Relocalizing Health with Dave Chase

• 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 collapse can pave the way for better, more equitable healthcare. From community-owned health plans to bold policy solutions like the proposed Community Self Determination Act, he reveals two real pathways to transformation, grounded in local control, transparency, and an unwavering focus on true wellbeing.If you're ready to learn how communities are already reclaiming their health (and their financial futures), and how we can move from fear to action as this system unravels, this episode is your essential starting point. Let’s explore how we can turn crisis into an opportunity for lasting, positive change in American healthcare, one community at a time.Timestamps:00:00 "America's Systemic Collapse and Hope"05:15 Healthcare Costs and Human Impact07:47 "Fragile Healthcare Hierarchies Collapse"12:29 "Rethinking Healthcare for Wellbeing"16:12 Native Healthcare Transformation Revolution18:21 "Optimal Community Health Plan Model"23:10 "Path to Healing and Reform"24:13 "Relocalizing Health Solutions"Learn More: RosettaFest 2025 - 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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• 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 ten years of suffering due to unaffordable deductibles. Inspired by the Health Rosetta movement, Josh transitioned from selling traditional insurance to building innovative, local solutions through the High Plains Health Plan.Listen in as we unpack the obstacles, breakthroughs, and the human impact of reimagining health benefits, where employers, clinicians, and advisors work together to create plans focused on accessibility, affordability, and genuine care. Whether you’re an employer, civic leader, or just someone passionate about change, this episode reveals what’s possible when communities take ownership of their healthcare dollars and destinies.Join us for a compelling conversation about restoring the American dream, one local health system at a time.Timestamps:00:00 "Relocalizing Healthcare Transformation"03:30 Health Insurance Broker Challenges08:29 "Revolutionizing Healthcare Through Collaboration"12:27 "Joining Health Rosetta: My Journey"13:25 "Growth, Learning, and Overcoming Fear"19:21 Physicians Prioritize Patients Over Profit21:52 Healthcare Industry Resistance to Change25:53 Choosing Partners Carefully28:17 "High Plains Health Plan Benefits"32:52 Brokerage Expansion and Partnerships35:15 Establishing a Financial Baseline39:21 Restoring the American Dream41:27 "Transforming Healthcare with Passion"Learn More: RosettaFest 2025 - 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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• 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 the transformative power of community-owned health plans, transparent pricing, advanced primary care, and keeping healthcare dollars local.If you're an employer tired of wasteful spending or a benefit broker fatigued by the status quo, this episode uncovers actionable ways to reclaim what matters most: high-quality, affordable care for your people and real economic value for your organization. It’s not about disruption for disruption’s sake, it’s about restoring common sense and dignity to healthcare, right where you live. So tune in as we bust myths, share inspiring case studies, and invite you to join the movement to relocalize health.Timestamps:00:00 "Brokers, Profits, and Transformation"03:32 Healthcare Costs: A Theft Problem08:09 Reimagining Healthcare for Success12:21 Transparent Healthcare & Pharmacy Benefits14:41 "Advanced Primary Care Benefits"19:09 "Life-Changing Healthcare Savings Story"20:09 "Transforming Healthcare to Value Creation"25:52 "Health Reset Transformation Steps"26:40 Relocalize Health NowLearn More: RosettaFest 2025 - 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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• 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 goes beyond cost containment, Russell DuBose built the foundation so other local employers could access these benefits and help create healthier, more resilient communities.This episode dives deep into Phifer’s journey, including how they broke away from legacy broker models, embraced Health Rosetta principles, leveraged data-driven decision-making, and established onsite primary care and pharmacy access that drastically improved outcomes, especially during the COVID pandemic. You’ll also learn how this story is inspiring other manufacturers and local employers to rethink their approach to healthcare, and what’s coming next as advanced, individualized medicine becomes a reality.Whether you’re a business leader, HR professional, or simply passionate about transforming healthcare, this episode will change how you think about what’s possible for your company and your community.Timestamps:00:00 "Reclaiming Healthcare: Community Solutions"05:51 "Solving Healthcare with Lean Six Sigma"10:04 "Transition to Transparent PBM Model"12:07 "Advancing Precision Healthcare Systems"15:11 "Building a Unified Healthcare Paradigm"18:20 "Health Rosetta's Impact Initiative"21:07 "Primary Care: The Key Engine"24:37 "Eliminating Barriers to Care"30:57 Healthcare Costs and System Failure33:59 "Advancing Employer-Focused Healthcare Solutions"36:51 Primary Care Investment Revolution42:22 Precision Medicine Pathway Development45:00 "Advocating Transparency in Healthcare"47:31 "Modernizing Manufacturing: First Steps"51:11 Empower Teams for TransformationLearn More: RosettaFest 2025 - 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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• 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 conscience after realizing how much money was being siphoned out of his community by a broken healthcare system.Bryce opens up about his pivotal moment at a Health Rosetta conference, the challenges of being a change agent, and how he helped move Ashtabula City Schools from the brink of financial crisis to building a $7 million healthcare reserve. We’ll explore the practical steps he took to rebuild the local healthcare ecosystem, from partnering with direct primary care physicians and community pharmacists, to negotiating direct contracts with high-quality providers, even in a so-called “medical desert.”Alongside Bryce, we’ll dig into the blueprint that empowered not just schools, but also local governments and private employers, to save millions while improving care for their people. We’ll discuss the national implications of this approach, the predictable pushback from entrenched interests, and why fostering local collaboration among advisors, clinicians, and civic leaders is crucial for lasting change.If you’ve ever wondered how healthcare could become an economic engine rather than a drain, or what it takes to shift from Wall Street-driven models to community-owned health plans, this is the episode for you. Stick around for actionable insights, hard-earned wisdom, and a hopeful look at what’s possible when communities work together to reclaim their healthcare destiny.Timestamps:00:00 "Revolutionizing U.S. Healthcare Costs"04:52 Epiphany of a Benefits Broker07:07 Healthcare Innovation Journey12:24 Community-Focused Healthcare Solution17:02 "Leveraging Major Employers for Community Initiatives"18:07 Analyzing Healthcare Spending Data22:59 Orthopedic and Imaging Expansion Success25:59 Healthcare Reform Sparks Local Controversy29:52 "Decentralizing Healthcare from Wall Street"31:49 Cut Out Middleman, Save on Prescriptions37:16 "Zero-Cost Healthcare Impact on Communities"38:44 Economic Impact of Healthcare Savings43:35 "COHP Scorecard Assessment"48:33 Space Collaboration Insights49:44 Revolutionizing Healthcare AccessLearn More: RosettaFest 2025 - 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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