What do clunky insurance networks and subscription-style doctor care have in common? According to Preston Alexander, they’re both part of the same fixable puzzle.

Healthcare advocate, writer, and author of The Healthcare Breakdown, Preston joins Dr. Michael Jerkins to explore where the U.S. healthcare system is broken and the quiet, practitioner-led shift already underway.

They dig into how insurance-driven incentives frustrate doctors and patients, why employers hold untapped power to change costs, and the growing appeal of subscription models like direct primary care. Preston shares how technology can make care more direct and transparent, how large health systems’ misaligned incentives hold progress back, and why physician voices are essential in decision-making.

From legislative barriers to the business skills doctors need to thrive, this conversation blends big-picture strategy with actionable ideas for building patient-centered, sustainable practices. Whether you’re a physician, employer, or simply curious about what’s driving healthcare costs, you’ll walk away with a clear-eyed view of what’s broken and what’s working.

What do boy bands, burnout, and bedside manner have in common? According to Dr. J Mack Slaughter—more than you think. In this episode, emergency medicine physician, musician, and social media creator Dr. J Mack joins Dr. Michael Jerkins to unpack his unlikely path from pop performer to practicing medicine, and how creativity still fuels his career today.

Dr. J Mack opens up about what led him to leave the entertainment industry, start over as a pre-med student, and ultimately find a way to merge both passions through his nonprofit, Music Meets Medicine. From the emotional toll of COVID-19 to his advocacy around EM residency reform and healthcare worker mental health, he shares how creating content online has helped him reclaim his voice and fight burnout, while educating the public along the way.

We explore the broken incentives in healthcare, how profit-driven systems are failing both doctors and patients, and why giving doctors the tools to speak out is more important than ever. Whether you're a clinician craving inspiration or just someone who wants to understand the person behind the white coat, this episode hits all the right notes.

Writer, advocate, and co-creator of the Glaucomflecken universe, Kristin Flanary joins the show to explore the unexpected intersections of humor, healthcare, and co-survivorship. Known online as Lady Glaucomflecken, Kristin shares her journey from casual Twitter banter to public advocacy after performing life-saving CPR on her husband, physician and comedian Dr. Will Flanary, during his sudden cardiac arrest.

In a system designed to center only the patient, where does that leave the partner who’s living through the trauma too? And what happens when caregivers are treated as accessories to recovery rather than humans navigating shock, PTSD, and grief of their own? Kristin reflects on the emotional toll of being a co-survivor, the role of humor in healing, and why changing the language we use in medicine is more powerful than we realize. We also unpack what it's like to build a life around a doctor’s schedule, how med school and training affects more than just the trainee, and why prestige in medicine is often overrated.

This episode shines a light on the forgotten patients, while challenging doctors to approach families with more intention and empathy. If you’ve ever struggled to be seen in the healthcare system or want to better understand the people who stand beside the patient, this one is for you.