Health & Fitness

Intention to Treat

by NEJM Group

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Latest episodes

The Attack on Equity in Medicine

June 24, 2026 · 28 min

The 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 the pipeline of medical school applicants is shifting in real…
Is Change Possible?

June 17, 2026 · 24 min

The 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 biological? A full transcript of this episode is available…
The Myth of Race and Genetics

June 10, 2026 · 27 min

We 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, ancestry, and disease? A full transcript of this episode is…
BiDil — The Story of the Black Pill

June 3, 2026 · 25 min

How did a drug for congestive heart failure get approved and marketed for Black people only? A full transcript of this episode is available at https://www.nejm.org/doi/full/10.1056/NEJMp2601978.
When Race Matters

May 27, 2026 · 27 min

The 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 pandemic. A full transcript of this episode is available at…

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Money and Misdiagnosis

May 20, 2026 · 24 min

Many 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 patients’ spirometer readings, there was an epiphany: the race…
How Did Race Get Into Lung Testing?

May 13, 2026 · 31 min

The 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. Despite work to show that race-corrected spirometers mask…
Meet the Equation

May 6, 2026 · 33 min

Many 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 these algorithms are based on science, but what if the…
Intention to Treat | Season 2: The Race Equation (Trailer)

April 27, 2026 · 3 min

What 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 will take to change. Follow “Intention to Treat” on Apple…
The Promise and Perils of Psychedelics

February 22, 2023 · 30 min

In this episode of “Intention to Treat,” a study participant and a long-time investigator of hallucinogenic drugs for psychiatric conditions illuminate the effects of psilocybin in patients with depression. A full transcript of this…
Post-Roe Realities

February 8, 2023 · 1 hr 3 min

In this episode of “Intention to Treat,” host Rachel Gotbaum takes us to Tennessee and Ohio, where new abortion bans are already harming patients and threatening their physicians. A full transcript of this episode is available at…
Covid Vaccines — Playing the Long Game

January 25, 2023 · 36 min

In this first episode of “Intention to Treat,” NEJM editor-in-chief Eric Rubin and his colleague at the FDA Vaccine Advisory Committee, Paul Offit, consider the achievements, limitations, and expectations of Covid vaccines. A…

Full episode archive on Apple Podcasts →

About the show

Welcome to “Intention to Treat,” a podcast exploring the critical issues shaping medicine today. In a new 8-week series, The Race Equation, we confront harmful assumptions about race in clinical medicine—from diagnostic algorithms to guidelines—exploring how these practices took hold, why they endure, and what it will take to change them. Hosted by health care journalist Rachel Gotbaum, the “Intention to Treat” podcast from the New England Journal of Medicine delves into groundbreaking research and clinical advances while sharing the personal stories from doctors and their patients, offering listeners a behind-the-scenes look at discoveries that are changing medical practice on the front lines of health care. Listen to The Race Equation and follow “Intention to Treat” on Apple Podcasts or wherever you get your podcasts.