Episode 2480: Dr Andy Lazris on how Big Pharma controls the American healthcare system

This isn’t exactly the radical message one would expect from a primary physician from Columbia, Maryland. But according to Dr Andy Lazris, co-author of A Return to Healing, Big Pharma wields an iron grip on the American healthcare system. And it’s only by aggressively challenging the control of the pharmaceutical industry, Lazris says, that we can begin to reform the system. Lazris discusses how pharmaceutical companies heavily influence healthcare through funding medical organizations, research, and federal agencies like the CDC and FDA. He advocates for a return to patient-centered medicine with longer appointment times and less emphasis on unnecessary tests and medications. He suggests three core reforms: removing pharmaceutical influence from federal agencies, changing Medicare reimbursement to favor primary care over procedures, and increasing Medicare funding for primary care residency programs. Interestingly, Lazris views RFK Jr.'s health agency cuts as chaotic, but potentially beneficial.Five Key Takeaways from Andy Lazris's Interview* Pharmaceutical Industry Influence: The pharmaceutical industry has excessive influence over healthcare, including federal agencies (CDC, FDA), medical associations, academic research, and treatment protocols, prioritizing profit over patient wellbeing.* Primary Care Crisis: Primary care physicians are a "dying breed" despite their importance, as they face burnout from administrative burdens, quality metrics, protocol constraints, and insufficient time with patients.* Protocol-Driven Medicine: Doctors are increasingly forced to follow standardized protocols and quality indicators rather than providing individualized care, with financial penalties for not adhering to these guidelines.* Patient-Centered Reform: Lazris advocates for a return to healing through longer patient visits (40 minutes), focusing on lifestyle factors like diet and exercise (duh), and reducing unnecessary testing and medication.* Actionable Reforms: Lazris proposes three immediate reforms: eliminating pharmaceutical influence in federal agencies, restructuring Medicare reimbursement to favor primary care over procedures, and increasing Medicare funding for primary care residency programs.Dr. Andy Lazris is a physician Board Certified in Internal Medicine. He has practiced both primary care Internal Medicine and Geriatrics for the past 30 years. In addition to Internal Medicine board certification, he has a Certified Medical Director (CMD) degree and is the director of several long term care facilities in Howard County and beyond. He also is a certified wound specialist physician with a CWSP degree. Dr. Lazris is a Magna Cum Laude and Phi Beta Kappa graduate of Brown University. He received a full merit scholarship to Albert Einstein College of Medicine in New York and completed his Internal Medicine training at University of Virginia Hospital. In 2021 and 2022 Dr. Lazris received the prestigious Top-Doc recognition in Geriatrics for the Baltimore region. In 2022 he was named one of America’s most honored doctors. He has received numerous accolades and awards for his practice of medicine, his writing, and his work to reform health care.Named as one of the "100 most connected men" by GQ magazine, Andrew Keen is amongst the world's best known broadcasters and commentators. In addition to presenting the daily KEEN ON show, he is the host of the long-running How To Fix Democracy interview series. He is also the author of four prescient books about digital technology: CULT OF THE AMATEUR, DIGITAL VERTIGO, THE INTERNET IS NOT THE ANSWER and HOW TO FIX THE FUTURE. Andrew lives in San Francisco, is married to Cassandra Knight, Google's VP of Litigation & Discovery, and has two grown children.Keen On America is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit keenon.substack.com/subscribe