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Intention to Treat

Author: NEJM Group

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​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. 

49 Episodes
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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 time. A full transcript of this episode is available at https://www.nejm.org/doi/full/10.1056/NEJMp2601982.
Is Change Possible?

Is Change Possible?

2026-06-1724:19

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 at https://www.nejm.org/doi/full/10.1056/NEJMp2601981.
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 available at https://www.nejm.org/doi/full/10.1056/NEJMp2601980.
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

When Race Matters

2026-05-2726:35

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 https://www.nejm.org/doi/full/10.1056/NEJMp2601977.
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