When Hospitals Became Car Dealerships: Dr. Rick Zollinger on How Medicine Changed
SEP 29, 202616 MIN
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Description
What happens when medicine stops being a calling and starts running like a business? In Part 1 of this two-part conversation, Dr. Rick Zollinger, a cardiothoracic surgeon with three decades of experience, looks back on how medicine changed when physicians became employees and hospitals became mega-operations.
Rick grew up in a family of surgeons and trained at Ohio State and the Ochsner Clinic. He built a cardiac surgery practice in Charlotte before burnout pushed him out of the OR in 2005. A hospital administrator then offered him a new challenge: build a wound care and hyperbaric medicine center from scratch. That second career brought medicine back to life for him and taught him one of his most important lessons as a physician.
In this episode, we cover:
Growing up in a family of surgeons and the path from UNC golf to cardiothoracic surgery
What medicine was like before corporate healthcare took over, and what changed in the late '90s and 2000s
Why Rick would choose academic medicine if he started over today
Why nurses are the real linchpin of medicine
The hidden scale of chronic wounds, diabetes, and limb loss in the U.S.
Building a wound care and hyperbaric program from the ground up at 56
The "aha moment" that taught him to meet patients in the middle
Why every physician should consider a sabbatical
Medical billing as a "shell game" and the push for price transparency
A brief (and final) Hollywood detour as a film producer
How COVID, AI, and wearables are compressing clinical trials from decades to months
Don't miss Part 2, where Dr. Zollinger shares his vision for AI, empathy, and the future of medicine.
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