Meidas Health, Episode 11: Dr. Tina Shah and the Nation's Most Flippable House Seat

0:00This podcast is supported by Anthropic, the public benefit corporation behind Claude. Everyone's got a hard question about AI. Your job, your kids, where it's going. Anthropic was built to surface those questions and share what it finds along the way. Because there's hope in hard questions. Ask yours at Claude.ai slash Spotify and keep thinking. That's Claude.ai slash Spotify.

0:30Hi, everybody. Welcome to Midas Health. The reason we're doing Midas Health is the same reason we've done it since day one. We're trying to bring the nation's best healthcare leaders to all of you. It's a wide listenership. Midas Touch is doing amazing work and we get to reach all of you across the country. And what we've been doing since day one is bringing you the best healthcare thinkers, leaders, doctors, you name it, because clearly those people are not populating the highest reaches of government. I'm really excited to have my friend, colleague, Dr. Tina Shaw, fellow pulmonologist, joining us for episode 10.

1:09She just announced her candidacy in the Democratic primary for the New Jersey 7th congressional district. It's one of the top flip opportunities for the Democrats in 2026. So we're trying to get control of the House. Tina and her district and her race is critical. So even if you don't live in Jersey, this is a race that is going to get national attention and for good reason. And she's going to be the front runner to take that seat. And that's why we have her here today. So Dr. Tina Shaw, thanks for having, thanks for coming on and letting us take a little bit of your time. And then this is a busy week.

1:42Well, I love it. Thank you so much for having me, Vin. It's so nice to be introduced by a fellow pulmonologist. Maybe we can nerd out about lungs later. Yeah, but you know, we want to make sure that people stay engaged. So maybe that's a, that's gonna be a lower priority here, but I always want to do that with you. And I'm thrilled to see somebody with your backgrounds, frankly, fellow pulmonologist, practicing clinician, Obama-Bide administrations, and deep, deep, serious policy rules. Tina, tell us a little bit about yourself and why you decided to jump into this race. You know, I'm a Jersey girl, and I was privileged to become a doctor.

2:21And what I always wanted to do was take care of people. I envisioned my whole life I would be this full-time practicing doctor. And what I can tell you now is that it feels like it doesn't matter what I do. I practice just like you. I was just working last week in the hospital, and I know exactly what to do. But there's so much bureaucracy, and there are so many roadblocks, and there's so many patients that just say, hey, my insurance denied care, that I literally feel like I can't take care of my fellow human beings as much as I want to. And Vin, you mentioned, I've been privileged to try and think through how do we actually change U.S.

2:59healthcare? I've served in the White House. I actually served in VA and for the Surgeon General. And it just feels like I keep hitting my head up against the ceiling. It really is time to go upstream. We now have this threat to science with cutting funding for the research that has allowed us to be able to provide medical treatments. We just passed a bill that is cutting Medicaid. And I know you've spoken a lot about that. And that is going to affect millions of people, especially folks in my district. But really, it has a ripple effect. So no matter who you are, if you want to maintain your health, it's now at risk.

3:36And that's why I'm running in New Jersey 7th. I have a member of Congress, Tom Kane Jr., who literally just voted and he cast the deciding vote to cut Medicaid as he passed this big, ugly bill. It's just not okay. Enough is enough. Yeah. And I should make sure our listeners know this is in 24. And correct me if I'm wrong here on the numbers. This is an R plus two district in 24, something similar in 22. Biden won it in 20, but I think plus four. So I mean, this is as flippable as it gets. Is that right? That's right. That's right. And I think people are really starting to show their true colors.

4:16This is a district of folks that are moderate that really just want to be able to live their lives. And it is one of the top, top 10 flippable districts in the country. You know, it's interesting to say that because I know you and I have had this conversation offline, but yesterday, as people start to understand what the big, you know, ugly bill, as you pointed out, what that's actually doing to Medicaid, which reaches 80 million people, it's not even the fine print. It's fundamentally Medicaid provides more health care access for children than any other health insurance program in the country.

4:54And when I say that to people, it surprises them. And just the lack of understanding on some of, you know, what actually is at stake here, because the top line is work requirements. There's so much misunderstanding, misinformation and confusion. I'm wondering how you're going to break through that. Let's look past the primary. I'm treating you as the nominee because I think you're going to be the nominee. How are you going to deal with that? Because I'm sure Keem's going to throw everything in the kitchen sink at you. Well, I think this is just about focusing to say, look, healthcare is under threat right now.

5:29We literally have a country that's in critical condition. And I am a doctor who takes care of patients day in and day out and can feel the pain because I'm in the mix with everyone. And I want to tell you, Vin, I saw someone, I took care of a patient who got hospitalized recently who had this life-threatening pneumonia, got put on a ventilator, and his lungs were too weak for us to take him off. And he actually needed to go to a rehab for his lungs. And he didn't have health insurance. But guess what? He was eligible for Medicaid, and we were actually able to enroll him and send him to a rehab center.

6:04So now he will eventually get off the ventilator and be able to go back to living his best life. You know, Tom Kane Jr., he's not surrounded by people that have this story. I see these stories every single day, and that's exactly what's happening in the district. So for me, this is really about bringing science and sanity back to, you know, Congress. And this is the right time for more doctors to come into Congress because this is our calling. It's our service. We take care of our patients and our community. I think so well said. I think so much of this is about the moment, Tina, and timing. And this is incredible timing.

6:43This is an incredible moment. And I think you just, your background especially, you know, I want to take a step back. And it wasn't just public service with Dr. Tina Shaw. You've seen, you've seemingly seen every element of society, especially across the health care ecosystem. tell us about your role at Abridge. You had a stint there at an interesting health technology company. And I say that because for our listeners here, it's really important to have people in Congress that understand where the puck is headed in society, much less healthcare, but even more broadly. 7 % of your future potential colleagues are part of the AI task force.

7:30That shocks me, the lack of just involvement and deep understanding of something like artificial intelligence at the highest levels of government. And I'm wondering, one, if you can tell our listeners about your multidisciplinary background, especially in tech, and how are you going to leverage that to be a different type of leader? I love this question, Ben. And what I'll say foundationally is that I think one of the most sacred things that we should protect is that relationship between a patient and their doctor and their nurse. And what I've experienced being a family member, being a patient myself, being a doctor, is that for some reason, we've literally designed healthcare to blow that up and put obstacles in our way.

8:11So my career trajectory has been about trying to take the things that are in between me and my patients out of the room so that we can just be together and then focus on their health. So yes, I've been privileged to practice. and recently I worked for a company as the chief clinical officer, which is the chief medical officer. And this company's name is Abridge. Now, we've all gone to the doctor and, you know, the doctor is kind of paying attention to you, but also kind of paying attention to the computer, right? I mean, you and me do this. We have to document for all those reasons to work. Right.

8:47And we want to do the right thing and be present for our patients, but just the way things have been designed. We just can't. Now, what I want to share is that I was privileged to work for an AI company that is actually a great use case of how we can safely use AI, and it's completely transforming U.S. healthcare. So again, with this theme of how do we get rid of the barriers and the friction in healthcare, when I was chief clinical officer, we took this company that literally was an app on your phone that listened to the doctor and the patient and, you know, whoever else was in the room, let's say the nurse or the spouse, and actually wrote the doctor's documentation and at the same time wrote a summary for the patient about what the heck was talked about during that visit.

9:33And so, you know, we have all of a sudden this shift of I'm a doctor, I'm distracted, I'm trying to type and I'm trying to listen to my patient. And I feel all this pressure to get things done quickly to it's just you and me in the room. I'm looking at you straight in your eyes. And what we've seen is remarkable. We've seen this actually completely transform how physicians feel. We're now actually bending the curve where physicians are starting to stay in the healthcare workforce. And patients are saying, my doctor listened to me. So what I want to do when I go to Congress is help bring this understanding of how we can leverage AI in a safe way and quickly, because there really is a lot there.

10:14And you're right. We actually have an AI literacy problem up on the hill. I want to solve for that. I love that. And just for our listeners here, Dr. Tina Shaw is a different type of leader. You know, there's other physicians in Congress, mostly when actually, just on the numbers, tend to be Republican. All of them, by the way, as a reminder, voted for this bill that passed. And so just being a doctor doesn't necessarily mean you're going to vote in the best interests of the American people. We just saw that play out multiple times across a range of votes. You know, RFK getting confirmed, the bill yesterday, essentially defunding a huge portion of Medicaid, staking it for 80 million Americans.

11:03And so just being a doctor isn't enough anymore. It's being the right type of doctor. It's being a modern physician. That's Dr. Tina Shaw. She understands the public sector. She's been at the front lines of COVID. She still is a practicing physician. She sees exactly what we're seeing in hospitals. And oh, by the way, she's versed in things like generative artificial intelligence, where the puck is headed. We need future-facing leaders that understand where we're headed as a society, where we were at 30 years ago. And so, Tina, I love that about you. So, you know, curious if you can give not just your future constituents, but all listeners across the country a sense of what your top priorities will be day one Congress.

11:47Well, I think this is really a pivotal moment because what we're watching is the active destruction of U.S. health care. Now, I'm not saying our system didn't have problems to begin with, but we're literally dismantling it at a faster and faster clip. So one of the things that will happen when I become a member of Congress and flip the seat is that we'll contribute to the House now turning blue. And we've you know, I think it's it's astounding that RFK and Trump allowed the experts that determine our vaccines so that kids can stay healthy, adults can stay healthy. they just wiped out the experts and they put folks on there on the board to advise about the vaccines for the country that are not scientists and are not medical professionals.

12:30So my first thing is going to be health care first and foremost. We just need to make sure we restore science when we make health care and hold RFK accountable. And what I can tell you is that in the 7th District, the current member of Congress, Tom Kane Jr., is just not doing that. So I think we really need to stabilize how U.S. healthcare is. Beyond that, I think there are many different aspects that we need to address. If you just take a step back, the biggest theme that's cross-cutting is affordability. We can't afford medicines. I took care of a patient the other day who said he's rationing his insulin, taking it every other day, and he showed up with a life-threatening complication called DKA, which I know you take care of as well, where his sugar is way too high, but he had insurance and his insurance company said, hey, this is not part of our plan.

13:20You got to pay out of pocket. That's unbelievable. But housing's affordable. You know, education's unaffordable. And these are the lived experiences that I will bring to the table so that I can help, not only for the folks that live in New Jersey 7th, but this is a national issue. We really need to think about affordability because everyone is working harder these days, Yet somehow our quality of life has gone down. Absolutely. Actually, you know, it's three seats, right? The Democrats need three seats to flip the House. Is that the immersion? That's right. And that's why we should consider my race, New Jersey 7th, a national race.

14:01This is one of the highest ranked seats that could flip. And when it flips and I become that member, then it'll be one of the three required to flip the House. And then we start seeing the checks and balances come back. Unfortunately, we're not seeing Trump being held accountable. It's playing out in every single facet of American life. That's right. Again, New Jersey 7th. It's been rated by the Cook Political Report. Other forecasters, Larry Sabato. I was going through it right before we came on. This is one of the top most competitive races in the country. Make no mistake about it. So everything that Dr.

14:40Shah is mentioning, this is not just if you live in New Jersey 7, this is for all of us because Tina's vote can really flip how we think about things like affordability, Medicaid access. Everything that's happening right now does not have to be irreversible. Everything is reversible. you know tina i i know you have a busy uh week and weekend ahead uh so i do want to give you a chance um to let our listeners know how we can be helpful to you if um what are the best ways and where can we learn more about your bio if we're inclined to donate where can we donate well i would love for you to join the team and i'd like to direct you to go to dr tina shaw for congress.com.

15:26That is our official campaign website. And we're looking for everybody that wants to help because this really is about building a coalition and a movement to restore science and sanity back in Congress. You know, I want to say it's not rocket science, but it is really hard. And I really need your help to help unseat Tom Kane Jr. If you're able to, I'd love for you to donate to the campaign. It's a multimillion dollar race. And that's just the reality of what it takes to put a doctor back into Congress, and we really need more. So Vin, I just want to say, this is such an exciting time in a way.

16:00The silver lining is that we might finally be able to address the broken parts of U.S. healthcare and all these challenges we have with affordability because of where we are as a country. And I hope folks will be willing to join me because I'm going to need your help to do it. You know, whether it's$20, whether it's 200, if it's something more, go to Dr. Tina Shah, D-R, Tina Shah for congress.com to learn more about Dr. Shah. I promise you, and I don't say this lightly, I really do not say this lightly, her background is that of the modern physician, the modern healthcare leader, and what I think needs to be more and more common, the type of person that should be representing the United States and Congress.

16:48We need people that are actually credentialed, that actually know what they're talking about, that understand things that are going to dominate our future, like artificial intelligence. And Tina checks all those boxes. By the way, she's also just a great person. I've gotten to know her recently and I've loved every part of it. Tina, I want to do whatever I can to be helpful to get more doctors like you in Congress, especially, you know, it's ice on the cake day, your fellow pulmonologist. So Tina, I'm going to give you your last word here. Just give So give us some, you know, I know a lot of people are struggling given the events of yesterday and give us leave us with some words of optimism and hope.

17:27Well, you know, we're sitting here recording on 4th of July and it always gives me pause to say. What I love about being American is that we are a democracy. We are allowed to be allowed. We are allowed to have our own opinions and share them and express them. And the American dream is real. And I don't want folks to forget that. While we are disappointed with what Congress has done, there are people like me that are stepping up now to be the real voice of everyone in our communities to make sure that we protect reproductive rights, that we protect access to health care and restore Medicaid, and we make sure that it is affordable to live in the U.S.

18:07So this is a time to take a beat and then to take out your arms and your hands and link them because we are going to win the house again. And we are going to improve America to its highest heights. I'm so excited about this. And I just can't wait to help and do that work. Awesome. Dr. Tina Shaw, thanks so much, Dr. Tina Shaw, for being here. And we're going to have you back on soon. All right. Thank you. Can't get enough Midas? Check out the Midas Plus sub stack for ad-free articles, reports, podcasts, daily recaps from Ron Filipkowski, and more. Sign up for free now at MidasPlus.com. With summer coming to an end, you're going to be spending more time indoors.

18:48Get your home ready and save up to 50 % off custom window treatments during the Labor Day mega sale at Blinds.com. From room darkening to light filtering shades, finding the perfect fit is easy. Get free samples, expert design help, and professional measure and install services. or DIY with confidence and support every step of the way. Shop up to 50 % off site-wide plus huge savings on doorbusters right now during the Labor Day mega sale at blinds.com. Hey, it's Ryan Reynolds here for Mint Mobile. Now, I was looking for fun ways to tell you that Mint's offer of unlimited premium wireless for$15 a month is back.

19:23So I thought it would be fun if we made$15 bills, but it turns out that's very illegal. So there goes my big idea for the commercial. Give it a try at mintmobile.com slash switch. Upfront payment of$45 for three months,$90 for six months, or$180 for 12-month plan required. $15 per month equivalent. Taxes and fees extra. Initial plan term only. Greater than 50 gigabytes. May slow when network is busy. See terms. What if you can see what's happening inside your body? PreNuvo's whole body scan screens for hundreds of conditions, including many solid tumors, as early as stage one, all in under an hour.

19:55And now you can go beyond imaging with 80 plus blood biomarkers that help complete the picture. This Labor Day, save$300 off your scan when you book at prenuvo.com. That's P-R-E-N-U-V-O dot com. Save$300 now through September 8th at prenuvo.com. Terms and conditions apply. Dave Portnoy here. The wait is over. Football is here and so is DraftKings. DraftKings is now live in all 50 states. One app, every sport nationwide. New DraftKings customers. Sign up with code SPOTIFY. Spend$5 to get$200 in rewards within 21 days. Includes all markets. That's code SPOTIFY in partnership with DraftKings. The crown is yours.

20:38Gambling problem? Call 1-800-GAMBLER, 1-800-MY-RESET. Connecticut, call 888-789-7777 or visit ccpg.org. On behalf of Boothill Casino in Kansas, FedTax pass-through may apply in Illinois. 21 and over, void in Canada. Bet with DraftKings Sportsbook to get bonus bets that expire in seven days or trade with DraftKings Predictions to get predictions dollars that expire in one year. Event contract trading involves risk of loss. Predictions offer void in New York. Non-withdrawable rewards issued as$50. Click to claim every seven days for 21 days. Terms at dkng.co slash offer. Limited time offer. Nationwide based on sportsbook predictions and free-to-play sports contest availability.

21:14Varies by state. Starting a business can seem like a daunting task unless you have a partner like Shopify. They have the tools you need to start and grow your business. From designing a website to marketing to selling and beyond, Shopify can help with everything you need. There's a reason millions of companies like Mattel, Heinz, and Allbirds continue to trust and use them. With Shopify on your side, turn your big business idea into... Sign up for your$1 per month trial at shopify.com slash special offer.