{"id":137423,"date":"2025-08-11T16:54:16","date_gmt":"2025-08-11T16:54:16","guid":{"rendered":"https:\/\/www.europesays.com\/us\/137423\/"},"modified":"2025-08-11T16:54:16","modified_gmt":"2025-08-11T16:54:16","slug":"whats-broken-in-health-care-with-marschall-runge-m-d-ph-d","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/us\/137423\/","title":{"rendered":"What&#8217;s broken in health care, with Marschall Runge, M.D., Ph.D."},"content":{"rendered":"<\/p>\n<p class=\"pb-2\">Marschall Runge, M.D., Ph.D., dean of the University of Michigan Medical School, CEO of Michigan Medicine and author of The Great Healthcare Disruption, joins the show to dissect exactly what&#8217;s broken in U.S. health care \u2014 and what we can do to fix it.<\/p>\n<p class=\"pb-2\">Also, don&#8217;t miss our previous episodes on <a target=\"_blank\" href=\"https:\/\/www.medicaleconomics.com\/view\/ep-76-what-ai-can-and-can-t-do-for-prior-authorizations-with-brad-boyd-of-bdo-usa\" rel=\"noopener\">what AI can (and can&#8217;t) do for prior authorizations<\/a>, our <a target=\"_blank\" href=\"https:\/\/www.medicaleconomics.com\/view\/special-report-60-years-of-medicare\" rel=\"noopener\">special report on 60 years of Medicare<\/a>, <a target=\"_blank\" href=\"https:\/\/www.medicaleconomics.com\/view\/ep-75-physician-struggles-with-ama-president-bobby-mukkamala-m-d-part-2-\" rel=\"noopener\">physician struggles<\/a> and <a target=\"_blank\" href=\"https:\/\/www.medicaleconomics.com\/view\/ep-73-why-physicians-are-suing-rfk-jr-with-attorney-richard-h-hughes-iv-j-d-m-p-h-\" rel=\"noopener\">why physicians are suing RFK Jr.<\/a><\/p>\n<p class=\"pb-2\"><strong>Music Credits:<\/strong><br \/>Moonlit Walk by Buurd &#8211; <a rel=\"nofollow noreferrer noopener\" target=\"_blank\" href=\"http:\/\/stock.adobe.com\/\">stock.adobe.com<\/a><br \/>Relaxing Lounge by Classy Call me Man &#8211; <a rel=\"nofollow noreferrer noopener\" target=\"_blank\" href=\"http:\/\/stock.adobe.com\/\">stock.adobe.com<\/a><br \/>A Textbook Example by Skip Peck &#8211; <a rel=\"nofollow noreferrer noopener\" target=\"_blank\" href=\"http:\/\/stock.adobe.com\/\">stock.adobe.com<\/a><\/p>\n<p><strong>Editor&#8217;s note: Episode timestamps and transcript produced using AI tools.<\/strong><\/p>\n<p><strong>Introduction and Overview (00:00:00)<\/strong> Dr. Runge and the hosts introduce the episode\u2019s focus: challenges and dysfunctions in the U.S. health care system.<\/p>\n<p class=\"pb-2\"><strong>What\u2019s Broken in U.S. Health care? (00:01:20)<\/strong> Discussion of patient frustrations: appointment delays, rising drug prices, insurance confusion and system complexity.<\/p>\n<p class=\"pb-2\"><strong>Retailers in Health care: Why Didn\u2019t It Work? (00:02:22)<\/strong> Exploring why Walmart, Amazon and others struggled to deliver primary care and the issue of fragmented medical records.<\/p>\n<p class=\"pb-2\"><strong>Primary Care Challenges (00:06:08)<\/strong> Examining the importance of primary care, low physician numbers, burnout and why fewer medical students choose this path.<\/p>\n<p class=\"pb-2\"><strong>Practice Management Tip: Patient Care Online (00:09:30)<\/strong> Brief segment promoting Patient Care Online as a resource for clinical information.<\/p>\n<p class=\"pb-2\"><strong>AI in Medicine: Promise and Limitations (00:09:49)<\/strong> How AI is being used for note-taking, scheduling and efficiency; its current benefits and limitations in health care.<\/p>\n<p class=\"pb-2\"><strong>Health care Equity and Access (00:14:06)<\/strong> Concerns about technology access disparities between urban and rural\/low-income areas; discussion of universal health care models.<\/p>\n<p class=\"pb-2\"><strong>History and Impact of HMOs and Capitation (00:17:31)<\/strong> Reflection on HMOs, capitation, and their effects on primary care and health care delivery in the U.S.<\/p>\n<p class=\"pb-2\"><strong>U.S. Health Outcomes and Prevention (00:19:07)<\/strong> U.S. ranking in healthy life expectancy, rising chronic diseases and the need for better prevention and health management.<\/p>\n<p class=\"pb-2\"><strong>Practice Management Minute: Staffing Metrics (00:19:55)<\/strong> Tips for medical practices on when to add staff, based on wait times, overtime and labor costs.<\/p>\n<p class=\"pb-2\"><strong>Health care Innovation and Drug Development (00:21:04)<\/strong> U.S. leadership in medical innovation, new weight loss and genetic therapies and the challenge of high drug costs.<\/p>\n<p class=\"pb-2\"><strong>Healthy Aging and Lifestyle Factors (00:24:16)<\/strong> Key lifestyle factors for healthy aging: sleep, fitness, community and policy approaches to promote healthy choices.<\/p>\n<p class=\"pb-2\"><strong>Misinformation in Medicine (00:26:43)<\/strong> Concerns about health misinformation on social media and the need for better health education in schools.<\/p>\n<p class=\"pb-2\"><strong>Conclusion and Farewell (00:28:46)<\/strong> Closing remarks, thanks to the guest and information on subscribing to the podcast.<\/p>\n","protected":false},"excerpt":{"rendered":"Marschall Runge, M.D., Ph.D., dean of the University of Michigan Medical School, CEO of Michigan Medicine and author&hellip;\n","protected":false},"author":3,"featured_media":137424,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[33980,210,1141,82492,1142,82493,82494,82491,67,132,68],"class_list":{"0":"post-137423","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health-care","8":"tag-ai-in-medicine","9":"tag-health","10":"tag-health-care","11":"tag-health-care-access-and-equity","12":"tag-healthcare","13":"tag-medical-innovation-and-drug-costs","14":"tag-primary-care-physician-shortage","15":"tag-u-s-health-care-reform","16":"tag-united-states","17":"tag-unitedstates","18":"tag-us"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@us\/115011182114207017","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/137423","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/comments?post=137423"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/137423\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media\/137424"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media?parent=137423"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/categories?post=137423"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/tags?post=137423"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}