Healthcare Reframed
Healthcare Reframed
Podcast Description
Health and the delivery of healthcare are topics of importance around the globe. There is little debate that much of the world, and much of the United States, feels that their healthcare system needs to improve and perhaps even to change dramatically. The US healthcare system is our focus, and it has the dubious distinction of generating worse outcomes at greater cost than any peer nation. Why is that? What can we do about it? Why have we all been talking about this for what seems like forever and not made things better yet? If you share our passion for digging into these topics, gathering ideas and insights into how to change the system, and maybe want to stretch your world view a bit, you have come to the right place.
We have each been fortunate to have the time and space to talk with each other and to learn and think hard about our experiences and insights into the world of healthcare. We created this site and this podcast series to share our reflective conversations with smart, experienced and insightful healthcare leaders who are passionate about making the world a better place, to amplify their important voices, and to share what we have learned about the issues and ideas that these interviews led us to explore more deeply. For each episode, we have also created a scrollstory to share additional background and context for a selection of the topics discussed during the interviews between Judson and our guests. Working to put together all of this content has been hugely energizing and enlightening for us, and we are eager to share what we have learned with you.
The world definitely does not have a shortage of healthcare related information available on the internet. Between all of the podcasts and websites and news articles and magazines and corporate websites and government websites and published medical research, we often seem to be drowning in healthcare related information. And it is not always easy to tell who is creating and curating that content, or how much of the information provided is really designed to generate clicks and views and to sell you things. You will find no ads or corporate sponsors or paywalls on this site, no attempt to monetize your interest. But we do have to keep the lights on, so if you find our efforts here interesting and maybe even useful, please consider making a donation of whatever size seems appropriate to you.
Our team
Judson HoweSeries - creator and producer
Judson is a healthcare executive with more than a decade of leadership experience as both a hospital CFO and CEO, primarily in rural Northern California. He has seen first-hand the pressures facing our organizational leaders as they try to make high-quality healthcare a core value in our communities. Judson’s passion for understanding the forces shaping our healthcare system and for seeking new insights into how to create change are the driving forces behind this podcast series.
Micah Buller - Video and sound recording an...
Podcast Insights
Content Themes
The podcast focuses on topics related to the US healthcare system, exploring themes such as healthcare equity, innovative payment models, and community health improvements, with episodes discussing practical cases like Dr. Somava Saha's work on global payments and healthcare justice.

Health and the delivery of healthcare are topics of importance around the globe. There is little debate that much of the world, and much of the United States, feels that their healthcare system needs to improve and perhaps even to change dramatically. The US healthcare system is our focus, and it has the dubious distinction of generating worse outcomes at greater cost than any peer nation. Why is that? What can we do about it? Why have we all been talking about this for what seems like forever and not made things better yet? If you share our passion for digging into these topics, gathering ideas and insights into how to change the system, and maybe want to stretch your world view a bit, you have come to the right place.
Our Team
Judson Howe
Host, series creator
Micah Buller
Creative Director
Lindsay Hunt
Co-producer
Todd Carpenter
Co-producer
What if the biggest driver of poor health isn’t just housing, food, or income – but mistrust? In this episode, host Judson Howe sits down with Dr. Katherine Gergen Barnett (KGB) – family physician, health policy leader, and community-based researcher at Boston Medical Center – to unpack medical mistrust as a social determinant of health and what it really takes to rebuild trust in the exam room and beyond. Drawing on two decades in primary care, Dr. Gergen Barnett shares how: • Mistrust quietly shapes who shows up, what they share, and whether they follow medical advice – even when they have insurance.
• Primary care and family medicine can act as the “engine” for equity, better outcomes, and lower mortality.
• Staying curious (“What matters to you?”) changes the dynamic from fixing problems to honoring people’s lives.
• Community voice, patient advocates, and community-based participatory research can transform clinical trials and policy from the ground up.
• Transparent quality data and paying for trust (not just RVUs) could radically reorient our system.
Along the way, KGB reflects on her journey from Yale to family medicine, why elite institutions still lack FM residencies, and how financial incentives and policy decisions are either eroding or rebuilding trust every day.
If you care about trust, equity, and the future of primary care, this conversation will challenge how you think about “good medicine” – and who gets to define it.
Thank you to www.everydayboston.org for providing footage of Dr. Barnette used in our trailer.
Disclaimer
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