We know the science. We know prevention saves lives—and money. So why does it still feel so hard to make it real inside healthcare systems? In this episode, Brandi Harless talks with Brian Paradis and Brian Spisak of C-Suite Growth Advisors about the frustrating truth behind why prevention hasn't stuck—and what needs to change. From clinical workflows to leadership accountability, personal stories to organizational psychology, this conversation goes deep into the systems, behaviors, and beliefs that keep us stuck. Brian Paradis shares his lived experience managing genetic heart disease and what one cardiologist told him that changed everything. Brian Spisak breaks down the science of self-determination theory and why we need to stop asking people to swim upstream in environments designed for failure. If you’ve ever felt like prevention should be easier by now, this episode will leave you nodding—and ready to redesign the path forward.

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