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In this conversation, Dr. Shira Fischer of Brookline, Massachusetts, shares her insights on the strengths of both the Israeli and US healthcare systems. She discusses her background, connections to Israel, and the impressive aspects of the Israeli healthcare system, including universal coverage and advanced electronic records. Dr. Fischer also highlights the strengths of the US system, such as expertise and innovation in health technology, while suggesting that comparisons should be made at a state level rather than between countries. Dr. Fischer spoke solely in a personal capacity and not on behalf of any organizations with which she is affiliated. Takeaways: In Israel, everybody has health insurance. The Israeli healthcare system has a longitudinal record for decades. America has a lot of expertise in healthcare that is not available elsewhere. Israel can quickly track large populations for health data. In the U.S. access to healthcare data is not as good as perceived. The US healthcare system has a market for health tech innovation. Comparative insights should be made at a state level. Israel's healthcare successes could inform state-level policies in the US. Care coordination and technology interoperability are key areas for improvement. Chapters 00:00 Introduction to Dr. Shira Fischer 00:25 Shira Professional Intro 01:06 Personal Connection to Israel 01:31 Year Course 02:07 Strengths of Israel Healthcare 02:33 Israel Coverage for all Citizens 03:17 Univesal Electronic Health Record 05:07 Health Record use during Covid 06:25 Comparative Analysis: U.S. Healthcare Strengths 08:02 Concluding Thoughts on Healthcare Systems