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Every episode
Relocalizing Health with Dave Chase
30 episodes
Neighborhoods as Patients
Ep 28 · Aug 11, 2026 · 56 min
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 unintentionally worked in silos, often leaving health outcomes and the social fabric itself worse off. But there…
How Employer Cooperatives Are Fixing America's Healthcare Cost Crisis
Ep 27 · Jul 30, 2026 · 38 min
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 from the historic rise of rural electric cooperatives, Dave Chase introduces us to the Health Transfor…
What Advisors, Employers, and Community Leaders Will Actually Find in This Book
Ep 9 · Jul 29, 2026 · 12 min
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 separates a plan built to perform from one built to produce revenue for intermediaries, the data…
The Employers Who Cracked the Code, And Why Their Stories Are in the Book
Ep 8 · Jul 28, 2026 · 10 min
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 Rosetta Dividend. The awards are not given for good intentions. They are given for results, for docu…
What Relocalizing Health Actually Means
Ep 7 · Jul 27, 2026 · 16 min
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 is the biggest industry. Most companies, it is the second biggest cost item. And most of the money flows str…
Why I Spent Ten Years Writing This Book: Relocalizing Health Taking Back Healthcare. Rebuilding Communities.
Ep 6 · Jul 26, 2026 · 11 min
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 innovation, was not broken by accident. It was built this way. And the people inside it, the physi…
Case Study: A Secretary Died Avoiding a $1,500 Deductible. Wisconsin Built Something So It Would Never Happen Again.
Ep 5 · Jul 25, 2026 · 14 min
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 died of cancer. She had avoided care until it was too late. Patrick said it as directly as a person ca…
Case Study: The Poorest County in Ohio Kept $450 Million Home and Changed Everything
Ep 4 · Jul 25, 2026 · 14 min
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 a benefits advisor named Bryce Heimbach, a concierge nurse navigator named Casey Billington, a dire…
How Can Community-Driven Healthcare Transform Costs and Outcomes?
Ep 26 · Jul 16, 2026 · 29 min
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 communities, armed with the right data and determination, can take back control from hospital monopo…
Case Study: The Clinic That Started in an Accounting Office and Saved $570 Million - Rosen Hotels, Orlando
Ep 3 · Jul 14, 2026 · 16 min
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, he was getting hammered by healthcare increases. His workforce reflected the hospitality industry in Central…
Case Study: From the Worst Health Outcomes in America to the Best System in the World: The Nuka Story
Ep 2 · Jul 7, 2026 · 15 min
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 a child because going was a horrible experience. Six-hour waits were normal. Six-week appointment backlogs we…
Case Study: A Secretary Died Avoiding a $1,500 Deductible. Wisconsin Built Something So It Would Never Happen Again.
Ep 5 · Jul 4, 2026 · 14 min
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 died of cancer. She had avoided care until it was too late. Patrick said it as directly as a person ca…
What If Communities Were the Key to Better Birth Outcomes?
Ep 27 · Jul 2, 2026 · 39 min
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, h…
Case Study: How a Screen Manufacturing in Alabama Cracked Healthcare Before Anyone Was Watching
Ep 1 · Jun 26, 2026 · 13 min
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…
Redesigning Health and Wealth in Our Communities
Ep 25 · Jun 23, 2026 · 47 min
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. To…
Trust, Compassion, and Results: The Rosen Way to Better Healthcare
Ep 24 · Jun 2, 2026 · 39 min
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…
Cancer Survivorship and the Push for Collective Patient Power
Ep 23 · May 13, 2026 · 41 min
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 s…
From Farm Lights to Healthcare Heights: How Cooperatives Solve America's Toughest Challenges
Ep 22 · May 1, 2026 · 21 min
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 prov…
How Plainfield Eliminated Deductibles, Cut Payroll Costs & Invested Savings Back Into Its Own People
Ep 21 · Apr 21, 2026 · 41 min
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 insura…
How a Food Bank Beat Rising Health Costs to Deliver Thriving Coverage for 170 Staff
Ep 20 · Apr 15, 2026 · 37 min
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…
How Spooner Physical Therapy Relocalized Health Plans and Reduced Costs for Employers and Employees
Ep 19 · Apr 6, 2026 · 38 min
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, a…
How Primary Care and Community Agency Can Transform Healthcare from Extraction to Empowerment
Ep 18 · Mar 25, 2026 · 43 min
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 pract…
Building Affordable Local Health Plans with HealthyPath in Rural Ohio
Ep 17 · Mar 16, 2026 · 39 min
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…
How Wisconsin Employers Are Transforming Healthcare Through Cooperative Action
Ep 16 · Feb 23, 2026 · 37 min
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…
How Alaska Native Communities Transformed Healthcare Through Community Ownership and Engagement
Feb 16, 2026 · 51 min
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 share…
Building Community-Owned Health Plans to Save Independent Hospitals
Ep 14 · Dec 10, 2025 · 38 min
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 part…
The Collapse of American Health Care and Pathways to Community Self-Determination
Ep 13 · Dec 3, 2025 · 25 min
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 miss…
Problem Solvers, Not Just Brokers: Josh Butler’s Mission to Fix Healthcare
Ep 12 · Nov 25, 2025 · 42 min
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…
From Kabuki Dance to Restoration: Rebuilding Healthcare With Local Blueprints
Ep 11 · Nov 19, 2025 · 27 min
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 benef…
How Lean Six Sigma and Community Collaboration Are Revolutionizing Health Benefits for Manufacturers
Ep 10 · Nov 10, 2025 · 55 min
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 th…
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