Jul 1, 2026 · 49 min · 12 segments
Healthcare systems around the world are facing a difficult reality: more people are living longer, but with multiple chronic diseases that are expensive, difficult to manage, and usually diagnosed too…
Ray PawlickiGuest
Steve GardnerHost
Yeah, and we're going to, obviously, one of the themes of this podcast is all around being able to predict and prevent disease from happening.

And You know, you're alluding to the fact that healthcare is becoming unaffordable, particularly in the US, it's 18% of GDP.

And I know that this is occupying attention on both the provider and the payer side.

but we're throwing around some words that probably don't mean that much to a non-US audience.

This is going to be a little bit like me trying to explain the laws of cricket to an American.

Would you mind just sort of describing the organizational structure and the players in the US health system? You obviously sit on the boards of a number of these, so I think you have a pretty unique perspective here.

So the U.S. spends the most on healthcare and is well beneath the average on actual quality of life that we're able to engage with.

So in other words, in the U.S., if you're fortunate enough to be in a place where you could pay for excellent healthcare, you get it.

But the complexity largely is due to the way everything is fragmented, where you start by going to a provider.

When you're on your own, that means if you are working somewhere where that employer provides health insurance, you have to pay, and the employer will also pay.

If you're not, or if your employer doesn't offer it, you have to go out to what's called a marketplace and get it on your own.

And if you cannot afford it, you fall into a different category called the Medicaid, which which is funded largely by the state.

Yeah, and we're going to, obviously, one of the themes of this podcast is all around being able to predict and prevent disease from happening.

And You know, you're alluding to the fact that healthcare is becoming unaffordable, particularly in the US, it's 18% of GDP.

And I know that this is occupying attention on both the provider and the payer side.

but we're throwing around some words that probably don't mean that much to a non-US audience.

This is going to be a little bit like me trying to explain the laws of cricket to an American.

Would you mind just sort of describing the organizational structure and the players in the US health system? You obviously sit on the boards of a number of these, so I think you have a pretty unique perspective here.

So the U.S. spends the most on healthcare and is well beneath the average on actual quality of life that we're able to engage with.

So in other words, in the U.S., if you're fortunate enough to be in a place where you could pay for excellent healthcare, you get it.

But the complexity largely is due to the way everything is fragmented, where you start by going to a provider.

When you're on your own, that means if you are working somewhere where that employer provides health insurance, you have to pay, and the employer will also pay.

If you're not, or if your employer doesn't offer it, you have to go out to what's called a marketplace and get it on your own.

And if you cannot afford it, you fall into a different category called the Medicaid, which which is funded largely by the state.
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