Ryan Schwarz: Thinking Differently about the Primary Care Crisis
Release Date: 03/27/2025
Azita Emami: Educating Nurse-Leaders
Health & Veritas
Howie and Harlan are joined by Azita Emami, dean of the Yale School of Nursing, to discuss the school’s approach to training nurses who can have a seat at the table of healthcare decision-making. Harlan reports on his new study showing the low levels of evidence required for medical devices in the FDA’s Breakthrough Devices Program; Howie provides some good news about infectious diseases including malaria and HIV. Links: Breakthrough devices? Azita Emami Infectious diseases .
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America’s Healthcare Paradox and Other News
Health & Veritas
Howie and Harlan discuss the alarming healthcare cuts proposed in the budget bill currently moving through Congress, recent breakthroughs in HIV prevention and diabetes treatment, and the stark contrast between scientific progress and the deep structural flaws in the U.S. healthcare system. Links: The Budget Bill The Budget Bill and Universities The 340B Drug Program A Stem Cell Treatment for Diabetes Medicare Advantage and the VA A New HIV Drug Kennedy v. Braidwood The Big Picture for U.S. Healthcare Exercise and Cancer .
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Stephen Waxman: Easing the Horrors of Chronic Pain
Health & Veritas
Howie and Harlan are joined by Stephen Waxman, a leading neurology researcher, to discuss the promise of new methods developed by his lab to treat the ravages of pain. Harlan talks about the importance of ratings for Medicare Advantage plans; Howie assesses two sobering new reports on the solvency of Medicare. Links: Harlan’s Section Interview with Dr. Waxman Howie’s Section .
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The ‘Big Beautiful BIll’ and Other News
Health & Veritas
Howie and Harlan discuss health and healthcare issues making headlines, including public attitudes toward the Medicaid cuts in the budget bill making its way through Congress, a one-time gene therapy that could cure high cholesterol, “ambient” AI in the exam room, and the replacement of the the CDC’s entire vaccine advisory board. Links: Remembering Atul Butte The Budget Bill Vinay Prasad Medicaid Cuts Gene Therapy to Prevent Heart Disease Anti-Vaxxers at the CDC Ambient AI
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Sarah DeSilvey: Creating Space for Healing
Health & Veritas
Howie and Harlan are joined by Sarah DeSilvey to talk about her career as a rural nurse practitioner and her work to create a shared vocabulary for tracking social determinants of health. Harlan unpacks the research implications of the “big beautiful bill” in Congress, and reports on his new research about the link between state gun laws and deaths among children; Howie discusses the simple steps that can prevent syphilis from being passed from mothers to babies in utero. Links: Budget Cuts Guns and Kids Sarah DeSilvey Congenital Syphilis
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Dave Chokshi: Lessons from the Front Lines of the Pandemic
Health & Veritas
Howie and Harlan are joined by Dave Chokshi, who led New York City’s response to COVID-19 as health commissioner and serves as chair of the Common Health Coalition, which is working to prepare for future crises by strengthening partnerships between healthcare and public health. Harlan reports on a trip to China; Howie says it’s time for a global effort to expand rubella vaccination. Links: Harlan in China Dave Chokshi Rubella .
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Live at the Yale Innovation Summit 2025
Health & Veritas
In a special episode recorded at Connecticut’s largest entrepreneurship event, Howie and guest host Megan Ranney, the dean of the Yale School of Public Health, welcome four Yale innovators: entrepreneur and YSPH lecturer Kaakpema “KP” Yelpaala; Basmah Safdar, incoming director of Women’s Health Research at Yale; Kayla Wooley, a YSPH graduate and the founder of two nursing home staffing companies; and Yale College student Laurie Jimenez, founder of FulcrumCare, a value-based dental provider for Medicaid and Medicare patients. Links: The Yale Innovation Summit Kaakpema “KP”...
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Rebekah Gee: Improving Health, One Family at a Time
Health & Veritas
Howie and Harlan are joined by Rebekah Gee, founder and CEO of Nest Health, which provides in-home care to kids on Medicaid and their families. Harlan reports on the first personalized CRISPR gene therapy for a rare genetic disease; Howie untangles the FDA’s restrictions on the COVID-19 booster and what it will mean for your ability to get a shot this fall. Links: A Breakthrough CRISPR Treatment Nest Health Rebekah Gee on LinkedIn on Nest Health A New COVID Booster Policy .
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James Dodington: Protecting Kids from Gun Violence
Health & Veritas
Howie and Harlan are joined by James Dodington, a Yale pediatric emergency medicine physician and an expert in community-based violence prevention. Harlan reports on the remarkable financial results and sometimes questionable science of Hims & Hers Health; Howie discusses UnitedHealthcare’s faltering stock price in the face of anger over aggressive care denial and a lawsuit from shareholders. Links: Oscar Health and Hims & Hers James Dodington UnitedHealthcare
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Thomas Gill: The Secrets to an Active Old Age
Health & Veritas
Howie and Harlan are joined by Thomas Gill, a Yale geriatrician whose research tracks the factors that contribute to disability in older adults—and those that support continued independence. And they discuss the contrarian tapped to evaluate vaccines at the FDA, allegations of kickbacks against insurers, and the potential end of a loophole that has allowed states to collect additional Medicaid funding. Links: Vinay Prasad at the FDA Insurance News Thomas Gill Medicaid Cuts .
info_outlineHowie and Harlan are joined by Ryan Schwarz, a Yale-trained MD-MBA who oversees accountable care for the Massachusetts Medicaid program, to discuss new models for addressing the severe shortage of primary care doctors in the U.S. Harlan looks at the fallout from the bankruptcy of 23andMe; Howie reports on Match Day at Yale and medical schools around the country.
Links:
New Leadership
“Senate Confirms Bhattacharya and Makary to H.H.S. Posts”
“Keir Starmer Wants to Abolish N.H.S. England: What to Know About His Plan”
23andMe
“23andMe Files for Bankruptcy Amid Concerns About Security of Customers’ Genetic Data”
“Data Breach at 23andMe Affects 6.9 Million Profiles, Company Says”
“23andMe user data targeting Ashkenazi Jews leaked online”
“Attorney General Bonta Urgently Issues Consumer Alert for 23andMe Customers”
U.S. Senate Bill S.5433: Genomic Data Protection Act
Ryan Schwarz
“The Health of US Primary Care: 2025 Scorecard Report—The Cost of Neglect”
“Finger on the Pulse: The State of Primary Care in the U.S. and Nine Other Countries”
Massachusetts Health Insurance Survey
“Revisiting the Time Needed to Provide Adult Primary Care”
“How Algorithms Could Improve Primary Care”
Ryan Schwarz: “Primary Care Sub-capitation in Medicaid: Improving Care Delivery in the Safety Net”
MassHealth Primary Care Sub-Capitation: Program Overview
“The first community health centers: a model of enduring value”
Match Day
“Biggest Match Day ever: Here’s what the 2025 numbers reveal”
“Yale School of Medicine Celebrates Match Day”
Video: Match Day 2025: Winners & Losers Edition
Learn more about the MBA for Executives program at Yale SOM.