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For over twenty years,  Dr. Jeff Goldstein was part of a successful, thriving cardiology practice in central Illinois.  And then he wasn't.  Dr. Goldstein and his wife, Dr. Kemia Sarraf, join us to share their personal story of how a change in the structure of his practice led to him feeling blocked at every turn, overworked, and underappreciated, and what the two of them did to change it.

We talk to a lot of people. We hear a lot of stories.  But for every person who shares their story publicly, there are ten more who hold off because they're afraid of blowback.  And we get it.  Speaking up is risky.  We often think about the costs of speaking up, but what has our silence cost?  In this episode, Wendy and Matt talk about the risks of not  acting, and what their experience has taugh...

Leaders can be infuriating or they can learn to be inspiring.  Adam Galinsky, a social psychologist and the Paul Calello Professor of Leadership and Ethics at Columbia Business School, joins us to talk about how our vision, modeling and mentorship can inspire those around us.

What do healthcare and journalism have in common?  (Hint: it has something to do with corporate interference and public trust.)  Recorded in front of a live audience in one of the oldest surviving press clubs in the country, Matt and Wendy (along with members of the audience) share stories about the breakdown in medicine and journalism, and how we're working to recapture our profession."

Two years ago, Dr. Traci Hurley lost her husband, Dr. Dan Hurley, to cancer.  Dan spent the last few years of his life battling his disease - and his insurance company.  Before he died, he set himself a goal to, in his own words, help "with the problem of insurance company physicians without expertise denying or delaying care as recommended by the patient's chosen physician." Dr. Traci Hurley join...

Those in healthcare - or elsewhere - facing private equity's relentless encroachment will want to listen up. Journalist Megan Greenwell, author of Bad Company: Private Equity and the Death of the American Dream , joins us to share her reporting on four regular Americans - working in four different fields - who fought against private equity.

The Fall of Crozer Health is a story steeped in grief, greed, and the needs for dignity and for protection. In the final installment of our special series, we unpack the rollercoaster of emotions caused by the health systems' failures, and speak to the lawmakers in Delaware County trying to build the legislative foundation needed to keep this from happening again.

Crozer was not an island, and what happened to them affects all the nearby health systems. In the fourth installment of this special series, we break down how one community's loss becomes a neighboring community's nightmare, lay out the 'private equity playbook', and explore how the financialization of medicine is everywhere - in every state - and how it affects us all.

When health systems are underwater, you might want to look up upstream to see what the trouble is. When you get there, sometimes you'll find out why those systems are falling into the water. . . and sometimes you'll find out who's pushing them.  In this episode, we're going upstream to look at  how we got to the point where a health system that served more than a hundred thousand people per year s...

The story of private equity in healthcare is often told in numbers, spreadsheets and transcripts from bankruptcy court. But in Part 2 of our series, we hear from the people in the trenches and on the front lines of Crozer Health, a collapsed hospital system in Pennsylvania, who are living out the awful consequences of decisions made, not by clinicians in Delaware County, but by executives in Calif...

The Crozer Chester Medical Center in PA is closing as we speak, but the fall of Delaware County's largest hospital system has been building for years.  In interviews with the doctors, nurses, paramedics, and legislators who kept Delaware County healthy, Wendy and Matt go behind the headlines and speak to the people who are living through these changes right now .  This is the first episode in a mu...

We're never more aware of the need for real human interaction than when faced with an automated Patient Portal.  In this special bonus ep., Wendy and Matt share a listener voice memo about the challenges of navigating patient care through AI, and talk about how we can - and must - do better.

The 'social architecture' of an organization can make or break meaningful connections between patients and physicians, and physicians and the administration.  In Part 2 of our two part series, Allison Pugh, a research professor of Sociology at Johns Hopkins University and author of  The Last Human Job: The Work of Connecting in a Disconnected World  joins us to talk about how we can foster connect...

There's a growing sense of disconnection in our lives, and a growing number of reasons why.  But instead of focusing on what's forcing us apart, we want to look at the work we can do to bring people together - and why it matters.  In Part 1 of a two part series, Allison Pugh, a research professor of Sociology at Johns Hopkins University and author of The Last Human Job: The Work of Connecting in a...

Lately, there's been a lot of talk – and fear – about violence against healthcare executives. Less talked about is the near doubling of violent incidents against healthcare workers. Well, we're going to talk about it. What's behind the violence? Who's involved? And, importantly, what can we do about it?   Need Support? Physician Support Line  1 (888) 409-0141 Other healthcare professionals:  https...

What happens when people are betrayed by the system they took an oath to protect? Tim Heaphy, lead investigator for the January 6 Committee, as well as the independent investigation into the 2017 riot in Charlottesville, VA, joins us us to talk about what these events reveal about preparing for (and protecting yourself from) moral injury within government systems, and what healthcare practitioners...

Clinicians have agency, but leveraging it on our own behalf means knowing sh*t and owning it.  Matt and Wendy breakdown what you need to know on the practice side, and the business side, of medicine, and what it means to 'own it' as a physician.   To learn more about CME credits, go to 43ccpodcast.com/cme.

"Who Kicked the Keg?" is a bonus segment rounding up the news you need to know in the business of healthcare. Today's update is on the status of the FTC's rule on noncompete clauses, the latest healthcare orgs circling the drain, and one bold choice that's raising some eyebrows.

Corporatized healthcare increasingly views physicians as 'interchangeable workers' rather than the irreplaceable specialists they are. Many are turning to unions to strengthen their voice.  Kelly Nedrow, a lawyer and senior advisor for health issues with the American Federation of Teachers, talks with us about how organizing in healthcare unions can help physicians strategize for shared governance...

We're losing play in medicine.  Why should that matter? Because play isn't immature, idle nonsense or about just blowing off steam in the moment. It has deeper roles in how we engage in groups, how we connect with each other, and how we process difficult situations.

In our version of a stock ticker, this new segment will get you up to speed on who's gone bankrupt, who's sold out, and any other juicy healthcare market news you need to know to be an informed participant in this thing called US healthcare.

It's all about the money... until it isn't.  Ron Howrigon, a former health insurance executive with some of the largest insurance companies in the U.S., takes us behind the scenes to look at how these companies put profit over patients, why he left the business, and what he's doing now to help doctors fight the very industry he started in.

Medical practices around McAllen, Texas have been under a journalistic microscope for years. But no one knows what's happening on the ground better than the doctors themselves - especially those who are trying to build up, not tear down, their local medical systems. Dr. Carlos Cardenas, Chairman of the Board and Chief Administrative Officer at DHR Health in the lower Rio Grande Valley, joins us to...

Corporate practice of medicine laws are on the books, but the loopholes are widening and seemingly endless. Does legislation work? Or will CPOM forever find a work-around?  To help sort this out, Matt and Wendy get wonky with Hayden Rooke-Ley, a federal judicial law clerk, a recent graduate of Stanford Law School, and Senior Fellow for Healthcare at the American Economic Liberties Project.

Brian Thompson's murder was shocking. But how much public hatred of the health insurance industry was smoldering just below the surface, was equally so.  Wendy gives a powerful editorial on the events unfolding, and how schadenfreude is an attempt to restore moral balance that we condemn and dismiss at our peril.