Commonwealth Club Of California Podcast

The COVID-19 global pandemic has shined a bright light on our medical system unlike perhaps any other time in this country's history. For more than a year now, we have seen how the daily work of making important, even life-and-death decisions is frequently made harder by factors and variables outside the control of an individual doctor and patient. Meanwhile, even before the pandemic, hospitals and medical offices faced tremendous budget problems, and big pharmaceutical and insurance companies continued to shape the delivery of medical care in all corners of the country; the pandemic only exacerbated these trends. In a new book, Uncaring, Dr. Robert Pearl—former CEO of The Permanente Medical Group and a Stanford professor—shows how all these stresses have led to a toxic culture in medicine, particularly for physicians. He says doctors resist change, leading to important clerical mistakes. They don't offer equal treatment to all patients. Their competitive work ethic leads to burnout and bad decisions. All the