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John Fullerton

John Fullerton

Founder and president of Capital Institute; former JPMorgan managing director and author of Regenerative Capitalism, a leading voice in regenerative economics.

Sep 21, 2026

6:50
You know, many organizations are either on Epic or they're on Cerner, they're using an EHR that has some level of a patient portal, right? Where does that technology piece come into play? You know, and does that really go against some of the patient access goals? In other words, are patients truly leveraging their portal and the connectivity around that portal with the physician like they should? Or is that a huge opportunity to really begin to better manage some of the access challenges?
7:21
I personally believe it's a huge opportunity.
7:23
I think we're at a place where the technology is there.
7:29
The patients have the expectations.
7:33
to have that capability when it comes to health care because they're using very similar technology in a number of different other industries.
7:42
But I think we're kind of dropping the ball still is just meeting in the middle.
7:47
I think whether you're looking at online scheduling, mobile communication, waitlist automation, anything like that.
11:40
think
6:50
You know, many organizations are either on Epic or they're on Cerner, they're using an EHR that has some level of a patient portal, right? Where does that technology piece come into play? You know, and does that really go against some of the patient access goals? In other words, are patients truly leveraging their portal and the connectivity around that portal with the physician like they should? Or is that a huge opportunity to really begin to better manage some of the access challenges?
7:21
I personally believe it's a huge opportunity.
7:23
I think we're at a place where the technology is there.
7:29
The patients have the expectations.
7:33
to have that capability when it comes to health care because they're using very similar technology in a number of different other industries.
7:42
But I think we're kind of dropping the ball still is just meeting in the middle.
7:47
I think whether you're looking at online scheduling, mobile communication, waitlist automation, anything like that.
11:40
think
75:12
... any thoughts about how you would respond to that? How, or how you feel about it? I- is it the right question, even?
75:19
So I, you know, this is a huge, complex question that I'm not an expert in.
75:25
Um, I, I can share what I learned through the grazing, um, experience.
75:33
Um, what, what I know is true is that we conflate, um, the problems of the industrial meat system, which requires growing grains, clearing the Amazon to grow more grains to feed more cattle.
75:52
Um, I've experienced, uh, ranches in the United States and, uh, have knowledge of them in New Zealand and Australia and South Africa, um, uh, in fact, i- in Argentina, all around the world, where by shifting the management practice, you can easily double if not triple the stocking rates, meaning the animals per acre, on what are natural grasslands.
76:21
Um, the, the thought of cutting down a, a tropical rainforest to grow grass, uh, or to grow food for animals is, is industrial thinking that is, is very shortsighted.
76:36
Um, there is massive capacity to, um, uh, increase the animal stock on the existing grasslands of the world if they're managed in a holistic, uh, in a holistic way.

8 MINS LATER

84:28
Yeah.
22:44
to simplify
22:44
it.
22:46
What we talked about earlier, ecological economics, in my book I call this the first leap over the first fence.
22:52
This is the profound shift because Herman Daly and colleagues Essentially, reimagine the economy as embedded in the biosphere, not as a separate system.
23:03
And that's a profound shift.
23:05
And we've been processing that for 50 years.
23:08
This is what we have to keep in mind.

24 MINS LATER

46:52
I think it's 80 businesses,

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