Dr. Charles Antinori interviewed his nephew Dr. Joseph Chavez Carey, a family practitioner who discussed his career path and current role as director of primary care at a regional hospital. They explored the evolving business models in family practice, including the shift from independent to employed doctors and the emergence of direct primary care, while examining historical changes in healthcare payment systems and reimbursement structures. The conversation covered how Medicare and Medicaid payment reductions, combined with administrative burdens and the impact of various healthcare acts, led to significant changes in the medical profession, including the rise of employed physician positions and increased bureaucracy.