HEALTHCARE REFRAMED
Rethinking the System, One Conversation at a Time
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JUDSON HOWE SITS DOWN WITH GLOBAL HEALTHCARE LEADERS TO UNDERSTAND HOW OUR SYSTEMS NEED TO CHANGE.
HEAR THE UNFILTERED EXPERIENCES OF THOSE WHO HAVE DEVOTED THEIR LIVES TO YOUR HEALTHCARE SYSTEM. Exploring the failures — and the visionaries striving to fix them.










The Nuka Revolution: Putting the Patient Back in the Center of US Healthcare
Discover the story behind the health‑care system that Harvard, the Institute for Healthcare Improvement, and two U.S. Baldrige Awards all cite as living proof that American medicine can reinvent itself—even in one of the most rugged, under‑resourced corners of the map.

Beyond “No Margin, No Mission”: A New Playbook for Health System Transformation
Whether you are a CFO staring at the “Big Beautiful Bill,” a medical director navigating Gen‑Z workforce expectations, or a policy student hunting for a dissertation topic, Dr. Saha’s blend of data, field stories, and blunt truth‑telling will challenge—and equip—you to act.

Scott Reiner: Trading the C-suite for community impact
I worked for a number of years as a senior hospital executive for Adventist Health, a $5 billion system in the western US. Our guest in this episode, Scott Reiner, was the CEO of that system until, at the peak of his career, he walked away to launch a pair of social ventures working to reframe the approach to healthcare in rural southern Africa. In his time at Adventist Health, Scott completely changed the way that I think about healthcare, and I had always wanted to have a chance to sit down with him and hear his take on his journey and on healthcare in general. I hope that you find our conversation as interesting and inspiring as I did.