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★★★★★

4.9

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39 reviews

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The Truth About Healthcare (with a shot to dull the pain). Doctors are frustrated. Patients are frustrated. And none of us can get a straight answer on how to make it better … like, really make it better … honestly, we really need to make it better … because it could drive you to drink . . . Cue 43cc. A bi-weekly podcast that exposes how doctors really feel about healthcare in America, 43cc offers raw (and often irreverent) insider knowledge to help patients, and fellow healthcare practitioners, look 'behind the curtain'. Through exposing some hard truths (while imbibing some not-so-soft drinks) 43cc aims to break the stigma, fill gaps, and lower frustration levels for patients and providers. Hosts Wendy Dean, MD and Matt Ramsey, MD bring together decades of knowledge, experience, and an uncanny ability to mesh intricate medical expertise with skillfully used profanity. We'll uncover a wide range of topics like electronic medical records, prior authorization, consolidation, corporatization, bureaucratic bs, shareholder primacy, private equity, and other nonsense that makes our heads hurt and our patients suffer. Dr. Wendy Dean practiced emergency medicine and psychiatry, was instrumental in developing the US Army's hand and face transplant research program, and was an executive in a half-billion dollar nonprofit. She gave that all up when the challenges of getting high quality healthcare nearly cost her physician husband his life. She is now the leading voice for reframing health worker distress to include moral injury, and is the author of, If I Betray These Words. Dr. Matt Ramsey is a board-certified Orthopaedic Surgeon with a subspecialty interest in shoulder & elbow conditions. He has a passion for patient care, education of the next generation of physicians and research. An extensive number of publications and invitational lectures solidify Dr. Ramsey as a key physician among his medical peers. Dr. Ramsey is an advocate for physician leadership in healthcare and believes that the solutions for the current issues in healthcare will emerge out of a partnership of patients and their providers. Join us for a drink, a rant, a laugh, and an open forum on solutions to healthcare's most pressing problems. The 43cc Podcast is produced by Jill Ruby.

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Check latest episodes from 43cc podcast

Is PE Losing Its Luster?

2026/10/08

According to the Private Equity Stakeholder Project, "PE has invested over $1 trillion in the US healthcare sector over the last decade, touching virtually every corner of the industry – including hospitals, outpatient providers, clinical research, durable medical equipment, home health and hospice, prison healthcare, and more". Jim Baker, Executive Director of PESP, joins us to talk about how the landscape of private equity is changing and what that might mean for healthcare."

Mutiny: The Rise and Revolt of the College Educated Working Class

2026/09/24

In guiding our kids along the traditional path to professional success, are we really setting them up for failure? College is heralded as necessary for a promising career, but many colleges today can't deliver on the promises they make - and they know it. New York Times reporter Noam Scheiber joins us to talk about his book Mutiny: The Rise and Revolt of the College Educated Working Class, and our collective responsibility to the next generation.

On Dignity

2026/09/10

Conflict is inevitable, but lip service in lieu of resolution doesn't need to be. Dr. Donna Hicks, Associate at the Weatherhead Center for International Affairs at Harvard University and author of "Dignity", walks us through the key elements that contribute to positive outcomes in conflict resolution, and how we can maintain our dignity - and the dignity of others - while at the negotiating table.

US Health Care in the Neoliberal Era

2026/08/27

It took forty years of neoliberal policy choices to dig the 'profits over patients' hole the American health care system has fallen into today. How long will it take to dig us out of it? And how can we do it? John McDonough, professor of practice in the Department of Health Policy and Management at the Harvard T. H. Chan School of Public Health tries to answer all of those questions in our conversation about his new book, America's Wrong Turn: US Health Care in the Neoliberal Era.

Might Healthcare's Prescription Come from Prohibition?

2026/08/13

Vertical integration, loss of competition, and encroachment of cartels. Sound familiar? What drove our nation to Prohibition, and why and how we emerged from it a hundred years ago, have uncanny resonance today. In this special summertime episode, Wendy and Matt break down what the lessons of Prohibition can teach us about the business of healthcare.

Special (Unedited) Episode: How I Doctor with Graham Walker

2026/07/30

What does it sound like when two seasoned podcasters, who admire each others' work but don't pull punches, sit down for a chat? In this special crossfeed drop, we're bringing you the unedited version of a recent episode of How I Doctor with Graham Walker featuring our very own Wendy Dean. It's an hour-long master class in moral injury you don't want to miss.

Is Healthcare a Moral Marketplace?

2026/07/16

What does a morally defensible, healthy, legal, commercial marketplace look like, and how can we design one for healthcare? Nobel laureate Alvin Roth, Professor of Economics at Stanford University and the George Gund Professor of Economics and Business Administration Emeritus at Harvard University, joins us to about his new book, Moral Economics: From Prostitution to Organ Sales, What Controversial Transactions Reveal About How Markets Work.

Is Private Equity Plundering Your Pastime?

2026/07/02

What do golf, horses, and healthcare have in common? Private equity, baby. And whether you're a patient, a practitioner, a player - or, goodness help you, all three - chances are you've experienced a change in service, quality, and delivery. Buckle up, Wendy and Matt have a rant straight from the heart for this one.

Lady Glaucomflecken Would Like a Word

2026/06/18

Will and Kristin Flanary are internet sensations as Dr. and Lady Glaucomflecken, posting hilarious and pointedly insightful videos about the physician and patient experience. What's less known is the how the families of patients and physicians share in those experiences along the way. Kristin joins us to talk about her work advocating for humanity centered healthcare for all involved in the healthcare system, and her personal experience as a co-survivor of medical trauma.

What Defines You?

2026/06/04

Reflection and introspection are not a daily practice for many of us. But would it be worth strengthening those skills if they helped mitigate moral injury? Wendy and Matt discuss how such practice can keep everyday work grounded in our oaths and alert us to the earliest signals of a slide toward transgression.

When Companies Run the Courts

2026/05/21

Forced arbitration is the secret justice system you've never heard of, and it's likely working against you. Brendan Ballou, former DOJ prosecutor and author of When Companies Run the Courts: How Forced Arbitration Became America's Secret Justice System exposes these little known clauses hidden in practically every service agreement we sign, explains the harms they can create, and tells us when and how to fight them.

Medicine and the Military: Parallel Lessons in Professionalism

2026/05/07

Lieutenant General (Ret.) Mark Hertling spent decades leading soldiers in combat and across cultures before he transitioned to healthcare leadership when he retired from the US Army. He joins us to talk about the professional parallels he's witnessed along the way: the oaths we take, the life and death situations, the bonding among colleagues, the importance of our institutions, and the betrayals that threaten them both.

Balancing the Books and the Mission

2026/04/24

Leadership matters. Steve Edwards, former President and CEO of CoxHealth, a $2 Billion Missouri-based health system, joins us to talk about his 30 years of leadership in healthcare, and how he balanced the books while never losing sight of the mission.

Sebastian Junger on What Being Near Death Taught Him About Life

2026/04/09

Sebastian Junger is a master storyteller whose vast body of work speaks to our humanity and collectivism – loyalty, belonging, meaning, connection - and what we lose without them. Junger joins us to talk about what he's learned from war, history, and a near-death experience, and that whether as physicians or soldiers, we ultimately strive to live "in a world where human relations are entirely governed by whether you can trust the other person with your life." For more, follow TRIBE with Sebastian Junger on Substack.

We Need to Level the Playing Field

2026/03/26

DPC. Concierge Care. Upselling services. Are these new models the answer? Wendy and Matt break down what these new approaches mean for physicians and patients and how overturning a section of the ACA may be the best place to start.

Podcast reviews

Read 43cc podcast reviews

4.9 out of 5

39 reviews

★★★★★

Turk4-4 2026/03/08

Inside Out

Doctors Wendy Dean and Matt Ramsey give us the insider’s view of the U.S. healthcare industry. Emphasis on “industry” not system. As a career doc, I...

★★★★★

Cata— 2025/10/12

A beacon of light

I found this podcast after Wendy was interviewed in another amazing podcast (The Nocturnist). And since then, I’ve been devouring the library of episo...

★★★★★

barça17 2024/03/18

Validating

For all us docs silently screaming bc we are too afraid to speak up, this podcast gives a credible voice to the crisis within American health(no)care....

★★★★★

JGH3MD 2024/03/16

Poignant

Wendy and Matt are touching upon topics that everyone in health care talk about among their colleagues daily but may be too taboo to touch upon beyond...

★★★★★

BebopLap 2024/01/29

Smart, Sharp, and Honest

Drs. Dean and Ramsey bring years of medical experience, critical minds and deep dedication to patients to this discussion of what’s really happening i...

★★★★★

Trivialcomments 2023/12/21

Smart and Insightful Stuff

Love how the hosts just get to the heart of the problem, simply (and sometimes hilariously) lay out all the obstacles in healthcare and also how we ca...

★★☆☆☆

Dusty Baker Street Irregulars 2023/11/24

Not Sure What This Show About

Maybe it’s about how our way of paying for healthcare negatively impacts patients and doctors or maybe it’s about bad management practices. Who knows...

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