Loneliness isn’t just a feeling - it’s a public health crisis. The number of hours we spend with friends is rapidly decreasing, more and more Americans report feeling lonely, and loneliness is linked to bad health outcomes like risk of premature death, heart disease, stroke, depression and anxiety. Kasley Killam, author of “The Art and Science and Connection”, joins us to talk about why social health should be the third pillar of wellness alongside physical and mental health.

We discuss:

• The surprising finding that connected communities were more resilient during the COVID pandemic
• Kasley’s 100+ day experiment with acts of kindness
• How small investments in social health have big ripple effects
• Her nuanced views on AI companions

Kasley talks about how vulnerability is key to building trust and human connection:

“When you share something a little vulnerable that goes beyond… surface level and small talk, that is like this magical way of deepening connections, right? It builds trust, it builds intimacy, it makes us relatable, it helps us get to know each other better. And so … there I am with a complete stranger who… I've maybe shared something on stage or in conversation, they're now sharing something really intimate and vulnerable about their life and that just creates this beautiful moment. ”

Relevant Links

• Grab Kasley’s book “The Art and Science of Connection”
• See Kasley’s TED talk: Why Social Health is Key to Happiness and Longevity
• Get more info on the APA poll on social connection
• Read an Article on Kasley’s 108-day experiment with acts of kindness
• Read the Surgeon General’s advisory on loneliness as a pandemic
• See this Article on Scan Health Plan’s “Togetherness” program

About Our Guest

Kasley Killam is a leading expert in social health and author of The Art and Science of Connection: Why Social Health is the Missing Key to Living Longer, Healthier, and Happier. As a Harvard-trained social scientist, 2X TED speaker, sought-after advisor, and award-winning founder, Killam has been dedicated to improving well-being through human connection for nearly 15 years. Globally recognized for her thought leadership on social health, Killam’s collaborations with top organizations like Google, the US Department of Health and Human Services, and the World Economic Forum contribute to building more socially healthy products, workplaces, and communities. Discover her insights in outlets like The New York Times, Forbes, NPR, CNBC, and The Washington Post and join her newsletter community at www.kasleykillam.com.

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What if instead of treating illness we also confronted the reasons Americans get sick in the first place? That’s the origin of this podcast and also the four billion dollar question Dr. Bechara Choucair is tackling at Kaiser Permanente as Chief Community Health Officer. He joins Claudia to talk about the organization’s focus on climate change and health, workforce pipelines and addressing unmet social needs.

We discuss:

• The surprising fact that two-thirds of KP’s members (who are mostly covered by employer insurance) have at least one unmet social need
• How the Common Health Coalition is building bridges between healthcare and public health
• What KP is doing to tackle a big problem limiting the mental health workforce: only 57% of masters trained therapists get licensed
• What it took for KP to achieve carbon neutrality

Bechara reminds us that bridge-building is a crucial part of this community health work:

“We need more and more bridges between public health and healthcare... [They have] operated as two separate disciplines operating in their own silos... [When] there is a public health emergency we build more bridges, we strengthen those bridges that already exist. And then when that public health emergency subsides, we all retreat into our own disciplines and we continue that siloed journey.”

Relevant Links

• Read about the NAM initiative on climate change and health
• Explore why the US needs more community health workers from this article
• Learn more about the Common Health Coalition
• Dive into details on KP’s sustainability journey

About Our Guest

Dr. Bechara Choucair, MD, is executive vice president and chief community health officer for Kaiser Foundation Health Plan, Inc. and Hospitals — known as Kaiser Permanente, one of America’s leading integrated health care providers and not-for-profit health plans. Dr. Choucair oversees the organization’s national community health efforts and philanthropic giving activities aimed at improving the health of its 12.2 million members and the 68 million people within the communities it serves.

Previously, Dr. Choucair served as senior vice president, Safety Net and Community Health, at Trinity Health, and was the commissioner of the Chicago Department of Public Health.

Dr. Choucair, a family physician by training, completed his Family Practice Residency at Baylor College of Medicine in Houston, Texas. He holds an MD from the American University of Beirut and a master’s degree in health care management from the University of Texas at Dallas.

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The US leads the world in biomedical innovation, with about 40% of patents being filed by US scientists and companies. The FDA plays a critical role in supporting and enabling this innovation pipeline and our guest Dr. Robert Califf was commissioner of the agency not once, but twice under Presidents Obama and Biden. He joins us to talk about what Americans should know about FDA’s critical role and the threats to its functioning from the dramatic cuts the Trump administration has made over the last three months.

We discuss:

• The broad sweep of FDA’s purview from drugs and medical devices to cosmetics, food, tobacco and dog food
• Concern that the FDA is now “decapitated and eviscerated” from the massive and multiple rounds of dismissals
• While most industries want less regulation, the pharma industry wants more information and guidance from the FDA
• Califf has been affiliated with Duke for 50 of its 100 years, but a part of his heart is still with Clemson

What would Califf’s “Make America Healthy Again” agenda be?

“We need to develop reliable, repetitive sources of information that help people do things that are healthy and beneficial. That part of MAHA I like a lot…The second thing is… I'm developing connections with people who are thinking differently about primary care because I think everybody agrees there's no way you can take the current workforce and deliver what's needed. So it's got to be linked up with AI and digital technologies, but also with a very different looking workforce that gets paid differently, has more respect.”

Relevant Links

• Read Califf’s WSJ opinion letter: “Work with the Bureaucracy, Not Against It”
• Peter Marks’ resignation letter
• NYT article on the impact of FDA layoffs
• Califf’s “Public Health on Call” podcast episode on the state of the FDA
• Opinion article from 7 previous FDA commissioners on how recent changes are undermining credibility of the FDA

About Our Guest

Robert M. Califf, MD served as FDA Commmissioner under Presidents Biden and Obama. Califf is a nationally recognized expert in cardiovascular medicine, health outcomes research, health care quality, and clinical research, and a leader in the growing field of translational research. Prior to rejoining the FDA in 2022, Califf was head of medical strategy and senior advisor at Alphabet, contributing to strategy and policy for its health subsidiaries Verily Life Sciences and Google Health. Prior to Alphabet, he was professor of medicine and vice chancellor for clinical and translational research at Duke University, director of the Duke Translational Medicine Institute, and founding director of the Duke Clinical Research Institute. Dr. Califf is a graduate of Duke University School of Medicine. He completed a residency in internal medicine at the University of California, San Francisco and a fellowship in cardiology at Duke.

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