Welcome to Relocalizing Health, where we dig deep into the heart of America's healthcare crisis and the opportunities that can rise from its collapse. In this Solo Episode, host Dave Chase confronts the uncomfortable truth: our healthcare system is not just broken, it's on the brink of collapse, with skyrocketing costs, staggering waste, and millions of Americans falling into medical debt.

But it's not all doom and gloom. Dave Chase shares a personal story of loss and regret that fueled his mission for meaningful change, and he draws on history and proven models to show us how collapse can pave the way for better, more equitable healthcare. From community-owned health plans to bold policy solutions like the proposed Community Self Determination Act, he reveals two real pathways to transformation, grounded in local control, transparency, and an unwavering focus on true wellbeing.

If you're ready to learn how communities are already reclaiming their health (and their financial futures), and how we can move from fear to action as this system unravels, this episode is your essential starting point. Let’s explore how we can turn crisis into an opportunity for lasting, positive change in American healthcare, one community at a time.

Timestamps:

00:00 "America's Systemic Collapse and Hope"

05:15 Healthcare Costs and Human Impact

07:47 "Fragile Healthcare Hierarchies Collapse"

12:29 "Rethinking Healthcare for Wellbeing"

16:12 Native Healthcare Transformation Revolution

18:21 "Optimal Community Health Plan Model"

23:10 "Path to Healing and Reform"

24:13 "Relocalizing Health Solutions"

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to the 11th episode of Relocalizing Health, where we dive deep into how communities are reclaiming their local healthcare systems from extraction and inefficiency. This week, host Dave Chase is joined by Josh Butler, a benefit advisor based in Amarillo, Texas, who has been at the forefront of transformative change in his region.

Instead of telling a story from a neat conclusion, we’ll journey into the "messy middle", where real progress and real challenges coexist. Josh Butler shares his pivotal moments, including a powerful story about helping a truck driver finally receive surgical care after ten years of suffering due to unaffordable deductibles. Inspired by the Health Rosetta movement, Josh transitioned from selling traditional insurance to building innovative, local solutions through the High Plains Health Plan.

Listen in as we unpack the obstacles, breakthroughs, and the human impact of reimagining health benefits, where employers, clinicians, and advisors work together to create plans focused on accessibility, affordability, and genuine care. Whether you’re an employer, civic leader, or just someone passionate about change, this episode reveals what’s possible when communities take ownership of their healthcare dollars and destinies.

Join us for a compelling conversation about restoring the American dream, one local health system at a time.

Timestamps:

00:00 "Relocalizing Healthcare Transformation"

03:30 Health Insurance Broker Challenges

08:29 "Revolutionizing Healthcare Through Collaboration"

12:27 "Joining Health Rosetta: My Journey"

13:25 "Growth, Learning, and Overcoming Fear"

19:21 Physicians Prioritize Patients Over Profit

21:52 Healthcare Industry Resistance to Change

25:53 Choosing Partners Carefully

28:17 "High Plains Health Plan Benefits"

32:52 Brokerage Expansion and Partnerships

35:15 Establishing a Financial Baseline

39:21 Restoring the American Dream

41:27 "Transforming Healthcare with Passion"

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health, where we shine a light on the reality behind America's healthcare crisis and offer practical, local solutions you can start implementing today. In this episode, Dave Chase dives deep into the staggering 342% increase in healthcare costs since 1999, exposing why traditional benefit packages keep getting worse despite annual "kabuki dance" negotiations between employers, brokers, and insurance carriers.

Through real-world stories, like Bryce Heinbaugh, an Ohio benefit advisor who transformed from feeling part of the problem to helping thousands in his community, Dave Chase reveals how deliberate, grassroots actions can change the game. Learn about the transformative power of community-owned health plans, transparent pricing, advanced primary care, and keeping healthcare dollars local.

If you're an employer tired of wasteful spending or a benefit broker fatigued by the status quo, this episode uncovers actionable ways to reclaim what matters most: high-quality, affordable care for your people and real economic value for your organization. It’s not about disruption for disruption’s sake, it’s about restoring common sense and dignity to healthcare, right where you live. So tune in as we bust myths, share inspiring case studies, and invite you to join the movement to relocalize health.

Timestamps:

00:00 "Brokers, Profits, and Transformation"

03:32 Healthcare Costs: A Theft Problem

08:09 Reimagining Healthcare for Success

12:21 Transparent Healthcare & Pharmacy Benefits

14:41 "Advanced Primary Care Benefits"

19:09 "Life-Changing Healthcare Savings Story"

20:09 "Transforming Healthcare to Value Creation"

25:52 "Health Reset Transformation Steps"

26:40 Relocalize Health Now

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to "Relocalizing Health"! In today’s episode, host Dave Chase sits down with Russell DuBose, Vice President of Human Resources at Phifer Incorporated, for a powerful conversation on how one manufacturer reimagined healthcare costs as a supply chain problem, and solved it using Lean Six Sigma methodologies.

Rather than accepting healthcare as an uncontrollable expense, Phifer Inc. applied continuous improvement principles to overhaul their benefits, delivering results that have stunned the industry: five years of flat healthcare costs, scholarships for employees’ dependents, zero pharmacy copays for over 2,500 individuals, and childcare bonuses for hundreds of families. But it goes beyond cost containment, Russell DuBose built the foundation so other local employers could access these benefits and help create healthier, more resilient communities.

This episode dives deep into Phifer’s journey, including how they broke away from legacy broker models, embraced Health Rosetta principles, leveraged data-driven decision-making, and established onsite primary care and pharmacy access that drastically improved outcomes, especially during the COVID pandemic. You’ll also learn how this story is inspiring other manufacturers and local employers to rethink their approach to healthcare, and what’s coming next as advanced, individualized medicine becomes a reality.

Whether you’re a business leader, HR professional, or simply passionate about transforming healthcare, this episode will change how you think about what’s possible for your company and your community.

Timestamps:

00:00 "Reclaiming Healthcare: Community Solutions"

05:51 "Solving Healthcare with Lean Six Sigma"

10:04 "Transition to Transparent PBM Model"

12:07 "Advancing Precision Healthcare Systems"

15:11 "Building a Unified Healthcare Paradigm"

18:20 "Health Rosetta's Impact Initiative"

21:07 "Primary Care: The Key Engine"

24:37 "Eliminating Barriers to Care"

30:57 Healthcare Costs and System Failure

33:59 "Advancing Employer-Focused Healthcare Solutions"

36:51 Primary Care Investment Revolution

42:22 Precision Medicine Pathway Development

45:00 "Advocating Transparency in Healthcare"

47:31 "Modernizing Manufacturing: First Steps"

51:11 Empower Teams for Transformation

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome back to Relocalizing Health, the podcast where we delve into how communities across America are taking back control of their healthcare from corporate interests and transforming it into a force for genuine wellbeing and economic vitality. I’m your host, Dave Chase.

In today’s episode, we bring you a truly inspiring story of healthcare transformation, not spearheaded by a hospital exec, a government official, or a tech disruptor, but by an independent benefits advisor from Ohio who decided enough was enough. Bryce Heinbaugh joins us to share his journey, which began with a professional crisis of conscience after realizing how much money was being siphoned out of his community by a broken healthcare system.

Bryce opens up about his pivotal moment at a Health Rosetta conference, the challenges of being a change agent, and how he helped move Ashtabula City Schools from the brink of financial crisis to building a $7 million healthcare reserve. We’ll explore the practical steps he took to rebuild the local healthcare ecosystem, from partnering with direct primary care physicians and community pharmacists, to negotiating direct contracts with high-quality providers, even in a so-called “medical desert.”

Alongside Bryce, we’ll dig into the blueprint that empowered not just schools, but also local governments and private employers, to save millions while improving care for their people. We’ll discuss the national implications of this approach, the predictable pushback from entrenched interests, and why fostering local collaboration among advisors, clinicians, and civic leaders is crucial for lasting change.

If you’ve ever wondered how healthcare could become an economic engine rather than a drain, or what it takes to shift from Wall Street-driven models to community-owned health plans, this is the episode for you. Stick around for actionable insights, hard-earned wisdom, and a hopeful look at what’s possible when communities work together to reclaim their healthcare destiny.

Timestamps:

00:00 "Revolutionizing U.S. Healthcare Costs"

04:52 Epiphany of a Benefits Broker

07:07 Healthcare Innovation Journey

12:24 Community-Focused Healthcare Solution

17:02 "Leveraging Major Employers for Community Initiatives"

18:07 Analyzing Healthcare Spending Data

22:59 Orthopedic and Imaging Expansion Success

25:59 Healthcare Reform Sparks Local Controversy

29:52 "Decentralizing Healthcare from Wall Street"

31:49 Cut Out Middleman, Save on Prescriptions

37:16 "Zero-Cost Healthcare Impact on Communities"

38:44 Economic Impact of Healthcare Savings

43:35 "COHP Scorecard Assessment"

48:33 Space Collaboration Insights

49:44 Revolutionizing Healthcare Access

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to another episode of Relocalizing Health, the show where we explore inspiring stories of communities reclaiming healthcare and reshaping the system to serve people, not profit. In today’s episode, host Dave Chase takes us to Ashtabula County, Ohio, a region that transformed itself from a “medical desert” into a beacon of hope for what healthcare can look like when it’s community-powered and people-centered.

You’ll hear from three courageous local healthcare leaders: Dr. Brad Schneider, a primary care physician who broke out of the hospital “hamster wheel” to offer direct primary care; Maria Fowler, owner of one of the last independent pharmacies in town, standing strong against corporate chains and unfair pharmacy benefit managers; and Casey Billington, a nurse who helped co-found a revolutionary nurse navigation service that ensures every call is met with a real human; no AI, no runaround.

Together, they reveal the staggering ways in which their community-owned health plan is not only saving millions of dollars for local schools and governments, but also restoring compassion and genuine relationships in care. Through their candid stories, you’ll get a front-row seat to the “mafia-like” challenges of the current system, the heartbreak of patients forced to fundraise for life-saving treatments, and the joy of finally making the system work for the people it’s supposed to serve.

If you’re a civic leader, clinician, or anyone hungry for proof that healthcare can be both better and more affordable, this episode is packed with hope, practical strategies, and a vision of a future where community truly comes first. Let’s dive in!

Timestamps:

00:00 Relocalizing Health: Community Care Revolution

05:45 Rising Patient Load Challenges Doctor

08:01 Burnout as a Family Doctor

11:34 Challenges in Primary Care Access

14:04 Pharmacy System Challenges and Closures

20:10 Barriers to Healthcare Access

23:22 Transition to Direct Primary Care

26:39 Rapid Orthopedic Access Service

30:35 Delayed Doctor Appointment Crisis

34:10 Revolutionizing Healthcare Access & Savings

36:31 Advocating Self-Insurance for All Employers

40:48 Healthcare's Role in Retention & Recruitment

43:26 Direct Primary Care Revolution

46:37 Rethink Healthcare Deserts

51:26 Community-Oriented Business Models Discussed

54:08 Flexible Healthcare Model Success

57:12 Gratitude for Healthcare Professionals

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health, the podcast where we dive into how local communities can reclaim their healthcare dollars and shape healthier, more vibrant futures. In this episode, host Dave Chase sits down with the ever-insightful Esther Dyson - investor, writer, and founder of the 10-year Wellville project, for a deep conversation about what it really takes to create lasting health at the community level.

Kicking things off, Esther challenges us with a provocative comparison: we do a better job maintaining our cars than our own bodies. She and Dave explore why the true challenge in healthcare isn’t just about lowering costs, but making healthcare itself less necessary through prevention and social connection.

Esther shares the inside story of Wellville, reflecting on lessons learned from working far beyond the “tech fix” mindset and instead focusing on trust, social fabric, and local leadership. They discuss the importance of making “new mistakes,” the pitfalls of short-term thinking in both healthcare and corporate America, and how employers can - and do - become powerful agents for community well-being.

Together, Esther and Dave dig into everything from the power of data and the need for long-term investment, to the complicated dance between local action and national systems. Listen in for practical wisdom, hard-earned insights, and a dose of optimism about ways we can rebuild a healthier society from the ground up.

Timestamps:

00:00 "Reclaiming Healthcare Dollars Locally"

06:10 "Health X Prize Proposal"

09:32 Building Trust: A Decade's Insight

11:47 Collaborative Catalyst Metaphor

14:37 Preventive Healthcare Innovation

17:22 "Short-Term Focus Hurts Healthcare"

21:07 Transforming Community Through Health Initiatives

23:48 "Restoring Humanity in a Gig Economy"

28:55 Employer Healthcare Data Challenges

33:26 Healthcare Economy Dynamics

34:19 "Relocalizing Health Gratitude"

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome back to Relocalizing Health, the podcast uncovering how communities can take back healthcare from profit-driven systems and put people first. In today’s episode, host Dave Chase sits down with Dr. Rushika Fernandopulle, co-founder of Iora Health and current co-founder of Liza Health, to discuss the next frontier in primary care innovation. With heartfelt stories from the frontlines, Dr. Fernandopulle exposes the perils of fragmented, transactional medicine, where patients are overwhelmed with prescriptions and disconnected from real human care. Together, they explore how redesigning primary care - focused on relationships, not transactions - can restore the American dream for everyday people, improve outcomes, and even lower costs.

Dr. Fernandopulle shares how Iora Health’s pioneering model brought humanity back to healthcare, using health coaches, technology, and a payment approach that actually rewards better health. You’ll hear compelling examples, from helping a socially isolated patient navigate her city to slashing unnecessary medications for complex patients that highlight just how transformative relationship-based care can be.

Tune in for a compelling conversation on the power of independent primary care, the role of technology (including AI), and how communities can push for the changes needed to make healthcare work for everyone. Whether you’re a clinician, an employer, or invested in your local healthcare system, this episode is packed with actionable insights and hope for a better future in healthcare.

Timestamps:

00:00 Exceptional Family-Centric Healthcare Model

05:23 "Meds Roulette: A Risky Routine"

09:43 Patient Accountability Partnership Model

12:33 Seniors' Isolation Addressed by Community Care

16:20 Building Iora Health: Custom EHR Development

19:00 Specialists Outnumber Primary Doctors in the US

23:07 Rethinking Healthcare Systems

25:39 AI in Healthcare Revenue Management

28:54 "Payment Model Shifts in Healthcare"

32:05 Prioritizing Care Over Profit

35:01 Population Management in Healthcare Practices

38:47 Reducing Healthcare Costs Benefits All

42:21 "Restoring Humanity to Healthcare"

43:43 "Business Diversity at Rosetta Fest"

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/