Big PBMs and Big Market Power: Who Really Controls the Practice of Medicine in the United States?

Hosted by John G. Singer, Hardcore Zen is a podcast that dismantles conventional wisdom in the business of healthcare. This isn't about incremental fixes or polite debate. The American healthcare system presents a complex and often frustrating puzzle, and the core argument here is that traditional approaches to innovation and strategy have reached a dead end. Instead, this series advocates for a radical, against-the-grain mindset to navigate the world's largest market. Each episode draws from Singer's own extensive body of work-translating dense journal articles, sharp market commentaries, blog posts, white papers, and executive briefings into focused audio discussions. Listeners will find a direct, uncompromising analysis of why old models fail and what genuinely disruptive thinking might look like. The Hardcore Zen podcast strips away the jargon to confront the hard truths about management, profit, and purpose in a sector that defies easy solutions. It’s for leaders and strategists ready to question everything they know about how business is done in this critical field.