Is your medical license a trap? The healthcare system is forcing dedicated clinicians like you into burnout, making you work for insurance companies instead of your patients. In episode 44 of The Nico Misleh Podcast, host Nico Misleh exposes the broken insurance model and reveals how a cash-based practice is the key to regaining your autonomy. Discover how to escape the golden handcuffs, realign with your values, and practice medicine on your own terms. This episode provides the blueprint for building a profitable clinic that delivers incredible patient outcomes and restores your passion for healing.

Ready to build a practice that gives you freedom and financial control? Mastering a specialty like hormone replacement therapy is your first step toward true autonomy. Learn the clinical and business strategies to create a thriving cash-based service that your patients will value. Begin your journey and explore The HRT Master Course at https://hrtuniversity.com/hrtcourse/⁠

For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:

- Nico's Daily Newsletter: ⁠⁠⁠https://nicomislenp.kit.com/8050eeea5f⁠⁠⁠ (yes, it's daily... and yes, people stay subscribed)

- Join HRT University: ⁠https://hrtuniversity.com/⁠

- Join the HRT University Facebook Group: ⁠⁠⁠https://www.facebook.com/groups/1179376819949373/?ref=share&_rdr⁠

Chapters:

0:00 - Insurance Is A Business, NOT Healthcare 

1:09 - Insurance vs. Cash-Pay: The REAL Battle 

2:00 - The #1 Myth About Medical Insurance 

3:33 - Does Insurance Approval Mean It's Safe? 

4:41 - The Shocking Truth About Birth Control 

6:07 - How Insurance Companies Deny Your Care 

7:58 - Who Do You REALLY Work For? (It's Not Your Patients) 

8:41 - The Golden Handcuffs Trapping Doctors 

10:33 - The True Cause of Clinician Burnout 

11:34 - Why You Became a Healer in the First Place 

13:08 - What a "Cash-Based" Clinic Actually Is 

14:04 - How Car Insurance Proves Healthcare is Broken 

15:55 - The Secret to Loving Your Job Again 

16:55 - Proof: Doctors are Happier in Cash-Pay 

17:37 - Make Less Money, Have a Better Life? 

19:34 - The Hidden Pain of Working for Insurance 

20:23 - When Your Colleagues Attack You 

22:50 - Don't Fix a Broken System, Do This Instead 

25:31 - How Patients Win in a Cash-Based Model 

26:35 - Reclaim the Provider You Were Meant to Be 

27:49 - How Insurance KILLED the Art of Medicine 

30:30 - Patient Story: Doctor Dismisses Low Testosterone 

33:51 - Patient's Life Transformed by TRT 

34:34 - Doctor's SHOCKING Offer After Seeing Patient Thrive 

37:23 - The Secret to Never Stop Learning 

38:16 - This Makes It All Worth It 

38:54 - Why Your Job is Like a Bad Relationship 

41:06 - The Hidden Dangers in Your Medicine Cabinet 

44:13 - Why I LOVE My Cash-Based Clinic 

45:01 - A Guide to Mastering HRT 

46:03 - Join Our Community of Clinic Owners 

47:00 - My FREE Daily Email for Clinicians 

47:51 - Exciting News for HRT University