DC EKG
DC EKG
Stay On Course Studios
Rural Health on the Front Lines: Dr. Manny Sethi on Access, Private Equity, and Prevention
42 minutes Posted Mar 6, 2026 at 5:41 pm.
Intro
Meet Dr. Manny Sethi (Vanderbilt, Healthy Tennessee)
Why he launched Healthy Tennessee
Volunteers, screenings, and what the health fairs deliver
Who shows up and why access is still hard even with insurance
The biggest rural health problems and the access crunch
Private equity buying practices and what changes for patients
What policy fixes could actually move doctors to rural areas
Follow-up care for uninsured and high-risk patients
Trauma care realities and why we pay for sickness, not wellness
Faith, meaning, and why he keeps doing the work
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Show notes
Episode 127
Rural Health on the Front Lines: Dr. Manny Sethi on Access, Private Equity, and Prevention
In Episode 127 of DC EKG, Joe Grogan sits down with Dr. Manny Sethi of Vanderbilt and Healthy Tennessee to talk about what rural health looks like up close and what policy changes could actually improve access.
Dr. Sethi shares his story growing up in small town Tennessee as the son of immigrant physicians, then training as an orthopedic traumatologist and treating high-energy injuries that often collide with chronic disease and limited access to care.
The conversation centers on why rural communities struggle to find primary care and specialists, how administrative burden and electronic medical record requirements can crush independent practices, and why private equity and large systems buying clinics can reduce real access for patients.
Dr. Sethi also explains how Healthy Tennessee built a volunteer, community-based model of prevention through health fairs that screen hundreds to thousands of people, partner with food banks, and connect high-risk patients to follow-up care.
If you care about rural healthcare, access to care, private equity in medicine, physician shortages, preventative care, EHR burden, Medicaid, Medicare, and community health, this episode is a practical look at what is broken and what can be done.
In This Conversation
Joe and Dr. Sethi cover:
Timestamps (Audio platforms)
Key Takeaways
About Our GuestDr. Manny Sethi is an orthopedic traumatologist at Vanderbilt and co-founder of Healthy Tennessee, a nonprofit he launched with his wife in 2011 to bring prevention and screening to underserved communities through volunteer-driven health fairs and partnerships across the state.
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Show Sponsor: Survivors for Solutions – https://survivorsforsolutions.org
Executive Producer: John “CZ” Czwartacki, DC EKG Podcast
Producer: Julie Riga, Stay on Course Studios – https://www.stayoncourse.studio