In this intense episode of the Fire Chief Podcast, host Lee Scheinbart interviews Dr. Jeffrey Kuhlman, physician to the 44th President, Barack Obama and author of "Transforming Presidential Healthcare."  Dr. Kuhlman shares insights from his time as a Navy physician and director of the White House Medical Unit, discussing the importance of rigorous medical standards, the role of chief medical officers, and the ethical considerations in healthcare leadership.  Medical officers have a clear fiduciary responsibility when they assess the health and wellbeing of those in positions of power, especially when the position (e.g. pilot, physician, official) involves very high stakes.