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Richard Helppie's Common Bridge
Richard Helppie's Common Bridge
Author: Richard Helppie
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© 2026 Richard Helppie's Common Bridge
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The problems we have in the country are solvable, but not solvable the way we’re approaching them today, because of partisan politics. Richard Helppie, a successful entrepreneur and philanthropist seeks to find a place in the middle where common sense discussions can bridge the current great divide.
314 Episodes
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Only 35% of kids testing on grade level is not a headline, it’s a flashing warning light. I sit down with education advocate and Substack writer Shaka Mitchell to ask the uncomfortable question behind the data: if students are just as capable as ever, why are outcomes so uneven and, in some places, outright collapsing? We get specific about what the numbers mean for families, communities, and the future of the American dream, and we look at why “systemic failure” often traces back to incentiv...
Want a real blueprint for building a modern, lean business without drowning in overhead or paid leads? We’re joined by Florida realtor and creator Sam Caudle, who walks us through how a simple, service-first YouTube channel became a steady pipeline for high-trust, high-intent buyers across Tampa’s three counties. Sam breaks down how he educates clients on real neighborhood trade-offs—proximity to water vs. airport, school zones, commute patterns—and why that clarity attracts both relocators a...
What if the real reason care feels harder to get isn’t your insurance card or a shiny new policy, but a simple math problem: too many patients, not enough clinicians? We sit down with Scott Becker—attorney, entrepreneur, and founder of Becker’s Healthcare—to trace how a media brand grew from a legal practice, then dive into the uncomfortable truth shaping everything from ER wait times to specialty access: supply and demand. We unpack why hospitals can’t be judged like software companies. The...
Ready to trade permission for possibility? We sit down with Kevin Green, owner of Conserva Irrigation of Ann Arbor and co-founder of Luxhaven Lighting, to unpack how he left a comfortable corporate track and built a purpose-led service business anchored in water conservation, rigorous systems, and team-first culture. Kevin shares how franchising provided proven processes and brand trust, why discipline and cash-flow awareness are nonnegotiable, and how every customer interaction becomes a rea...
What if courage came before confidence, not after? That theme powers a candid conversation with third‑generation jeweler Blake Polizzi of Susan Blake Jewelry, who stepped into leadership after her mother’s passing and turned a beloved family brand into a modern, data‑driven business. We trace the lineage from a 47th Street workshop and a pivotal Tiffany & Co. contract to a multistore operation rooted in craft, community, and thoughtful growth. Blake pulls back the curtain on what it take...
When outrage becomes the default setting, thinking gets outsourced to the loudest tribe. We invited Substack writer and teacher David Dennison to help map a way back to clear thought, using real-world examples to show how independent journalism can resist the dopamine rush of instant certainty and invite deeper inquiry instead. We start with the state of media: why partisanship sells, how predictable framing keeps audiences hooked, and what reader-supported platforms like Substack make possi...
What if the numbers that dominate headlines tell you less about the economy than the price of your groceries, your rent, and your ability to start a family? We sit with writer and analyst Amanda Claypool to unpack Main Street economics, A.I.’s shock to white-collar work, and why trust in legacy media has frayed. Amanda’s path—from near-CIA ambitions and defense contracting in DC, to cross-country pandemic travels, to building “Tomorrow Today” on Substack—offers a rare, ground-level view of ho...
If you’ve ever wondered why your deductible feels like a brick wall while insurers tout “savings,” this conversation goes straight to the source. Nathan Kaufman sits down with Mark Cuban to pull apart how PBMs and insurers shape drug prices, hide rebates, and use denials as financial float—while patients and providers pay the price. It’s a rare, unfiltered tour through the pharmacy supply chain, medical loss ratio math, and the perverse incentives that keep care costly and complicated. We di...
What if the cure for our political fatigue is as simple as slowing down and looking at the evidence? We kick off a new series spotlighting Substack writers with journalist and historian Chris Bray, whose work strips away spin by linking directly to source documents, video and on-the-ground reporting. Together we map the contours of an epistemic crisis: the way one angle of footage becomes the entire narrative and how that snap judgment fuels outrage, policy mistakes, and deeper division. Fro...
Power grabbed headlines, but the real story is law, limits, and what comes next. We sit down with Professor Anthony Colangelo of SMU to unpack the U.S. operation that seized Venezuela’s leader and to separate a clean legal argument from messy policy ambitions. From irregular rendition to universal jurisdiction, we trace why courts can claim authority even after a cross‑border capture and how treaty obligations make narcoterrorism a shared international concern. We dive into the hard edge of ...
The status quo is expensive, exhausting, and unsustainable—so we set out a practical playbook to do better in 2026. Nathan Kaufman shares ten no‑nonsense resolutions for health system leaders who want measurable outcomes, stronger teams, and smarter payer strategies without falling for vendor hype or wishful thinking. We get specific about capital discipline and why “mission” can’t justify chronic losses that drain resources from services that actually improve patient care. We talk through w...
The real fight in U.S. healthcare isn’t between doctors and patients—it’s against a financing maze that raises premiums, hides quality, and rewards middlemen. We pull back the curtain on why ACA plans look the same yet cost more, how public underpayment pushes employer premiums up, and why political fixes often fail when crafted far from the bedside. With Nate Kaufman joining from the Healthcare Bridge, we tackle the hard trade‑offs behind subsidies, health savings accounts, site‑neutral paym...
Season Seven of The Common Bridge features host Richard Helppie in an episode that concludes with foaming mayonnaise dispensers in this lighter, story-driven talk with Tony Award–winning actor Gregory Jbara and longtime friend, designer-turned-humorist Terence Duncan, celebrating Duncan’s new book, Unfiltered Consciousness. This special episode leans heavily into Greg and Terry’s reminisces about coming-of-age in blue collar Southeast Michigan. Rich attempts to guide a conversation but mostly...
Healthcare can feel stuck, but the ground is moving under our feet in the best possible way. We sit down with Hartford Healthcare’s CEO, Jeff Flaks, to unpack how a statewide system is using scale with purpose: pushing care into more convenient, lower-cost settings, investing in equity, and building digital experiences that actually save time for patients and clinicians. If you’re skeptical that big systems can deliver value, this conversation offers specifics instead of spin. We start with ...
What happens when a powerhouse research enterprise, a statewide health system, and a relentless push for access all meet at the same table? Our conversation with Dr. David Miller, CEO of Michigan Medicine, opens the door to a candid look at how precision care, digital tools, and financial reality collide—and how smart leadership turns that collision into progress. We dig into the new map of Michigan Medicine: the academic medical center in Ann Arbor, integrated hospitals in Lansing and West ...
What if blockbuster weight-loss drugs and a broken food system are two sides of the same story? We sit down with Dr. David Harlan—physician, researcher, and former NIH diabetes branch chief—to trace the unlikely path from the “incretin effect” to GLP-1 therapies that are transforming care for type 2 diabetes and obesity. Along the way, we ask harder questions about incentives, access, and why lifestyle still matters even when the medicine is powerful. Dr. Harlan breaks down how GLP-1 recepto...
Host Nate Kaufman brings Rich Helppie back for a discussion about healthcare access. A 30-day wait for a first oncology visit after hearing the word leukemia is not an edge case—it’s the new normal in a system where demand outpaces supply and incentives reward the wrong behaviors. Nate opens with a personal story that reveals how access feels when the stakes are life and death, then pulls back the lens to explain why it happens: a 12-year training pipeline for specialists, uneven reimbu...
Politicians argue about subsidies while families face premiums that can top $26,900 and deductibles big enough to delay basic care. We step past the slogans to map how the ACA exchanges actually work today—standardized benefits that reduce real choice, narrow networks that hide access problems, and a pricing spiral that subsidies struggle to catch. Along the way, we unpack ghost networks in mental health, why out-of-network showdowns hit consumers hardest, and how pharmacy benefit manager reb...
One mother’s plea and a judge’s blueprint collide with a terrifying truth: the systems meant to protect people with serious mental illness—and the communities around them—often wait until harm is done. We bring Beverly Gille and Judge Milton L. Mack Jr. together to map how a 28-year struggle, from teen psychosis to homelessness and a mass stabbing in a Traverse City Walmart, reveals the exact points where policy, privacy, and practice failed. We walk through the pivotal transitions that matt...
Spine surgery sits at the crossroads of need, nuance, and noise—and few people explain that terrain better than Dr. Rod Oskouian, a high-volume neurosurgeon who has led a complex spine program and also navigated care as a patient. Dr. Oskouian and Healthcare Bridge host, Nate Kaufman pull back the curtain on how consolidation, denials, and a flood of administrative demands reshape daily practice, why “low value” labels miss the mark, and what truly predicts safer outcomes when your back...












