# Why We Need the Independent Practice Model in Medicine: Dr. Alexander Vaccaro, President of Rothman Orthopaedic Institute Page: https://stenobird.com/podcast/raise-the-line-29872/why-we-need-the-independent-practice-model-in-medicine-dr-alexander-vaccaro-president-of-rothman-orthopaedic-institute Text version: https://stenobird.com/podcast/raise-the-line-29872/why-we-need-the-independent-practice-model-in-medicine-dr-alexander-vaccaro-president-of-rothman-orthopaedic-institute.md Podcast: [Raise the Line](https://stenobird.com/podcast/raise-the-line-29872) Published: 2026-03-12T16:00:00+00:00 Episode link: https://www.osmosis.org/podcast Audio file: https://cdn.simplecast.com/media/audio/transcoded/4dabe4aa-b059-4b71-b1b0-bc0467d6937b/76aac233-4587-4ece-89ba-76c24522a3de/episodes/audio/group/248865cf-9461-4fbd-bb55-a5378f16a42a/group-item/048ad80c-19af-43d9-a16f-2ae3e4202b2c/128_default_tc.mp3?aid=rss_feed&feed=9vxwebuv Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/raise-the-line-29872/episodes/why-we-need-the-independent-practice-model-in-medicine-dr-alexander-vaccaro-president-of-rothman-orthopaedic-institute Duration seconds: 1733 ## Resource As more and more physicians seek the financial stability of working for hospital systems, the future of independent practices is in question. Dr. Alexander Vaccaro, who leads one of the largest independent practices in the U.S., joins Raise the Line host Michael Carrese to explain the critical role this business model plays in maintaining physician autonomy and generating innovation. ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/raise-the-line-29872/episodes/why-we-need-the-independent-practice-model-in-medicine-dr-alexander-vaccaro-president-of-rothman-orthopaedic-institute/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/raise-the-line-29872/why-we-need-the-independent-practice-model-in-medicine-dr-alexander-vaccaro-president-of-rothman-orthopaedic-institute.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.