Making Care Make Sense: AI, Fragmentation, and the Patient in the Middle, with Dr. Kaitlan Baston (Vinyl Health)

Less than half of what a doctor says in a visit is remembered. You cannot fix that with a better algorithm alone, but you can fix the record. That is Dr. Kaitlan Baston’s whole thesis: “We aren’t necessarily fixing universal healthcare, but we are fixing the universal record, and making sure the patient is at the center.”Dr. Kaitlan Baston, Founder and CEO of Vinyl Health and a former New Jersey Health Commissioner, joins host Dr. Junaid Kalia with co-hosts Dr. Isha Mannering, DR GPT™ Harvey Castro, and Edward Marx. A primary care and addiction physician who once ran a safety-net hospital, she built Vinyl as a personal health assistant for patients and families navigating a fragmented system: it translates the medical record into plain language, takes the visit notes so the patient can actually be present, and hands people back control of their own data. The panel widens the lens from there, to the 70% of medical data still moving by fax, what Taiwan gets right about same-day access, Harvey’s personal digital twin, and why data you get for free makes you the product.What You Will Discover:Cold open: fix the universal record, not (yet) universal healthcareMeet Dr. Kaitlan Baston: from integrated care to Vinyl HealthThe EHR as a “junk drawer” (the education that never makes the note)The chaotic clinic visit (Dr. Isha Mannering)Vinyl’s AI note-taker: be present, walk out with a summary and to-dosThe doctor-in-the-loop summary page and the human connectionCare-management duplication and the “I need a ride” fix16 channels, and the 70% of medical data still faxedWhat Taiwan gets right: same-day access, longer life, a third the costHarvey’s personal digital twin (DR GPT™ Harvey Castro)Inside a top AI health system: Nebraska Medicine (Edward Marx)Own your data: when it’s free, you are the productYour record for $2, and the case for physician-led AI Referenced in the show:🖇️ Vinyl Health: a personal health assistant that turns the record into plain language (https://www.vinylhealth.ai/)🖇️ The “junk drawer” EHR and the patient-held, patient-controlled record🖇️ Taiwan’s single-payer system: same-day walk-in access at roughly a third of US cost as a share of GDP🖇️ eFax in medicine: most records still move by fax in 2026🖇️ Signal & Symptoms Ep 52 (Dr. Alan Weiss): the empathy debateConnect with us:Dr. Junaid Kalia, Neurocritical Care Specialist and Founder of SaveLife.AI™ (host)💼 LinkedIn: https://www.linkedin.com/in/junaidkaliamd 🔗 Website: https://www.junaidkalia.com/📹 YouTube: https://www.youtube.com/@junaidkaliamdDr. Isha Mannering (co-host)💼 LinkedIn: https://www.linkedin.com/in/isha-manneringDR GPT™ Harvey Castro, ER Physician (co-host)💼 LinkedIn: https://www.linkedin.com/in/harveycastromd/Edward Marx, CEO, Advisor (co-host)💼 LinkedIn: https://www.linkedin.com/in/edwardmarx/🔗 Website: https://www.marxadvisory.com/Special Guest:Dr. Kaitlan Baston, MD, MSc, Founder & CEO of Vinyl Health (former New Jersey Health Commissioner; former President & CEO, University Hospital, Newark)💼 LinkedIn: https://www.linkedin.com/in/kaitlan-baston/🔗 Vinyl Health: https://www.vinylhealth.ai/Visit our website: https://signalandsymptoms.com/Get advisory insights about Healthcare AI, at zero cost: https://junaidkaliamd.substack.com/Medical disclaimer: This conversation is for general informational purposes and is not medical advice. Listening does not create a doctor and patient relationship. Views expressed by the guest and co-hosts are their own and do not represent their employers. Tools discussed are patient-support and decision-support with a clinician in the loop, not autonomous or cleared diagnostic devices. No PHI is shared.