How VA Innovation Affects the Entire Health Care System

The U.S. Dept. of Veterans Affairs operates the nation’s largest integrated health care system. But how much do you know about how well VA Medical Centers and clinics identify innovative therapies, practices and policies and then diffuse them across a large footprint?

Ryan Vega, MD, MSHA, leads the Innovation Ecosystem within the Veterans Health Administration. This initiative focuses on being the catalyst for enabling the discovery and spread of mission-driven health care innovation to advance care delivery and service.

Dr. Vega highlights point-of-care manufacturing and its 3D Printing Network that were essential during the early days of COVID and the VA’s history of deploying the first cardiac pacemaker.

Conversations on Health Care hosts Mark Masselli and Margaret Flinter talk to Dr. Vega about these breakthroughs, how they help the entire health care sector and where the VA is partnering with Federally Qualified Health Centers.

Mayo Clinic Long COVID Expert Dr. Greg Vanichkachorn: Cases Down as Stigma Continues

The director of Mayo Clinic's COVID Activity Rehabilitation Program says they’re seeing a decrease in Long COVID cases, likely due to variant changes and the effectiveness of vaccines. Dr. Greg Vanichkachorn describes Long COVID as a group of symptoms that linger longer than the normal COVID recovery period. He says fatigue and physical complaints decrease but patients have lingering cognitive effects like brain fog.

Unfortunately, Dr. Vanichkachorn says patients can still face stigma for the condition and he says some clinicians also do when they deliver such a diagnosis. In order to reach everyone, clinicians are increasing efforts to inform diverse populations, including hourly workers and farmers who may be coping in silence.

Hosts Mark Masselli and Margaret Flinter also learn how olfactory retraining and cognitive behavioral therapy are encouraged for Long COVID patients.

World Health Organization’s Dr. Maria Van Kerkhove Speaks About the Global Pandemic

This week, hosts Mark Masselli and Margaret Flinter speak with Dr. Maria Van Kerkhove, COVID-19 Technical Lead at the WHO. They discuss the world’s lack of readiness and supply chain infrastructure to confront the pandemic. She says the lessons learned from this collective ‘trauma’ is sparking new efforts to build more robust surveillance and response systems for emerging pathogens, the concerning new variant out of India, and the need to accelerate global vaccinations to stop the continued spread of the pandemic.

WHO: What China Must Do Now to Help Fight COVID

A top World Health Organization public health official is adding nuance to the agency’s call for more transparency from China, which is coping with a crippling COVID-19 outbreak since it ended its zero-COVID policy last month.

Maria Van Kerkhove, Ph.D., WHO Technical Lead for COVID-19 Response, tells “Conversations on Health Care” that “We really need better understanding on the burden and the hospitalizations and we need more information on the sequences…they have detected known sub-variances…but we need those sequences to be shared publicly. We want China to work with us to really determine within those sublineages…is there anything else within those sequences that’s different. And we need a global community to look at that. And work directly with us to do a full risk assessment.

“Right now they’re going through a massive wave of Omicron. This virus, as transmissible as it is, is passing through the population. They are sharing information. It’s just not enough. It’s just not as detailed as we’d like.”

Van Kerkhove joins hosts Mark Masselli and Margaret Flinter to share her insights.

Dr. Barbara Van Dahlen, Founder of Give an Hour

This week, Mark and Margaret speak with Dr. Barbara Van Dahlen, clinical psychologist and founder of Give an Hour, an organization dedicated to matching returning veterans and their families with behavioral practitioners who volunteer their time. Dr. Van Dahlen talks about the psychological impact of war and mobilizing civilians to support active duty service members, veterans, and their families.

All of Your Health Information Is Now a Right Not a Privilege - ONC Head Tells Us More

As of October 6, 2022, all health care organizations in the United States are legally required to give patients unrestricted access to all their health records in a digital format.

Micky Tripathi, Ph.D., National Coordinator for Health IT at the U.S. Dept. of Health and Human Services, is excited about this change and its ability to empower patients. Yet the free flow of data also poses security risks. He tells hosts Mark Masselli and Margaret Flinter what protections Americans can take and the incredible opportunities health IT offers us during this time of medical challenges.

Chris Trimble, Author of <i>How Physicians Can Fix Health Care: One Innovation at a Time</i>

This week, hosts Mark Masselli and Margaret Flinter speak with Chris Trimble, organizational innovation expert from Dartmouth's Tuck School of Business and author of How Physicians Can Fix Health Care: One Innovation at a Time. Mr. Trimble addresses the need for innovation strategies that must be deployed in this era of rapid transformation within the health care industry.

Interview with NBC’s Dr. John Torres On Location at Aspen Ideas: Health

Millions look to NBC News Senior Medical Correspondent Dr. John Torres for advice and insights about their health. But how is he coping with surveys that show Americans lost trust in mainstream media during the pandemic and are increasingly turning to social media for health news? He gives us good advice about where to go for verified information.

Hosts Mark Masselli and Margaret Flinter also ask him about his role with NATO Special Forces on a variety of initiatives including tactical combat casualty care, combat simulations, and medical leadership. Join us for this special conversation, recorded on location at Aspen Ideas: Health.

Dr. Eric Topol, Cardiologist, Geneticist and Director of the Scripps Translational Institute.

Conversations speaks this week with Dr. Eric Topol, Director of the Scripps Translational Institute and author of The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care. Mark and Margaret speak with Dr. Topol about the pivotal role genomics and telemedicine is having on health care, and the potential for a health care revolution with these emerging technologies.

Dr. Eric Topol, Cardiologist, Geneticist and Director of the Scripps Translational Institute.

This week, Mark and Margaret speak with Dr. Eric Topol, Director of the Scripps Translational Institute and author of The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care. Mark and Margaret speak with Dr. Topol about the pivotal role genomics and telemedicine are having on health care, and the potential for a health care revolution with these emerging technologies.

Dr. Eric Topol, Director of the Scripps Translational Science Institute

This week, hosts Mark Masselli and Margaret Flinter speak with cardiologist, genomics and telemedicine expert Dr. Eric Topol, Director of the Scripps Translational Science Institute. They discuss his latest book, The Patient Will See You Now: The Future of Medicine Is In Your Hands, in which he predicts the "medicalization of the smart phone" is poised to truly democratize medicine by putting the power of diagnostics and monitoring in the patient's own hands.

Smart Phones, Genomics and AI: Dr. Eric Topol on Health Care's Next Frontier in Personalized Medicine

This week, hosts Mark Masselli and Margaret Flinter speak with Dr. Eric Topol, renowned cardiologist, geneticist, digital health advocate, and founder of the Scripps Translational Science Institute. They discuss his work developing technologies for the "All of Us" precision medicine campaign at NIH, and the efforts still needed to support true precision medicine initiatives in American health care.

Dr. Eric Topol: What Lies Between Now and COVID-19 Vaccine

This week, hosts Mark Masselli and Margaret Flinter speak with Dr. Eric Topol, Founder and Director of the Scripps Translational Institute, and author of “The Creative Destruction of Medicine”. Dr. Topol is a renowned cardiologist and health data champion, and shares a harsh assessment of federal handling of the COVID-19 Pandemic in the US. He’s heartened by the many collaborations yielding significant scientific discovery around rapid testing technology and vaccines. He’s concerned the anti-science movement will undermine deployment of an effective vaccination program, once one makes it to the public.

Dr. Eric Topol on Variants, Vaccines and AstraZeneca’s Data Reporting

This week Mark and Margaret speak with Dr. Eric Topol, Director of the Scripps Research Translational Institute. Dr. Topol calls drug maker AstraZeneca’s recent controversial under-reporting of complete safety data to US regulators for its COVID-19 vaccine ‘disturbing’ and ‘unprecedented’ in his clinical trial career. He calls the rapid development of highly successful and effective COVID vaccines one of biomedicine’s greatest achievements and predicts the pandemic crisis will pave the way for more remarkable scientific breakthroughs, and a greater opportunity for the growth of personalized medicine via smartphones.

“Not the Doomsday Variant”: Dr. Eric Topol’s Concerns Around Omicron and America’s Low Fully Vaccinated Rate

This week hosts Mark Masselli and Margaret Flinter welcome Dr. Eric Topol, Director of the Scripps Research Translational Institute, for his perspective on the rapid spread of the Omicron variant. He says early data shows that it is highly transmissible, but apparently not more deadly. His greater concern is around the current Delta surge leading to more infections, low vaccination rates in developing countries leading to more variants, and the “abysmal” vaccination performance in the U.S. He says mRNA vaccines should be considered a 3-dose protocol, and that rapid testing and virus sequencing should be more broadly deployed to stop the spread of the virus.

Dr. Eric Topol: COVID BA.5 variant "worst we've seen"

Dr. Eric Topol, one of the most prominent and prolific COVID experts, provides his thoughts on the COVID BA.5 subvariant. He says, “it’s the worst variant… [because of] the immune escape…the ability to have growth, fitness and advantages that we haven’t seen before…the properties are getting worse…and lasting longer. The virus has not finished its evolutionary arc. There’s more to come, unfortunately.”

Conversations on Health Care hosts Mark Masselli and Margaret Flinter also talk to Dr. Topol about Dr. Anthony Fauci’s legacy, Paxlovid resistance and monkeypox.

340B & Pharmaceutical Profiteers: Connecticut Attorney General William Tong on Going After Illegal Price Gouging By Big Pharma

This week, hosts Mark Masselli and Margaret Flinter speak with Connecticut Attorney General William Tong, who recently called out pharmaceutical giants for intimidating safety net providers and Community Health Centers offering low cost drugs to vulnerable patients protected through the 340B Pricing. Tong is also leading a team of Attorneys General from 51 states and territories in a huge Antitrust suit, alleging criminal price-fixing and price gouging among multiple pharmaceutical giants operating in collusion with each other to dramatically increase their profits on generic drugs.

Jennifer Tolbert, Director of State Health Reform, Kaiser Family Foundation

This week on Conversations on Health Care, hosts Mark Masselli and Margaret Flinter speak with Jennifer Tolbert, Director of State Health Reform at the Kaiser Family Foundation. She breaks down the rollout of the Affordable Care Act and its potential impact on the uninsured population and how it may differ in states across the country.

Abortion Rights Leader Rejects Calls to “Ignore” Judge’s Ruling

A federal judge’s decision to revoke the FDA’s approval of the abortion pill mifepristone has led some politicians to ask the Biden Administration not to enforce the ruling. Yet NARAL Pro-Choice America President Mini Timmaraju, who’s in close contact with the White House, tells “Conversations on Health Care” that’s not the right move. “I think calls for the FDA not to comply, while you know emotionally satisfying, are not actually helpful in a litigation strategy. And our goal is for the FDA and the DOJ to prevail in this case. The ruling…is riddled with serious disinformation.”

Timmaraju explains how the Supreme Court could hear the case by the end of this week and how this judge’s opinion could have an even bigger impact on the entire health care sector. Her interview with Mark Masselli and Margaret Flinter is online now.

Mildred Thompson, deputy director of the Robert Wood Johnson Foundation Center to Prevent Childhood Obesity, discusses childhood obesity and the campaign to fight it.

Conversations on Health Care® focuses this week on the crucial topic of childhood obesity. Mark Masselli and Margaret Flinter speak with Mildred Thompson, deputy director of the Robert Wood Johnson Foundation Center to Prevent Childhood Obesity, about fostering a healthy environment to reverse this trend and the challenges and goals that go with it.