Forbes September 6, 2023
Robert Pearl, M.D.

Five years ago, I started the Fixing Healthcare podcast with the aim of spotlighting the boldest possible solutions—ones that could completely transform our nation’s broken medical system.

But since then, rather than improving, U.S. healthcare has fallen further behind its global peers, notching far more failures than wins. In that time, the rate of chronic disease has climbed while life expectancy has fallen, dramatically. Nearly half of American adults now struggle to afford healthcare. In addition, a growing mental-health crisis grips our country. Maternal mortality is on the rise. And healthcare disparities are expanding along racial and socioeconomic lines.

Reflecting on why few if any of these recommendations have been implemented, I don’t believe the problem has been a lack...

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