In a long overdue appearance, Saurabh Jha (@RogueRad), MD, radiologist in Philadelphia, makes his triumphant return to the show to pick apart the single payer model idea as well as FDA regulatory processes, this time with a worthy adversary: Adam Gaffney (@awgaffney), MD, MPH, pulmonary specialist and health policy researcher at Cambridge Health Alliance/Harvard Medical School. The conversation begins with discussion of a proposed federal single payer system in America, why it could not be modeled after a successful system like that in England, why significant health disparities exist geographically within a single payer system and whether such a system can provide the tools to address these disparities, and so much more. Then, the conversation swings to whether a health care system should be designed to afford high priced novel therapies because of failure to regulate these prices, on what basis the FDA should approve drugs, and other points of discussion. Things get testy in this spirited back-and-forth banter and you won’t want to miss it.

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