One of the most important things a young student can do to help their future is to pay attention to finances when he or she is young. This means to focus on minimizing debt, living lean after you get a paying job, and investing a sizable amount of your take home pay to achieve financial independence.

 

Dr. James Turner, aka the Physician Philosopher, is an anesthesiologist and hosts a very popular financial website to help those in medicine to navigate the treacherous waters of finance.

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Physician burnout and mental health problems have been well documented as has the physician suicide epidemic. Health systems implement wellness programs and have mental health awareness initiatives. However, the wellness programs do a poor job addressing the root causes of burnout and physicians have a hard time getting mental health help because of the professional stigma and inability to be sure that their treatment is truly confidential.

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There has been no shortage of ink spilled arguing how we fix our broken US health care system so today I will use the spoken word instead. Fundamentally, we all want the same things from the system: Quality care, Affordable care, and Access to care. The real question is how do we move from here to there? Are there people who have fixed these problems even on a small scale that we can use as guides to work things out? Finally, should we look off shores for solutions to our woes?

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This podcast has been dedicated to bringing you disruptors to the health care market and today's show features a discussion about health sharing ministries. The ministries work as a substitute to carrying health insurance allowing for people to use the service to pay their medical bills. Individuals pay a "sharing amount" each month which is then aggregated by the ministry amongst its members and sent to those with medical bills.

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Today, we continue our journey discussing physicians who are using direct patient care through a membership model as disruptors in the health care field. Direct primary care is one of the most disruptive and innovative models to emerge in recent years and more and more specialties are looking for ways to adopt the insurance-free notion of providing care to patients. Now we can add an OB/GYN to the ever growing lists of physician specialties as I discover the practice of Deborah Herchelroath, DO.

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For women, a very scary and anxious time of their life is pregnancy. C/sections are a very common procedure in the US for women constituting 33% of all live births.

However, my guest Dr. John LaGrand's practice, in which he works collaboratively with four certified nurse midwives (CNMs), he believes is a different way to practice obstetrics and has led to a c/section rate of only 5%.

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For women, a very scary and anxious time of their life is pregnancy. C/sections are a very common procedure in the US for women constituting 33% of all live births.

However, my guest Dr. John LaGrand's practice, in which he works collaboratively with four certified nurse midwives (CNMs), he believes is a different way to practice obstetrics and has led to a c/section rate of only 5%.

One of the great challenges to those paying for our health care today is determining who is high quality, who is truly expensive , and who is doing the right thing. Unfortunately, the payers in medicine are not the patients but third parties like Medicare. Since the person receiving the care is not directly paying for the service, administrators in an office have to make the determination of how to pay without experiencing the care and knowing whether the physician was providing the right care.

 

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One of the great challenges to those paying for our health care today is determining who is high quality, who is truly expensive , and who is doing the right thing. Unfortunately, the payers in medicine are not the patients but third parties like Medicare. Since the person receiving the care is not directly paying for the service, administrators in an office have to make the determination of how to pay without experiencing the care and knowing whether the physician was providing the right care.

Physicians today need to be more than healers. They need to also be leaders for their patients and partner with the patients throughout all aspects of care.  Until we as physicians take an active role in finding solutions to every problem encountered by our patients, we aren't doing our job. This includes being mindful of the cost of tests, procedures, and pharmaceuticals and doing something to lower those costs to make getting the necessary care affordable.

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