Advance Care Directives are great in theory, but often fail in practice. The result: patients' wishes aren't respected and their families end up fighting.

Dr. Ferdinando Mirarchi has built a whole medical practice and business around Advance Directives. HIs company, MIDEO enables patients to create video-based plans either with or without a physician's help.

I went through the process myself in preparation for this interview and learned a lot about the nuances of what to put in the directive to reflect my goals. The topics of resuscitation after cardiac arrest and mechanical ventilation were really insightful.

We also talked about more mundane matters like insurance coverage and how to make sure the directive is accessed and respected when you need it.

As of March 2025 HealthBiz is part of CareTalk. Healthcare. Unfiltered and can be found at the following links:

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• Apple https://podcasts.apple.com/us/podcast/caretalk-healthcare-unfiltered/id1532402352
• YouTube https://www.youtube.com/@CareTalkPodcast
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Host David E. Williams is president of healthcare strategy consulting firm Health Business Group.

Episodes through March 2025 were produced by Dafna Williams.