Podcast
PCP Lens Podcast
Hosted by Medicine + Metrics + Money + Madness = Healthcare · EN
I discuss the boring, confusing, and maddening details about the business of healthcare, which has a big impact on your wallet—and your health.
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23episodes
Episodes
Newest firstAll episodes
Podcast - From Sewers to Stethoscopes
Oct 300:11:17Tap to summarizeDescriptionThis video is the first in my new series “Healers to Healthkeepers.” It explores the history and path dependency that led America from building public health infrastructure to holding doctors accountable, & blaming them for the health of the population.This podcast looks at how America transitioned from building public health infrastructure to relying on individual treatment to improve health outcomes.Chapter Markers* 00:00 - Intro* 01:14 - The Sanitary Cleanup* 03:42 - The Germ Theory of Disease* 04:32 - The Flexner Report* 08:09 - The Price of Progress* 09:49 - The Flexner Tradeoff & Public Health Blind Spots* 10:43 - ConclusionLink to Written ArticleLink to VideoSubscribe to my YouTube ChannelPlease see the Disclaimer on the PCPLens "About" Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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Podcast - Obesity: A Symptom of the System
Sep 1800:12:34Tap to summarizeDescriptionThis video podcast explores the root causes of obesity from the “determinants of health” point of view. I discuss why medicalization of obesity is unlikely to solve the obesity epidemic, and as a society, we have to address its root causes.Chapter Markers* 00:00 - Intro* 00:55 - Defining Obesity & Why should we care?* 01:59 - SDOH & Obesity* 03:13 - Commercial Determinants & Obesity* 04:55 - Marketing Strategies to Sell Food* 07:53 - Political Determinants & Obesity* 09:20 - Structural Determinants & Obesity* 10:03 - Role of Personal Choice in Obesity* 11:22 - Pyramid Model for Obesity* 12:21 - OutroLink to Written Article: https://www.pcplens.com/p/obesity-a-symptom-of-the-systemLink to Video: https://www.pcplens.com/p/podcast-obesity-a-symptom-of-the-systemSubscribe to my YouTube ChannelPlease see the Disclaimer on the PCPLens "About" Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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Podcast - The Architecture of Illness
Aug 7, 202500:13:23Tap to summarizeDescriptionWho profits from poor health? This video exposes how policies, power, and profit—not just biology—shape the health of entire communities.Chapter Markers* 00:00 - Intro* 00:36 - Social Determinants of Health* 01:14 - Defining Structural Determinants of Health (StDOH)* 02:15 - StDOH in Real Life* 03:18 - Path Dependence & StDOH* 03:58 - US History & StDOH* 06:54 - Housing as an Anchor Determinant* 10:05 - Structural Barriers vs Individual Choice* 10:47 - Power and StDOH* 11:33 - Summary* 13:09 - OutroLink to Written ArticleSubscribe to my YouTube ChannelPlease see the Disclaimer on the PCPLens About Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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Podcast - When Policy Fails Medicine Pays
Jul 24, 202500:09:03Tap to summarizeDescriptionIn this video, I delve into what really shapes the foundation of health: the Political Determinants of Health. I will show you how the political decisions we make or don't make shape the social determinants of health and how commercial actors prey upon vulnerable people. And, when people complain, our system conveniently blames personal responsibility and front-line doctors. Chapter Markers00:00 - Intro01:18 - What are Political Determinants of Health?03:28 - Connecting the dots between Voting, Government & Policy04:16 - Health in All Policies06:46 - Connecting PDOH, CDOH, and SDOH07:42 - Role of Doctors08:39 - OutroLink to Written Article: https://www.pcplens.com/p/when-policy-fails-medicine-paysLink to Video: https://www.pcplens.com/p/podcast-when-policy-fails-medicineLink to YouTube ChannelSubscribe at www.PCPLens.comPlease see Disclaimer on PCPLens About Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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Podcast - Chronic Conditions, Corporate Causes
Jul 10, 202500:15:24Tap to summarizeDescriptionWhy are primary care doctors held accountable for chronic diseases caused by billion-dollar industries? In this episode, I discuss how powerful corporations—from soda to fossil fuels—engineer addiction, shape policy, and shift blame for the diseases they help create.🔍 In this video, you’ll learn:- What Commercial Determinants of Health (CDoH) really are- How corporate actors manipulate marketing, pricing, and public policy- Why bottled water ads make sugary drinks more attractive- The hidden agenda behind “recycling” campaigns- How value-based care deflects blame from upstream harm to frontline doctors- How trade agreements, research funding, and lobbying protect harmful industries- The “Commercial Parasite” model—and how it keeps people just sick enough to stay profitable👨⚕️ Doctors are penalized for outcomes shaped by upstream corporate behavior. This video argues that unless we address commercial determinants, efforts like value-based care will fail to improve population health.Chapter Markers00:00 - Intro00:57 - Defining Commercial Determinant of Health (CDoH)01:32 - CDoH and Primary Care02:03 - Marketing & Advertising02:39 - Strategic Product Pricing04:43 - Corporate Influence on Policy & Regulation05:43 - Recycling: A Corporate Lie07:57 - Deflecting Blame & Creation of Value-Based Care08:56 - Supply Chain & Labor Practices10:45 - Corporate Influence on Research12:33 - Trade Agreements and Health13:14 - The Commercial Parasite Model14:29 - Conclusion15:10 - OutroLink to Written Article: https://www.pcplens.com/p/chronic-conditions-corporate-causesLink to Video: https://www.pcplens.com/p/podcast-chronic-conditions-corporate-causesLink to YouTube: https://www.youtube.com/@PCPLens?sub_confirmation=1Subscribe at www.PCPLens.comPlease see Disclaimer on PCPLens About Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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Podcast - Why Fax Refuses to Die in Healthcare
Jun 19, 202500:09:40Tap to summarizeDescriptionI got tired of people pointing to faxes and saying that doctors don't use the latest technology, and are stuck in the past. This video is an answer to that question and explains in detail why NO modern technology is ready to replace fax. Buckle up.Chapter Markers00:00 - Intro00:51 - Why Fax Gets a Free Pass01:28 - The Workflow Advantage02:55 - eFax: The Digital Evolution04:00 - Health Information Exchange04:46 - Secure Email06:06 - Direct Messaging06:59 - FHIR and APIs07:46 - API Gatekeepers: The New Monopolists08:38 - Conclusion09:25 - OutroLink to Written Article: https://www.pcplens.com/p/why-fax-refuses-to-die-in-healthcareLink to Video: https://www.pcplens.com/p/podcast-why-fax-refuses-to-die-in-healthcareLink to YouTube: https://www.youtube.com/@PCPLens?sub_confirmation=1Subscribe at www.PCPLens.comPlease see Disclaimer on PCPLens About Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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Podcast - The Madness of Medication Adherence
Jun 5, 202500:13:15Tap to summarizeDescriptionIn the video, I take a deep dive into the Medication Adherence Quality Measures. We discuss why holding doctors responsible for people taking their medications is not only problematic but also has several unintended consequences that may lead to harm.Chapter Markers00:00 - Intro00:57 - Anatomy of Medication Adherence Quality Measure03:07 - Rationale and Reasons for Non-Adherence06:09 - Problems with Medication Adherence Quality Measure06:15 Oversimplication of Complex Human Behavior07:23 - Filled vs Consumed09:50 - Switching Medication Class10:19 - Cost of Medications11:05 - Patient Selection Bias11:42 - Improving Performance on Medication Adherence Quality Measure12:33 - OutroLink to Written Article: https://www.pcplens.com/p/the-madness-of-medication-adherenceLink to Video: https://www.pcplens.com/p/podcast-rethinking-quality-of-colon-cancer-screeningLink to YouTube: https://www.youtube.com/@PCPLens?sub_confirmation=1Subscribe at www.PCPLens.comPlease see the Disclaimer on the PCPLens About Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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Podcast - Biden and Prostate Cancer Screening
May 29, 202500:04:33Tap to summarizeDescriptionPeter Attia made a recent claim that if Joe Biden kept getting the $5 PSA screening test, his aggressive prostate cancer may have been caught early.Well, I unpack Dr. Attia's claims in this video and show why that is not true. Link to Written Article: https://www.pcplens.com/p/biden-attia-and-prostate-cancer-screeningLink to Video: https://www.pcplens.com/p/podcast-biden-attia-and-prostate-screeningLink to YouTube: https://www.youtube.com/@PCPLens?sub_confirmation=1Subscribe at www.PCPLens.comPlease see Disclaimer on PCPLens About Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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Podcast - The Pressure to Control Blood Pressure
May 22, 202500:18:15Tap to summarizeDescriptionNothing is more dangerous than drawing false conclusions from data. Today, we're dissecting the "Controlling Blood Pressure" quality measure - a great political slogan that completely misses the mark. While high blood pressure is undeniably a silent killer, this simplistic metric serves profit over patients by ignoring the true complexity behind uncontrolled hypertension. Instead of addressing social determinants of health, we've created a system that penalizes doctors, forces unnecessary visits, and potentially harms patients through rigid targets. Let's explore why this quality measure is completely bonkers.Chapter Markers00:00 - Intro01:03 - Anatomy of Controlling Blood Pressure Quality Measure03:16 - Rationale & Misguided Rationale for Quality Measure05:31 - Problems with Controlling Blood Pressure Quality Measure08:28 - SMART Criteria applied to Controlling Blood Pressure Quality Measure10:10 - The Qualifying Encounter Rule12:35 - Risk of Overtreatment13:19 - Strategies to Improve Performance17:03 - SummaryLink to Written Article: https://www.pcplens.com/p/the-pressure-to-control-blood-pressureLink to Video: https://www.pcplens.com/p/podcast-the-pressure-to-control-blood-pressureLink to YouTube: https://www.youtube.com/@PCPLens?sub_confirmation=1Subscribe at www.PCPLens.comPlease see Disclaimer on PCPLens About Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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Podcast - Rethinking Quality of Breast Cancer Screening
May 8, 202500:12:56Tap to summarizeDescriptionIn this episode, we discuss breast cancer screening quality measure. We delve into the data behind breast cancer screening, learn how modern imaging technology, outdated clinical trials, and evolving guidelines impact the effectiveness and risks of mammograms. We also explore how making this into a quality measure exacerbates the harms from false positives, overdiagnosis, and radiation exposure while disincentivizing shared decision-making between doctor and patient. Chapter Markers00:00 - Intro01:04 - Anatomy of Breast Cancer Screening Quality Measure02:49 - Rationale for Breast Cancer Screening Quality Measure03:08 - Defining Breast Cancer04:09 - Mini-Critical Look at USPSTF Breast Cancer Screening Guidelines07:35 - Harms of Breast Cancer Screening Quality Measure10:36 - Improving Performance on Breast Cancer Screening Quality Measure11:46 - Conclusion12:42 - OutroLink to Written Article: https://www.pcplens.com/p/rethinking-quality-of-breast-cancer-screeningLink to Video: https://www.pcplens.com/p/podcast-rethinking-quality-of-breast-cancer-screeningLink to YouTube: https://www.youtube.com/@PCPLens?sub_confirmation=1Subscribe at www.PCPLens.comPlease see Disclaimer on PCPLens About Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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