EPISODE · Apr 21, 2026 · 20 MIN
Emergency Physician Dr. Colleen Smith: Breaking up 'Big Medicine' alone won't solve healthcare costs
from Health Policy Podcast · host Atlas Point Media
Emergency physician Dr. Colleen Smith discusses how government regulations and market distortions have contributed to the rise of large, vertically integrated healthcare corporations. In the interview, she explains how policies such as certificate-of-need laws, Stark regulations, and the structure of employer-based insurance have limited competition and consumer choice in healthcare. Smith argues that simply breaking up large healthcare companies will not solve systemic problems unless policymakers also reform regulations, expand health savings options, and restore competition in the healthcare marketplace. Smith is an emergency medicine physician in New York City and a visiting fellow at the Center for Modern Health.
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Emergency Physician Dr. Colleen Smith: Breaking up 'Big Medicine' alone won't solve healthcare costs
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