JAMA Health Forum Conversations

Market-Based Solutions to Improve US Health Care

How do we better deploy market-based solutions to improve health care in the US? Lanhee Chen, PhD, of Stanford University joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss how market-based approaches can complement public strategies to create a health care system that is more adaptive, responsive, and fiscally sustainable. Related Content: * A Role for Market Forces in US Health Care—Principles and Guardrails [https://jamanetwork.com/journals/jamahealthforum/fullarticle/10.1001/jamahealthforum.2025.6478?utm_source=podcast_platforms&utm_medium=referral&utm_campaign=related_article_links]

In Search of US Pharmaceutical Policy Innovation

Pharmaceuticals are a central—and costly—element of the US health care system. Aaron S. Kesselheim, MD, JD, MPH, of Brigham and Women's Hospital joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss the challenge and opportunity of delivering affordable drugs to as many people as possible. Related Content: * In Search of Pharmaceutical Policy Innovation in the US [https://jamanetwork.com/journals/jamahealthforum/fullarticle/10.1001/jamahealthforum.2025.6049?utm_source=podcast_platforms&utm_medium=referral&utm_campaign=related_article_links]

The Future of Primary Care in the US

Historically, there has been less focus on primary care than on specialist care in US health care. What are the challenges and opportunities in primary care today? What might it look like in the coming decades? Robert Phillips, MD, MSPH, of The American Board of Family Medicine joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss the future of primary care in the US. Related Content: * Back to the Future of Primary Care [https://jamanetwork.com/journals/jamahealthforum/fullarticle/10.1001/jamahealthforum.2025.5120?utm_source=podcast_platforms&utm_medium=referral&utm_campaign=related_article_links]

Changes in Policy and the Health of LGBTQ+ Populations

There is abundant evidence that sexual minority groups have worse health indicators than sexual majority groups. Gilbert Gonzales, PhD, MHA, of Vanderbilt University Medical Center joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss the current policy landscape and its potential impact on the health of LGBTQ+ populations. Related Content: * Health Implications of Recent Policy Changes Affecting LGBTQ+ Populations [https://jamanetwork.com/journals/jamahealthforum/fullarticle/10.1001/jamahealthforum.2025.4240?utm_source=podcast_platforms&utm_medium=referral&utm_campaign=related_article_links]

The Centrality of Women's Health to a Population Health Research Agenda

Both sex- and gender-based factors influence the health of women. A fully realized population health agenda needs to center women's health as an area of conceptual and pragmatic focus. Rosa M Gonzalez-Guarda, PhD, MPH, RN, joins JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, to discuss women's health, inequities, and how women's many and different identities shape their health. Related Content: * The Consequences of Selective Defunding of Health-Relevant Research Areas [https://jamanetwork.com/journals/jamahealthforum/fullarticle/10.1001/jamahealthforum.2025.3983?utm_source=podcast_platforms&utm_medium=referral&utm_campaign=related_article_links]