Richard Helppie's Common Bridge
The problems we have in the country are solvable, but not solvable the way we’re approaching them today, because of partisan politics. Richard Helppie, a successful entrepreneur and philanthropist seeks to find a place in the middle where common sense discussions can bridge the current great divide.
Richard Helppie's Common Bridge
Episode 284- The Healthcare System Is Broken, But We Can Fix It. With Dr. Jeff Goldsmith
What happens when healthcare experts become patients themselves? Dr. Jeff Goldsmith shares his transformative experience of undergoing five major surgeries in 29 months, revealing how it fundamentally altered his perspective after nearly five decades in healthcare. "I underestimated the degree to which patients are motivated by abject fear," he admits, noting that this fear encompasses both medical outcomes and financial ruin.
With almost a century of combined healthcare experience between them, host Nathan Kaufman and Dr. Goldsmith deliver a candid assessment of the American healthcare system at a critical crossroads. They sound the alarm on recent congressional actions they believe could create 15+ million newly uninsured Americans, expressing frustration at what Goldsmith calls a "lack of aggression" from healthcare leaders in confronting this reality. "It's the most significant threat I've seen in the industry in my 50 years," he warns.
The conversation dives deep into the structural problems plaguing healthcare: cost-shifting that threatens employer insurance, physician shortages exacerbated by administrative burdens, lengthy wait times for specialists, and Medicare and Medicaid programs that Goldsmith bluntly calls "a civic disgrace" due to their "absurd complexity." They explore potential solutions, including subscription-based payment models for chronic care, enhanced bundled payments for acute care, and the need to rethink how we fund uncompensated care.
Despite these challenges, Goldsmith concludes with unexpected optimism, pointing to scientific advances that could transform care within the next decade. "I look around and see all this cool stuff happening that nobody talks about," he says, offering a counterpoint to healthcare's prevailing negativity. As Kaufman reminds listeners, "If you have a healthcare issue, seek the guidance of an insider who truly understands how our crazy healthcare system works. Your life may depend on it."
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