Grab a coffee or tequila, whichever suits your mood and the time of day, to join Working Healthcare host Meredith Hirsh in a sit-down interview with Memorial Regional Healthcare vascular surgeon and longtime leader in organized medicine, Dr. Arthur Palamara. The episode starts where we typically finish, posing our final question: If you could create one change in our American healthcare system, what would it be? We unpack how prior authorizations, narrow networks, step therapy and portal ping-pong drain time and delay care. Arthur traces what has shifted across five decades, from simpler benefits to today’s dense playbook, and names practical fixes he’d implement tomorrow, including smarter oversight and less punitive red tape. Arthur bestows his knowledge about Florida Blue and how it impacts patients and physicians. From Medicare Advantage’s growing footprint to the paperwork headache that keeps surgeons up late, we press for one change patients would feel right away. Be inspired!