1008 - The Outlook on Direct-to-Consumer Health Care
Public Health On Call
The Johns Hopkins Bloomberg School of Public Health
4.6 • 644 Ratings
🗓️ 9 February 2026
⏱️ 15 minutes
🔗️ Recording | iTunes | RSS
🧾️ Download transcript
Summary
About this episode:
Products and services like genetic testing, prescriptions for weight loss drugs, and health monitoring wearables are revolutionizing health and wellness in the U.S. But are these new gadgets and offerings easing the challenges facing the health care system or are they exacerbating them? In this episode: Dr. Josh Sharfstein speaks with health care entrepreneur Ashwini Nagappan about the pros and cons of the explosion of direct-to-consumer health care.
Guests:
Ashwini Nagappan, PhD, is a health care entrepreneur and researcher.
Host:
Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department.
Show links and related content:
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How direct-to-consumer health tests could impact insurance, mortgages, and employment—STAT
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A sneak peek of pharma's Super Bowl ads: GLP-1s, tight ends, and more—STAT
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Transcript
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| 0:00.0 | Welcome to Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health, |
| 0:05.9 | where we bring evidence, experience, and perspective to make sense of today's leading health challenges. |
| 0:16.3 | If you have questions or ideas for us, please send an email to public health question at jhh.edu. |
| 0:23.8 | That's public health question at jhhu.edu for future podcast episodes. |
| 0:30.5 | Hey listeners, it's Lindsay Smith-Rogers. |
| 0:32.7 | Today, direct-to-consumer health care. |
| 0:35.6 | Ashwini Nagapon is a health care entrepreneur with a PhD in |
| 0:39.0 | health policy. She joins Dr. Josh Sharstein to talk about whether all these ads, tests, and |
| 0:44.4 | medications coming directly to patients are a good thing. Let's listen. Dr. Ashwini Nagapon, |
| 0:51.2 | thank you so much for joining me today in Public Health on call. I'm excited for |
| 0:55.0 | this conversation because I've been seeing advertisements for healthcare all over the place. |
| 1:00.3 | Thanks, Josh, for having me. I'm excited to talk about direct-to-consumer healthcare. |
| 1:04.1 | So before we jump into the direct-to-consumer healthcare, let's talk about the not-direct-to-consumer |
| 1:09.1 | healthcare, like the old way of doing things. How would you characterize that? So typically, the way that health care has happened is that |
| 1:16.4 | individuals will go to their provider. Their provider will see them and then determine, okay, |
| 1:22.4 | this person needs follow-up testing, might need a prescription, and then from there, the patient will receive a |
| 1:28.4 | prescription or a test. But what the direct-to-consumer healthcare model ends up doing is it actually |
| 1:34.5 | starts with the consumer. So the consumer is initiating the process of ordering a product or a |
| 1:40.9 | service, often online with little to no involvement of a provider depending on |
| 1:45.6 | that particular platform. And it is somewhat of a departure from the norm. I mean, by having |
| 1:50.5 | direct-to-consumer in front of health care, we're kind of signaling that there is a departure |
| 1:55.0 | from the norm in some sort of way. Right. So we said like the old way used to be described as |
... |
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