エピソード

  • How Regulatory Reform Can Accelerate Medical Innovation in America with Dr. Brian Miller
    2025/03/21
    In this episode of DC EKG, host Joe Grogan sits down with Dr. Brian J. Miller to dissect the critical barriers slowing medical innovation in the United States. Together, they unpack the notorious "Valley of Death"—the daunting gap between FDA approval and Medicare coverage that delays patient access to groundbreaking treatments and technologies, often by an average of 5.7 years. Dr. Miller shares his insights on how outdated regulatory processes at both the FDA and CMS create unnecessary hurdles for life sciences and technology entrepreneurs. They explore how modernizing third-party reviews, streamlining clinical trials, and reforming coverage decisions could dramatically accelerate the journey from lab to patient.
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    47 分
  • Unpacking the Obamacare Money Laundering Scheme with Brian Blase
    2025/03/04
    In this episode, Joe Grogan and Brian Blase dive into the current state of Medicaid, exploring the urgent need for reforms to tackle inefficiencies, improper payments, and discriminatory reimbursement rates. Blase discusses the challenges stemming from the Medicaid expansion under the Affordable Care Act (ACA) and how it has impacted traditional enrollees. The conversation also uncovers the troubling issue of Medicaid money laundering, shedding light on the practice of state-directed payments that sometimes surpass Medicare rates. Together, they discuss the pressing need for a more effective and equitable healthcare system that better serves those in need while ensuring accountability in healthcare spending. This episode is a critical look at how the ACA and Medicaid policies are shaping the future of American healthcare.
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    29 分
  • Trump’s Healthcare Overhaul & Canada as the 51st State? Sally Pipes Weighs In
    2025/02/13
    In this episode, Joe Grogan and Sally Pipes dive into the future of U.S. healthcare policy, discussing potential reforms under a second Trump administration. They explore executive orders, Medicaid challenges, and the flaws in Canada’s healthcare system. The conversation also tackles a provocative question: Could Canada ever become the 51st state? Sally breaks down the political, economic, and healthcare implications of such a shift. Plus, they discuss California’s wildfire mismanagement and the urgent need for political change.
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    42 分
  • Josh Rauh on the DOGE Initiative: Can It Fix America’s Financial Crisis?
    2025/02/04
    In this episode, Joe Grogan speaks with Professor Josh Rauh about the ongoing pension crisis in the United States, focusing on the inefficiencies of government pension systems and the impact on taxpayers. They explore the history of government pensions, the shift from defined benefit plans to 401(k) plans, and the alarming statistics of underfunded pensions in major cities like Chicago. The conversation also delves into potential budget cuts under the new DOGE initiative and the urgent need for fiscal responsibility in government spending to address America’s growing financial challenges. Tune in to learn how these issues could shape the future of government efficiency and public pensions.
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    49 分
  • Reforming Healthcare and Economic Policy to Help Americans Thrive with Vance Ginn
    2025/01/21
    In this episode, Joe Grogan sits down with Vance Ginn, an economist and host of the Let People Prosper podcast, to dive into healthcare reform, economic policy, and the power of state-level innovation. Vance shares his inspiring journey from his humble beginnings to his role as Chief Economist at the Office of Management and Budget. He discusses his work with think tanks, the challenges of federal spending, and the need for a market-based approach to healthcare to improve outcomes and reduce costs. Listen to Vance’s podcast, Let People Prosper, for more insights on how economic policies can help individuals and families thrive. Listen to Let People Prosper
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    47 分
  • 3 Key Changes That Could Transform American Healthcare with Economist Anthony LoSasso
    2025/01/15
    In this episode, Joe Grogan speaks with Dr. Anthony Lo Sasso, a health economics expert, about the complexities of health insurance, healthcare access, and the role of employers in the healthcare system. They discuss the evolution of health economics, the misconceptions surrounding health insurance, and how these misunderstandings impact health outcomes. The conversation also covers the implications of employer-sponsored insurance and its influence on access to care. Throughout, Dr. Lo Sasso emphasizes the need for more public engagement from economists and the importance of understanding the dynamics of the healthcare market. For further reading, check out the articles discussed in the episode: Health Care Reform: The Tax Exclusion Dilemma: https://thehill.com/opinion/healthcare/5004743-health-care-reform-tax-exclusion/ Misconceptions About Health Insurance: https://thehill.com/opinion/healthcare/5046301-health-insurance-misconceptions/
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    50 分
  • Kat McDavitt and Lisa Bari of The Health Tech Talk Show on Healthcare Tech, Data, and Interoperability
    2025/01/09
    In this episode of DC EKG, Joe Grogan is joined by Kat McDavitt and Lisa Bari, hosts of the Health Tech Talk Show, to discuss the broader challenges and opportunities surrounding healthcare data interoperability. They explore the critical role of CMS, state data infrastructure, and private sector efforts in improving data movement across healthcare systems. The conversation emphasizes the need for policy changes, innovation, and better regulatory frameworks to enhance data exchange, especially in Medicare, Medicaid, and CHIP programs. Kat and Lisa also dive into the future of health tech innovations, including AI, women’s health, and behavioral health, highlighting the potential for progress in these areas. Later in the episode, the discussion turns to the ongoing legal battle between Epic and Particle Health, with Kat and Lisa offering insights into the dispute over healthcare data exchange. They explore the challenges of balancing innovation with patient privacy, particularly in light of Epic's decision to stop responding to data requests from Particle Health due to privacy concerns. Resources Mentioned: https://www.healthtechtalkshow.com/home-
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    52 分
  • What Actually Drives Better Health in America with Dr. Joel Zinberg
    2024/12/30
    In this conversation, Dr. Joel Zinberg discusses the complex relationship between health insurance and health outcomes, arguing that while insurance provides financial security, it does not significantly improve measurable health outcomes. He critiques the focus on government insurance programs like Medicaid and the Affordable Care Act, highlighting issues with access to care and the effectiveness of preventive measures. The discussion also emphasizes the importance of behavioral factors and medical innovation in improving health, suggesting that a shift in focus is needed to address the root causes of health issues, such as obesity and chronic diseases.
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    40 分