Healthcare for Humans

Kumara Raja Sundar

This show provides actionable skills in cultural humility, culturally responsive care, and health equity so clinicians, leaders, and neighbors can serve every community better. Hosted by family physician and healthcare leader Dr. Raj Sundar, each episode explores cultural humility, culturally responsive care, and health equity through the voices of patients, clinicians, and system designers who live the work every day. WHAT YOU’LL HEAR Practical ways to deliver culturally competent & culturally responsive care, language-concordant, and trauma-informed care.   Strategies for tackling social determinants of health at both the clinic and policy levels.   Real stories showing how culture, history, and environment shape health outcomes—and how clinicians can respond.   Design ideas for health-care leaders building inclusive, patient-centered systems.   Community insights that help all of us become better neighbors and advocates. WHO IT’S FOR Frontline clinicians, public-health and hospital leaders, medical educators, and anyone curious about making cross-cultural care the norm. WHEN . Follow now to keep cultural humility—and culturally responsive care—at the center of your practice and healthcare system

  1. 81 I The $50 Billion Question for Rural America - United States of Care

    JAN 5

    81 I The $50 Billion Question for Rural America - United States of Care

    Overview: We explore the intersection of rural health and culturally responsive care, highlighting how geography shapes healthcare experiences for the 65 million Americans living in rural areas. We dive into the transformative potential of the $50 billion Rural Health Transformation Fund, discussing how states are listening to diverse communities—including tribal populations—to design context-specific solutions. Through conversations with policy leaders from United States of Care, we examine the importance of turning community voices into actionable policy, break down the practical opportunities for clinicians to advocate and engage, and spotlight how coordinated change at every level—from exam room care to state legislation—can make healthcare more person-centered, affordable, and equitable. Three Takeaways: Listening and Closing the Feedback Loop Builds TrustOne powerful insight is the importance of not only listening to community members but also circling back to show how their input influenced decisions. Rural Health Solutions Can’t Be One-Size-Fits-AllThroughout the episode, guests reinforce that rural health challenges (and solutions) vary widely between places like Alaska, Kansas, and Washington. Kelsey shares how states are actively asking communities to help define what “rural” means locally and to articulate their specific needs, such as maternity care deserts or mental health access. Language Matters When Talking About ChangeThe conversation reveals a fascinating finding from United States of Care’s research: terms like “value-based care” don’t resonate with real people—in fact, “value” can sound cheap or dismissive, like a bargain bin. Instead, terms like “patient-first care” and “whole person care” feel authentic and inviting, making it easier to connect policy to patient priorities. Next Step: Visit our website, ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Healthcare for Humans⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, and join our community to enjoy exclusive benefits at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@healthcareforhumanspodcast⁠⁠⁠⁠⁠⁠

    45 min
  2. 80 I The $91 Million Nobody Measured: eConsults and Specialty Access (HLTH)

    12/15/2025

    80 I The $91 Million Nobody Measured: eConsults and Specialty Access (HLTH)

    Overview: We dive into the journey of Jomo, whose three decades in healthcare have been dedicated to improving access, with a special focus on LA County’s transformative eConsult system. We explore how this tool slashes specialist wait times from months to days for underserved populations, discuss the concept of “return on value” as a fuller measure of healthcare innovation, and reflect on the tension between profit, impact, and equity. Our conversation highlights the ways technology can lift the baseline for vulnerable patients, outlines the collaborative benefits for specialists and PCPs, and considers how public health systems can better articulate their true value—beyond just financial ROI. We wrap with excitement about new data showing $91 million in annual value generated and a call to drive broader recognition of health tech’s role in democratizing care. Three Takeaways: Addressing Access Inequities in Both Urban and Rural PopulationsThe conversation highlighted that healthcare access barriers aren’t just a rural problem; even in resource-rich settings like downtown LA, low-income patients face immense hurdles. The solution doesn't just serve rural North Dakota, but also the urban poor—demonstrating the shared structural challenges across geographies. Shifting Specialist Engagement through TechnologyJomo underscored the win-win value proposition for specialists: eConsults remove the loser-incumbent dynamic often present in tech rollouts. Specialists are able to respond to more cases efficiently, get compensated for asynchronous consults, and expand their reach, sometimes across state lines due to loosening regulations. The Moral Tension between Profit and Mission in Healthcare InnovationBoth Raj Sundar and Jomo tackled the discomfort around profit-driven healthcare startups—recognizing both justified suspicion of profiteering at the expense of the vulnerable, and the reality that profit and altruism can co-exist if properly harnessed. They advocate for embracing mission-aligned entrepreneurship instead of rejecting all profit. Next Step: Visit our website, ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Healthcare for Humans⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, and join our community to enjoy exclusive benefits at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@healthcareforhumanspodcast⁠⁠⁠⁠⁠

    24 min
  3. 79 I It's Not Capability, It's Design: Digital Health Equity (HLTH)

    12/09/2025

    79 I It's Not Capability, It's Design: Digital Health Equity (HLTH)

    Overview: We dive into the inspiring stories of Dr. Fernandez and Dr. Gigi Magan family medicine physicians and co-founders of Alma First. We explore the challenges they observed during the pandemic with digital health disparities in underserved communities and how those moments sparked their mission to promote digital health equity. Together, we discuss the importance of digital health navigators, training pre-health students through equity-centered curricula, and practical ways they introduce technology—like continuous glucose monitors and patient portals—to communities often overlooked by innovation. We also reflect on the need for culturally sensitive, accessible healthcare tech, the impact of provider engagement, and how we can keep evolving our patient education to truly meet people where they are. Three Takeaways: Pre-Health Students as Equity ChampionsBoth founders emphasized how involving pre-health students in tech conferences and training them in equity-focused digital health prepares a new cohort of clinicians to challenge assumptions and advocate for inclusivity. They describe how students bring critical questions to tech companies about accessibility for people with disabilities and non-English speakers, shaping future innovations. Barriers to Patient Portal Usage Are Often Systemic, Not PersonalMany Spanish-speaking patients reported not using digital portals simply because they never received the access codes, not due to a lack of interest or skill. This points to systemic communication and support failures more than patient limitations—an insight that reframes “adoption problems” as fixable gaps in process. Top-Down Tech Solutions Risk Leaving Communities BehindBoth guests highlighted the disconnect between innovations showcased at conferences and real-world community needs. Tools often get developed in isolation from those who will use them. Next Step: Visit our website, ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Healthcare for Humans⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, and join our community to enjoy exclusive benefits at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@healthcareforhumanspodcast⁠⁠⁠⁠⁠

    24 min
  4. 78 I The Interpreter Who Sees Everything: Rose Cano on Immigration, Grief, and Real Care

    11/17/2025

    78 I The Interpreter Who Sees Everything: Rose Cano on Immigration, Grief, and Real Care

    Overview: We explore how immigration status profoundly impacts healthcare access, from barriers to benefits and financial assistance, to the psychological toll experienced by patients and families navigating fears of deportation. We discuss mental health stigma within Spanish-speaking communities, challenges with behavioral health access, and how cultural concepts like susto and diapression intersect with chronic illness management. We share stories illustrating the power of validation, trust-building, and prioritizing patient agendas over rigid clinical checklists, while also confronting systemic constraints like limited appointment time and the importance of eye contact and genuine human connection in care. Three Takeaways: The Weight of Immigration Status on WellbeingRose describes how the constant fear of deportation, inability to access benefits, and repeated bureaucratic hurdles profoundly impact patients' mental and physical health. It's not just paperwork—it's a psychological burden that affects daily decisions, engagement with healthcare, and willingness to seek care in the first place. Empowerment as a Counterbalance to Systemic HarmRose Cano pointed out that healthcare interactions may be one of the few places where patients from marginalized backgrounds experience empowerment. With so much belittlement and exclusion happening in the rest of their lives, every clinical and supportive conversation must focus on restoring dignity and agency. Mental Health: Language, Stigma, and Structural GapsThe conversation delved into how translating mental health concepts is challenging, both linguistically and culturally. Terms like “depression” and “anxiety” don’t always resonate. She emphasized the deep stigma in both English and Spanish-speaking communities, compounded by lack of access (waitlists, insurance issues) and by the prioritization of survival needs over mental wellbeing. Next Step: Visit our website, ⁠⁠⁠⁠⁠⁠⁠⁠⁠Healthcare for Humans⁠⁠⁠⁠⁠⁠⁠⁠⁠, and join our community to enjoy exclusive benefits at ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠⁠⁠ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting⁠⁠⁠⁠⁠⁠⁠⁠⁠ https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠⁠⁠. Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠@healthcareforhumanspodcast⁠⁠⁠⁠⁠

    30 min
  5. 77 I Your Hands on the Wheel: Rose Cano Teaches Us How Stories Drive Healthcare

    11/05/2025

    77 I Your Hands on the Wheel: Rose Cano Teaches Us How Stories Drive Healthcare

    Overview: We explore the powerful intersection of healthcare and the arts with our guest, Rose Cano—a Spanish medical interpreter, playwright, and cultural mediator specializing in type 2 diabetes care for Spanish-speaking patients. We dive into Rose’s journey from theater to medicine, her advocacy for narrative medicine, and her experiences working in Harborview Medical Center’s clinics serving diverse communities, including those in Pioneer Square. The conversation unpacks terminology used for Spanish-speaking communities ("Hispanic," "Latino," "Latinx"), emphasizes the importance of understanding patient backgrounds, and shines a light on communication barriers in healthcare. Rose shares creative metaphors and practical strategies for empowering patients and improving self-management for chronic diseases, all while highlighting equity, prevention, and the lived realities of those navigating both healthcare and cultural systems. Three Takeaways: The Healing Power of Storytelling & Narrative Medicine Rose Cano’s journey beautifully illustrates how storytelling isn't just an art—it’s a therapeutic tool. She explains that both the person telling their story and the listener are transformed by the exchange, making it an act of healing, especially when stories relate to illness or wellness. The Intersection of Art and Healthcare for Equity Rose sees healthcare and the arts as intertwined fields, advocating that access to both should be equitable and universal. Her perspective brings attention to the under-recognized link between creativity, culture, and health outcomes, emphasizing that cultural and healthcare equity must advance together for true community wellbeing. Cultural Mediation Goes Beyond Language Translation              Her role at Harborview Medical Center isn’t just interpreting words—it’s bridging cultural gaps. She highlights real-world challenges Spanish speaking patients face, such as understanding navigation in the US healthcare system, grasping concepts of prevention versus acute care, and negotiating everyday barriers like clinic scheduling, insurance, and pharmacy instructions. Next Step: Visit our website, ⁠⁠⁠⁠⁠⁠⁠⁠Healthcare for Humans⁠⁠⁠⁠⁠⁠⁠⁠, and join our community to enjoy exclusive benefits at ⁠⁠⁠⁠⁠⁠⁠⁠https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠⁠ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting⁠⁠⁠⁠⁠⁠⁠⁠ https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠⁠. Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠@healthcareforhumanspodcast⁠⁠⁠⁠

    37 min
  6. 76 I Congo: When History Walks into Your Exam Room

    09/25/2025

    76 I Congo: When History Walks into Your Exam Room

    Overview: We sit down with Jean Jacques, physician, community organizer to explore how the long and complex history of the Democratic Republic of Congo—including colonialism, resource-driven conflict, and trauma—shapes the healthcare experience of Congolese immigrants and refugees in the U.S. We talk through the diversity of Congolese identities, languages, and traditions, and examine how food, faith, and community form the backbone of cultural resilience, even as new challenges like diabetes, hypertension, and mental health stigma emerge after resettlement. Our conversation highlights practical advice for clinicians—from building trust and acknowledging trauma to asking about family and respecting cultural foodways—while also discussing the vital role of Congolese churches and grassroots organizations in healing and navigating the American healthcare system. Three Takeaways: Deep Historical Context Shapes Present-Day HealthcareJean Jacques gives a nuanced overview of how the Democratic Republic of Congo’s colonial and post-colonial history—including conflict over natural resources, genocide spillover, and foreign interference—directly affects how Congolese refugees experience healthcare today. Understanding these origins is crucial for providers because patients may carry deep-seated mistrust toward healthcare systems, especially given past experiences of forced medical campaigns and trauma from displacement. Language Diversity is a Barrier and a BridgeThe episode details that Congo is staggeringly diverse with “450 ethnic groups, over 5,000 dialects, and four national languages” aside from French. Many community members arrive in the US speaking little or no English—English might be their fourth language, as Jean Jacques shares from personal experience. Assumptions about shared language or uniformity can result in missed care opportunities; tailored language access and culturally sensitive interpretation are essential. Traditional Foods and Diet Transitions Present Unique Health RisksMoving to the US shifts dietary habits—fresh, traditional foods are often replaced by processed convenience meals, contributing to increased rates of diabetes, hypertension, and heart disease in the Congolese community. Efforts to offer healthy-eating guidance (like suggesting less palm oil or leaner meats) often run up against powerful forces: taste, cost, cultural significance, and lack of culturally competent nutrition counseling. Next Step: Visit our website, ⁠⁠⁠⁠⁠⁠⁠Healthcare for Humans⁠⁠⁠⁠⁠⁠⁠, and join our community to enjoy exclusive benefits at ⁠⁠⁠⁠⁠⁠⁠https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting⁠⁠⁠⁠⁠⁠⁠ https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠. Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠@healthcareforhumanspodcast⁠⁠⁠

    46 min
  7. You Are the Servant: Redefining Medicine Through Indigenous Wisdom

    08/28/2025

    You Are the Servant: Redefining Medicine Through Indigenous Wisdom

    Overview: We sit down with Dr. Lonnie Nelson, a clinical psychologist and member of the Cherokee Indians, to explore the importance of centering Native communities in healthcare research and practice. We learn about how Lonnie’s personal experiences with family health challenges shaped his professional journey, and how he reframes common clinical approaches to focus on culture, self-determination, and relational trust. We dive deep into the role of "culture as medicine," uncovering how traditional practices and genuine human connection can foster healing far beyond what Western medicine often recognizes. We also discuss Lonnie’s work addressing health disparities, brain health research in urban Native elders, and the need to move away from transactional, role-based healthcare toward true person-centered care. Three Takeaways: - Community-Driven Research, Not Researcher-Imposed SolutionsLonnie Nelson’s approach flips the traditional research model by centering the priorities of American Indian and Alaska Native communities. Rather than imposing outside solutions, he collaborates with community members to identify needs and co-create potential interventions, then seeks funding to rigorously test these ideas. This honors cultural wisdom and ensures research is relevant and respectful. -Reclaiming Indigenous Roots in Motivational InterviewingA fascinating point Nelson brings up is that motivational interviewing—a mainstream therapeutic technique—has roots in Indigenous traditions. He highlights that its effectiveness comes from Native practices grounded in respect, non-judgment, and relational conversation. However, much of Western healthcare training strips these origins, sometimes making the approach feel manipulative; Nelson, instead, works to restore its original, culturally-grounded intent. -The Native Concept of “Medicine” is Holistic and TransformativeIn Native cultures, “medicine” isn’t just pharmaceuticals or interventions—it’s anything that can transform how you feel, from the smell of your grandmother’s kitchen to community rituals. Nelson stresses that when Native people say, “culture is medicine,” it’s about emotional and spiritual transformation—not just physical wellness. Next Step: Visit our website, ⁠⁠⁠⁠⁠⁠⁠Healthcare for Humans⁠⁠⁠⁠⁠⁠⁠, and join our community to enjoy exclusive benefits at ⁠⁠⁠⁠⁠⁠⁠https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting⁠⁠⁠⁠⁠⁠⁠ https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠⁠. Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠@healthcareforhumanspodcast⁠⁠⁠

    45 min
  8. 74 I What If Your Patient's Faith Is Their Best "Medicine"? ft. Dr. Cat Delostrinos

    08/07/2025

    74 I What If Your Patient's Faith Is Their Best "Medicine"? ft. Dr. Cat Delostrinos

    Overview: We explore the deeply personal and often overlooked connection between spirituality and health, especially within immigrant and refugee communities. Dr. Cat Delestrinos, a pediatrician and Filipino immigrant, shares moving stories from her own life and medical practice—particularly her son’s health journey—to illustrate how faith and spiritual practices can play a vital role in resilience, healing, and coping with fear. We discuss practical ways clinicians can better recognize and respect patients’ spiritual beliefs, how to open conversations about faith without imposing personal beliefs, and why understanding the spiritual dimension is critical for meaningful, holistic care. Three Takeawayss: 1) Spirituality as a Source of Healing and Resilience in Immigrant Communities Dr. Cat shares that for many immigrant and refugee families, spirituality isn’t just a private belief but a vital community resource and coping mechanism. She describes how, in Filipino culture (her own background), church and faith traditions are threads that bind individuals and groups—showing clinicians that understanding these can unlock strength and resilience in their patients’ healing journey 2) Personal Experience Shapes Clinical Practice Dr. Cat’s story about her son Manny’s critical illness and the intertwining of faith with medical care is a clear reminder that clinicians’ personal experiences—especially moments of vulnerability and hope—shape how they show up for patients. Her deep dive into spirituality through praying and supporting her son reframed how she approaches medical practice and the importance she places on spiritual health 3) Missed Opportunities: Clinicians Rarely Ask About Faith Despite spirituality often being crucial to patients, Dr. Cat realized no clinician or care team member ever brought up faith during her family’s medical ordeal unless she mentioned it herself. This points to a gap in holistic care and invites practitioners to consider what they might be overlooking by not asking about something so central to many people’s lives. Next Step: Visit our website, ⁠⁠⁠⁠⁠⁠Healthcare for Humans⁠⁠⁠⁠⁠⁠, and join our community to enjoy exclusive benefits at ⁠⁠⁠⁠⁠⁠https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting⁠⁠⁠⁠⁠⁠ https://www.healthcareforhumans.org/support/⁠⁠⁠⁠⁠⁠. Follow us on Instagram ⁠⁠⁠⁠⁠⁠@healthcareforhumanspodcast⁠⁠⁠

    40 min
5
out of 5
27 Ratings

About

This show provides actionable skills in cultural humility, culturally responsive care, and health equity so clinicians, leaders, and neighbors can serve every community better. Hosted by family physician and healthcare leader Dr. Raj Sundar, each episode explores cultural humility, culturally responsive care, and health equity through the voices of patients, clinicians, and system designers who live the work every day. WHAT YOU’LL HEAR Practical ways to deliver culturally competent & culturally responsive care, language-concordant, and trauma-informed care.   Strategies for tackling social determinants of health at both the clinic and policy levels.   Real stories showing how culture, history, and environment shape health outcomes—and how clinicians can respond.   Design ideas for health-care leaders building inclusive, patient-centered systems.   Community insights that help all of us become better neighbors and advocates. WHO IT’S FOR Frontline clinicians, public-health and hospital leaders, medical educators, and anyone curious about making cross-cultural care the norm. WHEN . Follow now to keep cultural humility—and culturally responsive care—at the center of your practice and healthcare system

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