Why does healthcare take so long to make decisions, and what does that hesitation ultimately cost? On this episode of I Don’t Care, Dr. Kevin Stevenson speaks with healthcare strategist Mark Van Sumeren about the structural forces that slow decision-making across health systems and why he believes “decision pace is capacity.” Drawing on more than four decades of experience across healthcare operations, consulting, supply chain, public companies, and private equity-backed organizations, Van Sumeren explains how delayed decisions consume scarce resources, limit future options, and can ultimately force organizations into more painful cuts. The conversation explores decision ownership, executive accountability, incentives, the dangers of consensus-driven governance, lessons healthcare can borrow from other industries, overlooked opportunities in nonclinical supply chain spending, and why learning to move with deliberate speed will be essential to healthcare’s long-term sustainability.

Nicole Riehl joins Dr. Kevin Stevenson on I Don’t Care to explain why childcare access has become a business-critical issue for CEOs, affecting recruitment, retention, absenteeism and long-term workforce competitiveness.

Dr. Jeremy Levin joins I Don’t Care to discuss why biotech must rebuild public trust, explain drug pricing more clearly, and protect America’s role in medical innovation.

Dr. David Foster joins I Don’t Care to discuss faith-based healthcare leadership, physician collaboration, clinical integration and why sustainable transformation depends on trust between clinicians and administrators.

Food-as-Medicine experts discuss how employers, retailers and healthcare leaders can use nutrition, incentives and behavior change to support metabolic health.

Patrick Makarewich joins Dr. Kevin Stevenson to discuss how surviving cancer shaped his approach to patient access, staff leadership, and clinical practice management.

Dr. Geoffrey Rutledge joins Dr. Kevin Stevenson on I Don’t Care to discuss how virtual primary care, AI decision support, and physician-led technology can expand access while preserving the human side of medicine.

Dr. Jim Augustine joins Dr. Kevin Stevenson to discuss emergency department crowding, boarding, EMS, hospital operations and why the ED has become a pressure test for the entire health care system.

Dr. Kevin Stevenson speaks with Inviah CEO and co-founder Dr. Yevhen Pavelko about using modern house-call platforms to improve access, reduce unnecessary ER visits, and restore physician presence in patient-centered care.

Learn how hospitals can evaluate AI tools, avoid vendor hype and use data-driven technology to improve emergency department operations.