American healthcare is the only industry in the country where the people running the business don't actually know what anything costs. Hospitals price everything based on what they get reimbursed, not what they actually spent. And that one broken loop is quietly making everything else worse.

In this conversation, I sit down with someone who has spent fifteen years inside hospital operations, on both sides of billion-dollar mergers, deep inside group purchasing organizations, and at the front lines of some of the biggest turnaround stories in the industry. We talk about the hidden rebate game quietly inflating your bills, the reason spine surgeons keep offering to give up vendor money just so their operating rooms will function, the popular political fix that would collapse American medicine overnight, the hundred-billion-dollar program running with almost no oversight, and the one type of person Washington keeps refusing to bring into the room.

If you want the operational reality of how American healthcare actually works from someone who has lived inside it, this is the episode.

In this episode, you'll learn:

• The hidden invoice game between hospitals and their biggest suppliers that quietly keeps your bills inflated
• The popular political fix that most Americans think will solve everything but would actually collapse the system faster than anything else
• The one type of expert who could untangle American healthcare in a year, and the exact reason Washington will not let them in the room

Connect with Andrea:

LinkedIn: linkedin.com/in/andrea-bates-dha-mph-7655a988

Chapters:

00:00 – Cold Open
 00:57 – The Single Best Idea To Lower Healthcare Costs
 02:10 – Why Hospitals Don't Know What A Case Actually Costs
 04:53 – The Stark Law Wall Between Doctors And Hospitals
 07:08 – Inside The Group Purchasing Organizations
 09:31 – The OR Turnover Story Every Surgeon Knows
 10:56 – The Anti-Kickback Loophole Nobody Talks About
 11:30 – Why Medicare For All Would Break The System
 14:53 – The Navy ER That Had Free Care And No Access
 16:11 – When Medicare Reimbursement Actually Loses Money
 17:42 – Why Full Service Lines Are Disappearing
 20:14 – The Rural Hospital Problem Nobody Solves Right
 22:07 – The Truth About Tavr And Cardiac Ablations
 24:22 – The Consolidation Wars Between Hospitals And Insurers
 25:15 – Buying, Divesting, And What Consolidation Really Delivers
 28:30 – Why Physicians Shouldn't Be Employed By Hospitals
 29:56 – The Federal Ban On Physician-Owned Hospitals
 33:19 – Why The Airline Analogy Actually Works
 36:35 – The Nashville Operating Room Tragedy
 39:18 – The Vanderbilt Override Death
 41:38 – Why Systems Need A Real Hard Stop
 43:14 – Why Lower Drug Prices Won't Change Your Premium
 47:40 – Why Healthy Adults Are Leaving The Exchange
 50:23 – Give People Options, Not Mandates
 52:31 – The Real Fix For Catastrophic Care
 54:26 – Why Politicians Shouldn't Be Running Healthcare
 56:05 – Finding Common Ground In A Divided Room
 58:04 – Bring In The Operators, Not The Think Tanks

In 1974, five percent of American children were overweight. Today it is twenty percent. In fifty years, with more nutrition science, more fitness knowledge, and more information than any generation has ever had, we have gotten four times worse. That should tell you something. This is not a math problem. It never was.

In this conversation, I sit down with a board-certified pediatrician who walked away from the traditional model of writing meal plans, ordering labs, and telling children they need to change. We talk about the hidden weight of shame that quietly makes every well-meaning message worse, the sixteen-year-old girl who taught her the biggest lesson of her career in nine words, the parent traps that make dinner a battlefield, and the simple shift that separates parents who watch their kids struggle from parents who quietly build a home where their kids thrive.

If you have a child, love a child, or spend any time around children, this episode will change what you say to them tomorrow.

In this episode, you'll learn:

• The one sentence almost every parent says to a struggling child that quietly makes the problem worse
• The hidden reason today's children move less, socialize less, and struggle more than any generation before them
• The single shift that separates families who battle over food from families who quietly heal without ever saying the word weight

Connect with Wendy:

Website: www.WendySchoferMD.com

For direct consult access: WendySchoferMDScheduling.as.me/consult

Chapters:

00:00 – Cold Open
 00:36 – From 5% To 20% In 50 Years
 02:42 – The First Question She Asks Every Family
 05:02 – Why Prescribing Change Creates Shame
 07:00 – The 16-Year-Old Who Shut It Down In 9 Words
 10:27 – Why You Tell Me What To Do, I'll Tell You Where To Go
 11:39 – What Your Grandkids Are Really Telling You
 13:23 – Why She's The Slowest Doctor In The Room
 14:20 – Help Without Harm
 19:32 – The Rise Of Looksmaxing And Jaw Surgery
 20:57 – Why Pediatrics Is Never One Patient
 23:22 – Slowing Down In A World That Won't
 26:23 – The Play Kids Don't Get Anymore
 28:48 – What Every Adult Is Modeling In Public
 31:26 – E-Bikes, Old Bikes, And The Missed Muscles
 33:09 – The Day The Sun Never Set
 36:16 – Grandparents Are For Good Things Only
 37:57 – When You Don't Have A Village, You Build One
 43:07 – The Parent's Own Relationship With Food
 46:23 – Why First-Time Moms Are Set Up To Struggle
 48:22 – The Fake Perfection On Every Screen
 52:10 – The Direct Primary Care Difference
 55:37 – Chronic Disease At The Roots
 56:23 – How Improv Became A Care Skill
 58:39 – When You Say It Out Loud, It Shrinks

Before Obamacare, patients used to say "let me call my doctor." Nobody says that anymore. Now the phrase you hear is a version of "I can't get in," "they rushed me," or "they didn't listen." Every single one of those frustrations traces back to one thing: the quiet destruction of the doctor-patient relationship.

In this conversation, I sit down with a fierce advocate who watched three cancer diagnoses, lost her own radiologist to suicide, and then made it her life's work to stand up for the people who spend theirs standing up for us. We talk about the crushing weight almost every physician carries but never names, the untold epidemic quietly killing hundreds of American doctors every year, the one thing every patient can do at their next appointment that costs nothing and matters more than they realize, and the massive number nobody in Washington wants you to see.

If you have ever loved a doctor, been cared for by one, or wondered why healthcare feels so cold now, this episode will change what you say at your next appointment.

There is also an inaugural physician retreat coming up October 9 through 12 in Ossining, New York, gathering doctors from Australia, the UK, Italy, and eighteen states across fifteen specialties. Use code VIP100 for one hundred dollars off, or VIP150 for one hundred fifty dollars off when you register with a friend. Full details at standupfordoctors.org, linked in the show notes.

In this episode, you'll learn:

• The hidden burden almost every physician carries that patients rarely see, and what it does to them over decades
• The one small gesture from a patient that can literally save a doctor's life on a bad day
• The bigger truth about Washington that quietly explains why American healthcare keeps getting worse no matter which party is in charge

Connect with Kim Downey

Youtube: www.youtube.com/@StandupforDoctors

LinkedIn: linkedin.com/in/kim-downey-a9307b72

Chapters:

00:00 – Cold Open
 00:29 – Why Restoring The Doctor Patient Relationship Fixes Everything
 02:03 – The Cancer Diagnoses And The Radiologist Who Was Lost
 03:45 – Getting To The Core Of What's Broken
 05:03 – Burnout, Moral Injury, And The Words Doctors Hate
 08:46 – The Loneliness Of Being A Physician
 09:26 – The God Complex Nobody Understands
 11:10 – Inside The First Book
 12:33 – The Anesthesiologist Story Nobody Talks About
 14:53 – What Every Medical School Dean Should Do On Day One
 20:06 – Why The EMR Broke Everyone In The Hospital
 23:45 – The Only People Winning In American Healthcare
 26:32 – Why Physicians Feel Trapped Even Though They Aren't
 28:59 – You Are Not Alone
 33:13 – What This Does To Physician Families
 39:32 – What Every Patient Can Do This Week
 42:05 – The Truth About Congress And Healthcare
 43:59 – The Cards Every Doctor Saves In A Drawer
 46:46 – Being Your Own Advocate At Every Visit
 48:01 – Why Direct Primary Care Changes The Equation
 49:45 – Inside The Physician Retreat
 53:13 – Bringing Creativity Back To Medicine
 56:33 – Why This Is A Global Fight
 58:35 – Closing Thoughts

If you use a wheelchair to fly on almost any American airline, you have to hand your legs over to a stranger. If they break your wheelchair, and they do, you arrive at your destination without a way to move. If you need to use the bathroom on a single-aisle plane, in most cases you can't. So people dehydrate all day, wear diapers, or have accidents in their seats. This is not the exception. This is the rule.

In this conversation, I sit down with someone who has lived the reality of American disability policy from the inside, and who now leads a policy fight in Washington to fix a system that quietly traps millions of Americans in poverty and pushes millions more into emergency rooms, prisons, and homelessness.

We talk about the dollar limit that keeps disabled Americans from saving for retirement, marrying, or even owning a second car. We talk about the perverse Medicaid formula that rewards states for enrolling healthy people over the ones who most need care. We talk about the sixty-year-old rule quietly starving America of the mental health beds we desperately need, and the one policy shift that could unlock real work, real independence, and real dignity for millions.

If you love someone with a disability, or you want to understand where American healthcare, mental health, and disability policy actually went wrong, this is the episode.

In this episode, you'll learn:

• The airline reality most Americans have no idea exists, and what happens when the disabled traveler has to fly alone
• The single-number rule buried in a nineteen-sixties law that quietly forces disabled Americans to stay poor to stay alive
• The well-intentioned reform from decades ago that is a hidden reason your emergency rooms are overflowing with mental health crises today

Connect with Rachel:

X: @RachKBarkley

LinkedIn: linkedin.com/in/rachel-barkley-005a4921

Director of Able Americans https://ableamericans.us/

Chapters:

00:10 – The Advocate Who Became A Patient
 01:23 – The Airline Reality Nobody Talks About
 03:45 – When Your Wheelchair Arrives Broken
 04:14 – Why There's No Bathroom For You
 05:11 – The 2033 Rule Written By The Industry
 06:22 – Level Playing Field Is Not A Handout
 08:07 – What Actually Counts As A Good Outcome
 09:26 – Why Expensive Patients Fall To The Bottom Of The List
 12:22 – The Medicaid Lesson Most People Never Learn
 15:13 – The Reagan Waiver That Changed Everything
 17:06 – Why States Chase The 90 Cent Dollar
 18:49 – Hospital At Home As A Model For Disability Care
 20:35 – Give The Dollars To The Person
 23:00 – Why Most Care Should Never Involve Insurance
 24:10 – The Trap Called The Asset Limit
 26:52 – Who Designed The $2,000 Rule
 27:54 – Why This Is An Equal Protection Problem
 29:23 – The Direct Primary Care Fix For Medicaid
 32:23 – The $1,200 Catheter Only Medicaid Covers
 36:39 – The Mental Health Rule From 1965
 39:29 – Why The ER And The Jail Became The Hospital
 42:21 – The ADA And The Woman In The Wheelchair Nobody Ignores
 44:21 – The Six-Foot-Six Husband Who Married A Three-Foot Woman

She was thirty years old, marathon-fit, and one week into being a first-time mom. Two weeks later she was paralyzed from the shoulders down. The first doctor she met handed her a book on dying with dignity and told her family to prepare. If her mother hadn't pushed back, she wouldn't be alive today.

In this conversation, I sit down with one of the most inspiring guests I've ever had on this show to walk through the exact turning points of her survival, the questions every patient needs to ask when they're handed a rare and terrifying diagnosis, and the fight she is now leading in Washington to fix a broken safety net that traps millions of Americans in more paperwork than they can survive.

We talk about the red flag that told her family to get a second opinion, the type of specialized center you have almost certainly never heard of but need to know exists, the way insurance denials of critical rehab time can quietly ruin a recovery, and the reason nine billion dollars a year is being stolen from Medicaid while hundreds of thousands of disabled Americans sit on a waiting list.

If you've ever been handed a diagnosis nobody prepared you for, or love someone who has, this is the episode.

In this episode, you'll learn:

• The one warning sign that told her family the first doctor was wrong for her, and how to spot it in your own care
• The category of specialized center almost no patient knows exists, that separates the best recoveries from the worst
• The single fix that could rescue millions of Americans stuck in a system designed to break them

Connect with Rachel:

X: @RachKBarkley

LinkedIn: linkedin.com/in/rachel-barkley-005a4921

Director of Able Americans https://ableamericans.us/

Chapters:

00:51 – Marathon Fit, First-Time Mom, And Then Paralyzed
 03:45 – The Neck Scan Nobody Ordered
 04:11 – The Book On Dying With Dignity
 05:37 – How Her Family Found The Right Surgeon
 08:05 – Why Volume Matters When The Diagnosis Is Rare
 11:25 – How To Actually Find A Specialist For A Rare Disease
 13:48 – Trust The Gut Feeling
 16:28 – The Second Opinion That Changed Everything
 18:11 – The Night Before The Eight-Hour Surgery
 19:15 – The Zit Analogy And The Successful Extraction
 20:24 – Waking Up Paralyzed From The Shoulders Down
 22:15 – The Impossible Blood Clot Decision
 22:34 – The Pulmonary Embolism That Would Have Killed Her At Home
 24:02 – Choosing The Rehab Hospital That Would Take Her Baby
 25:07 – Why Insurers Are Cutting Rehab Days That Save Lives
 27:30 – The Surgeon Who Gave Her Hope
 28:33 – The Doctor With Real Time For Her
 31:39 – Christopher Reeve Model Systems Explained
 34:56 – The Two And A Half Months That Rebuilt A Life
 36:03 – Why Insurance Company Physicians Have Zero Accountability
 38:45 – Prior Auth As A Numbers Game
 40:41 – When The RFK Jr Question Cracked The System Open
 43:31 – How Obamacare Turbocharged The Vertical Integration
 44:10 – The Eighty Programs Across Fourteen Agencies Trap
 47:06 – The Eight-Month Wait To Start Getting Back To Work
 49:33 – Why No Sane Person Would Design The Current System
 50:37 – Who The Safety Net Was Actually Built For
 55:06 – Where The Nine Billion Actually Went
 58:10 – The Seven Hundred Thousand On A Waiting List

The most effective advocate for American physicians on social media today isn't a physician. He's an immigrant accountant who has spent over two decades trying to convince doctors that they hold every card in American medicine, and they just don't play them.

In this conversation, I sit down with him for a full breakdown of what's actually happening inside the American healthcare industry. We talk about the specific law in the Affordable Care Act that quietly banned physicians from owning new hospitals, the thirty million dollars a year being spent to keep that law in place, the federal program now paying rural hospitals to shut down, the state where you need almost the entire legislature to approve a new hospital, and the enormous marketplace opportunity that every major tech company has refused to build even though the customers are already there.

If you've ever wondered why American healthcare feels rigged, this is the episode that lays out exactly who is doing the rigging and why.

In this episode, you'll learn:

• The single law hidden inside the Affordable Care Act that quietly changed who is allowed to build a hospital in America
• The little-known federal program right now that is quietly rewarding rural hospitals to close their doors for good
• The one shift in thinking that separates physicians who stay trapped from physicians who take back control of their careers

Connect with Dutch Rojas:

X: @DutchRojas
 LinkedIn: linkedin.com/in/dutchrojas
Website: Bliksemhealth.com
Substack: DutchRojas.substack.com

Chapters:

00:22 – The Most Effective Physician Advocate Isn't A Physician
 02:09 – The Physician Empowerment Paradox
 02:54 – Two Decades Of Trying To Get Doctors Direct Contracts
 05:25 – The $50,000 Doctors Would Not Invest
 07:44 – The Consolidation Machine
 12:50 – Inside A Real Self Funded Plan
 14:10 – Why Direct Primary Care Is Not A Simple Bolt On
 16:42 – Why Medical Schools Stopped Inviting The Truth
 19:04 – The $100 A Month Experiment Nobody Will Fund
 20:50 – Why The Moral High Ground Loses To Money
 23:36 – The Employer Clinic Opportunity Ortho Groups Turned Down
 27:33 – The Physicians Who Actually Own Hospitals
 29:43 – Why A Rodeo Clown Can Own A Hospital But A Surgeon Cannot
 31:20 – The Reality Inside 200 Rural Hospitals
 33:22 – The West Virginia Story
 35:57 – The Federal Program Paying Hospitals To Close
 38:11 – Minnesota's Super Super Majority Trap
 39:36 – Why Outcomes Data Belongs On A Commodities Exchange
 43:47 – Why This Is The Most Optimistic Moment In Years
 45:57 – The Cash Marketplace That Already Exists
 53:00 – The Three Fights To Focus On Right Now
 55:12 – You Are Already The Single Payer
 59:36 – Why Governors And Attorneys General Have Real Power
 01:03:25 – Why Tech Refuses To Build The Healthcare Marketplace
 01:07:34 – Why Hospital At Home Is The Next Frontier
 01:11:00 – Physicians Need To Own The Whole Stack
 01:13:36 – Stop Thinking About Your P&L. Think Balance Sheet.
 01:15:00 – Three Live Events For Physicians Next Year
 01:17:32 – The Newsletter On Fire
 01:20:15 – Why The Staffers Run Washington

There is a version of the American dream that almost nobody talks about. A kid in a small mountain village in northern Italy, watching a random football clip on his laptop in art class, gets pulled aside by his IT teacher, and nine years later he's holding a Super Bowl trophy on a field in Los Angeles.

In this conversation, I sit down with one of the most unlikely athletes in professional football to walk through how he actually did it. We talk about the freakish physical and mental combination that separates the men protecting your favorite quarterback from everyone else on the field, the diet reality that most Americans never think about (there's a fine if you lose too much weight), the moment he discovered American healthcare was nothing like the system he grew up with, and the secret weapon most professional athletes have but almost never mention publicly.

If you've ever felt like you started too late, if you love football, or if you're curious what life inside the NFL actually looks like from the trenches, this one will surprise you.

In this episode, you'll learn:

• The unusual combination of traits an elite offensive lineman actually has, and why one of them matters more than size or strength
• The daily physical toll professional football players quietly absorb, and what they do to keep coming back
• The one relationship most professional athletes credit with the fact that they can perform at all

Connect with Max Pircher
 Instagram: @maxpircher

Chapters:

00:00 – Cold Open
 01:23 – From The Alps To The NFL By Accident
 02:32 – How American Football Is Growing In Europe
 03:05 – Inside The International Player Pathway
 05:09 – Starting A Sport At Nineteen
 07:16 – The Speed Of The Modern Game
 07:51 – Inside An Offseason Training Day
 09:25 – Why In-Season Recovery Is Everything
 10:19 – What A Hit Actually Feels Like
 11:35 – Why Offensive Linemen Play The Longest
 12:50 – The Super Bowl At Home
 15:09 – Life Across Five NFL Cities
 14:56 – The Shock Of American Healthcare
 16:58 – Why Every Country Runs It Differently
 18:52 – The Cultural Crossroads Of His Hometown
 20:04 – Italian Food Wins
 22:37 – Eating To Stay 340 Pounds
 23:47 – When Losing Weight Costs You Money
 24:27 – The Lambeau Experience
 27:11 – Advice For The Kid Who Wants To Get There
 28:09 – The Secret Weapon Behind Every Athlete

There is a treatment that quietly canceled a knee replacement, healed a stress fracture in a hip that doctors gave up on, and brought back a full head of hair after COVID stole it. It uses nothing from a bottle. Nothing from a lab. Nothing from a donor. It uses only what your body was already going to produce.

In this conversation, I sit down with a sports medicine physician who spends his days healing the exact injuries most orthopedic surgeons rush straight to the operating room. We talk about the hidden dose science that determines whether a treatment actually works or fails, the injection almost every American has had that's quietly wearing down your joints from the inside, why the $150 clinic on the corner is a trap, and the future of medicine where you might one day walk into a clinic and get injected with your own thirty-year-old cells at age eighty.

If you've been told your only option is surgery, or that you've tried "the biologic stuff" and it didn't work, this episode will make you question everything you were told.

In this episode, you'll learn:

• The hidden dose factor that separates a treatment that actually heals from one that quietly wastes your money
• The common injection almost everyone has had that's silently damaging the joint it was supposed to help
• The one question you must ask any clinic offering regenerative treatment before you let them touch you

Connect with: Dr. Gayan Poovendran:

LinkedIn:https://www.linkedin.com/in/gayan-poovendran-md-caqsm-5b002365

Website: https://www.pro-institute.com/

Chapters:

00:57 – What Regenerative Medicine Actually Is
 02:35 – The Training That Isn't In Any Textbook
 04:21 – What PRP Really Is
 05:43 – Why Platelets Do So Much More Than Clot
 06:42 – How A Real PRP Protocol Works
 09:20 – The Dose Nobody Talks About
 10:23 – The Botox Trap And The PRP Trap
 11:43 – Where Stem Cells Come From
 13:23 – Why Insurance Won't Cover This
 14:04 – Why Most Studies Say It Doesn't Work
 16:36 – The Kentucky Patient Who Beat Her Diagnosis
 17:36 – The Doctor Who Canceled His Knee Replacement
 18:09 – Recovery Compared To Surgery
 20:19 – What Peptides Add To The Picture
 22:09 – The Hidden Cost Of Every Cortisone Shot
 23:58 – The Hair Loss Result Nobody Expects
 25:44 – What Ozone Therapy Actually Does
 28:06 – Why Shockwave Works Differently Than A Massage Gun
 29:16 – The Future Of Regenerative Medicine
 30:29 – The One Question To Ask Before Any Treatment

Ralph is 54. He's a golfer. His left knee has been screaming at him for months. He's tried physical therapy, ibuprofen, rest, ice, and cortisone shots. His orthopedic surgeon told him he only has two choices left: live with the pain, or go under the knife.

He was wrong.

In this conversation, I sit down with a sports medicine physician who walked out of the employed system and built his own practice from scratch so he could actually treat patients the way medicine used to work. We talk about the biomechanical force golf puts on your lead knee that's probably way more than you think, the surgery that's still being performed millions of times a year despite science showing it works no better than a sham, the diet and warm-up shifts that can quietly rebuild a joint from the inside, and the mindset trap that lets people accept knee pain as just part of getting older when it never had to be.

If you're an athlete, a former athlete, or someone whose body has started to talk back to them, this is the one.

In this episode, you'll learn:

• The hidden force your favorite sport is loading onto one specific joint every single swing, and why the short game does more damage than the long ball
• The extremely common orthopedic surgery the medical journals say works about as well as doing nothing at all
• The simple pre-round shift most golfers over 40 skip that's quietly costing them years of playing time

Connect with: Dr. Gayan Poovendran:

LinkedIn:https://www.linkedin.com/in/gayan-poovendran-md-caqsm-5b002365

Website: https://www.pro-institute.com/

Chapters:

00:00 – Cold Open
 01:09 – Why He Walked Away From Employed Medicine
 04:32 – The First Year Of Building From Scratch
 07:09 – How To Actually Evaluate A Knee
 08:43 – Left Knee Or Right Knee, Different Story
 10:48 – Age Is Just A Number
 11:30 – Why Muscles Protect Cartilage
 13:02 – The Real Forces On A Golfer's Knee
 14:48 – Eating To Heal A Joint
 16:27 – Why Cold Swings Break Something
 18:11 – Tennis, Pickleball, And Cumulative Damage
 20:25 – What Older Athletes Do Better
 23:07 – The Surgery That Doesn't Work Better Than Nothing
 25:57 – Why Four Back Surgeries Isn't The Answer
 27:29 – Why Physical Therapy Wins More Than People Think
 29:55 – The Simple Bedside Test Almost Nobody Does
 31:10 – Why Ordering An MRI Used To Be A Fight
 32:09 – What He Does For Fun

There is a law in 35 states that requires anyone who wants to open a new hospital, add a bed, or expand a service to ask the government for permission first. And here's the part nobody talks about: they also have to ask their competitors. If you're thinking that can't possibly be legal, you're not alone. Most people have never even heard of it.

In this conversation, I sit down with one of the sharpest young minds in state healthcare policy to walk through the hidden law quietly making American healthcare more expensive, less accessible, and more dangerous, especially for rural families. We talk about the two-hospital duopoly running an entire state, the maternity deserts leaving mothers driving hours in labor, the "nonprofit" hospital giving less than one percent of its revenue to charity care while closing labor and delivery to fund an eight hundred million dollar expansion, and the single reform that could crack the entire system open.

If you live in a rural community, care about someone who does, or wonder why your healthcare bills keep climbing while your options keep shrinking, this episode names what's actually happening.

In this episode, you'll learn:

• The little-known state law that lets your local hospital legally block a new one from opening in your town
• Why the "nonprofit" label on the biggest hospital systems in America is doing the opposite of what you think it is
• The one reform that could bring competition, lower prices, and new hospitals back into rural communities almost overnight

Connect with Jessica Dobrinsky:

Hospital Policy Analyst& writer/ Chief of Staff of the Cardinal Institute for WV Policy
 LinkedIn: linkedin.com/in/jessicadobrinsky.
X: @jldobrinsky

Chapters:

00:22 – The Law That Restricts Your Healthcare Supply
 01:20 – What Certificate Of Need Actually Is
 03:00 – Why Innovators Skip These States
 04:04 – Ask Your Competitor For Permission
 05:22 – The Two-Hospital Duopoly Running A State
 06:45 – When The System Blocks A New Hospital
 08:11 – The Maternity Deserts Nobody Talks About
 09:03 – The Mother In The Ice Storm
 12:14 – Why Birthing Centers Alone Cannot Solve This
 15:04 – How A Rural Hospital Went From +20% To -18% Margins
 16:51 – The Consolidation Lie In Healthcare
 18:23 – The Nonprofit Hospital Giving Less Than 1%
 20:29 – Aggressive Collections From A "Nonprofit"
 22:18 – The Financial Assistance Nobody Tells You About
 23:16 – Why Hospital Mergers Get Rubber Stamped
 25:59 – The Ambulatory Surgery Center Squeeze
 27:05 – Why The Repeal Keeps Failing By One Vote
 30:06 – The 340B Program Nobody Is Watching
 32:39 – The $800 Million Deal Out Of State
 34:01 – Why "Nonprofit" Should Really Mean "Non-Tax-Paying"
 39:11 – Three Reforms That Would Change Everything
 42:25 – The Medical Debt Crushing Rural Families
 43:31 – Why Independent Physicians Are Disappearing
 46:43 – The 350% Of Medicare Trick
 47:42 – The Critical Access Loophole
 49:14 – A Community Blocked From A New Hospital
 50:20 – Why The Doctors And Nurses Are Victims Too
 52:50 – Why This Fight Actually Matters