From Cotton Fires to Healthcare Failures: Are We Still Burning Money?

What do Civil War history and modern healthcare have in common? More than you’d think. In this episode of The Disrupted Podcast, Jamie Preston and Chief Visionary Officer Scott Middleton draw unexpected parallels between the burning of Columbia and today’s healthcare system—both fueled by mismanagement and wasted resources. Scott shares his firsthand experience in Florida’s healthcare landscape and explains why South Carolina’s approach, particularly through Your Health, is leading the way in caring for chronically ill patients. We jump into social determinants of health, value-based care, and how small changes—like making sure a patient eats their meals—can prevent costly hospital visits. It’s a conversation about history, healthcare, and what needs to change if we want to stop setting money on fire. 🔊 Key Topics Discussed: • The surprising history of the burning of Columbia • How social determinants of health are shaping the future of care • Why primary care—not hospitals—should be the backbone of healthcare • The economics behind keeping patients out of the ER • Why major insurers don’t want more primary care providers (and why that’s a problem) If you’re ready to rethink everything you know about healthcare, this episode is for you. 📌 Don’t forget to subscribe! Let’s keep disrupting the system—one conversation at a time.

The Disrupted Podcast · Scott Middleton, Jamie Preston