Relocalizing Health with Dave Chase
Host Dave Chase, founder of Health Rosetta, explores how communities across the U.S. are transforming healthcare from the ground up. The podcast features conversations with employers, clinicians, civic leaders, and public sector officials who are redesigning health benefits and care models. Topics include keeping care local, rebuilding trust, and redirecting wasteful healthcare spending toward services that benefit communities. Guests share real-world examples of how local health ecosystems can strengthen economies and improve outcomes.
Episodes
How Local Cooperatives Are Rebuilding Healthcare From the Ground Up
Welcome back to Relocalizing Health with Dave Chase. In this episode, Dave explores how communities can reclaim control over their healthcare dollars, drawing inspiration from cooperative models both in American history and abroad. Only about 15.5 cents of every healthcare dollar actually reach clinicians, with much of the money leaving local communities. He shares stories of towns and employers a
When People Care, Communities Change
Welcome back to Relocalizing Health. In this episode, host Dave Chase sits down with Charles Marohn, founder of Strong Towns and renowned author, to explore what it truly means for a town to be "strong." Drawing analogies from the built environment and decades of on-the-ground civic work, Chuck shares how robust communities rely not just on fiscal sustainability or infrastructure, but on
How Transparent Imaging Savings Built Trust and Changed Public Sector Healthcare
Welcome to another episode of Relocalizing Health. Today, we explore how something as simple as rethinking medical imaging can spark a transformation in employer-sponsored healthcare, creating real wins for employees, employers, and communities alike. Host Dave Chase is joined by Dr. Cristin A. Dickerson, a radiologist and founder of Green Imaging, whose innovative approach has brought bundled tra
Neighborhoods as Patients
Welcome to Relocalizing Health. In this episode, Dave Chase explores the powerful connection between neighborhood cohesion and health with guest Seth Kaplan, author of Fragile Neighborhoods. Over recent decades, American communities have suffered from declining local relationships, and with no meaningful incentive to make neighborhoods better, both public and private institutions have unintentiona
How Employer Cooperatives Are Fixing America's Healthcare Cost Crisis
Welcome to Relocalizing Health, where we explore the transformative power of community-driven healthcare reforms. In today’s episode, guest Lee Lewis and host Dave Chase challenge long-held beliefs about healthcare being an uncontrollable cost and reveal how employers, by banding together in cooperatives, are not just cutting expenses but improving care quality and outcomes.Drawing inspiration fro
What Advisors, Employers, and Community Leaders Will Actually Find in This Book
This episode is for the person who has been following this series and wants to know what is actually inside Relocalizing Health before they read it, and what they will walk away able to do differently.Dave Chase addresses three specific audiences directly.For advisors: the book is a field manual for building fiduciary-grade plans that hold up under scrutiny. It covers the contractual language that
The Employers Who Cracked the Code, And Why Their Stories Are in the Book
This episode walks through the Rosie Award winners and the case studies that make up the appendix of Relocalizing Health — the documented proof that the model described in this book is not theoretical.Dave Chase walks through what the Rosie Awards actually represent: employers and public sector organizations evaluated on real Plan Grader scores and real reinvestment of savings through the Health R
What Relocalizing Health Actually Means
When people hear the phrase relocalizing health, a lot of them assume it is a slogan, a policy proposal, or someone's political talking point. This episode explains what it actually means.Dave Chase defines it plainly: treating your community's healthcare dollars as a community resource instead of an extractive expense that leaves town the moment it is spent.Most communities, healthcare
Why I Spent Ten Years Writing This Book: Relocalizing Health Taking Back Healthcare. Rebuilding Communities.
The short version is that a close friend died from a preventable medical error and left behind a ten-year-old daughter. That is where this started.But the longer version, the one Dave tells in this episode, is about what that loss made him unable to stop noticing. How the system he had spent his career inside, building technology for health systems and working at the intersection of healthcare and
Case Study: A Secretary Died Avoiding a $1,500 Deductible. Wisconsin Built Something So It Would Never Happen Again.
In 2011, Patrick Blackholder was the CFO and COO at Rice Lake Area School District in northwest Wisconsin. Facing a mandated budget cut, he built a $1,500 deductible into the health plan. It seemed reasonable. It seemed responsible.A secretary came to his office. Her husband was out of work. Bills had stacked up. She said plainly: I cannot afford $1,500. I will not use it. Two years later, she die
Case Study: The Poorest County in Ohio Kept $450 Million Home and Changed Everything
Ashtabula County, Ohio. One of the poorest counties in the state. A medical desert. One primary care doctor for every 3,500 residents against a national average of one per 1,300. At least 30,000 people living in medical debt. And $1.4 billion flowing through that county every year, with at least $450 million of it being extracted out to distant corporations.This is the story of what happened when
How Can Community-Driven Healthcare Transform Costs and Outcomes?
Welcome to Relocalizing Health! In this episode, Dave Chase sits down with Claire Brockbank, a trailblazer in transforming healthcare costs and outcomes through community-driven strategies. From helping Colorado’s mountain towns slash exorbitant insurance prices with Peak Health Alliance to leading one of the largest union health funds in the nation at 32BJ, Claire Brockbank has proven that local
Case Study: The Clinic That Started in an Accounting Office and Saved $570 Million - Rosen Hotels, Orlando
Rosen Hotels & Resorts is a family hospitality company in Orlando, Florida, built by Harris Rosen, the son of immigrants who grew up on New York's Lower East Side. During the oil crisis in the 1970s, he bought a bankrupt Quality Inn on International Drive with a modest down payment and a lot of nerve. By the early 90s he had built a real company. And like every other employer in America,
Case Study: From the Worst Health Outcomes in America to the Best System in the World: The Nuka Story
In the late 1990s, the Alaska Native Medical Center was a tuberculosis sanatorium turned healthcare facility where elders described themselves not as people, but as numbers. One elder remembered it clearly: "I was number 24601. My newborn daughter was 24602. When my aunt passed, they gave her number to another baby."That was the system April Kyle grew up in. She avoided that hospital as
Case Study: A Secretary Died Avoiding a $1,500 Deductible. Wisconsin Built Something So It Would Never Happen Again.
In 2011, Patrick Blackholder was the CFO and COO at Rice Lake Area School District in northwest Wisconsin. Facing a mandated budget cut, he built a $1,500 deductible into the health plan. It seemed reasonable. It seemed responsible.A secretary came to his office. Her husband was out of work. Bills had stacked up. She said plainly: I cannot afford $1,500. I will not use it. Two years later, she die
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 so
Case Study: How a Screen Manufacturing in Alabama Cracked Healthcare Before Anyone Was Watching
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
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 Silico
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 t
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 invisib
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
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, funda
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, creat
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 y
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
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
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, shiftin
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 b
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 Wash
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 deb
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 journ
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
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.
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 go
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 a
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 commu
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. Fe
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
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 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, a
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 healthca
Relocalizing Health with Dave Chase - Episode 1 - Coming Soon!
Relocalizing Health with Dave Chase - Episode 1 - Coming Soon!Learn More:RosettaFest 2027 - https://rosettafest.org/Health Rosetta - http://healthrosetta.org/Nautilus - https://www.nautilushealth.org/Kynexions - https://kynexions.com/ Dave Chase - https://www.linkedin.com/in/chasedave/Podcast Website - https://relocalizinghealth.com/
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