THURSDAY, JULY 25, 2024

JAMA’s Editor: Rebuilding Trust & Reaching More Readers

The Journal of the American Medical Association (JAMA), which was first published 141 years ago, is grappling with modern challenges as the most widely circulated general medical journal in the world. At the forefront is Dr. Kirsten Bibbins-Domingo, its relatively new editor-in-chief.

Dr. Bibbins-Domingo took the helm at a tumultuous time and has a clear vision for how JAMA should deal with equity in medicine and the public’s lack of trust in health care.

She told hosts Mark Masselli and Margaret Flinter at Aspen Ideas: Health that “I am not the keeper of trust for the journal. I am not the keeper of our focus on equity.” But she said she has installed new processes “so that we could collectively have those conversations, be more transparent around them, think about the processes that help us make sure that we are always trying to be the best that we can be.” That includes giving JAMA employees and authors a voice in discussions about equity and increasing transparency with readers.

Dr. Bibbins-Domingo also focused on how to keep JAMA connected to its current audience while attracting new audiences using an omnichannel approach, especially social media.

“I think about what JAMA and the JAMA Network have to do right now is do the core functions the same way we’ve always done it…vetting the science, making sure this is science you can trust, putting the stamp of approval in that way on it, and then publishing it. And then we have to do something that I think all journals need to do better… and that is being a modern communication vehicle,” she said.

THURSDAY, JULY 17, 2025

Pretend You Have Millions to Fix Health Care: What Would You Do? A Doctor Gives His Answer

If you ran a healthcare foundation worth nearly $1 billion, where would you invest those dollars? That a question Dr. Joseph Betancourt, his colleagues and board members get to tackle every day.

Dr. Betancourt, president of the influential The Commonwealth Fund, is committed to “Affordable, quality health care. For everyone.” Hosts Mark Masselli and Margaret Flinter interviewed him at Aspen Ideas: Health at the Aspen Institute.

Here are some of the Fund’s top concerns right now:

  1. Private equity: The Commonwealth Fund is examining how private equity engages in healthcare delivery and what impact it’s having on cost, quality and safety. Dr. Betancourt explains that its new strategic plan will focus on commercial drivers and the tension between patients and profits.
  2. Primary care: There’s a growing crisis, exacerbated by fewer primary care medical students and a culture that doesn’t appreciate their contributions.
  3. Outcomes: The Fund’s Scorecard on State Health System Performance found the number of children who have received all doses of the seven recommended early childhood vaccines is below 75% in most states.


Dr. Betancourt, the first Latino to lead the Fund, is also proud of health equity as he defines it:

“My lived experience informs a lot of my ideas around how our foundation can go forward…it’s about respect and making sure we’re not leaving anyone behind, that we and I do the best for everyone. Those are the values I bring personally. Those are the values I bring as a clinician. And those are the values that are very well aligned with the Commonwealth Fund,” he says.