Welcome to Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health,

where we bring evidence, experience, and perspective to make sense of today's leading health challenges.

If you have questions or ideas for us, please send an email to Public Health Question at jh.edu.

That's Public Health Question at jh.edu for future podcast episodes.

It's Lindsay Smith-Roggers.

Today, getting more health out of health care.

Dr. Maifam is the founder and leader of the Institute for Exceptional Care. She also chaired a recent report by the National Academy of Medicine to imagine different ways of paying for health care to not only provide great care for people who are sick, but also supports to keep people and communities healthy in the

first place. Dr. Fum speaks to Dr. Josh Sharfstein about what this new world would look like

and how to get there. Let's listen.

Dr. Mai Fom, thank you so much for joining us on public health on call. Can you start by just

introducing yourself to our listeners?

Sir Josh, so happy to be here. I am a physician. I'm a general internist, and I have spent a career

doing research in policy. I've also worked in public service at the agency that runs Medicare and Medicaid, and also in

private insurance. And now I lead a nonprofit that's committed to making health care better for

people with intellectual and or developmental disabilities like autism or cerebral palsy or Down syndrome.

That's inspired by my second child, Alexander, who's autistic.

Now, we've known each other for a while, and I think of you as a wonderful clinician,

a brilliant policy expert, and a committed advocate for change.

So I'm really looking forward to this discussion.

Now, recently, you served as the chair of an effort by the National Academy of Medicine called

valuing America's health, aligning financing to reward better health and well-being.

This is a report that starts with some pretty sobering numbers about life expectancy in

...