{"store":{"baseInfo":{"podcastTitle":"Intention to Treat","slug":"nejm-intention-to-treat","podcastDescription":"

Welcome to “Intention to Treat,” a podcast exploring the critical issues shaping medicine today. In a new 8-week series, The Race Equation, we confront harmful assumptions about race in clinical medicine—from diagnostic algorithms to guidelines—exploring how these practices took hold, why they endure, and what it will take to change them.

Hosted by health care journalist Rachel Gotbaum, the “Intention to Treat” podcast from the New England Journal of Medicine delves into groundbreaking research and clinical advances while sharing the personal stories from doctors and their patients, offering listeners a behind-the-scenes look at discoveries that are changing medical practice on the front lines of health care.

Listen to The Race Equation and follow “Intention to Treat” on Apple Podcasts or wherever you get your podcasts.

","podcastLogo":"https://pbcdn1.podbean.com/imglogo/image-logo/15335772/NEJM_ITT.jpg","podcastShareLogo":"https://d2bwo9zemjwxh5.cloudfront.net/image-logo/15335772/NEJM_ITT_1200x628.jpg?s=b84f0a7cd2799e99a5e98740f07ffcf1&e=jpg","podcastUrl":"https://intention-to-treat-podcast.nejm.org","podcastCanSearched":true,"feedUrl":"https://intention-to-treat-podcast.nejm.org/feed.xml","theme":"playlist2","podcastDeepLink":"https://www.podbean.com/pw/pbblog-hrkyb-ea015c?from=usersite","removePodbeanBranding":"yes","brandingLogo":null,"timeZone":{"timeZoneId":15,"gmtAdjustment":"GMT-05:00","useDaylightTime":1,"value":-5,"text":"(GMT-05:00) Eastern Time (US & Canada)","daylightStartTime":"Second Sunday Of March +2 Hours","daylightEndTime":"First Sunday Of November +2 Hours","timezone":"America/New_York"},"podcastDownloads":null,"totalEpisodes":48,"showComments":false,"iOSAppDownloadLink":null,"customizeCssUrl":null,"androidAppDownloadLink":null,"showPostShare":false,"showLike":false,"author":"NEJM Group","enableEngagementStats":true,"shareEmbedLink":"https://admin5.podbean.com/embed.html?id=pbblog-hrkyb-ea015c-playlist","language":"en","sensitivitySessionExpireTime":3600,"podcastApps":[{"name":"Apple Podcasts","link":"https://podcasts.apple.com/us/podcast/intention-to-treat/id1664497867","image":"https://pbcdn1.podbean.com/fs1/site/images/admin5/apple-podcast.png","title":null},{"name":"YouTube","link":"https://www.youtube.com/playlist?list=PLI8Ak-hj5dgF0WusWjZ-VOxAKBzmsJvwA","image":"https://pbcdn1.podbean.com/fs1/site/images/admin5/youtube_logo.png","title":null},{"name":"Podbean App","link":"https://www.podbean.com/pw/pbblog-hrkyb-ea015c?from=usersite","image":"https://pbcdn1.podbean.com/fs1/site/images/admin5/podbean-app.png","title":null},{"name":"Spotify","link":"https://open.spotify.com/show/63IqCrjfYZrXzaDKuuKqkP","image":"https://pbcdn1.podbean.com/fs1/site/images/admin5/spotify.png","title":null}],"components":{"base":[{"id":"MainStyle","val":"light"},{"id":"Font","val":"Roboto"},{"id":"SecondaryFont","val":"Georgia"},{"id":"PlayerColor","val":"#9417FF"},{"id":"PlayerStyle","val":"player2"},{"id":"PlayerWave","val":"show"},{"id":"Favicon","val":"https://mcdn.podbean.com/mf/web/se7uc7/NEJM_favicon60221612-8c3b-aeef-d90f-aa7a50243f96.ico"},{"id":"CookiesNotice","val":"hide"},{"id":"CookiesNoticeContent","val":"

Cookies Notice

This website uses cookies to improve your experience while you navigate through the website. By using our website you agree to our use of cookies.

"},{"id":"EpisodePageListenOn","val":"show"},{"id":"EpisodePageCustomizeComponent","val":"hide"}],"home-header":[{"id":"HomeHeaderTextColor","val":"#ffffff"},{"id":"BackgroundImage","val":"https://mcdn.podbean.com/mf/web/hjuv64cq7rc99psm/NEJM_ITT_S2_1920x750.png"},{"id":"BackgroundImageForMobile","val":"https://mcdn.podbean.com/mf/web/z8hazmmy5nh3t3r9/NEJM_ITT_S2_450x750.png"}],"page-header":[{"id":"PageHeaderTextColor","val":"#ffffff"},{"id":"SecondaryPageBackgroundImage","val":"https://mcdn.podbean.com/mf/web/b78z8a/podbean_Tile_1920x700_copy2599fdd3-a98c-9766-0b98-f25e449bce9d.jpg"},{"id":"SecondaryPageBackgroundImageForMobile","val":"https://mcdn.podbean.com/mf/web/z8hazmmy5nh3t3r9/NEJM_ITT_S2_450x750.png"}],"episode-list":[{"id":"EpisodeListType","val":"simple-list"},{"id":"EpisodesPerPage","val":10},{"id":"EpisodeStats","val":"show"}],"navigation":[{"id":"NavigationFontColor","val":"#ffffff"},{"id":"NavigationBackgroundColor","val":"#000000"},{"id":"NavigationSearch","val":"show"},{"id":"NavigationLinks","val":[{"id":"Home","type":"Link","value":"/","text":"Home","subitems":[]},{"id":"7f1b2474-c857-1a59-9f36-95445da93f86","type":"Link","value":"https://www.podbean.com/site/podcatcher/index/blog/Ynneo8ixYugY","text":"Follow us...","subitems":[{"id":"32ca72ba-9ad7-1486-a8df-f418f7cfdd24","type":"Link","value":"https://podcasts.apple.com/us/podcast/intention-to-treat/id1664497867","text":"Apple Podcasts","subitems":[]},{"id":"8496c189-e64f-5d23-cc25-1babfcf2cad2","type":"Link","value":"https://open.spotify.com/show/63IqCrjfYZrXzaDKuuKqkP","text":"Spotify","subitems":[]},{"id":"449d0300-1e6d-aa41-88f6-64c3079d9df1","type":"Link","value":"https://podcasts.google.com/feed/aHR0cHM6Ly9pbnRlbnRpb24tdG8tdHJlYXQtcG9kY2FzdC5uZWptLm9yZy9mZWVkLnhtbA","text":"Google Podcasts","subitems":[]}]},{"id":"7e040e06-8eb1-17ed-f150-ee10bbea9d89","type":"Link","value":"https://nejm.org","text":"From the New England Journal of Medicine","subitems":[]},{"id":"57a5471b-d0f3-0060-808f-d487c1ff1edc","type":"Seasons","value":"","text":"Seasons","subitems":[]}]}],"footer":[{"id":"FooterType","val":"Footer1"},{"id":"FooterFontColor","val":"#ffffff"},{"id":"FooterBackgroundColor","val":"#000000"},{"id":"FooterCopyright","val":"Copyright {year} All rights reserved."},{"id":"SocialMediaLinks","val":{"facebook_username":"TheNewEnglandJournalofMedicine","twitter_username":"NEJM","instagram_username":"nejm","youtube_username":"nejmgroup","linkedin_username":""}}],"customize-container1":[{"id":"ComponentText-ac87145a-b9e9-0755-e059-4ea909336628","val":{"ComponentFontColor":"#000000","ComponentBackgroundColor":"#ECF3FF","ComponentContent":"

$\"nejmID_1line_RGB-800.png\"$

"}}],"customize-container2":[{"id":"ComponentImageText2-ab201688-a390-7eb2-1d24-c0459b4e776f","val":{"ComponentFontColor":"#000000","ComponentBackgroundColor":"#f2f2f2","ComponentImage":"https://mcdn.podbean.com/mf/web/ubq54wj38m7t5efv/Gotbaum2026.jpg","ComponentContent":"

About the Host

Rachel Gotbaum, the host and producer of the NEJM podcast “Intention to Treat,” is an award-winning health care journalist with more than two decades of experience reporting and hosting audio documentaries, narrative features, breaking news, and podcasts. Rachel has worked as an editor, reporter, and producer on several national radio programs, including NPR’s “All Things Considered,” “Weekend Edition,” and “Here and Now.” Her stories have aired on NPR, “Marketplace,” CBC Radio, and PRX’s “The World” and have been published by the New York Times, the San Francisco Chronicle, and Kaiser Health News. She has frequently focused on the culture of medicine and its effects on all aspects of health care, from policy to patient outcomes.

"}}]},"allLinks":[{"id":"Seasons-1","type":"Link","value":"/season/1","text":"Season 1","subitems":[]},{"id":"Seasons-2","type":"Link","value":"/season/2","text":"Season 2","subitems":[]}],"mainStylesDefaultSettings":null,"defaultCustomizeComponents":null,"scripts":[],"metas":null,"appConfig":{"package":"com.podbean.app.generic","app_store_id":1484287462,"app_name":"Podbean Biz Podcast App","scheme":"enterprise-podbean-com"},"customizeCss":null,"canEditCss":null,"enableJsCodeInCustomizeContent":false,"enabledIframeCodeInCustomizeContent":true,"sectionMaxCount":10,"enableEditorLink":true,"enableEditCookiesNotice":true,"siteRedirectToFeed":false,"podcatcherRssUrl":null,"showFeed":true,"showTopBar":true,"enableWebSiteLike":false,"organizationName":"NEJM Group","organizationPageLink":"https://www.podbean.com/podcast-network/nejmgroup"},"backToListUrl":"/","tinymceLoaded":false,"listEpisodes":[],"userLikedEpisodes":[],"userLikeCheckedEpisodes":[],"topBarIframeLoaded":false,"listTotalCount":0,"listTotalPage":0,"listPage":0,"listType":"all","listValue":"","listName":"","pageLoading":false,"apiBaseUrl":"http://intention-to-treat-podcast.nejm.org","apiV2BaseUrl":"","apiCommonParams":{"t":"6a3b2f6a","clientSignature":"0c18d1be721078b5899683291cd1df10","u":null,"customizing":null},"apiCommonHeaders":{},"comments":[],"commentsTotalCount":null,"commentsTotalPage":null,"commentsPage":null,"commentEpisodeId":null,"episode":{"id":"pb28159589","idTag":"eh693","title":"BiDil — The Story of the Black Pill","logo":"https://pbcdn1.podbean.com/imglogo/image-logo/15335772/NEJM_ITT_300x300.jpg","shareLogo":"https://d2bwo9zemjwxh5.cloudfront.net/image-logo/15335772/NEJM_ITT_1200x628.jpg?s=b84f0a7cd2799e99a5e98740f07ffcf1&e=jpg","largeLogo":"https://pbcdn1.podbean.com/imglogo/image-logo/15335772/NEJM_ITT.jpg","previewContent":null,"content":"

How did a drug for congestive heart failure get approved and marketed for Black people only?

A full transcript of this episode is available at https://www.nejm.org/doi/full/10.1056/NEJMp2601978.

","publishTimestamp":1780520400,"duration":1508,"mediaUrl":"https://mcdn.podbean.com/mf/web/tshy5b3rg45vfhqs/NEJMdo008578.mp3","mediaType":"audio/mpeg","shareLink":"https://admin5.podbean.com/embed.html?id=pb-eh693-1adae65","likedCount":0,"deepLink":"https://www.podbean.com/ew/pb-eh693-1adae65","transcriptUrl":null,"permalink":"/e/bidil-%e2%80%94-the-story-of-the-black-pill/","downloadLink":"https://www.podbean.com/media/share/pb-eh693-1adae65?download=1","fallbackResource":null,"fallbackResourceMimetype":null,"downloadCount":2429,"status":"publish","hasMoreContent":false,"chaptersUrl":null,"explicit":false},"episodeShareLink":null,"deepLink":"https://www.podbean.com/ew/pb-eh693-1adae65","playlist":{"episodes":[],"current":0,"start":0,"stop":0,"playing":true,"playerLoading":true,"playbackRate":1,"playbackRateIndex":1,"volume":1},"toasts":[],"confirm":null,"customizeEditorFormZIndex":999,"lastRequestTime":null,"validateChangesOnBeforeunload":true,"windowWidth":1000,"VITE_FS1_CDN_URL_PREFIX":"https://pbcdn1.podbean.com/fs1","reloadStats":false,"userIdEncrypted":null,"userProfilePicture":null,"username":null,"isVerified":false,"loadUserInfo":false,"loginUrl":null,"recaptchaV3Loaded":false,"recaptchaV2Loaded":false,"likesLoaded":false,"commentLikeMap":{},"commentOffset":0,"widgetCommentsLoaded":false},"episode":{"id":"pb28159589","idTag":"eh693","title":"BiDil — The Story of the Black Pill","logo":"https://pbcdn1.podbean.com/imglogo/image-logo/15335772/NEJM_ITT_300x300.jpg","shareLogo":"https://d2bwo9zemjwxh5.cloudfront.net/image-logo/15335772/NEJM_ITT_1200x628.jpg?s=b84f0a7cd2799e99a5e98740f07ffcf1&e=jpg","largeLogo":"https://pbcdn1.podbean.com/imglogo/image-logo/15335772/NEJM_ITT.jpg","previewContent":null,"content":"

How did a drug for congestive heart failure get approved and marketed for Black people only?

A full transcript of this episode is available at https://www.nejm.org/doi/full/10.1056/NEJMp2601978.