43cc
43cc
Wendy Dean, MD and Matthew Ramsey, MD
The Truth About Healthcare (with a shot to dull the pain). Doctors are frustrated. Patients are frustrated. And none of us can get a straight answer on how to make it better … like, really make it better … honestly, we really need to make it better … because it could drive you to drink . . . Cue 43cc. A bi-weekly podcast that exposes how doctors really feel about healthcare in America, 43cc offers raw (and often irreverent) insider knowledge to help patients, and fellow healthcare practitioners, look 'behind the curtain'. Through exposing some hard truths (while imbibing some not-so-soft drinks) 43cc aims to break the stigma, fill gaps, and lower frustration levels for patients and providers. Hosts Wendy Dean, MD and Matt Ramsey, MD bring together decades of knowledge, experience, and an uncanny ability to mesh intricate medical expertise with skillfully used profanity. We'll uncover a wide range of topics like electronic medical records, prior authorization, consolidation, corporatization, bureaucratic bs, shareholder primacy, private equity, and other nonsense that makes our heads hurt and our patients suffer. Dr. Wendy Dean practiced emergency medicine and psychiatry, was instrumental in developing the US Army's hand and face transplant research program, and was an executive in a half-billion dollar nonprofit. She gave that all up when the challenges of getting high quality healthcare nearly cost her physician husband his life. She is now the leading voice for reframing health worker distress to include moral injury, and is the author of, If I Betray These Words. Dr. Matt Ramsey is a board-certified Orthopaedic Surgeon with a subspecialty interest in shoulder & elbow conditions. He has a passion for patient care, education of the next generation of physicians and research. An extensive number of publications and invitational lectures solidify Dr. Ramsey as a key physician among his medical peers. Dr. Ramsey is an advocate for physician leadership in healthcare and believes that the solutions for the current issues in healthcare will emerge out of a partnership of patients and their providers. Join us for a drink, a rant, a laugh, and an open forum on solutions to healthcare's most pressing problems. The 43cc Podcast is produced by Jill Ruby.
No More Tears: The Dark Secrets of Johnson and Johnson
Investigative journalist Gardiner Harris joins us to talk about No More Tears: The Dark Secrets of Johnson & Johnson, an explosive expose of an organization whose image as a ""child-friendly" baby company" contrasts against "reams of evidence showing decades of deceitful and dangerous corporate practices that have threatened the lives of millions."
Feb 26
52 min
Trust and Betrayal
Our news feeds are rife with stories of betrayal, and as physicians, many of those stories feel shockingly familiar. We outline three levels of moral injury that can follow betrayal and offer strategies to prevent and mitigate that harm.
Feb 12
29 min
Negotiate your contract!
New job? Congrats!  Now go read the fine print in your contract.  Carefully.  Lawyer Dennis Hursh shares his decades of history and experience negotiating - or re-negotiating - physician contracts.
Jan 29
35 min
Walt Bogdanich on Why Big Business and Medicine Don't Mix
Legendary investigative journalist and NYT reporter Walt Bogdanich (When McKinsey Comes to Town) joins us to talk about his recent article "How Private Equity Oversees the Ethics of Drug Research" and the broader impacts of what happens when outside financial firms influence internal business operations.
Jan 15
40 min
Goodbye 2025, Hello 2026!
New year, new beginnings. We covered a lot of ground last year and we're going to keep up the pressure and keep fighting the good fight. Wendy and Matt discuss what and who they appreciated about last year's episodes, and what they're looking forward to in 2026.
Jan 1
31 min
The Fall of Crozer Health, Part 6: Eight Months Later
Eight months ago, we followed along as Prospect Medical shuttered Crozer Health. In this episode, as promised, several of the doctors, nurses, medical assistants, elected officials and public servants we spoke to initially tell us how they have fared since. A few themes emerged: the unexpected domino effects when a hospital closes, the importance of community, trust, and transparency, the mismatch between healthcare executives in pursuit of profit and medical professionals in pursuit of public service (and the moral injury that results), and their relentless commitment to and hope for the community they served.  
Dec 22, 2025
46 min
Teaser: The Fall of Crozer Health, Part 6
We promised to follow up on The Fall of Crozer Health and we'll drop our full episode on Monday. For anyone thinking of selling to private equity, you won't want to miss this.
Dec 18, 2025
1 min
Dialysis in the US: Blood, Death, and Dollars
Was dialysis the canary in medicine's coal mine of corporatization, as neoliberalism took hold in the US?  Tom Mueller, journalist and author of "How to Make a Killing: Blood, Death, and Dollars in American Medicine", joins us to talk about how dialysis became a "microcosm of American medicine" and what we can do to fix it.
Dec 4, 2025
52 min
"Change the way you see things"
We make a lot of changes that don't make much difference. Why? In this episode, Wendy and Matt borrow the perspective of rancher and regenerative agriculture proponent, Don Campbell, who said, "If you want to make small changes, change the way you do things. If you want to make major changes, change the way you see things". We apply that big picture thinking to solutions-finding in healthcare.
Nov 20, 2025
36 min
"He Hit Me. He Hit a Police Officer."
In 2023, 82% of nurses had experienced at least one workplace violence incident, and nearly half were experiencing even more violence. And it's not just nurses. Surgeons, ER docs, primary care physicians and others know violence in healthcare is on the rise. Erin Pastore and Marie Lopresti, two ED nurses in Philadelphia, share their personal experiences with violence in their workplace, and how to restore the balance we all - patients and practitioners, alike - need. Listener discretion advised.
Nov 6, 2025
39 min
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