu seasons in more than a decade. In today’s episode of Medicine: The Truth, podcast cohost Dr. Robert Pearl discusses the return of the “triple-demic” this winter and what listeners should do about it. According to forecasts, researchers expect a total of 1.15 million hospitalizations from these three viruses. H...
Oct. 3, 2023

FHC #108: An unfiltered look at distrust between patients and doctors

This “Unfiltered” episode of Fixing Healthcare welcomes back Dr. Jonathan Fisher, a respected cardiologist and renowned advocate for physician well-being. On today’s show, Dr. Fisher serves up a question for Dr. Robert Pearl. He recalls the classic Harrison’s Principles of Internal Medicine, a medical school textbook that now comprises more than 3,000 pages of vital information. And yet, despite the book’s exhaustive and comprehensive nature, Dr. Fisher remembers one thing that was notably abs...
Sept. 27, 2023

FHC #107: Amy C. Edmonson on ‘failing well’ in medicine

It’s no secret that doctors hold themselves to incredibly high standards, driven by a dedication to patients and a desire to save lives. It’s also understood that, in medicine, self-imposed high standards are fully reinforced by colleagues, administrators and an endless chain of performance metrics. However, less commonly understood (and almost never discussed) is how the pursuit of 24/7 perfection creates an environment where people are afraid to admit their wrongdoings, failures and limitatio...
Sept. 19, 2023

FHC #106: ZDoggMD on patient anxiety, medical bias & the Barbie movie

He’s back! Dr. Zubin Damania (aka ZDoggMD), one of the show’s most popular returning guests, rejoins Fixing Healthcare hosts Dr. Robert Pearl and Jeremy Corr for a heartfelt look at the ugly, imperfect and oh-so human side of medicine. In this episode, the trio discusses: The roots of our anxiety as patients and as clinicians Why so many Americans put off preventive screenings and treatment for chronic diseases The fear that haunts so many doctors and nurses: making a mistake Taking shame o...
Sept. 12, 2023

FHC #105: Diving deep into the good, bad and ugly of U.S. healthcare

Albert Einstein pointed out that time is relative. And when it comes to healthcare, five years can feel like a long and short amount of time. That’s certainly true of this podcast, which began five years ago and recently eclipsed 100 episodes. During that time, this show has welcomed dozens of world-renowned experts, both inside and outside the healthcare arena. Cohosts Dr. Robert Pearl and Jeremy Corr have engaged in difficult yet meaningful conversations with the likes of Malcolm Gladwell, Er...
Sept. 6, 2023

MTT #76: Can Rx weight-loss drugs help prevent heart attacks, too?

The weight-loss drug Wegovy reduces serious heart disease, the nation’s No. 1 cause of death, according to a new clinical trial. Proponents of the drug describe this finding as an added bonus to the drug’s prescribed purpose: shedding excess pounds. In a nation where 60% of the population is obese or overweight and where 600,000+ die from cardiovascular events each year, the question is how can we afford not to prescribe more of these lifesaving medications? The answer is complicated, says po...
Aug. 29, 2023

FHC #104: Robert Burgelman on strategic leadership in healthcare

Dr. Robert Burgelman is the Edmund W. Littlefield Professor of Management and the Director of the Executive Program at the Stanford Graduate School of Business. As a worldwide expert on strategy, Burgelman has authored multiple books on leadership and consulted with more than 100 companies around the globe. Throughout the program, Burgelman: Helps healthcare leaders understand the tools needed to visualize change and make it happen. Describes how leaders can effectively guide organizations t...
Aug. 22, 2023

FHC #103: Too much or not enough in American healthcare?

This “Unfiltered” episode of Fixing Healthcare welcomes back Dr. Jonathan Fisher, a respected cardiologist and renowned advocate for physician well-being, for a fascinating debate about American healthcare. Alongside cohost Jeremy Corr, Dr. Robert Pearl kicks off the conversation with this observational question: “There are two views about American healthcare. There are some who point to the massive U.S. expense compared to other countries and view it through the lens of abundance. Then there ...
Aug. 15, 2023

FHC #102: Diving deep into value-based care and the need for ‘system-ness’

Time and again, researchers have confirmed that the American healthcare system is ineffective, too expensive and falling further behind its international peers in critical measures of performance. In this episode of Diving Deep, cohosts Dr. Robert Pearl and Jeremy Corr go in search of medicine’s holy grail: the provision of higher quality care that’s more convenient and more affordable—all at once. In short, this episode focuses on the quest for value-based care. The journey begins as our host...
Aug. 7, 2023

FHC #101: Sachin Jain on the leadership crisis in American healthcare

Dr. Sachin Jain joins the podcast for the first time to talk about leadership in American healthcare. And his diagnosis is grim. “In American healthcare, we’ve lost our ethical and moral compass,” Jain says. “We say we’re about one thing and we do other things. And I think we’re all complicit in this leadership crisis because not only do we not acknowledge our own failings, but we also fail to acknowledge the failings of each other.” Early in his career, Jain held leadership positions in both ...
Aug. 1, 2023

MTT #75: Original Medicare or Medicare Advantage?

More Americans over the age of 65 are now selecting Medicare Advantage over traditional Medicare for their health insurance coverage, according to the U.S. Congressional Budget Office (CBO). What’s more, Medicare Advantage is expected to widen its lead in the years to come—projected to cover 60% of the eligible senior population by the year 2030. It’s a major win for the “little brother” that blossomed out of a Congressional effort in the 1990s to improve the quality of Medicare-provided medic...