# Rethinking Health Care in America Page: https://stenobird.com/podcast/engineering-influence-from-acec-841819/rethinking-health-care-in-america Text version: https://stenobird.com/podcast/engineering-influence-from-acec-841819/rethinking-health-care-in-america.md Podcast: [Engineering Influence from ACEC](https://stenobird.com/podcast/engineering-influence-from-acec-841819) Published: 2026-07-13T18:33:06+00:00 Episode link: https://acecnational.podbean.com/e/healthcare-costs-crushing-employers-%e2%80%94-can-direct-primary-care-be-the-fix/ Audio file: https://mcdn.podbean.com/mf/web/3yuadyq3j9z6ci4f/Diana_LHT_Audio7ab7z-bhjpuq-Optimized.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/engineering-influence-from-acec-841819/episodes/rethinking-health-care-in-america Duration seconds: 1499 ## Resource A big thank you to Autodesk, the sponsor of Engineering Influence at this year's convention. Autodesk partners with the AECO industry and its leaders to shape a more connected, data-driven future, empowering engineers to work more intelligently and to make confident decisions to drive meaningful impact. This enables firms to evolve, stay competitive, and deliver stronger business outcomes, all while designing a better world. So thank you again to Autodesk. This episode of the Engineering Influence Podcast features Mark Van Elden of the Life Health Trust and Dr. Brian Hill of HIP Nation discussing the growing health care crisis affecting employers and employees. They explore the rapid rise in costs, the failures of fee-for-service primary care, prescription drug pricing, and the promising—but uncertain—impact of GLP-1 drugs. The conversation covers solutions such as direct primary care subscription models, the role of incentives and consolidation in driving costs, and the medical concerns and long-term implications of weight-loss medications. Practical insights for employers on coverage, utilization, and improving workforce health are provided throughout. ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/engineering-influence-from-acec-841819/episodes/rethinking-health-care-in-america/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/engineering-influence-from-acec-841819/rethinking-health-care-in-america.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.