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Guest Episode·November 10, 2025

Reimagining Primary Care: How Family Medicine Can Fix U.S. Healthcare

Primary CareSystem ReformInnovation

Why would two physicians walk away from millions to fix healthcare’s broken heart? In this compelling episode, Judson Howe sits down with Dr. Asaf Bitton and Dr. Bruce Finke of Ariadne Labs – two visionary leaders who chose purpose over profit – to challenge everything we think we know about American healthcare.

Episode Summary

Primary care is the backbone of every high-performing health system in the world — and the part the U.S. has most neglected. In this episode, Drs. Asaf Bitton and Bruce Finke make the case that investing in relationship-based primary care isn't just the right thing to do ethically — it's the highest-ROI move in all of medicine. They discuss why family medicine physicians are often the most qualified doctors in the room, what Ariadne Labs has learned from redesigning primary care delivery in dozens of countries, and what it would actually take to give every American a trusted physician who knows their name.

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About the Guest

Dr. Asaf Bitton & Dr. Bruce Finke

Executive Director, Ariadne Labs · Physician, Indian Health Service

Dr. Asaf Bitton is Executive Director of Ariadne Labs at Brigham and Women's Hospital and Harvard T.H. Chan School of Public Health, where he leads global work to redesign primary health care for the most vulnerable populations. A primary care physician himself, he has advised governments and health systems worldwide on how to make high-quality, relationship-based care the default — not the exception. Dr. Bruce Finke spent decades as a physician within the Indian Health Service, developing models of care grounded in community trust and continuity that large institutions rarely achieve.