Last October, during my time at HLTH, I had the pleasure of joining Bradley Bostic on his engaging podcast, BoomBostic Health. I was eager to express my thoughts on the healthcare system and advocate for worldwide access to concierge-level primary care.Bradley graciously provided me with a platform to share my views. Below is the embedded YouTube version of our discussion, and for those who prefer audio only, you can find it here. (I was also battling a sore throat at the time; hence, you’ll find a polished transcript below) –Matthew Holt
bradley:
Hello everyone! welcome back to another episode of Boombostic Health here at HLTH 2025 in Las Vegas. I’m excited to have matthew Holt with us today—he’s the driving force behind The Health Care Blog,which I follow closely.Thank you for being here today, Matthew.
Matthew:
I appreciate it greatly! My readership is modest—about two hands’ worth—so it’s crucial that we keep them healthy! Here’s a little anecdote: we once hosted a podcast called THCB gang that didn’t gain much traction.A colleague shared that someone recognized him from our show but lamented that his father used to listen before he passed away. When I heard this story, I thought we really need more listeners if we’re going to keep them around!
bradley:
The inception of Boombostic Health stemmed from my passion for building companies within health tech and investing in innovative solutions. Initially uncertain about our audience size or interest level—I lost my mother to cancer over two decades ago—which deeply motivated me toward healthcare reform. To my surprise, there’s an keen audience eager to learn how innovation can mend our fractured healthcare system. Given your extensive experience with Health 2.0 and The Health Care Blog focused on these issues as well as your proposed two-step solution—or rather two steps towards addressing healthcare challenges—I’m intrigued.
Matthew:
The context here is critically important; I’ve been immersed in this field as moving to America in ’89.
A chance seating arrangement during a lecture led me into healthcare work by early ’90s; suddenly as a British citizen grappling with American health issues myself by mid-decade.
I oscillate between optimism about potential fixes through new technologies or political shifts aligning favorably—and stark realism regarding America’s convoluted healthcare landscape filled with diverse payers and entrenched industries profiting immensely from its complexity while delivering subpar services compared globally—costing Americans substantially more than their counterparts in other developed nations by up to three times!
This situation places consumers—the American populace—in precarious positions where they often lack clarity regarding insurance coverage year-to-year or face exorbitant costs when seeking individual plans amidst current chaos surrounding ACA exchanges or COBRA options after job loss leading some families into crippling monthly premiums upwards of $4K without guaranteed access quality care despite high expenditures!
Additionally troubling are large institutions profiting off expensive procedures while many operate under nonprofit status yet maintain hedge fund-like financial reserves alongside CEO compensation rivaling top executives across various sectors—a glaring contradiction within such organizations like UPMC—a major player based out West whose transparency stands out among peers due largely because they disclose executive salaries via their tax filings revealing shocking disparities between leadership pay versus local sports figures’ earnings!
