How US Healthcare Actually Works, the WWII Tax Loophole that Broke it Forever, and How AI Can Fix it | Nikhil Krishnan, Out of Pocket

How US Healthcare Actually Works, the WWII Tax Loophole that Broke it Forever, and How AI Can Fix it | Nikhil Krishnan, Out of Pocket

April 9, 2026 · 1h 45m · Season 1 · Episode 137

About this episode

Nikhil Krishnan discusses the intricacies of the US healthcare system and the potential of AI to transform it.

Nikhil Krishnan is the Founder of Out of Pocket, a media company that makes understanding healthcare more entertaining and accessible. We spend 100 minutes talking about how the US healthcare system actually works, how World War II changed it forever, all the ways AI is seeing real adoption across the industry, and most common bad startup ideas in healthcare. Thank you to Numeral, Flex, and Amplitude for supporting this episode Numeral: The end-to-end platform for sales tax and compliance [https://www.numeral.com](https://www.numeral.com/) Flex: Sign-up for Flex Elite with code TURNER, get $1,000 https://form.typeform.com/to/Rx9rTjFz Amplitude: AI analytics, all you have to do is ask [https://www.amplitude.com](https://www.amplitude.com/) Timestamps: (1:23) How the US healthcare system works (4:26) Why US healthcare is different from the rest of the world (12:01) Why healthcare costs keep going up (15:58) Core problem: is healthcare a marketplace or not? (21:04) How money flows + Two-way price negotiation (27:34) Why payments are seeing early AI adoption (30:08) How AI could change healthcare delivery (35:40) Doctor’s are trapped on a productivity hamster wheel (39:28) How…

People in this episode

Host: Turner Novak

Guest: Nikhil Krishnan

Topics covered

Keywords

Sponsors

Numeral, Flex, Amplitude

Mentioned in this episode

Organizations: Out of Pocket

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