Explore every episode of the podcast Relocalizing Health with Dave Chase
| Title | Pub. Date | Duration | |
|---|---|---|---|
| From Kabuki Dance to Restoration: Rebuilding Healthcare With Local Blueprints | 19 Nov 2025 | 00:27:04 | |
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 2026 - 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/ | |||
| How Lean Six Sigma and Community Collaboration Are Revolutionizing Health Benefits for Manufacturers | 10 Nov 2025 | 00:54:33 | |
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 2026 - 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/ | |||
| Relocalizing Health with Dave Chase - Episode 1 - Coming Soon! | 05 Jun 2025 | 00:01:14 | |
Relocalizing Health with Dave Chase - Episode 1 - Coming Soon! Learn More: RosettaFest 2026 - 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/ | |||
| How Community-Owned Health Plans Are Transforming Healthcare and Boosting Local Economies | 02 Sep 2025 | 00:51:00 | |
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.
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 2026 - 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/ | |||
| How Ashtabula County Reclaimed Healthcare: Direct Care and Community Plans Beat Corporate Systems | 20 Aug 2025 | 00:58:19 | |
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 2026 - 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/ | |||
| Beyond Healthcare Costs: Shifting from Repair to Maintenance in Our Communities | 07 Aug 2025 | 00:34:41 | |
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 2026 - 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/ | |||
| Restoring Humanity to Healthcare with Dr. Rushika Fernandopulle: Rebuilding Primary Care from the Ground Up | 29 Jul 2025 | 00:45:52 | |
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 2026 - 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/ | |||
| AI and the Future of Healthcare: Balancing Technology with Human Connection | 16 Jul 2025 | 00:30:16 | |
Welcome back to another episode of Relocalizing Health! Today, host Dave Chase dives deep into the opportunities and challenges AI brings to healthcare, joined by digital health pioneer Dr. Jay Parkinson. Together, they explore a future where technology and community-driven care intersect, asking the big questions about how AI can support, rather than replace, the vital human relationships at the core of medicine. Jay shares stories from his unique journey, from being one of the first iPhone-enabled physicians making house calls, to innovating virtual primary care with Sherpa, and now leading Automate Clinic, where he’s working to train AI models to think more like doctors. As they sift through possibilities and pitfalls, Dave and Jay unpack what truly makes care excellent, which elements must remain human, and how AI might transform both the daily experiences of clinicians and the health journeys of patients. They also tackle AI’s role in addressing the broader determinants of health, beyond pills and procedures, into the realms of social connection and community resources. With insights for both clinicians embracing change and everyday people eager to understand what’s ahead, this episode is a candid, forward-thinking look at the evolution of healthcare. So, whether you’re a healthcare professional, policymaker, or simply curious about the future of medicine, this conversation is designed to spark curiosity, challenge assumptions, and inspire the kind of creative thinking that just might change the system for the better. Let’s get started. Timestamps: 00:00 "Transforming Healthcare with Technology" 04:21 Revolutionizing Telehealth: Consistent Doctor Access 07:12 Optimizing Healthcare with AI 11:13 AI in Holistic Healthcare Solutions 13:23 Health vs. Medical: A Future Perspective 18:56 AI Enhancing Health Conversations 20:55 Rising Risk in Healthcare Analytics 24:14 Focus on Basic Primary Care 27:32 Curiosity Transforms Healthcare Learn More: RosettaFest 2026 - 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/ | |||
| Breaking Down Healthcare’s Structural Flaws and Realigning Incentives for Better Outcomes | 01 Jul 2025 | 01:02:11 | |
Welcome to another episode of Relocalizing Health! In today’s conversation, host Dave Chase sits down with Dr. Eric Bricker, a renowned internal medicine physician, board member for a leading direct primary care organization, and the mastermind behind those wildly popular whiteboard healthcare explainers online. Together, Dave and Dr. Bricker dive into the heart of America’s healthcare challenges: from deeply misaligned financial incentives to the separation of health and social care funding streams. You’ll hear candid stories and sharp insights from Dr. Bricker’s career working with millions across the country, and learn why fixing payment models could be the key to unlocking better primary care. The episode also unpacks the crucial role of local leadership, using real-world examples like the transformation in McAllen, Texas, and how direct primary care models are gaining traction among public employers. Dr. Bricker doesn’t just cut through the theoretical; he brings a dash of humor, some tough truths about medical training and system inertia, and inspiration for anyone striving to build healthier communities. Whether you're a health plan wonk, a city leader, or just itching to see change, this episode will leave you with a fresh perspective and a few memorable quotes. Tune in to hear why, when it comes to transforming health systems, enthusiasm, persistence, and community leadership matter just as much as bright ideas. Timestamps: 00:00 "Navigating U.S. Healthcare Insights" 07:53 "Fixing U.S. Healthcare Flaws" 12:59 Healthcare Politics and Resource Allocation 18:27 Doctors Face Unexpected Social Work 25:26 Primary Care Requires More Time 31:04 Social Isolation to Social Prescription 33:55 Scaling Direct Primary Care Practices 42:11 "Influential Historians: The Durants" 47:40 "Independent Thinkers Drive Health Innovation" 51:53 Finding Your Purpose and Calling 56:09 Localized Ecosystem Growth Explained 01:01:17 Engaging Conversations at Rosetta Fest Learn More: RosettaFest 2026 - 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/ | |||
| From Crisis to Reform: Marilyn Bartlett and Chris Deacon’s Proven Playbook for Lowering Healthcare Costs | 24 Jun 2025 | 00:33:41 | |
Welcome to another episode of Relocalizing Health, where we dive into the critical and often complicated world of healthcare reform at the local and state level. In this episode, host Dave Chase sits down with two trailblazing leaders in public sector health: Marilyn Bartlett, renowned for her transformative work on Montana’s state health plan and a member of Fortune’s 50 World Greatest Leaders, and Chris Deacon, an experienced former Deputy Attorney General of New Jersey with firsthand knowledge of negotiating healthcare on behalf of state employees. Together, they unpack the real-life impact of skyrocketing healthcare costs on state budgets, infrastructure, and, most importantly, the everyday lives of public employees. The conversation moves beyond numbers, exploring how unions became unexpected allies in the fight for health plan reform- and why educating and engaging stakeholders is the cornerstone of lasting change. From the power of transparent data to the importance of local advocacy and creative legislative wins, Marilyn and Chris share practical, actionable lessons for mayors, school boards, and anyone interested in bending the cost curve without cutting benefits. Tune in as we shine a light on how shifting the status quo can restore trust, save millions, and lead to better care for all - plus, get a preview of their hands-on workshops at Rosetta Fest, where they’ll pull back the curtain on hospital finances, contract red flags, and more. If you care about healthier communities and smarter spending, this episode is for you.
00:00 Genius Thrives in Adversity 03:50 State Employee Health Plan Challenges 08:46 Economic Development 3.0 Podcast Insights 10:55 Unified Approach to Health Benefits 14:21 Effective Data Use in Decision-Making 18:55 Federal Health Policy Movement Signals 22:18 Montana Pharmacists' Legislative Victory 23:25 Surprise Policy Gains for Advocates 29:14 Touching Union Meeting Reflections 30:41 Praising Marilyn and Chris's Impact 33:04 Grateful for Fun Contract Work Learn More: RosettaFest 2026 - 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/ | |||
| From Economic Drain to Economic Engine | 09 Jun 2025 | 00:17:19 | |
Welcome to Relocalizing Health, where we dig into the powerful connection between healthcare and community prosperity. In this episode, host Dave Chase explores a hidden economic struggle affecting towns across America, one where healthcare dollars can either drain local economies or become the engine that revitalizes them. Dave shares compelling stories, like how a reimagined approach to healthcare in Tangelo Park, Florida, helped fund college for every child and reduced crime dramatically, while unchecked hospital expansion elsewhere continues to burden families for generations. This episode shines a light on why traditional strategies to attract jobs may be less effective than transforming local healthcare ecosystems, highlighting real-life examples from Ohio to Alabama where communities have redirected wasted healthcare spending into scholarships, community programs, and job growth. Through cooperatives, innovative employers, and local leadership, Dave reveals a playbook for reclaiming healthcare dollars and harnessing them to rebuild the social and economic fabric of our communities. Whether you’re an employer, teacher, community leader, or local advocate, Dave empowers you with ideas and tools to help your community thrive, reminding us all that the future of healthcare and local prosperity is in our hands. Join us as we explore real solutions already working across the country, and find out how you can be part of this growing movement to relocalize health. Timestamps: 00:00 Healthcare Drains Local Economies 05:11 Rethinking Hospital-Centric Economic Development 09:47 "Community Focus in Transparent Healthcare" 13:03 Community Wealth Through Cooperatives 14:48 Localizing Healthcare for Economic Growth 15:44 Rosetta Fest Learn More: RosettaFest 2026 - 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/ | |||
| Problem Solvers, Not Just Brokers: Josh Butler’s Mission to Fix Healthcare | 25 Nov 2025 | 00:42:17 | |
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 2026 - 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/ | |||
| The Collapse of American Health Care and Pathways to Community Self-Determination | 03 Dec 2025 | 00:24:43 | |
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 2026 - 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/ | |||
| Building Community-Owned Health Plans to Save Independent Hospitals | 10 Dec 2025 | 00:38:18 | |
Welcome back to Relocalizing Health, the podcast where we shine a light on the communities taking healthcare back from corporate control and making it serve people, rather than profit. In today’s episode, host Dave Chase sits down with Christina King, a benefit advisor from Columbus, Ohio, who’s breaking the mold on how we think about hospitals and employer health plans. Instead of waiting for Washington to fix a “terminally broken” system, Christina King has been rolling up her sleeves and partnering with regional hospitals to create community-owned health plans, even as much of Ohio’s healthcare landscape is collapsing around her. She unpacks how these grassroots efforts are not only keeping care in the community, but transforming hospital relationships, employer incentives and even employee recruitment by building something better from within. We’ll dig into the unique financial models, the critical role of direct primary care and independent pharmacies, and why employers are finally able to use health benefits as a genuine tool to attract their workforce. Plus, Christina King shares how these local successes are fueling statewide excitement and connecting an ever-growing network of visionary leaders ready to take healthcare transformation on the road. Get ready for an inspiring conversation that offers practical insights and real hope for reclaiming the American dream, one community at a time. Timestamps: 00:00 Reclaiming Healthcare, Serving Communities 04:33 Networking to Reach Hospital Executives 08:41 Healthcare Innovation Around Metro Areas 12:45 Replicating Community Health Plans 15:42 Community-Focused Healthcare Collaboration 18:05 "Health Plans Driving Employee Attraction" 23:20 "Employer Community Health Revolution" 25:00 Community Celebration After Denver Trip 28:25 "Employers Discussing Healthcare Challenges" 31:33 Hospital Competition and Cost Reform 36:12 "Live in Anticipation of Connections" 37:45 Reclaiming Healthcare, Building Community Learn More: RosettaFest 2026 - 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/ | |||
| How Alaska Native Communities Transformed Healthcare Through Community Ownership and Engagement | 16 Feb 2026 | 00:51:25 | |
On this episode of Relocalizing Health, host Dave Chase is joined by April Kyle, president and CEO of Southcentral Foundation in Alaska, for a deep dive into one of America’s most remarkable healthcare transformations. Together, they explore how the Alaska Native community took control of their own healthcare system, moving from an underfunded, top-down model to a community-owned system that now boasts some of the best health outcomes and highest satisfaction rates in the world. April Kyle shares the practical blueprint behind this success: from the generational trauma and distrust that had to be overcome, to the pivotal role of true community engagement and ongoing governance that keeps the transformation alive. The conversation highlights the importance of listening, evolving systems to meet community needs, and the challenges of sustaining change across decades. Listeners will hear inspiring, concrete stories of how community voices are not only heard, but drive real decisions, from scheduling mammograms around moose hunting season to making tough calls about housing for providers. Whether you’re a community leader, healthcare provider, or simply passionate about building better systems, this episode offers actionable insights and hope for communities everywhere looking to take back control and create a system built for and by them. Timestamps: 04:18 April Kyle's Introduction & Journey 09:31 "Community-Centered Evolving Healthcare Model" 12:42 "Relocalizing Health, Not Healthcare" 15:20 Listening to Families, Closing Gaps 19:35 "Listening, Dialogue, and Community Partnership" 22:24 "Community-Driven Leadership Challenges" 27:15 Listening to Community First 28:12 "Community-Driven Listening and Customization" 32:49 Community Decision on Housing Safety 36:31 "Clinical Outcomes Data Sharing" 37:26 Community Resource Allocation Dialogue 40:42 "Power of Convening Communities" 46:25 "Embracing Community-Led Healthcare Change" 48:13 Integrating Behavioral Care Insights 50:48 "Rosetta Fest: Health Care Transformation" Podcasts: IHI https://podcasts.apple.com/us/podcast/when-people-of-the-system-own-the-system-with/id1681829836?i=1000678625961 Moving to Value Part 1 https://podcasts.apple.com/us/podcast/part-1-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535 Learn More: RosettaFest 2026 - 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/ | |||
| How Wisconsin Employers Are Transforming Healthcare Through Cooperative Action | 23 Feb 2026 | 00:36:43 | |
Welcome to Relocalizing Health, where we explore how communities are reclaiming control over healthcare and rebuilding systems that truly serve people. In this episode, host Dave Chase welcomes Patrick Blackaller, the driving force behind the Employer Healthcare Cooperative of Wisconsin. Together, they dive into the journey of transforming healthcare for schools and employers in Wisconsin, shifting from an extractive industry toward a model that prioritizes care, cost transparency, and community partnerships. You'll hear honest reflections on the tough choices and personal stories that sparked this movement, including the profound impact of rising costs and restrictive insurance plans on real people. Patrick Blackaller shares how direct contracts, innovative clinics, and new pharmacy approaches are not only saving millions but also bringing dignity and access back into healthcare. This episode is packed with lessons on pioneering change, even in the face of skepticism, and offers a blueprint for other communities ready to take bold steps toward a better future. Timestamps: 00:00 "Rural School Struggles with Healthcare" 05:04 "Creating Care Through Self-Funding" 09:14 Overcoming Skepticism to Find Support 12:50 Affordable Medication Access Strategies 14:23 "Optimizing Health Plans Affordably" 17:10 Streamlining Healthcare Navigation and Education 20:30 Healthcare Spending and Employer Insights 23:51 "Optimizing Quality and Cost Balance" 27:21 Perseverance Through Challenges 31:23 Purpose-Driven Leadership Strategies 35:21 "Relocalizing Health: American Comeback" Learn More: RosettaFest 2026 - 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/ | |||
| How Primary Care and Community Agency Can Transform Healthcare from Extraction to Empowerment | 25 Mar 2026 | 00:43:02 | |
On this episode of Relocalizing Health, host Dave Chase sits down with family physician and author Michael Fine, a leading voice in healthcare reform and the driving force behind Primary Care for All Americans. Together, they unpack the provocative idea of medicine as a form of colonialism, exploring how corporate healthcare systems extract wealth from local communities and diminish their capacity for self-governance. Michael Fine draws on decades of experience, from running a small family practice to leading the Rhode Island Department of Health, to illustrate the devastating impact of for-profit healthcare on both patients and the social fabric of our towns. He shares revealing moments that highlight the true cost of primary care versus the astronomical amounts funneled out of communities, and explains why universal, community-driven primary care could be the linchpin for both improved health outcomes and economic resilience. The conversation doesn’t just examine what’s broken, it spotlights grassroots solutions and social movements rekindling democracy and civic engagement in healthcare. You’ll hear firsthand accounts of community health initiatives, the simple mechanics behind local health plans, and strategies that unite both fiscal conservatives and progressives in the fight to reclaim healthcare dollars. Through stories of hope, frustration, and action, this episode charts a path for how all Americans, clinicians, citizens, and policymakers alike can join together to rebuild a just and sustainable healthcare system from the ground up. Timestamps: 00:00 "Colonialism in Modern Healthcare" 04:58 "Radical Sliding Scale Practice" 09:00 "Essential Services for All" 11:41 "Preventing Second COVID Wave" 16:57 "Impact of Urban Health Inequity" 20:31 "Primary Care Reduces Healthcare Waste" 21:19 "Emergency Room Vortex Issues" 27:04 "Primary Care for All Idea" 29:50 Volunteer-Led Healthcare Voucher Program 33:13 Primary Care Gaps Revealed 37:31 "Social Movement & Governance Insights" 38:16 "Sustainable Democracy Through Participation" 41:19 "Healthcare System & Community Solutions" Learn More: RosettaFest 2026 - 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/ | |||
| Building Affordable Local Health Plans with HealthyPath in Rural Ohio | 16 Mar 2026 | 00:39:29 | |
Welcome to Relocalizing Health, the podcast that dives deep into how communities across America are reclaiming their healthcare from corporate control and building systems focused on people over profit. In this episode, we welcome Michael Norman, Chief Strategy Officer at Genesis Healthcare System in Zanesville, Ohio, and President of HealthyPath, a community-owned health plan product making a big impact. Mike shares his inspiring journey after being told his rural hospital wasn't "relevant" by a major insurance carrier, despite offering high-quality care at lower costs. This pivotal moment sparked the creation of HealthyPath, a product designed to empower local employers with affordable coverage options and give employees access to care without overwhelming deductibles. In just one year, HealthyPath’s 20 participating employers collectively saved $1.2 million, proving that local solutions can truly transform the healthcare landscape. Along the way, Mike discusses the importance of remaining independent as a community hospital, the economic role local healthcare systems play, and the pitfalls of consolidation that often leave rural communities behind. He also shares how employer feedback has shaped HealthyPath, where quality coverage is now helping businesses attract and retain talent, and employees can finally afford the care they need. We explore the innovative partnership between local hospitals and modern benefit advisors like Christina King, the collaborative power of rural Ohio's High Value Network, and what it takes to replicate this change in other communities. If you’re seeking hope and practical ideas for reshaping healthcare around local values and community needs, this episode is sure to inspire. Tune in as we shine a spotlight on those forging a new path, where community wellbeing comes first, and the American dream of accessible, affordable healthcare starts at home. Timestamps: 00:00 Rural Healthcare Challenges and Costs 04:59 Rural Hospital Relevance Challenge 10:17 Local Oversight Strengthens Communities 11:33 HealthyPath: Affordable Healthcare Solution 14:47 "Christina's Impact on HealthyPath" 18:16 $1.2M Employer Premium Savings 22:37 "From Skeptic to Advocate" 26:55 "Cost Management Through Local TPA" 30:42 Scaling Value-Based Healthcare Solutions 32:10 "Hospital Execs as Celebrities" 35:14 Transforming Healthcare and Employer Retention 38:32 "Rosetta Fest: Transforming Healthcare" Christina King - https://healthrosetta.org/advisors/christina-king/ Learn More: RosettaFest 2026 - 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/ | |||
| How Spooner Physical Therapy Relocalized Health Plans and Reduced Costs for Employers and Employees | 06 Apr 2026 | 00:38:03 | |
Welcome to Relocalizing Health with Dave Chase. In this episode, we explore what happens when a clinical leader takes health care into their own hands for both their patients and their employees. We'll meet Tim Spooner, a physical therapist who, in 1990, opened a single clinic in Scottsdale, Arizona with the conviction that the right care, at the right time, can transform lives. Thirty-five years later, Tim leads Arizona's largest private PT practice, operates clinics across Arizona and Texas, and runs Solve Global, a company that's reshaping how employers nationwide address musculoskeletal health. But Tim's story doesn't stop with clinical excellence. Frustrated by skyrocketing premiums, opaque data, and decreasing reimbursements, he set out to redesign his company's health plan from the ground up. In the process, he redirected money typically lost to the old system back into his people, offering benefits like tuition reimbursement, direct primary care memberships, and robust musculoskeletal solutions. His efforts not only earned national recognition but also inspired other PT practices to follow suit. Today, we'll dive into Tim's journey of leadership and innovation, the challenges he faced, and how his blueprint for change is empowering others to reclaim health care, making it more transparent, effective, and people-focused. Stay tuned as we learn what it truly means to "walk the talk" in health care and why the proof is in the room.
00:00 How Tim Spooner got started 03:28 Discovering rising healthcare costs 08:06 High hospital markup example 13:14 Regenerative medicine success stories 15:36 Proactive healthcare and early intervention 19:57 Challenges for healthcare professionals 22:48 Transitioning to self-insured healthcare 24:12 Leadership and driving results 26:59 Medical costs and MRI findings 30:43 Navigating healthcare payment models 36:11 Closing advice for key audiences 36:49 Partnering with clinical practice leaders Learn More: RosettaFest 2026 - 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/ | |||
| How a Food Bank Beat Rising Health Costs to Deliver Thriving Coverage for 170 Staff | 15 Apr 2026 | 00:37:07 | |
Welcome to Relocalizing Health. In this episode, we take you behind the scenes at Second Harvest Food Bank of Central Florida, where an organization fighting hunger is revolutionizing health benefits for its employees. Join Dave Chase as he sits down with Amy Lein, Chief Human Resource Officer at Second Harvest, to uncover how this nonprofit broke away from the broken health insurance model, creating one of the nation's highest-quality, most accessible benefit plans. Learn how every employee at Second Harvest pays zero in premiums, deductibles, and co-pays, translating into real quality of care and tangible support like paid leave and grocery assistance. Hear firsthand stories of transformation as employees, for the first time, can actually afford and access the care they need. This episode is a must-listen for nonprofit leaders, city managers, and anyone who has ever looked at a health insurance renewal and thought, “We can’t afford anything better.” As Dave and Amy reveal, a better way is not only possible, it’s already here. Timestamps: 00:00 Making healthcare affordable for employees 05:41 Improving employee healthcare access 09:14 The concierge nurse navigator 10:01 Affordable access to top doctors 14:32 How the gift card program works 19:35 Offering paid parental leave 22:37 Having access to quality healthcare 26:07 Rising healthcare costs and solutions 30:02 Vision for what's next 30:43 Creating a great workplace culture 34:38 Wrapping up with final advice Learn More: RosettaFest 2026 - 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/ | |||
| How Plainfield Eliminated Deductibles, Cut Payroll Costs & Invested Savings Back Into Its Own People | 21 Apr 2026 | 00:41:13 | |
Welcome to Relocalizing Health. In this episode, we shine a light on Plainfield, Indiana, a town just west of Indianapolis, where public sector employees like police officers, firefighters, and public works staff were once priced out of their own healthcare. Nate Thorne, assistant town manager, joins us to share how Plainfield broke free from years of rising premiums and shrinking paychecks, fundamentally transforming its approach to employee health benefits. Instead of accepting sky-high insurance costs as an inevitable “healthcare trend,” Plainfield’s leadership took courageous steps: moving to a self-insured health plan, forging a direct contract with their local hospital, and reimagining benefits so workers now pay zero deductibles and co-pays, with real dollars flowing back into their households. These savings built meaningful new programs like mental health support and childcare assistance, and Nate Thorne and his team are on a mission to show other cities and counties that there is a better way. Whether you manage a city, run HR for a school district, or just want a behind-the-scenes look at how local governments can invest in their people and communities, this episode brings you the story, the lessons, and the playbook, direct from a Rosie Award finalist, on how to take back control of your health plan and rethink what’s possible for your workforce. Timestamps: 00:00 Challenges of municipal worker benefits 04:21 Facing rising insurance costs 07:24 Challenge of risk in public policy 11:46 Implementing a Self-Insured Program 16:10 Managing healthcare spending changes 18:07 Cost-saving strategies for healthcare plans 22:02 Creative funding for employee benefits 26:18 Leadership and gradual progress advice 28:52 Challenges in the public sector 32:02 Managing retiree health benefits 35:13 Employee survey results on premiums 37:25 Annual employer gathering details 40:11 Plainfield's health plan changes Learn More: RosettaFest 2026 - 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/ | |||
| From Farm Lights to Healthcare Heights: How Cooperatives Solve America's Toughest Challenges | 01 May 2026 | 00:21:22 | |
Welcome to another episode of Relocalizing Health, where host Dave Chase draws a bold parallel between America’s rural electrification revolution and the grassroots transformation happening in healthcare today. In this episode, Dave Chase unpacks the inspiring story of Iowa farmers who built miles of power lines before they even had a power source, showing how local ingenuity can spark nationwide change. He introduces his “three, two, one” framework, a blueprint where pioneering communities prove what’s possible, their success spreads, and smart policy amplifies the impact. You’ll hear real-world examples of how forward-thinking communities and cooperatives are reclaiming healthcare, like employer health plans in Wisconsin, a transformative effort in Ashtabula, Ohio, and successful models from Alaska Native tribes. Dave Chase shares actionable steps for employers, cooperatives, and policymakers to join the movement, and unveils his new book, "Relocalizing Health." Whether you’re a healthcare professional, policymaker, or simply passionate about your community’s wellbeing, this episode offers hope, practical guidance, and a reminder that American ingenuity is alive and ready to reinvent healthcare from the ground up. Timestamps: 00:00 "Farmers' Power Revolution" 04:23 "Cooperatives: Community-Driven Solutions" 09:05 "Localized Care vs. Distant Decisions" 10:10 "From Worst to Best Healthcare" 16:15 "Empowering Community Health Innovation" 17:03 "Transforming Healthcare at Rosetta Fest" 20:18 "Transforming Communities, Reclaiming Healthcare" Learn More: RosettaFest 2026 - 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/ | |||
| Cancer Survivorship and the Push for Collective Patient Power | 13 May 2026 | 00:40:53 | |
Welcome to another episode of Relocalizing Health, the show about reclaiming healthcare and strengthening our communities. I’m your host, Dave Chase, author of Relocalizing Health: Taking Back Healthcare, Rebuilding Communities. Today, we dive into the realities of being a patient in America, a system where too often, getting sick can mean financial ruin, emotional devastation, and feeling invisible. Our guest, Matthew Zachary, survived brain cancer as a young concert pianist and went on to do something even rarer, turning his experience into a national movement. As the founder of Stupid Cancer, host of the Out of Patients podcast, and cofounder of We The Patients, Matthew Zachary has spent nearly three decades fighting to give patients a real collective voice in a healthcare maze designed to isolate and overwhelm. In this conversation, we explore what it means when patients stop being statistics and start becoming a civic force, the power of collective activism, and how something as simple as a patient navigator can be the “seatbelt” we all need on our healthcare journey. We’ll talk about fighting denial engines, rethinking industry incentives, and why the revolution in healthcare might just be led by people who never wanted to be activists in the first place. Let’s dive in. Timestamps: 00:00 Empowering patient advocacy 05:32 Financial strain of cancer care 09:29 Discussing healthcare affordability issues 12:08 Concerns over AI in healthcare 14:24 Understanding healthcare appeals process 18:20 Understanding patient needs vs. system assumptions 21:08 Discussing product design flaws 23:14 Using nurse navigators for better care 27:11 Discussing civic power in healthcare 31:56 Audrey Tang and gov0 initiative 35:26 Discussing waste in healthcare spending 37:20 Challenging powerful hospital systems 40:02 Discussing Matthew's impact and achievements Learn More: RosettaFest 2026 - 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/ | |||
| What If Communities Were the Key to Better Birth Outcomes? | 02 Jul 2026 | 00:39:01 | |
Welcome to another episode of Relocalizing Health! This week, Dave Chase sits down with Allison Duncan, founder of Anau Health and architect of transformative maternal health models, to explore why the current U.S. maternity system is failing women by design and how we can radically improve it. From her eye-opening journey mapping world-class maternal care in Brazil to building community-driven solutions in Pickens County, South Carolina, Allison Duncan shares powerful insights about the cost, human toll, and missed opportunities in our current system. Together, they discuss how integrating social care with clinical support, rethinking payment structures, and harnessing local leadership can revolutionize birth outcomes and create brighter futures for mothers, babies, and communities everywhere. If you care about the future of healthcare and want to learn what it takes to reclaim maternal health from the ground up, you won’t want to miss this conversation! Timestamps: 00:00 Exploring maternal care issues 07:15 Challenges in Indigenous Maternal Healthcare 09:17 Innovative maternity care in Brazil 11:55 Rising Risks in Pregnancy and Birth 16:51 Addressing maternal mortality causes 20:00 Cost of NICU and preterm births 22:01 Reducing preterm birth costs 26:09 Finding a local design partner 27:55 Helping women achieve economic independence 33:37 Redesigning healthcare payment models 35:34 Introducing Strong Mama, Strong Babies 38:01 Issues in Payment Model Learn More: RosettaFest 2026 - 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/ | |||
| Case Study: How a Screen Manufacturing in Alabama Cracked Healthcare Before Anyone Was Watching | 26 Jun 2026 | 00:12:44 | |
Welcome to a special series within Relocalizing Health as we count down to RosettaFest in Nashville, July 29 to 31. Each one of these is a quick look inside the book and the communities that inspired it. Real places, real numbers, real people who decided to stop waiting for someone else to fix healthcare and just built something better themselves. If you don't have your ticket to Nashville yet, go grab it at RosettaFest.org. This is where the people in these stories will actually be in the room with you. Here's more about today's special episode Phifer Incorporated is a family-owned manufacturing company in Tuscaloosa, Alabama. About 1,200 employees. They make aluminum, fiberglass, and polyester screening — the window screens in your home, the sun-shading fabric on your lawn furniture. They are also the last remaining made-in-USA manufacturer in their category. And they figured out something most Fortune 500 companies still have not figured out about healthcare. This episode is the story of Russell DuBose, VP of HR at Phifer, who refused to treat healthcare like a force of nature he could not touch. He looked at the glide path the company was on in the mid-2010s and saw a future where benefits became unaffordable to the plan and the people on it. So he did what any manufacturing leader would do. He treated it like a supply chain problem and applied the same lean six sigma rigor he would to any production deficit on the factory floor. What followed was a seven-year roadmap, a zero-cost-share on-site clinic, direct contracts with the best providers, a transparent pharmacy, nurse navigation, scholarships for employees' kids, summer enrichment programs, childcare support for working families, and five straight years of essentially flat healthcare spending. The Plan Grader score went from 37 to 74. Retirement readiness climbed more than 20 points. And then a benefits decision at a screen manufacturing plant in Tuscaloosa turned into a national voice. Russell testified before the House Energy and Commerce Committee on ERISA and chairs the Alabama Employer Healthcare Consortium, helping spread the model to other employers across his region and state. If a 1,200-person manufacturer in Alabama can do this, the excuse that you are not big enough stops being a reason. It is just a story we tell ourselves. Russell DuBose is a co-leader of the Employer Track at RosettaFest 2026, July 29 to 31 in Nashville at the Gaylord Opryland. He will be in the room. So will the playbook. Key Takeaways:
Resources Mentioned:
Learn More: RosettaFest 2026 - 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/ | |||
| Redesigning Health and Wealth in Our Communities | 23 Jun 2026 | 00:47:04 | |
Welcome to Relocalizing Health. In today’s episode, host Dave Chase sits down with Kevin Bayuk, a partner at Lift Economy and a pioneer in redefining how communities can thrive by redesigning local systems. With over 20 years of experience questioning why wealth leaves local communities and how to rebuild systems that circulate, compound, and benefit all, Kevin Bayuk shares his journey from Silicon Valley tech entrepreneur to advocate for regenerative enterprise and bioregional self-reliance. Together, they explore the root causes of ill health in society, including the “loneliness epidemic,” and discuss the vision and practicality of economies and healthcare systems that put well-being, community connection, and ecological thriving at the center. Through stories drawn from permaculture, multi-stakeholder co-ops, and innovative healthcare models like direct primary care, Kevin Bayuk and Dave Chase challenge business-as-usual approaches and invite us to imagine what is possible if we reclaim agency over health, wealth, and the future of our communities. Whether you’re leading a business, a school district, or simply curious about holistic approaches to community health, this episode will inspire you to see that the tools and models for transformation already exist; you just have to look a little closer. Timestamps: 00:00 Early Silicon Valley entrepreneurship 06:04 Rethinking healthcare and wellbeing 10:01 Imagining a future economy 13:42 Community-focused motivation and cooperative structures 15:52 Workers owning the farm 18:40 Community-owned farming cooperatives 21:48 Direct primary care model explained 24:52 Community-driven profit reinvestment 29:01 Structural flaws in healthcare systems 33:37 Anna O'Malley's community medicine circles 35:28 Story of health intervention success 39:14 Future of Work and AI Automation 42:20 Slowing down for sustainability 46:00 Closing thoughts and action steps Learn More: RosettaFest 2026 - 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/ | |||
| Trust, Compassion, and Results: The Rosen Way to Better Healthcare | 02 Jun 2026 | 00:38:55 | |
Welcome to Relocalizing Health, the podcast about taking back healthcare and rebuilding communities. In today’s episode, host Dave Chase sits down with Kenneth Aldridge, the long-time clinical leader at Rosen Medical Center in Orlando, Florida. Together, they explore how Rosen Hotels has built the nation’s longest-running and most comprehensive employer-sponsored advanced primary care model, one that delivers exceptional outcomes for a diverse workforce, including a high percentage of high-risk pregnancies, while spending less than half the national average on healthcare. Kenneth Aldridge shares stories from nearly three decades of transforming care: from breaking down barriers to access for associates from third-world countries, to innovative programs like free transportation, on-the-clock appointments, medication support, and comprehensive case management throughout pregnancies. The conversation goes deep into the practical steps that have built lasting trust, improved health outcomes, and freed up resources for broader community well-being, including scholarships and neighborhood revitalization. If you’re curious about what a truly high-performing health system looks like, how love and common sense can upend toxic industry norms, and why Rosen’s model is being replicated across the country, this episode is for you. Join us as we reveal the playbook behind America’s healthcare “OGs” and offer hope for clinicians, employers, and communities everywhere. Timestamps: 00:00 Introduction to Relocalizing Health Podcast 06:17 Supporting employees with healthcare access 07:38 Helping patients manage diabetes 12:43 Creating a pregnancy management program 13:22 Prenatal care and pregnancy support 18:43 Bringing medical services in-house 21:13 Concerns about healthcare quality and costs 23:53 Rosen Medical Center health services 26:59 Commitment to supporting patients 31:51 Healthcare system challenges and solutions 35:09 The rewarding challenge of hard work 36:43 Reducing waste in healthcare spending Learn More: RosettaFest 2026 - 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/ | |||
| Case Study: From the Worst Health Outcomes in America to the Best System in the World: The Nuka Story | 07 Jul 2026 | 00:15:15 | |
In the late 1990s, the Alaska Native Medical Center was a tuberculosis sanatorium turned healthcare facility where elders described themselves not as people, but as numbers. One elder remembered it clearly: "I was number 24601. My newborn daughter was 24602. When my aunt passed, they gave her number to another baby." That was the system April Kyle grew up in. She avoided that hospital as a child because going was a horrible experience. Six-hour waits were normal. Six-week appointment backlogs were standard. The worst health outcomes in the United States. April Kyle now runs it. What happened between those two realities is one of the most documented, most studied, most awarded healthcare transformations in the world. People fly in from Singapore, Sweden, and across the globe to understand how the Southcentral Foundation and the Alaska Native community it serves built the Nuka System of Care, a model so far ahead of conventional medicine that it has won the Malcolm Baldrige National Quality Award twice. The only healthcare organization in America to do so. This episode tells that story. Not the awards. The ownership. The decision to stop calling people patients and start calling them customer-owners. The moment a new nurse leader said we were going to see anyone who needs care the same day and her colleagues thought leadership had lost their minds. Within six months it was just how things worked. Emergency room visits down 45 percent. Hospital admissions down 53 percent. Specialist use down 65 percent. Quality scores went from the bottom fifth percentile to the 75th and often the 90th percentile. Childhood immunization at 93 percent. Diabetes complications down 25 percent. Customer-owner and employee satisfaction both hovering around 95 percent. Total cost running 20 to 30 percent below national averages. In Alaska. In one of the most expensive geographies in the country. And over half the employees are now Alaska Native people. The health system became an engine of community wealth building. April Kyle is flying from Alaska to RosettaFest 2026 in Nashville, July 29 to 31, to share this story in person. She will be in the room. Key Takeaways:
Resources Mentioned:
Subscribe and Follow: Learn More: RosettaFest 2026 - 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/ | |||
| How Can Community-Driven Healthcare Transform Costs and Outcomes? | 16 Jul 2026 | 00:28:45 | |
Welcome to Relocalizing Health! In this episode, Dave Chase sits down with Claire Brockbank, a trailblazer in transforming healthcare costs and outcomes through community-driven strategies. From helping Colorado’s mountain towns slash exorbitant insurance prices with Peak Health Alliance to leading one of the largest union health funds in the nation at 32BJ, Claire Brockbank has proven that local communities, armed with the right data and determination, can take back control from hospital monopolies and insurance giants. Together, they explore the power of direct contracting, the critical role of transparency and accountability, and innovative programs like 32BJ’s $40 baby initiative. Listen in for practical lessons and inspiration on how you, your organization, or your community can challenge the status quo and drive real, measurable healthcare change. Timestamps: 00:00 Addressing High Health Care Costs 04:17 Fair pricing for hospital negotiations 09:40 Using data in negotiations 12:47 Direct health care negotiations 16:13 Overcoming Challenges with Claire and 32BJ 18:37 Launching the maternity program 22:01 Addressing healthcare inequalities 23:43 Negotiating healthcare savings and impacts 26:59 Claire's leadership in health cooperatives Claire BrockBank - https://www.linkedin.com/in/claire-brockbank-17b7901/ 32BJ Health Fund - https://health.32bjfunds.org/ Learn More: RosettaFest 2026 - 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/ | |||
| Case Study: The Clinic That Started in an Accounting Office and Saved $570 Million - Rosen Hotels, Orlando | 14 Jul 2026 | 00:16:17 | |
Rosen Hotels & Resorts is a family hospitality company in Orlando, Florida, built by Harris Rosen, the son of immigrants who grew up on New York's Lower East Side. During the oil crisis in the 1970s, he bought a bankrupt Quality Inn on International Drive with a modest down payment and a lot of nerve. By the early 90s he had built a real company. And like every other employer in America, he was getting hammered by healthcare increases. His workforce reflected the hospitality industry in Central Florida: a lot of immigrants, many of whom had never had access to a modern healthcare system. The traditional insurance model was punishing them with high deductibles, rising premiums, and surprise bills, in an industry where people live paycheck to paycheck. So Rosen and his CFO, Frank Santos, now the company's CEO, asked a question almost nobody asks: what if the hundreds of millions going into bureaucracy went to caring for people instead? They converted part of an accounting office into a clinic with one part-time doctor. Their broker told them to stay in the insurance pool. Industry veterans said an employer couldn't deliver care without going broke or going substandard. Three decades later, that accounting-office clinic is a 12,000-square-foot medical center. Rosen employees see a doctor on the clock, not on their own time. Deductibles and co-pays went down while the rest of the industry raised them. Per-employee healthcare costs run 55 percent below industry norms, sustained for thirty years. Total savings: $570 million and counting. Rosen never kept the savings. They poured them into Tangelo Park: free preschool, free daycare, fully funded college scholarships for an entire neighborhood. High school graduation rates that used to be unacceptably low now sometimes hit 100 percent. Crime dropped 80 percent. If a mid-sized hotel company in Orlando can build this, "we're not a healthcare company" stops being an excuse. It is just a story we tell ourselves. Kenneth Aldrich, Rosen's clinical leader since 1998, and Carolyn Grant from Rosen's care team will be at RosettaFest 2026, July 29 to 31 in Nashville at the Gaylord Opryland. They will be in the room. So will the playbook. Key Takeaways:
Resources Mentioned:
Subscribe and Follow: Relocalizing Health Podcast, available on all major platforms. Learn More: RosettaFest 2026 - 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/ | |||
| Case Study: The Poorest County in Ohio Kept $450 Million Home and Changed Everything | 25 Jul 2026 | 00:13:43 | |
Ashtabula County, Ohio. One of the poorest counties in the state. A medical desert. One primary care doctor for every 3,500 residents against a national average of one per 1,300. At least 30,000 people living in medical debt. And $1.4 billion flowing through that county every year, with at least $450 million of it being extracted out to distant corporations. This is the story of what happened when a benefits advisor named Bryce Heimbach, a concierge nurse navigator named Casey Billington, a direct primary care physician named Dr. Brad Schneider, and a pharmacist named Maria Fowler decided to stop accepting that as inevitable. It started with a school district. Ashtabula Area Schools, the 8th poorest district in Ohio, was spending more than 20 percent of its general fund on healthcare. In July 2020, they put in a new plan. By May 2021, less than a year later, a school levy failed that would have meant teacher layoffs, cut programs, and gutted transportation. Except it did not matter because in less than a year, the plan had already saved $2.4 million, more than the entire levy would have raised. The story did not stay in the school district. A teacher married the city manager. The city of Ashtabula tried it. Saved $360,000 in year one. The county followed. Private employers followed. Crystal Clinic, the number one surgical facility in Ohio, started getting so much volume from Ashtabula members driving an hour or two for zero cost share that they opened a clinic right in the county. A medical desert started getting its doctors back. A police detective's daughter broke her ankle out of town. He called the concierge nurse. By the time he was on the interstate, everything was handled. A teacher named Maureen Cerbella stopped paying for her life-saving medications. She said it felt like a $3,000 raise. And a funeral home director named Mike Chupp, who had spent his career noticing that every fourth body he prepared had not even reached his own age, started seeing something different in his community. Bryce Heimbach is at RosettaFest 2026 in Nashville, July 29 to 31. He will be in the room. Key Takeaways:
Resources Mentioned:
Learn More: RosettaFest 2026 - 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/ | |||
| Case Study: A Secretary Died Avoiding a $1,500 Deductible. Wisconsin Built Something So It Would Never Happen Again. | 04 Jul 2026 | 00:13:49 | |
In 2011, Patrick Blackholder was the CFO and COO at Rice Lake Area School District in northwest Wisconsin. Facing a mandated budget cut, he built a $1,500 deductible into the health plan. It seemed reasonable. It seemed responsible. A secretary came to his office. Her husband was out of work. Bills had stacked up. She said plainly: I cannot afford $1,500. I will not use it. Two years later, she died of cancer. She had avoided care until it was too late. Patrick said it as directly as a person can: that had a massive impact on me and how I thought about healthcare. I did not want this to happen again. That moment grew into the Employers Healthcare Cooperative of Wisconsin, which now covers 23,000 lives across the state. This episode is the story of how it got there. How Patrick rebuilt the plan around one insight: the answer was never to make expensive care more expensive for people who cannot afford it. The answer was to make the right care available for free. How one broker named Sarah Paints said yes when almost no broker in Wisconsin would touch it. How in year one Patrick called it a dumpster fire, working 40 extra hours a week on top of his actual job, fighting a hospital CEO who summoned him to an office to deliver ultimatums. How he looked that CEO in the eye and said: go ahead, balance bill every member. How the VP of contracting stepped in immediately and they got a direct deal. How a surgeon who lost a $59,000 procedure to a direct contract called Patrick to find out why. How they talked. How the surgeon discovered how little of that $59,000 he was actually seeing. How he went out and built his own surgery center and now collaborates with the cooperative. How some groups cut their costs 45 percent in year one. How others held their costs flat for eight years while comparable groups rose more than 80 percent. How an independent actuary found cooperative groups running 22 percent better than comparable groups overall. And how Rice Lake, which built all of this a decade ago without a playbook and without ever finding the Health Rosetta community until 2023, is now an active part of that community, and is coming to RosettaFest 2026 with at least 15 of their members. Patrick Blackholder will be in the room in Nashville. Key Takeaways:
Resources Mentioned:
Learn More: RosettaFest 2026 - 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/ | |||
| Case Study: A Secretary Died Avoiding a $1,500 Deductible. Wisconsin Built Something So It Would Never Happen Again. | 25 Jul 2026 | 00:13:49 | |
In 2011, Patrick Blackholder was the CFO and COO at Rice Lake Area School District in northwest Wisconsin. Facing a mandated budget cut, he built a $1,500 deductible into the health plan. It seemed reasonable. It seemed responsible. A secretary came to his office. Her husband was out of work. Bills had stacked up. She said plainly: I cannot afford $1,500. I will not use it. Two years later, she died of cancer. She had avoided care until it was too late. Patrick said it as directly as a person can: that had a massive impact on me and how I thought about healthcare. I did not want this to happen again. That moment grew into the Employers Healthcare Cooperative of Wisconsin, which now covers 23,000 lives across the state. This episode is the story of how it got there. How Patrick rebuilt the plan around one insight: the answer was never to make expensive care more expensive for people who cannot afford it. The answer was to make the right care available for free. How one broker named Sarah Paints said yes when almost no broker in Wisconsin would touch it. How in year one Patrick called it a dumpster fire, working 40 extra hours a week on top of his actual job, fighting a hospital CEO who summoned him to an office to deliver ultimatums. How he looked that CEO in the eye and said: go ahead, balance bill every member. How the VP of contracting stepped in immediately and they got a direct deal. How a surgeon who lost a $59,000 procedure to a direct contract called Patrick to find out why. How they talked. How the surgeon discovered how little of that $59,000 he was actually seeing. How he went out and built his own surgery center and now collaborates with the cooperative. How some groups cut their costs 45 percent in year one. How others held their costs flat for eight years while comparable groups rose more than 80 percent. How an independent actuary found cooperative groups running 22 percent better than comparable groups overall. And how Rice Lake, which built all of this a decade ago without a playbook and without ever finding the Health Rosetta community until 2023, is now an active part of that community, and is coming to RosettaFest 2026 with at least 15 of their members. Patrick Blackholder will be in the room in Nashville. Key Takeaways:
Resources Mentioned:
Learn More: RosettaFest 2026 - 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/ | |||
| Why I Spent Ten Years Writing This Book: Relocalizing Health Taking Back Healthcare. Rebuilding Communities. | 26 Jul 2026 | 00:11:17 | |
The short version is that a close friend died from a preventable medical error and left behind a ten-year-old daughter. That is where this started. But the longer version, the one Dave tells in this episode, is about what that loss made him unable to stop noticing. How the system he had spent his career inside, building technology for health systems and working at the intersection of healthcare and innovation, was not broken by accident. It was built this way. And the people inside it, the physicians, the administrators, the insurers, were not villains. They were operating exactly as the incentives demanded. What changed for Dave was not discovering a new problem. It was deciding to stop optimizing inside a broken model and start documenting the communities, employers, advisors, and clinicians who had already figured out how to build something better. This book is that documentation. He also talks about what the title actually means. Relocalizing health is not a policy idea. It is not a theory. It is something that is already happening in Alabama, Alaska, Ohio, Wisconsin, and Florida, the communities that anchor this book. It is what happens when healthcare dollars stop leaving a community and start building it instead. The book launches July 29 at RosettaFest in Nashville. Every attendee gets a copy. You can pre-order on Amazon now. Key Takeaways:
Resources Mentioned:
Learn More: RosettaFest 2026 - 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/ | |||
| How Employer Cooperatives Are Fixing America's Healthcare Cost Crisis | 30 Jul 2026 | 00:37:45 | |
Welcome to Relocalizing Health, where we explore the transformative power of community-driven healthcare reforms. In today’s episode, guest Lee Lewis and host Dave Chase challenge long-held beliefs about healthcare being an uncontrollable cost and reveal how employers, by banding together in cooperatives, are not just cutting expenses but improving care quality and outcomes. Drawing inspiration from the historic rise of rural electric cooperatives, Dave Chase introduces us to the Health Transformation Alliance, a pioneering employer-owned cooperative reshaping health benefits for millions. Lee Lewis, Chief Strategy Officer of the Health Transformation Alliance (HTA), shares behind-the-scenes stories and actionable insights on how organizations can pool resources, break industry dogmas, and unleash innovations that empower individuals and whole communities. Tune in to hear inspiring case studies, practical strategies for change management, and a powerful call to action for every employer, community leader, and clinician ready to take back control of healthcare and make a real difference for the people they serve. Timestamps: 00:00 Building a healthcare co-op 03:39 Saving for Employee Nursing Stations 08:35 Misconceptions about saving on healthcare 10:25 Identifying motivated benefits team members 15:23 Highlighting hospital cost and risk issues 19:03 Collaborating with local employers 20:42 Scaling innovation with initial partnerships 26:03 Improving patient care navigation 29:39 Improving employee benefits and savings 31:55 Economic impact of technology in workplaces 34:40 Healthcare crisis and hero benefits leaders Learn More: RosettaFest 2026 - 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/ | |||
| What Advisors, Employers, and Community Leaders Will Actually Find in This Book | 29 Jul 2026 | 00:11:59 | |
This episode is for the person who has been following this series and wants to know what is actually inside Relocalizing Health before they read it, and what they will walk away able to do differently. Dave Chase addresses three specific audiences directly. For advisors: the book is a field manual for building fiduciary-grade plans that hold up under scrutiny. It covers the contractual language that separates a plan built to perform from one built to produce revenue for intermediaries, the data access requirements that give employers genuine visibility into how their money is being spent, and the selection and evaluation frameworks that let advisors build accountability into every vendor relationship. For employers: the book shows what it looks like when a health plan is treated as a line of business an organization is actually willing to manage. Not a cost center that absorbs annual increases and passes them to employees. A strategic asset that generates a real dividend and reinvests it in the workforce. For community leaders: the book makes the case that healthcare cost is an economic development problem with a documented solution. The communities that get this right do not just save money. They redirect those savings into schools, workforce development, housing, and the kinds of local investments that build durable economies. Dave also addresses the AI Catalyst section specifically: as artificial intelligence displaces workers at scale, the communities that have figured out how to generate and redirect healthcare savings will have the resources to invest in workforce transition. The ones that have not will face a compounding crisis. The book launches July 29. Every attendee at RosettaFest gets a copy. Key Takeaways:
Resources Mentioned:
Learn More: RosettaFest 2026 - 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/ | |||
| The Employers Who Cracked the Code, And Why Their Stories Are in the Book | 28 Jul 2026 | 00:09:39 | |
This episode walks through the Rosie Award winners and the case studies that make up the appendix of Relocalizing Health — the documented proof that the model described in this book is not theoretical. Dave Chase walks through what the Rosie Awards actually represent: employers and public sector organizations evaluated on real Plan Grader scores and real reinvestment of savings through the Health Rosetta Dividend. The awards are not given for good intentions. They are given for results, for documented outcomes that show up in the numbers. The episode covers the kinds of results that have earned organizations a place in the appendix and on the Rosie Award stage: school districts that saved millions and kept teachers in classrooms, municipalities that redirected healthcare savings into community infrastructure, employers that eliminated deductibles and copays while reducing total cost, and health systems that demonstrated what direct contracting with employers actually looks like in practice. Dave is direct about why these stories matter: because the standard objection to everything in this book is that it sounds good in theory but would never work at scale or in a normal organization. The appendix is the answer to that objection. These are normal organizations. They are not wealthy. They are not in major metropolitan areas. Many of them are in the same kinds of communities that have been told this is too hard, too risky, or too far outside the status quo to be worth trying. The book launches July 29 at RosettaFest in Nashville. Every attendee gets a copy. Key Takeaways:
Resources Mentioned:
Learn More: RosettaFest 2026 - 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/ | |||
| What Relocalizing Health Actually Means | 27 Jul 2026 | 00:15:54 | |
When people hear the phrase relocalizing health, a lot of them assume it is a slogan, a policy proposal, or someone's political talking point. This episode explains what it actually means. Dave Chase defines it plainly: treating your community's healthcare dollars as a community resource instead of an extractive expense that leaves town the moment it is spent. Most communities, healthcare is the biggest industry. Most companies, it is the second biggest cost item. And most of the money flows straight out to distant corporations and shareholders. Dr. Michael Fine calls it medicine as colonialism. Dave calls it extraction dressed up as care. In Ashtabula County, Ohio, roughly $450 million leaves the county every year. That is not a healthcare problem. That is an economic development catastrophe. Relocalizing means keeping that money home. But this episode goes deeper than a definition. Dave explains why every major reform effort has failed, regardless of ideology, and why they will keep failing until two structural flaws are addressed. The first: healthcare and social care are funded and governed in entirely separate silos, even though 80 to 90 percent of health outcomes are determined by things outside of the healthcare setting, like food, education, housing, and transportation. The second: healthcare decisions are made at the wrong scale, either way too large at the federal or state level, or way too small at the individual provider level, missing the Goldilocks zone of roughly 25,000 to 700,000 people where community-scale governance actually works. He then shows what right-sized governance looks like in practice. Jonkoping County in Sweden. The Nuka System of Care in Alaska. Rosen Hotels in Orlando. Ashtabula County in Ohio. Different politics, different governance structures, different geographies. Identical in two things: integrated funding and right-sized governance. And he closes with the most American story he knows. Rural electrification. A century ago, less than 10 percent of rural America had electricity. Private utilities said serving rural America was impossible. Communities formed electric cooperatives and did it themselves. By the 1950s, 90 percent of rural America had power. Today almost 900 cooperatives serve 42 million Americans across 56 percent of the US landmass. That is the playbook. The pioneers in this book are the farmers laying line before anyone in Washington figured it out. Key Takeaways:
Resources Mentioned:
Learn More: RosettaFest 2026 - 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/ | |||
| Neighborhoods as Patients | 11 Aug 2026 | 00:56:11 | |
Welcome to Relocalizing Health. In this episode, Dave Chase explores the powerful connection between neighborhood cohesion and health with guest Seth Kaplan, author of Fragile Neighborhoods. Over recent decades, American communities have suffered from declining local relationships, and with no meaningful incentive to make neighborhoods better, both public and private institutions have unintentionally worked in silos, often leaving health outcomes and the social fabric itself worse off. But there's a movement underway. Across the globe, from Singapore to the Netherlands, new models of healthcare have emerged, focused on empowering residents and rebuilding care around neighborhoods rather than institutions. Drawing on case studies and lessons from around the world, Seth Kaplan and Dave Chase discuss how shifting our mindset, restructuring incentives, and revitalizing neighborhood governance could radically improve health, reduce costs, and revive a sense of belonging. Join us as we explore what happens when the neighborhood, not just the individual, becomes the patient, and how each of us can spark change, starting right where we live. Timestamps: 00:00 Community-driven healthcare models 04:46 Exploring American social cohesion 07:55 Flaws in the American healthcare system 12:50 Yishun Health community engagement strategy 16:55 Creating community healthcare nodes 20:08 Fostering Health in Communities 22:55 Community and Charity Involvement 26:39 Growing small health plans into communities 31:50 Sovereignty and healthcare systems 33:07 Rural electrification and community action 36:31 Neighborhood-centered governance ideas 40:10 Neighborhood improvement incentives 45:01 Public sector's role in healthcare 47:02 Importance of social relationships 53:01 Rethinking and nurturing new ideas 54:39 Community-led healthcare initiatives Learn More: RosettaFest 2026 - 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/ | |||