Learning with Rishad
Claim This Podcastby Rishad Usmani
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Podcast Overview
<p>I’m an artist, physician, angel investor and entrepreneur. On this podcast I talk with investors and founders in the healthcare space.</p>
Language
🇺🇲
Publishing Since
11/20/2022
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Recent Episodes
December 29, 2025
The Future of AI in Healthcare with Hugh Barrigan, Chris Page, and Askash Saraiya
<p>In this eye-opening episode, I sit down with <strong>Hugh Barragan</strong>, a technologist and CTO based out of Boston, <strong>Dr. Chris Page</strong>, an anesthesiologist and pain medicine physician, and <strong>Dr. Akash Soraya</strong>, an emergency medicine physician and angel investor, to tackle one of the most pressing questions in medicine today: has technology made healthcare better or worse? We dive deep into the <strong>promise and peril of AI</strong>, examining whether <strong>electronic medical records</strong> have been a net positive despite their frustrations, and what the future holds when AI can diagnose faster and more accurately than any physician. The conversation gets real as we discuss whether <strong>AI will replace doctors</strong>, who takes accountability when algorithms make mistakes, and whether patients will even care if they are talking to a human or a machine.</p><p> </p><p> </p><p><strong>Key Highlights</strong></p><p> </p><p>🏥 <strong>Technology's Mixed Impact:</strong> While EMRs have made information more accessible and eliminated handwriting issues, they have also created overwhelming data overload and shifted optimization toward billing rather than patient care.</p><p> </p><p>💰 <strong>The Cost Paradox:</strong> Healthcare costs have skyrocketed since the introduction of EMRs, yet life expectancy has remained flat at roughly 80 years for 15 years - suggesting technology has not fundamentally improved population health outcomes.</p><p> </p><p>🤖 <strong>AI Will Replace Physicians:</strong> Dr. Akash boldly predicts that AI will eventually outperform emergency physicians at diagnosis and hopes it happens soon, while acknowledging the massive workforce displacement this would cause across 15-20% of the U.S. economy.</p><p> </p><p>⚖️ <strong>The Accountability Problem:</strong> Hugh emphasizes that computers cannot be held accountable for decisions, creating a fundamental challenge as AI becomes capable of autonomous clinical decision-making - someone must remain responsible when things go wrong.</p><p> </p><p>🩺 <strong>Trust and Human Connection:</strong> Dr. Chris argues that patients will continue wanting human care for a long time, as the rapport and comfort provided by a real physician cannot easily be replicated - though AI may eventually convince people otherwise.</p><p> </p><p>📊 <strong>The Revenue Cycle Machine:</strong> Only 20% of healthcare costs are actual human labor - the rest is driven by increasingly sophisticated billing optimization, which AI will likely accelerate rather than reduce, making healthcare even more expensive.</p><p> </p><p>🛡️ <strong>Malpractice Insurance for AI:</strong> The panel predicts that by 2028-2029, insurance companies will begin underwriting malpractice coverage for fully autonomous AI clinicians, though the actuarial curves and liability frameworks remain completely undefined.</p><p> </p><p>🥊 <strong>The Coming AI War:</strong> Hugh predicts a shadow AI war in healthcare where patient AIs fight billing AIs, insurer AIs battle provider AIs, and costs spiral as a</p>
December 14, 2025
The Truth About Entrepreneurship Nobody Talks About - Preston Alexander
<p><strong>The Truth About Entrepreneurship Nobody Talks About</strong></p><p>In this episode, <strong>Dr. Rishad Usmani</strong> sits down with <strong>Preston Alexander</strong>, co-founder of <strong>Forward Slash Health</strong>, a consultancy helping clinicians reclaim autonomy in medicine. From building furniture and rock climbing in Colorado to launching a <strong>medical device startup during the pandemic</strong>, Preston’s unconventional path shows how curiosity, grit, and timing can shape a career in healthcare entrepreneurship.</p><p>He opens up about his early days as a <strong>psychology and philosophy student</strong>, his accidental entrance into healthcare, and how witnessing the <strong>corporatization of medicine</strong> inspired his mission to empower doctors to lead the business side of care. Preston and Dr. Usmani discuss the <strong>broken incentives</strong> driving U.S. healthcare, why <strong>AI might make us forget how to think</strong>, and how to balance <strong>friction and optionality</strong> when building impactful products.</p><p>With candor and humor, Preston explores the lessons behind his successes and failures — from cold-calling hospitals during COVID to building a startup that helps physicians regain ownership of their work and their purpose.</p><p></p><p><strong>Key Highlights:</strong></p><p>💡 <strong>From Climbing Walls to Boardrooms:</strong> How Preston went from <strong>rock climbing and furniture making</strong> to leading healthcare startups. 📘 <strong>Learning by Doing:</strong> Why he faked being an “MBA candidate,” accidentally earned the degree, and discovered his love for <strong>business strategy</strong>. 🏥 <strong>Inside the Medical Machine:</strong> How working in <strong>medical devices</strong> revealed the tension between innovation, regulation, and corporate growth. 🚀 <strong>Starting Up in a Pandemic:</strong> The story of launching a <strong>surgical device company in February 2020</strong> — and cold-calling hospitals through lockdowns. 🧠 <strong>Taking Back Healthcare:</strong> How <strong>Forward Slash Health</strong> helps physicians rebuild independence and rethink the business of medicine. 🤖 <strong>AI and the Death of Thinking:</strong> Why Preston is both fascinated and frustrated by <strong>artificial intelligence</strong> and fears it may make humanity less thoughtful. 🎓 <strong>Education and Creativity:</strong> Why he believes <strong>traditional schooling traps curiosity</strong> and how parents can rethink education for the next generation. ⚙️ <strong>Friction vs. Optionality:</strong> The philosophy behind designing products, systems, and companies that are both user-friendly and purpose-driven.</p><p><strong>Resources & Next Steps:</strong></p><p>🌐 Visit<a target="_blank" rel="noopener noreferrer nofollow" href="https://forwardslashhealth.com"> </a><a target="_blank" rel="noopener noreferrer nofollow" href="http://forwardslashhealth.com"><strong>forwardslashhealth.com</strong></a> to learn more about their mission. 📲 Connect with <a target="_blank" rel="noopener noreferrer nofollow" href="https://www.linkedin.com/in/preston-alexander/"><strong>Preston Alexander</strong> on LinkedIn. </a>🎧 Explore more episodes of <a target="_blank" rel="noopener noreferrer nofollow" href="https://podcasts.apple.com/nz/podcast/learning-with-rishad/id1655592441"><strong>Learning with Rishad</strong></a> for deep conversations at the intersection of <strong>medicine, AI, and human behavior</strong>.</p><p></p>
November 8, 2025
The Longevity Medicine Paradox - Adam Carewe, MD (General Medicine)
<p><strong>Inside the Mind of the “Guinea Pig Generation” and the Future of AI in Healthcare</strong></p><p>In this episode, <strong>Dr. Rishad</strong> sits down with <strong>Dr. Adam Carewe</strong>, a physician-turned-healthtech innovator who believes we are the <strong>“guinea pig generation”</strong> in modern medicine. From his beginnings as a <strong>college basketball player and math enthusiast</strong> to becoming <strong>Chief Medical Information Officer at Kaiser Permanente</strong>, Adam shares his journey into the world of <strong>healthcare technology and startups</strong>.</p><p>Together, they explore the <strong>intersection of medicine, technology, and uncertainty</strong> — discussing the limits of what doctors know, the rise of <strong>AI-assisted diagnostics</strong>, and the ethical challenges of <strong>over-testing</strong> in modern healthcare. Adam also reflects on his leap from a secure medical leadership position into the <strong>startup world</strong>, and why he believes the future of medicine lies in <strong>automating the routine to preserve the human</strong>.</p><p>With humility and candor, Adam opens up about <strong>mental vs. physical health</strong>, <strong>longevity hype</strong>, and what he’d tell his younger self about <strong>taking risks</strong> and <strong>following instinct</strong>.</p><p> </p><p><strong>Key Highlights:</strong></p><p>🧬 <strong>The Guinea Pig Generation:</strong> Why today’s patients and physicians live in an era where <strong>data grows faster than understanding</strong>. 📊 <strong>From Equations to Empathy:</strong> How Adam’s background in <strong>math and exercise science</strong> shaped his systems-thinking approach to patient care. 🤖 <strong>The AI Physician Debate:</strong> When <strong>AI might safely assist or even replace</strong> parts of clinical decision-making. 🧠 <strong>Mind and Body as One:</strong> Why the separation between <strong>mental and physical health</strong> is outdated and counterproductive. ⚕️ <strong>Too Many Tests, Too Little Meaning:</strong> How <strong>modern diagnostics often outpace interpretation</strong>, creating anxiety and unnecessary procedures. 🚀 <strong>Taking the Leap:</strong> Why Adam left a <strong>high-level role at Kaiser Permanente</strong> to join a startup, and what he’d tell his <strong>younger self</strong> about courage and timing.</p><p> </p><p><strong>Resources & Next Steps:</strong></p><p>📲 Follow <a target="_blank" rel="noopener noreferrer nofollow" href="https://www.linkedin.com/in/adam-carewe"><strong>Dr. Adam Carewe</strong> on LinkedIn</a> for insights on clinical innovation and healthcare tech. 🎧 Explore more episodes of <a target="_blank" rel="noopener noreferrer nofollow" href="https://podcasts.apple.com/nz/podcast/learning-with-rishad/id1655592441"><strong>Learning with Rishad</strong></a> for deep conversations at the intersection of <strong>medicine, AI, and human behavior</strong>. 🧠 Read about <strong>AI in clinical decision-making</strong> in publications like <strong>NEJM Catalyst</strong> or <strong>PubMed</strong>. 💡 Learn more about <strong>General Medicine</strong>, the startup Adam joined after leaving Kaiser Permanente.</p><p> </p><p><strong>Episode Breakdown:</strong></p><p>00:00 We Are the Guinea Pig Generation</p><p>00:51 Adam’s Early Journey</p><p>05:20 When Tech Meets Medicine</p><p>08:41 Will AI Replace Doctors?</p><p>10:46 ChatGPT & Health Data</p><p>15:05 Mind vs. Body</p><p>19:17 The Longevity Paradox</p><p>24:15 Too Much Testing, Too Little Clarity</p><p>29:19 Whole-Body MRI & Overdiagnosis</p><p>34:33 Tracking Everything</p><p>38:05 Fixing the System</p><p>40:36 Final Reflection</p>
45 total episodes available
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Artem Trotsyuk
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Michael Page
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- What is Learning with Rishad?
<p>I’m an artist, physician, angel investor and entrepreneur. On this podcast I talk with investors and founders in the healthcare space.</p> - How often does this podcast release new episodes?
This podcast updates weekly.
- Where can I listen to this podcast?
This podcast is available on 9 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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Information about guest appearances is not available.
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