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Hey listeners, it's Lindsay Smith-Roggers.

Today, a new way of thinking about paying for health.

Dr. Darshak Sangavi is a pediatric cardiologist who has developed national programs

that take a totally different approach to health care finance.

He speaks to Dr. Josh Sharfstein about these efforts, both in the past and the future.

Let's listen.

Dr. Darshak Sangavi, thank you so much for joining me today on public health

on call to talk about a very interesting idea that you have been a champion of for a number of years now.

Josh, as always, great to talk to you. So we're talking about the idea of health care finance,

but not the usual health care finance, where people get paid for

providing a service. But the idea of paying money, and in some cases, a lot of money for the

health of a community to improve. Is that a fair way of describing what you've been working on?

Yes. I mean, obviously in health care, we get what we pay for. And for so long, we've said, well, why are our

outcomes not as good as they should be? I think most people believe it's because we pay for

widgets or procedures and we don't actually pay for the thing we want in the end. So as you said,

that's been the animating central idea about what I've been working on. So what is it that we want in the end?

Well, I think about, you know, Josh, you and I train together in pediatrics. And I think that things

we want are what I think most people think about health. They want a life that's free of a heart

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