Only 6-7% of doctors feel adequately trained in menopause care, and Dr. Adam Brown and Dr. Lara Zibners argue that gap is costing the healthcare system billions.

In this episode, they unpack their new white paper, "The Business Case for Integrating Menopause Education into Medical School Curriculum," making the case that teaching menopause isn't about adding new coursework, but "completing the sentence" in courses that already exist. They dig into the real stakes: how untreated genitourinary syndrome of menopause drives hip fractures and fatal urinary sepsis and why a market touching 51% of the population has been treated as a niche "women's health" cause rather than a massive business opportunity for innovators and investors. Plus, they announce the launch of closetheknowledgegap.com, a free hub with the full white paper, audio version, shareable slides, and social graphics designed to help anyone push this conversation into their own institution.

#CloseTheKnowledgeGap

Dr. Adam Brown and Dr. Lara Zibners reunite from London for a deep dive into how American and British healthcare actually compare, not in theory, but from two physicians living it. Lara walks through her own visit (no insurance card, no copay, no bill) and breaks down what she's really paying for US coverage versus UK coverage. The conversation turns personal when Lara shares the story of her mother's ALS diagnosis and the weeks-long wait to see a neurologist. They also dig into why the US and New Zealand are the only two countries that allow direct-to-consumer prescription drug advertising, the downstream effects of recent Medicaid and SNAP cuts, and why NHS wait times get more attention than what's actually broken. It closes out with a British-vs-American medical vocabulary round that gets predictably out of hand.

Unstable Vitals is back, and this time Dr. Adam Brown and Dr. Lara Zibners sit down with primary care physician, Substack favorite, and Beyond the Prescription author Dr. Lucy McBride.

Lucy has spent 25+ years watching medicine become transactional and impersonal, and she's written a book that isn't a "do as I say" guide, but a "here's how to think" guide. In this episode, we get into why the wellness industry is thriving on 15-minute doctor's appointments, the real difference between "health" and "wellness" (one is objective, one is a marketer's dream), how to spot a credentialed expert from a snake-oil influencer, and the "linked to" vs. "caused by" trick that turns every headline into a panic headline.

We also dig into some uncomfortable truths: why 95% of U.S. healthcare spending goes to damage control while only 5% goes to primary and preventive care, the conspiracy theory that doctors are profiting off patient illness (and why it's wrong), and whether AI is going to save primary care or just make the broken system move faster.

Grab Lucy's new book, Beyond the Prescription, and follow her on Substack.