Policy, Patients, and the Future of Healthcare: How Texas Plans to Fix a Strained System

The U.S. healthcare system is under real strain—and it’s something both patients and physicians are feeling in everyday care. In Texas, those pressures are even more visible, where rapid population growth, rural access challenges, and regulatory complexity are making it harder for patients to get timely care and for doctors to focus on medicine instead of administrative work. These challenges aren’t driven by a single issue, but by a combination of workforce gaps, growing bureaucracy, and structural inefficiencies that have been building for years.So what happens next? As policymakers, insurers, and healthcare systems compete to shape the future of care, one central question emerges: Can physicians reclaim control of patient care in an increasingly corporatized system?That’s the question at the heart of this episode of I Don’t Care. Host Dr. Kevin Stevenson sits down with Dr. Brad Holland, President of the Texas Medical Association, to unpack the organization’s top priorities for 2026. Their conversation spans workforce shortages, regulatory reform, insurance power, and the evolving role of physicians in modern medicine.What you’ll learn…How prior authorization and insurance barriers are getting worse, delaying patient care while placing an increasing administrative burden on physicians.Why physician shortages aren’t about lack of interest, but instead driven by systemic training bottlenecks that turn away qualified candidates each year.How healthcare consolidation and insurance dominance are reshaping care, pushing costs higher and weakening the core physician-patient relationship.Dr. Brad Holland is a board-certified otolaryngologist and head and neck surgeon with specialized expertise in voice and swallowing disorders, pediatric ENT, oncology, and facial reconstructive surgery. He currently serves as President-Elect of the Texas Medical Association and has held multiple leadership roles, including Speaker of the House for TMA and President of the Texas Association of Otolaryngology, reflecting deep influence in healthcare policy and physician advocacy. He also serves as clinical faculty at Baylor University and holds an Executive MBA, bringing both medical and leadership expertise to healthcare.