The creation of Medicare and Medicaid in 1965 enabled millions of Americans to meaningfully access healthcare for the first time — and dramatically increased demand for doctors. The passage of the Hart-Celler Immigration and Nationality Act a few months later enabled tens of thousands of immigrant physicians to migrate to the US. Since then, immigrant physicians have comprised between 25 — 40% of the physician workforce.

Our guest on this episode is Professor Eram Alam, associate professor of history at Harvard. Alam specializes in the history of medicine, race, migration, and health during the twentieth century. In 2025, she published The Care of Foreigners: How Immigrant Physicians Changed US Healthcare.

Over the course of our conversation, Professor Alam traces the legal, economic, and geopolitical factors that led to the US depending on immigrant physicians to care for many of the country’s most vulnerable populations. We explore how American attitudes toward immigration have shifted over time and how the current state of politics has created a jarring disconnect: many patients depend on care from immigrant physicians and yet continue to view immigrants as un-American. Finally, Professor Alam reminds us how remembering everyone feels a little out of place, can help us see the person in front of us more fully.

In this episode, you’ll hear about:

3:00 - Dr. Alam’s work as a professor and historian of healthcare and medicine

7:30 - The background for Dr. Alam’s book The Care of Foreigners.

13:00 - The story behind the 1965 legislation that led to the mass employment of physician immigrants in the US

22:10 - How the role of immigrant physicians in the US healthcare system complicates the idea of meritocracy in medicine

29:00 - The ways in which US immigration policy has changed the experience for foreign-born doctors over time

33:45 - Dr. Alam’s view of how current immigration crackdowns fit into the larger historical narrative of US immigration

45:36 - How dehumanizing political rhetoric surrounding immigrants can blind us to the humanity of those who care for us

53:26 - The unifying power in acknowledging discomfort in ourselves and others

If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.

Copyright The Doctor’s Art Podcast 2026

The epidemic of physician burnout isn’t just a personal problem. Burned out doctors are more likely to make mistakes, less likely to follow preventative care guidelines, and more likely to have dissatisfied patients. When a burned out physician leaves an institution or quits all together, it can cost north of a million dollars to replace them. Unwell doctors lead to unwell patients — and an unwell health care system. The toll that the burnout epidemic has taken on physicians, patients, and even the bottom-line requires more than individual adaptation on the part of physicians. It requires a grass-roots movement to heal the healers.

Our guest on this episode is Mary Brandt, MD — pediatric surgeon and Distinguished Emeritus Professor of Surgery, Pediatrics, and Medical Ethics at Baylor College of Medicine. Over the course of her clinical career, Dr. Brandt published over 245 peer reviewed publications, 26 chapters, and 2 books. She became particularly attuned to the suffering of trainees and physicians while serving as General Surgery Program Director and Dean of Student Affairs at Baylor, and she subsequently obtained a Master of Divinity Degree to better understand and articulate what she was observing. Dr. Brandt is a persistent advocate for physician wellness and correcting systemic issues in medicine.

Over the course of our conversation, Dr. Brandt describes the moment she felt called to surgery, her fruitless efforts to resist this calling, and how the combination of competence and humility allowed her to manage the pressure of operating on children. We explore the evolution of the physician-wellness movement and why the health care system cannot afford to ignore the wellness of its physicians. Finally, Dr. Brandt posits that the hard work of compassion is what can sustain physicians long term.

In this episode, you’ll hear about:

3:00 - Dr. Brandt’s unexpected path to becoming a pediatric surgeon

11:00 - Dr. Brandt’s mental approach to the high stakes work of pediatric surgery

27:49 - The disconnect between the work of healing and the business side of medicine

38:15 - How Dr. Brandt’s studies in liberation theology have influenced her vision for the healthcare system and medical practice

42:00 - The three shifts healers can make to collectively change medicine

48:20 - The ‘practice’ of compassion and how it can protect physicians from burnout

If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.

Copyright The Doctor’s Art Podcast 2026

The electronic medical record (EMR) has become an unwelcome interloper in the exam room. Too often, patients find themselves answering questions delivered from behind a monitor by physicians hurriedly typing away. This isn’t the kind of care anyone wants — but it’s what the system demands. Thankfully, change may be on the horizon. AI scribes are now being rolled out in EMRs across the country, capable of listening to a visit, generating a clinic note, and freeing the physician to be present with their patient. But these scribes are only an opening act of a much larger experiment — one that asks not merely whether AI can redeem the medical record, but whether it can usher in something closer to a Golden Age of medicine.

Our guest on this episode is Bob Wachter, MD, professor and chair of medicine at UCSF and a leading voice in hospital medicine and administration. In 1996, he and his colleague Lee Goldman coined the term “hospitalist,” giving rise to what has become the fastest growing specialty in the history of modern medicine. He has authored over 300 articles and 6 books, including the New York Times bestseller The Digital Doctor (2015) and A Giant Leap: How AI is Transforming Healthcare and What That Means for Our Future (2026).

Over the course of our conversation, Dr. Wachter traces how a long-held fascination with systems drew him into studying medicine's digital transformation over the past 15 years — a period spanning the turbulent rollout of electronic medical records and now the arrival of AI. We explore the bumpy history of adopting powerful but general-purpose technologies, how such technologies force complex industries to reshape themselves, and humanity's humbling track record of predicting what comes next. Dr. Wachter makes the case that AI's integration into medicine constitutes the biggest experiment the field has ever undertaken, and explains why he believes it will ultimately resolve many of the health care system's deepest problems and elevate the practice of medicine itself.

In this episode, you’ll hear about:

3:46 - Dr. Watcher’s path to medicine and to his study of digital transformation

8:06 - The wins and losses of the transition to electronic medical records

26:45 - Why Dr. Watcher is optimistic that AI will deliver a “golden age” for medicine

37:30 - Contending with the potential dangers of AI in the revenue-focused medical industry

50:30 - Dr. Watcher’s view on if there will always be an important place for doctors in the future

If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.

Copyright The Doctor’s Art Podcast 2026