Meeting Patients Where the System Fails Them episode artwork

EPISODE · Jan 10, 2026 · 43 MIN

Meeting Patients Where the System Fails Them

from The Dr. Kristin Lyerly Show · host Civic Media

What happens when telling patients the truth gets you fired? This week, Dr. Kristin Lyerly sits down with Nikki Sapiro Vinckier, PA-C—an OB/GYN physician assistant who spent over a decade in clinical practice before being pushed out for refusing to stay silent.  Nikki's new book We Deserve More: Why Reproductive Healthcare is Broken—And What You Can Do About It exposes the gap between what clinicians know, what lawmakers think they know when they write abortion bans, and the flood of misinformation patients face online. In this conversation, Kristin and Nikki dig into: Why advocacy and clinical practice became incompatible How abortion bans expose lawmakers' dangerous ignorance about real women’s health The dark history of medicine How OB/GYN training is still crisis-driven—leaving gaps in menopause care, sexual health, and chronic conditions Practical tools patients can use TODAY to advocate for themselves in a broken system This is medicine, unfiltered.  Guest: Nikki Sapiro Vinckier

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Meeting Patients Where the System Fails Them

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This episode is 43 minutes long.

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This episode was published on January 10, 2026.

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What happens when telling patients the truth gets you fired? This week, Dr. Kristin Lyerly sits down with Nikki Sapiro Vinckier, PA-C—an OB/GYN physician assistant who spent over a decade in clinical practice before being pushed out for refusing to...

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