One Diagnosis Away: Why Healthcare Is Failing the Middle Class with Adam Cunningham

One Diagnosis Away: Why Healthcare Is Failing the Middle Class with Adam Cunningham

July 21, 2026 · 45 min

About this episode

Amy and Adam Cunningham discuss the challenges of navigating a failing healthcare system and the importance of patient advocacy.

What happens when the system designed to care for you requires you to become your own advocate, negotiator, researcher, and risk manager? For millions of people, illness is no longer only a physical crisis. It is a financial and emotional one, intensified by opaque prices, delayed treatment, insurance denials, and the quiet fear that help may never arrive. Amy and Adam Cunningham explore the human cost of a healthcare system that often leaves patients and families navigating alone. Adam’s work with Silk Health began with a friend’s suffering and grew into a larger question: what changes when people can see real prices, compare international options, and act before waiting becomes deterioration? Their conversation reaches beyond medical tourism or employee benefits. It asks what responsibility looks like when institutions become difficult to trust. For individuals, that may mean seeking a patient advocate or looking beyond familiar systems. For employers, it may mean treating affordable care as a human obligation rather than an expense to absorb without question. Sometimes agency does not arrive as confidence. It begins with the quiet recognition that waiting is also a choice…

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