Relocalizing Health with Dave Chase
While Washington argues and Wall Street profits, a quiet transformation is reshaping healthcare: one community at a time.Relocalizing Health takes you inside this movement with Dave Chase, founder of Health Rosetta, as he talks with the people leading healthcare's ground-up transformation. Their approach? Keep care local, rebuild trust, and redirect healthcare wasted spending into something that actually serves people.You'll hear real-world stories from employers, clinicians, and civic leaders who are designing health plans and ecosystems that work, and strengthening their local economies in the process.Featured guests include:- Public sector leaders who've redesigned employee health benefits to...
What If Communities Were the Key to Better Birth Outcomes?
Welcome to another episode of Relocalizing Health! This week, Dave Chase sits down with Allison Duncan, founder of Anau Health and architect of transformative maternal health models, to explore why the current U.S. maternity system is failing women by design and how we can radically improve it. From her eye-opening journey mapping world-class maternal care in Brazil to building community-driven solutions in Pickens County, South Carolina, Allison Duncan shares powerful insights about the cost, human toll, and missed opportunities in our current system. Together, they discuss how integrating social care with clinical support, rethinking payment structures, and harnessing...
Special Episode Celebrating Relocalizing Health - The Book: The Textile Plant That Cracked Healthcare Before Anyone Was Watching - Phifer Inc., Alabama
Welcome to a special series within Relocalizing Health as we count down to RosettaFest in Nashville, July 29 to 31. Each one of these is a quick look inside the book and the communities that inspired it. Real places, real numbers, real people who decided to stop waiting for someone else to fix healthcare and just built something better themselves.
If you don't have your ticket to Nashville yet, go grab it at RosettaFest.org. This is where the people in these stories will actually be in the room with you.
Here's more about today's special...
Redesigning Health and Wealth in Our Communities
Welcome to Relocalizing Health. In today’s episode, host Dave Chase sits down with Kevin Bayuk, a partner at Lift Economy and a pioneer in redefining how communities can thrive by redesigning local systems. With over 20 years of experience questioning why wealth leaves local communities and how to rebuild systems that circulate, compound, and benefit all, Kevin Bayuk shares his journey from Silicon Valley tech entrepreneur to advocate for regenerative enterprise and bioregional self-reliance.
Together, they explore the root causes of ill health in society, including the “loneliness epidemic,” and discuss the vision and practicality of economies and he...
Trust, Compassion, and Results: The Rosen Way to Better Healthcare
Welcome to Relocalizing Health, the podcast about taking back healthcare and rebuilding communities. In today’s episode, host Dave Chase sits down with Kenneth Aldridge, the long-time clinical leader at Rosen Medical Center in Orlando, Florida. Together, they explore how Rosen Hotels has built the nation’s longest-running and most comprehensive employer-sponsored advanced primary care model, one that delivers exceptional outcomes for a diverse workforce, including a high percentage of high-risk pregnancies, while spending less than half the national average on healthcare.
Kenneth Aldridge shares stories from nearly three decades of transforming care: from breaking down barriers to a...
Cancer Survivorship and the Push for Collective Patient Power
Welcome to another episode of Relocalizing Health, the show about reclaiming healthcare and strengthening our communities. I’m your host, Dave Chase, author of Relocalizing Health: Taking Back Healthcare, Rebuilding Communities. Today, we dive into the realities of being a patient in America, a system where too often, getting sick can mean financial ruin, emotional devastation, and feeling invisible.
Our guest, Matthew Zachary, survived brain cancer as a young concert pianist and went on to do something even rarer, turning his experience into a national movement. As the founder of Stupid Cancer, host of the Out of Pa...
From Farm Lights to Healthcare Heights: How Cooperatives Solve America's Toughest Challenges
Welcome to another episode of Relocalizing Health, where host Dave Chase draws a bold parallel between America’s rural electrification revolution and the grassroots transformation happening in healthcare today. In this episode, Dave Chase unpacks the inspiring story of Iowa farmers who built miles of power lines before they even had a power source, showing how local ingenuity can spark nationwide change. He introduces his “three, two, one” framework, a blueprint where pioneering communities prove what’s possible, their success spreads, and smart policy amplifies the impact.
You’ll hear real-world examples of how forward-thinking communities and cooperativ...
How Plainfield Eliminated Deductibles, Cut Payroll Costs & Invested Savings Back Into Its Own People
Welcome to Relocalizing Health. In this episode, we shine a light on Plainfield, Indiana, a town just west of Indianapolis, where public sector employees like police officers, firefighters, and public works staff were once priced out of their own healthcare. Nate Thorne, assistant town manager, joins us to share how Plainfield broke free from years of rising premiums and shrinking paychecks, fundamentally transforming its approach to employee health benefits.
Instead of accepting sky-high insurance costs as an inevitable “healthcare trend,” Plainfield’s leadership took courageous steps: moving to a self-insured health plan, forging a direct contract with their...
How a Food Bank Beat Rising Health Costs to Deliver Thriving Coverage for 170 Staff
Welcome to Relocalizing Health. In this episode, we take you behind the scenes at Second Harvest Food Bank of Central Florida, where an organization fighting hunger is revolutionizing health benefits for its employees. Join Dave Chase as he sits down with Amy Lein, Chief Human Resource Officer at Second Harvest, to uncover how this nonprofit broke away from the broken health insurance model, creating one of the nation's highest-quality, most accessible benefit plans.
Learn how every employee at Second Harvest pays zero in premiums, deductibles, and co-pays, translating into real quality of care and tangible support like...
How Spooner Physical Therapy Relocalized Health Plans and Reduced Costs for Employers and Employees
Welcome to Relocalizing Health with Dave Chase. In this episode, we explore what happens when a clinical leader takes health care into their own hands for both their patients and their employees. We'll meet Tim Spooner, a physical therapist who, in 1990, opened a single clinic in Scottsdale, Arizona with the conviction that the right care, at the right time, can transform lives. Thirty-five years later, Tim leads Arizona's largest private PT practice, operates clinics across Arizona and Texas, and runs Solve Global, a company that's reshaping how employers nationwide address musculoskeletal health.
But Tim's story doesn't stop...
How Primary Care and Community Agency Can Transform Healthcare from Extraction to Empowerment
On this episode of Relocalizing Health, host Dave Chase sits down with family physician and author Michael Fine, a leading voice in healthcare reform and the driving force behind Primary Care for All Americans. Together, they unpack the provocative idea of medicine as a form of colonialism, exploring how corporate healthcare systems extract wealth from local communities and diminish their capacity for self-governance.
Michael Fine draws on decades of experience, from running a small family practice to leading the Rhode Island Department of Health, to illustrate the devastating impact of for-profit healthcare on both patients and the...
Building Affordable Local Health Plans with HealthyPath in Rural Ohio
Welcome to Relocalizing Health, the podcast that dives deep into how communities across America are reclaiming their healthcare from corporate control and building systems focused on people over profit. In this episode, we welcome Michael Norman, Chief Strategy Officer at Genesis Healthcare System in Zanesville, Ohio, and President of HealthyPath, a community-owned health plan product making a big impact.
Mike shares his inspiring journey after being told his rural hospital wasn't "relevant" by a major insurance carrier, despite offering high-quality care at lower costs. This pivotal moment sparked the creation of HealthyPath, a product designed to empower...
How Wisconsin Employers Are Transforming Healthcare Through Cooperative Action
Welcome to Relocalizing Health, where we explore how communities are reclaiming control over healthcare and rebuilding systems that truly serve people. In this episode, host Dave Chase welcomes Patrick Blackaller, the driving force behind the Employer Healthcare Cooperative of Wisconsin. Together, they dive into the journey of transforming healthcare for schools and employers in Wisconsin, shifting from an extractive industry toward a model that prioritizes care, cost transparency, and community partnerships.
You'll hear honest reflections on the tough choices and personal stories that sparked this movement, including the profound impact of rising costs and restrictive insurance plans...
How Alaska Native Communities Transformed Healthcare Through Community Ownership and Engagement
On this episode of Relocalizing Health, host Dave Chase is joined by April Kyle, president and CEO of Southcentral Foundation in Alaska, for a deep dive into one of America’s most remarkable healthcare transformations. Together, they explore how the Alaska Native community took control of their own healthcare system, moving from an underfunded, top-down model to a community-owned system that now boasts some of the best health outcomes and highest satisfaction rates in the world.
April Kyle shares the practical blueprint behind this success: from the generational trauma and distrust that had to be overcome, to th...
Building Community-Owned Health Plans to Save Independent Hospitals
Welcome back to Relocalizing Health, the podcast where we shine a light on the communities taking healthcare back from corporate control and making it serve people, rather than profit. In today’s episode, host Dave Chase sits down with Christina King, a benefit advisor from Columbus, Ohio, who’s breaking the mold on how we think about hospitals and employer health plans.
Instead of waiting for Washington to fix a “terminally broken” system, Christina King has been rolling up her sleeves and partnering with regional hospitals to create community-owned health plans, even as much of Ohio’s healthcare...
The Collapse of American Health Care and Pathways to Community Self-Determination
Welcome to Relocalizing Health, where we dig deep into the heart of America's healthcare crisis and the opportunities that can rise from its collapse. In this Solo Episode, host Dave Chase confronts the uncomfortable truth: our healthcare system is not just broken, it's on the brink of collapse, with skyrocketing costs, staggering waste, and millions of Americans falling into medical debt.
But it's not all doom and gloom. Dave Chase shares a personal story of loss and regret that fueled his mission for meaningful change, and he draws on history and proven models to show us how...
Problem Solvers, Not Just Brokers: Josh Butler’s Mission to Fix Healthcare
Welcome to the 11th episode of Relocalizing Health, where we dive deep into how communities are reclaiming their local healthcare systems from extraction and inefficiency. This week, host Dave Chase is joined by Josh Butler, a benefit advisor based in Amarillo, Texas, who has been at the forefront of transformative change in his region.
Instead of telling a story from a neat conclusion, we’ll journey into the "messy middle", where real progress and real challenges coexist. Josh Butler shares his pivotal moments, including a powerful story about helping a truck driver finally receive surgical care after te...
From Kabuki Dance to Restoration: Rebuilding Healthcare With Local Blueprints
Welcome to Relocalizing Health, where we shine a light on the reality behind America's healthcare crisis and offer practical, local solutions you can start implementing today. In this episode, Dave Chase dives deep into the staggering 342% increase in healthcare costs since 1999, exposing why traditional benefit packages keep getting worse despite annual "kabuki dance" negotiations between employers, brokers, and insurance carriers.
Through real-world stories, like Bryce Heinbaugh, an Ohio benefit advisor who transformed from feeling part of the problem to helping thousands in his community, Dave Chase reveals how deliberate, grassroots actions can change the game. Learn about...
How Lean Six Sigma and Community Collaboration Are Revolutionizing Health Benefits for Manufacturers
Welcome to "Relocalizing Health"! In today’s episode, host Dave Chase sits down with Russell DuBose, Vice President of Human Resources at Phifer Incorporated, for a powerful conversation on how one manufacturer reimagined healthcare costs as a supply chain problem, and solved it using Lean Six Sigma methodologies.
Rather than accepting healthcare as an uncontrollable expense, Phifer Inc. applied continuous improvement principles to overhaul their benefits, delivering results that have stunned the industry: five years of flat healthcare costs, scholarships for employees’ dependents, zero pharmacy copays for over 2,500 individuals, and childcare bonuses for hundreds of families. But it g...
How Community-Owned Health Plans Are Transforming Healthcare and Boosting Local Economies
Welcome back to Relocalizing Health, the podcast where we delve into how communities across America are taking back control of their healthcare from corporate interests and transforming it into a force for genuine wellbeing and economic vitality. I’m your host, Dave Chase.
In today’s episode, we bring you a truly inspiring story of healthcare transformation, not spearheaded by a hospital exec, a government official, or a tech disruptor, but by an independent benefits advisor from Ohio who decided enough was enough. Bryce Heinbaugh joins us to share his journey, which began with a professional crisis of c...
How Ashtabula County Reclaimed Healthcare: Direct Care and Community Plans Beat Corporate Systems
Welcome to another episode of Relocalizing Health, the show where we explore inspiring stories of communities reclaiming healthcare and reshaping the system to serve people, not profit. In today’s episode, host Dave Chase takes us to Ashtabula County, Ohio, a region that transformed itself from a “medical desert” into a beacon of hope for what healthcare can look like when it’s community-powered and people-centered.
You’ll hear from three courageous local healthcare leaders: Dr. Brad Schneider, a primary care physician who broke out of the hospital “hamster wheel” to offer direct primary care; Maria Fowler, owner of one o...
Beyond Healthcare Costs: Shifting from Repair to Maintenance in Our Communities
Welcome to Relocalizing Health, the podcast where we dive into how local communities can reclaim their healthcare dollars and shape healthier, more vibrant futures. In this episode, host Dave Chase sits down with the ever-insightful Esther Dyson - investor, writer, and founder of the 10-year Wellville project, for a deep conversation about what it really takes to create lasting health at the community level.
Kicking things off, Esther challenges us with a provocative comparison: we do a better job maintaining our cars than our own bodies. She and Dave explore why the true challenge in healthcare isn’t...
Restoring Humanity to Healthcare with Dr. Rushika Fernandopulle: Rebuilding Primary Care from the Ground Up
Welcome back to Relocalizing Health, the podcast uncovering how communities can take back healthcare from profit-driven systems and put people first. In today’s episode, host Dave Chase sits down with Dr. Rushika Fernandopulle, co-founder of Iora Health and current co-founder of Liza Health, to discuss the next frontier in primary care innovation. With heartfelt stories from the frontlines, Dr. Fernandopulle exposes the perils of fragmented, transactional medicine, where patients are overwhelmed with prescriptions and disconnected from real human care. Together, they explore how redesigning primary care - focused on relationships, not transactions - can restore the American dream fo...
AI and the Future of Healthcare: Balancing Technology with Human Connection
Welcome back to another episode of Relocalizing Health! Today, host Dave Chase dives deep into the opportunities and challenges AI brings to healthcare, joined by digital health pioneer Dr. Jay Parkinson. Together, they explore a future where technology and community-driven care intersect, asking the big questions about how AI can support, rather than replace, the vital human relationships at the core of medicine.
Jay shares stories from his unique journey, from being one of the first iPhone-enabled physicians making house calls, to innovating virtual primary care with Sherpa, and now leading Automate Clinic, where he’s working to...
Breaking Down Healthcare’s Structural Flaws and Realigning Incentives for Better Outcomes
Welcome to another episode of Relocalizing Health! In today’s conversation, host Dave Chase sits down with Dr. Eric Bricker, a renowned internal medicine physician, board member for a leading direct primary care organization, and the mastermind behind those wildly popular whiteboard healthcare explainers online.
Together, Dave and Dr. Bricker dive into the heart of America’s healthcare challenges: from deeply misaligned financial incentives to the separation of health and social care funding streams. You’ll hear candid stories and sharp insights from Dr. Bricker’s career working with millions across the country, and learn why fixing payment...
From Crisis to Reform: Marilyn Bartlett and Chris Deacon’s Proven Playbook for Lowering Healthcare Costs
Welcome to another episode of Relocalizing Health, where we dive into the critical and often complicated world of healthcare reform at the local and state level. In this episode, host Dave Chase sits down with two trailblazing leaders in public sector health: Marilyn Bartlett, renowned for her transformative work on Montana’s state health plan and a member of Fortune’s 50 World Greatest Leaders, and Chris Deacon, an experienced former Deputy Attorney General of New Jersey with firsthand knowledge of negotiating healthcare on behalf of state employees.
Together, they unpack the real-life impact of skyrocketing healthcare costs on s...
From Economic Drain to Economic Engine
Welcome to Relocalizing Health, where we dig into the powerful connection between healthcare and community prosperity. In this episode, host Dave Chase explores a hidden economic struggle affecting towns across America, one where healthcare dollars can either drain local economies or become the engine that revitalizes them. Dave shares compelling stories, like how a reimagined approach to healthcare in Tangelo Park, Florida, helped fund college for every child and reduced crime dramatically, while unchecked hospital expansion elsewhere continues to burden families for generations.
This episode shines a light on why traditional strategies to attract jobs may be...
Relocalizing Health with Dave Chase - Episode 1 - Coming Soon!
Relocalizing Health with Dave Chase - Episode 1 - Coming Soon!
Learn More:
RosettaFest 2026 - https://rosettafest.org/
Health Rosetta - http://healthrosetta.org/
Nautilus - https://www.nautilushealth.org/
Kynexions - https://kynexions.com/Â
Dave Chase - https://www.linkedin.com/in/chasedave/
Podcast Website - https://relocalizinghealth.com/
