Intention to Treat
by NEJM Group
The Attack on Equity in Medicine
About this podcast
“Intention to Treat,” hosted by health care journalist Rachel Gotbaum, draws on the world-class expertise of the New England Journal of Medicine to present breaking news and incisive analysis of critical and timely issues in medicine and health care. Through interviews with NEJM editors, specialized experts, physicians, and affected patients, each episode explores a story-behind-the-story, giving listeners needed context and a deeper understanding of complex research, cutting-edge medical interventions, and urgent health policy debates that affect patients and the clinicians who care for them. Practicing clinicians, biomedical researchers, medical trainees, patients, and anyone with an interest in health will find unique insights in “Intention to Treat.”
Episodes
The newest 20 of 49 episodes
- The Attack on Equity in Medicine · 28 min · Season 2 Episode 8The ripple effects of U.S. anti-DEI policies extend far beyond individual labs: scientific discovery is slowing, early‑career investigators are reconsidering their futures, and…
- Is Change Possible? · 24 min · Season 2 Episode 7The use of race in medicine is harming patients. What is being done to move away from these practices and to change a culture of medicine based on the false premise that race is…
- The Myth of Race and Genetics · 27 min · Season 2 Episode 6We now know that humans are more than 99.9% genetically alike. So why does medicine still link certain diseases to race? And what do genetics actually tell us about race…
- BiDil — The Story of the Black Pill · 25 min · Season 2 Episode 5How did a drug for congestive heart failure get approved and marketed for Black people only? A full transcript of this episode is available at…
- When Race Matters · 27 min · Season 2 Episode 4The story of the pulse oximeter demonstrates that sometimes consideration of race is critical to diagnosis and treatment — as came starkly into light during the Covid-19…
- Money and Misdiagnosis · 24 min · Season 2 Episode 3Many Black veterans live below the poverty line, often struggling to manage their illnesses. As V.A. hospitals began to stop using race-corrected interpretation of Black…
- How Did Race Get Into Lung Testing? · 31 min · Season 2 Episode 2The history of race-based correction of lung-capacity measures can be traced to a pre–Civil War belief among slave owners that slaves had naturally inferior lung capacity…
- Meet the Equation · 33 min · Season 2 Episode 1Many clinical algorithms, including the eGFR test for kidney function, have actually had race baked into them and produce different results for Black patients. Most of us assume…
- Intention to Treat | Season 2: The Race Equation (Trailer) · 3 min · Season 2What happens when medicine gets race wrong? In a new 8-week series, The Race Equation confronts harmful assumptions about race in clinical medicine, why they endure, and what it…
- Brain Injury and Consciousness · 26 min · Season 1 Episode 38New research using functional brain imaging reveals that many patients considered to be in a coma or vegetative state and who are unresponsive may actually be conscious and…
- What Exactly Is Long Covid? · 26 min · Season 1 Episode 37The millions of people worldwide who are suffering from a vast array of disabling symptoms long after being infected with SARS-CoV-2 may eventually benefit from a new consensus…
- Restoring Lost Speech · 22 min · Season 1 Episode 36In recent years, substantial progress has been made in developing brain-computer interfaces that could restore the ability of patients with neurodegenerative diseases and other…
- Race-Based Diagnosis, Part 3 · 25 min · Season 1 Episode 35As race-based diagnostic tools, such as pulse oximeters that function poorly on darker skin, continue to lead to inequitable care, a growing movement is working to weed them out…
- Race-Based Diagnosis, Part 2 · 23 min · Season 1 Episode 34A key measure of kidney function and a risk calculator for vaginal birth after cesarean delivery are among the many tools that have long contributed to health and health care…
- Race-Based Diagnosis, Part 1 · 28 min · Season 1 Episode 33Claims that Black people had lower lung capacity than White people led to race-adjusted spirometry and poorer care for Black patients with lung disease. New equations are…
- Are We Prepared for Bird Flu? · 19 min · Season 1 Episode 32A new strain of H5N1 influenza is spreading in dairy cows in the United States. Will it cause an epidemic in humans? And what does our public health system need to do in order to…
- Treating Obesity in Kids · 26 min · Season 1 Episode 31In the face of a growing childhood obesity epidemic, some parents and clinicians are turning to new tools such as GLP-1 receptor agonists. This episode explores the implications…
- New Hope for a Common and Deadly Heart Condition · 25 min · Season 1 Episode 30This episode considers a new treatment for hypertrophic cardiomyopathy, the world’s most common inherited heart condition, which most affected people don’t even realize they…
- CAR T-Cells and Safety Signals · 25 min · Episode 29This episode examines CAR T-cell therapy’s early successes, broader promise, and emerging risks, as the FDA considers reports of occasional secondary cancers. A full transcript…
- Progress for Parkinson's? · 27 min · Season 1 Episode 28This episode explores the fastest-growing neurologic condition in the world, Parkinson’s disease. What have we learned in recent years, and where are the greatest hopes for the…







