Health & Veritas
Howard Forman and Harlan Krumholz, two Yale physician-professors, discuss the latest news and ideas in healthcare and seek out the truth amid the noise.
Produced with the Yale School of Management and the Yale School of Public Health. New episodes are available every Thursday.
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Episodes
- PodcastEpisode 140Duration 35:21
Lee Schwamm: Smarter Healthcare Systems With AI
Howie and Harlan are joined by Lee Schwamm, associate dean for digital strategy and transformation for Yale School of Medicine and chief digital health officer for Yale New Haven Health System, to discuss how AI and other digital tools can be part of fixing a broken healthcare system. Harlan reports on lightly regulated compounding pharmacies producing anti-obesity drugs; Howie gives an update on efforts by the FDA and CDC to fight bird flu.
Links:
"2023 Paul Dudley White Award: Dr. Lee Schwamm"
Yale School of Medicine | Lisa Leffert, MD
Health & Veritas | Dr. Lisa Leffert: Leading in Anesthesiology
"Ambient AI Is Here, And We Are Blissfully Unaware Of It"
"Yale New Haven Health to provide AI-driven clinical documentation"
"Are You Sure Your Ozempic Is Real? Fakes Are on the Rise."
"Bill on Drug Compounding Clears Congress a Year After a Meningitis Outbreak"
CDC | H5 Bird Flu: Current Situation
"Is Bird Flu Spreading Widely to Farm Workers? A Small Study Offers Some Reassurance"
Learn more about the MBA for Executives program at Yale SOM.
- PodcastEpisode 139Duration 38:50
Joshua Sharfstein: Policy and Health
Howie and Harlan are joined by Joshua Sharfstein, a longtime public health official in federal, state, and local government, to discuss the state of the opioid epidemic, lessons from the COVID-19 vaccine rollout, and our readiness for a bird flu outbreak. Harlan reports on the summer surge in COVID-19; Howie remembers his mentor Gail Wilensky, a health economist who directed Medicaid and Medicare programs and led many other organizations over a 50-year career.
Links:
COVID-19 Update
CDC: COVID-19 Current Wastewater Viral Activity Levels Map
“What to Know About COVID FLiRT Variants”
Joshua Sharfstein
Joshua Sharfstein: The Opioid Epidemic: What everyone needs to know”
“How Can Over-the-Counter Naloxone Prevent Opioid Overdose Deaths?”
CDC: H5 Bird Flu: Current Situation
“Millions of US Children Experience Range of Long COVID Effects”Joshua Sharfstein: “The Role for Policy in AI-Assisted Medical Diagnosis”
“External Validation of a Widely Implemented Proprietary Sepsis Prediction Model in Hospitalized Patients”“Epic’s overhaul of a flawed algorithm shows why AI oversight is a life-or-death issue”
Podcast: “Baltimore cut infant mortality and helped moms thrive, too”
Remembering Gail Wilensky“In Remembrance Of Gail Wilensky”
“Gail Wilensky, Former CMS Administrator, Dies at 81”
“In Memoriam: Gail Wilensky, Renowned Health Economist & NORC Trustee”
Gail Wilensky: “The Health Care Quality Improvement Initiative”
Learn more about the MBA for Executives program at Yale SOM. - PodcastEpisode 138Duration 39:15
Kate Goodrich: A Better Model for Care
Howie and Harlan are joined by Kate Goodrich, chief medical officer for Humana and a former Medicare staffer, to discuss the improvements in care and outcomes that result when providers are paid for each patient, not each service. Harlan looks at the challenge of payment for AI-based diagnostic tools; Howie asks if free tuition at Johns Hopkins medical school will address the real problems in medical education.
Links:
AI Diagnostic Tools
The Cardiovascular Workforce Crisis: Navigating the Present, Planning for the Future
“American Medical Association Grants PLA Code to Tempus Algorithmic Test, PurISTSM”
Kate Goodrich
Humana: Value Based Care Report
Centers for Medicare & Medicaid Services: Value Based Care
“Medicare Spending on Ozempic and Other GLP-1s Is Skyrocketing”
Free Tuition at Johns Hopkins
“Bloomberg gives $1 billion to Hopkins to make tuition free for most medical students”
Johns Hopkins School Of Medicine: Tuition And Financial Aid
“Free med school tuition won’t solve the shortage of primary care physicians”
Learn more about the MBA for Executives program at Yale SOM. - PodcastEpisode 137Duration 40:53
Timothy Westmoreland: Healthcare at the Supreme Court
Howie and Harlan are joined by Timothy Westmoreland to discuss his long career in health policy and law, and the far-reaching consequences of the Supreme Court decision overturning Chevron deference. Harlan looks at President Joe Biden's debate struggles; Howie reports on the many healthcare-related Supreme Court decisions.
Links:
The Presidential Debate
Harlan Krumholz: “Did Cold Medications Affect Biden's Debate Performance?”
CNN Presidential Debate: President Joe Biden and former President Donald Trump
Press Briefing by Press Secretary Karine Jean-Pierre, July 2, 2024
“Biden's Evolving Reasons for His Bad Debate: A Cold, Too Much Prep, Not Feeling Great and Jet Lag”
Timothy Westmoreland
Timothy Westmoreland: “Henry Waxman, the Unsung Hero in the Fight Against AIDS”
“LGBTQ History Month: The early days of America's AIDS crisis”
Cornell Law School Legal Information Institute: Chevron deference
Ballotpedia: Skidmore deference
“How the Chevron case has roiled U.S. healthcare agencies”
SCOTUSblog: Corner Post, Inc. v. Board of Governors of the Federal Reserve System
“Supreme Court appears likely to allow abortion drug to remain available”
The Supreme Court
“Implications for Public Health Regulation if Chevron Deference Is Overturned”
Supreme Court opinion: Murthy, Surgeon General, et al. v. Missouri et al
SCOTUSblog: Food and Drug Administration v. Alliance for Hippocratic Medicine
Cornell Law School Legal Information Institute: Moyle v. United States
Supreme Court of the United States
Health & Veritas Ep. 77: Megan Ranney: What’s Next for Public Health?
Learn more about the MBA for Executives program at Yale SOM. - PodcastEpisode 136Duration 35:24
An HIV Breakthrough and Other News
Howie and Harlan catch up on healthcare headlines, including the politics of treating gun violence as a public health crisis, the growing evidence for the dangers of artificial sweeteners, and the latest on the bird flu outbreak.
Links:
Harlan Krumholz: “The Next Era of JACC”
"First Issue of JACC Debuts Under Harlan M. Krumholz"
"U.S. clinical trials begin for twice-yearly HIV prevention injection"
Rush University System: Dr. Omar B. Lateef
"Rush Signs on as First Partner for Local Laundry Service"
“Health Equity as a System Strategy: The Rush University Medical Center Framework”
"Surgeon General Declares Gun Violence a Public Health Crisis"
Surgeon General’s Advisory on Firearm Violence
"Surgeon General: Why I’m Calling for a Warning Label on Social Media Platforms"
Vinay Prasad: “CT screening for lung cancer for homeless people: the new JAMA IM paper”
Supreme Court: Murthy v. Missouri Opinion
"US supreme court allows government to request removal of misinformation on social media"
Harlan Krumholz: “Why One Cardiologist Has Drunk His Last Diet Soda"
“Xylitol is prothrombotic and associated with cardiovascular risk”
CDC: A(H5N1) Bird Flu Response Update June 21, 2024
"Michigan stands out for its aggressive bird flu response. Will other states follow its lead?"
"Finland to offer bird flu vaccinations to at-risk residents in a world first"
Learn more about the MBA for Executives program at Yale SOM. - PodcastEpisode 135Duration 30:59
Lisa Suter: Medicine, Measurement, and Equity
Howie and Harlan are joined by Lisa Suter, a rheumatologist and the senior director of the Quality Measurement Program at Yale’s Center for Outcomes Research & Evaluation. Harlan reflects on the meaning of Juneteenth and reports on a Yale-led report card on health equity; Howie comments on Surgeon General Vivek Murthy’s call for warning labels on social media.
Links:
Juneteenth
National Museum of African American History & Culture: Juneteenth
“JACC Report Card Highlights Inequities in CV Care, Death Rates”
Lisa Suter
Center for Outcomes Research and Evaluation
National Institute of Arthritis and Musculoskeletal and Skin Disease: Arthritis
Lisa Suter: “Medical Decision Making in Patients With Knee Pain, Meniscal Tear, and Osteoarthritis”
“Voices of DEI: Lisa Suter, MD”
An Analysis of Within- and Between-Hospital Variation”
The Surgeon General on Social Media
“Surgeon General: Why I’m Calling for a Warning Label on Social Media Platforms”
“Social Media and Youth Mental Health: The U.S Surgeon General’s Advisory”
Kids Online Safety Act: Senator Richard Blumenthal
Learn more about the MBA for Executives program at Yale SOM. - PodcastEpisode 134Duration 32:25
Anna Reisman: Bringing the Humanities to Medicine
Howie and Harlan are joined by Anna Reisman, a physician and writer who leads Yale’s Program for Humanities in Medicine. They discuss the gaps in care she encountered when her developmentally disabled sister was diagnosed with cancer, and her work reviewing the “dude wall” of portraits at Yale Medical School. Harlan asks what we’ve gained from a new definition of long COVID; Howie provides an update on the spread of the H5N1 bird flu.
Links:
Defining Long COVID
National Academies: A Long COVID Definition
WHO: Post COVID-19 condition (Long COVID)
Anna Reisman
U.S. News: Yale University department rankings
Anna Reisman: “A doctor’s life, chronicled”
“Life on wheels” (Yale School of Medicine article on the documentary Rolling)
Anna Reisman: “Standard of Care”
“Academic Science Rethinks All-Too-White 'Dude Walls' Of Honor”
Wikipedia: Stanhope Bayne-Jones
“In Memoriam: Marjorie Rosenthal, MD '95, MPH 1967–2020”
“Yale Internal Medicine Residency Writers’ Workshop celebrates 20th anniversary”.
Bird Flu
FDA: Updates on Highly Pathogenic Avian Influenza (HPAI)
“CDC Reports A(H5N1) Ferret Study Results”
Learn more about the MBA for Executives program at Yale SOM. - PodcastEpisode 133Duration 38:10
Mitesh Rao: Democratizing Healthcare Data
Mitesh Rao, co-founder and CEO of OMNY Health, joins Howie and Harlan to discuss his entrepreneurial journey and how his company is creating a common layer of data connecting healthcare providers and researchers. Harlan reports on a study showing how many lives could be saved by improving quality of care; Howie reflects on the health consequences that have accompanied the legalization of cannabis.
Links:
Quality and Lives Saved
South Park: “Navigating the American Healthcare System”
Mitesh Rao
OMNY Health: Connect Data to Transform Lives
UK Biobank: Enabling Scientific Discoveries that Improve Human Health
HIPAA: Health Information Privacy
Cannabis and Health
“Justice Department Submits Proposed Regulation to Reschedule Marijuana”
“Changes in self-reported cannabis use in the United States from 1979 to 2022”
Cannabinoid Hyperemesis Syndrome
“Cannabis and Psychosis: Recent Epidemiological Findings Continuing the ‘Causality Debate’”
“High-potency marijuana highlights the risk of cannabis-induced psychiatric disorders”
Marijuana Addiction Facts: Is Marijuana Addictive?
Learn more about the MBA for Executives program at Yale SOM. - PodcastEpisode 132Duration 39:43
Live at the Yale Innovation Summit
A special episode recorded at the Yale Innovation Summit, which brings together entrepreneurs and investors in the arts, biotech, climate, health, and tech. Howie and Harlan are joined by Josh Geballe, managing director of Yale Ventures, which hosts the summit; Mary Ann Melnick, site head at Biolabs New Haven; and Lee Schwamm, chief digital health officer at Yale New Haven Health System.
Links:
Yale Ventures: Yale Innovation Summit
The Provost’s Committee on Conflict of Interest
“Novel BioLaunch program to train New Haven residents for careers in biotech”
Learn more about the MBA for Executives program at Yale SOM. - PodcastEpisode 131Duration 33:55
Chima Ndumele: Reinventing Medicaid
Howie and Harlan are joined by Chima Ndumele of the Yale School of Public Health to discuss his research on structural changes to Medicaid that could keep vulnerable populations healthier. Harlan reports on the remarkable abilities of Google's latest medicine-focused AI; Howie reflects on a study showing the impact of race-neutral measures of lung function.
Links:
AI and Medicine
“Capabilities of Gemini Models in Medicine”
Medicaid
“10 Things to Know About Medicaid”
Supplemental Nutrition Assistance Program (SNAP)
“Long-Term Stability of Coverage Among Michigan Medicaid Beneficiaries: A Cohort Study”
“N.C. developing plan to improve Medicaid participants’ job prospects”
“Yale School of Public Health Graduates Urged to Adopt a “Healthy Disregard for the Impossible”
Race and Lung Function
“Implications of Race Adjustment in Lung-Function Equations”
“Q&A: Harlan Krumholz on hospital readmissions”
Health & Veritas Live on May 30
Join Howie and Harlan in person at the Yale Innovation Summit.
Learn more about the MBA for Executives program at Yale SOM.