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EPISODE · Sep 24, 2026 · 51 MIN

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from With Good Reason · host Virginia Humanities

Sitting in a doctor’s office trying to understand “medicalese” is really frustrating. Suzanne Makarem found forty women who switched to nontraditional medical professionals after years of feeling unheard by their doctors. Many of them now only see their traditional doctors for blood tests, vaccines and annual check ups. Plus: The United States and New Zealand are the only countries that allow pharmaceutical companies to advertise directly to consumers. So ever since the late 90s, American cable stations are littered with direct-to-consumer drug ads that urge people to ask their doctor today if a certain drug is right for them. Staci Defibaugh says that these ads are not just promoting drugs to patients. They’re showing people how to be an “activated patient.” Later in the show: It’s baffling to think that by and large, African-American men have a shorter life expectancy than most other groups of people in America. There are many factors involved in that. But Alton Coleman says that being perceived as a threat in public spaces plays a huge role. And: There are many barriers to accessing good healthcare in Appalachia. Troy Makal was shocked to find that the greatest barrier wasn’t transportation, money or insurance, but a fundamental distrust in medical providers.

Episode metadata supplied by the publisher feed · Published Sep 24, 2026

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