President and chief executive officer of the National Psoriasis Foundation (NPF) Leah M. Howard discusses her article "Pharmacy benefit manager reform vs. direct drug plans." Leah analyzes the recent emergence of direct-purchase drug programs and argues that while innovative thinking is welcome, it cannot replace the need for deep systemic change. She advocates for bipartisan legislative solutions such as the Safe Step Act to address the root causes of high costs in the U.S. health care system rather than relying on siloed fixes that may not help everyone. The conversation emphasizes that true relief for patients with chronic diseases requires transparent pharmacy benefit manager reform and a move away from profit-driven incentives that punish the sick. Join us to learn how we can push for lasting policies that prioritize patient health over corporate profits.

This episode is presented by Scholar Advising, a fee-only financial advising firm specializing in providing advice for DIY investors. If you want clear, actionable strategies and confidence that your financial decisions are built on objective advice without AUM fees or commissions, Scholar is designed for you. Physicians often navigate complex compensation structures, including W-2 income, 1099 work, production bonuses, and practice ownership. Scholar's highly credentialed advisors guide high-earners through decisions like optimizing investments for long-term tax efficiency and expert strategies for financial independence. Every recommendation is tailored to the financial realities physicians face.

VISIT SPONSOR → https://scholaradvising.com/kevinmd

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Premedical student Samah Khan discusses her article "The crisis of physician shortages globally." Samah draws a powerful parallel between the medical exodus in Pakistan and the doctor deserts of California's Central Valley, revealing how structural neglect drives providers away from the communities that need them most. She explores the root causes of this brain drain, from low wages to limited residency spots, and argues that health care systems must reshape their values to retain talent. The conversation highlights promising solutions like local recruitment tracks while emphasizing that without systemic change, patients will continue to suffer the cost of delayed care. Join us to understand why doctors leave and how we can anchor them back home.

This episode is presented by Scholar Advising, a fee-only financial advising firm specializing in providing advice for DIY investors. If you want clear, actionable strategies and confidence that your financial decisions are built on objective advice without AUM fees or commissions, Scholar is designed for you. Physicians often navigate complex compensation structures, including W-2 income, 1099 work, production bonuses, and practice ownership. Scholar's highly credentialed advisors guide high-earners through decisions like optimizing investments for long-term tax efficiency and expert strategies for financial independence. Every recommendation is tailored to the financial realities physicians face.

VISIT SPONSOR → https://scholaradvising.com/kevinmd

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

We have a special sponsored episode from MagMutual. We welcome William Kanich. He's an emergency physician and currently the executive chairperson of MagMutual Insurance Company. We explore how physicians can navigate unexpected medical outcomes while preserving trust with their patients. Through Dr. Kanich's clinical and leadership experience, the conversation examines common challenges, practical approaches, and the role of structured support programs like the Preserve Program. The discussion also looks ahead to how the healthcare industry can continue evolving to better support physicians in maintaining strong patient relationships.

VISIT SPONSOR → https://www.magmutual.com/

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended