Power with Intention: Navigating Healthcare Leadership with Dr. Soni

I’m in conversation with Dr. Soni, a physician-leader working at the intersection of patient care and public health policy, about what it means to design healthcare systems that actually work for the people they’re meant to serve. From exam rooms to executive decision-making, Dr. Soni brings a grounded perspective on how care is experienced — and how it can be improved.

We explore how Covered California supports millions of residents, why affordability and access are inseparable, and how policy decisions directly shape whether people seek care at all. Dr. Soni shares insights into the behavioral health crisis, the lasting effects of the pandemic on care delivery, and why telehealth has become a permanent part of the healthcare landscape rather than a temporary solution.

The conversation also digs into disparities — particularly around mental health utilization — and the structural reasons some communities remain hesitant or unable to access care. Dr. Soni explains why representation in the healthcare workforce matters, how allies can help bridge gaps, and why systems must take responsibility rather than placing the burden on patients.

Along the way, Dr. Soni offers clear, practical advice for navigating healthcare visits and emphasizes the importance of preparation, communication, and support. He reflects on leadership during uncertainty, the fear that arises when coverage is threatened, and the courage required to act in service of long-term outcomes rather than short-term comfort.

This episode is for anyone thinking about healthcare beyond the individual appointment — and for those working to create systems that are fair, transparent, and accountable. It’s a conversation about care, power, and the responsibility that comes with scale.

Key Themes & Takeaways

The relationship between healthcare policy and patient behavior

Telehealth as a tool for access, not a cure-all

Mental health disparities and systemic barriers

Workforce diversity and cultural responsiveness

Patient empowerment and preparation

Leading through fear and uncertainty

Powerful Moments

On Access:

“Access isn’t just availability — it’s whether people feel safe using it.”

On Systems:

“Large systems have to own their outcomes.”

On Fear:

“When coverage feels unstable, people delay care — and that has consequences.”

On Patients:

“Your voice matters, and preparation helps it land.”

Reflection Questions

What barriers prevent people from accessing care in your community?

How does fear influence healthcare decisions — personally or systemically?

Where can accountability improve outcomes?

What role does representation play in trust?

How can healthcare systems shift from reactive to proactive?

About the Guest

Dr. Soni is a primary care physician and senior healthcare leader at Covered California, where he helps guide clinical strategy and health equity efforts for millions of residents. His work bridges frontline care and policy, with a focus on trust, access, and system-wide improvement.

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