Next Generation Medicine
Next Generation Medicine--the podcast tailor made to empower the next generation of doctors with principles of liberty. By listening, you will have a deeper understanding of why the patient-doctor relationship is central to a better healthcare system and how competitive markets unleash the creativity needed to achieve affordable, quality healthcare.
Aishat Olanlege, MD, was BRI's first international medical student leader. She established the Ibadan BRI chapter and was one of BRI's most prolific leaders. She combined her thirst for knowledge with a desire to improve the quality of life in her community through entrepreneurial efforts. Dr. Olanlege continues to work on healthcare policy and improving community health in her area.
The Association of Independent Doctors gives physicians in private medical practices a voice in the face of encroaching government regulation and medical consolidation. As hospitals become increasingly monopolistic and enticing to new doctors entering the field, studies show without fail that such consolidation reduces transparency, quality of care and the direct time a patient spends with a doctor, while increasing costs and inefficiencies.
Is there a "healthcare economy" that is somehow different from the "regular" economy? Understanding the nature of buyers and sellers of goods or services, including healthcare, can help put patients and doctors back in the driver's seat of any healthcare transaction, eliminate false incentives and simplify the entire healthcare insurance process.
Beth Haynes, MD, BRI medical director discusses fundamental issues in healthcare policy underlying questions such as "What about the poor?" Is the overall goal to drive more and more people into government dependence, or to help people thrive independently, making the best healthcare decisions for themselves in a free market?
Danny McCorry, BRI-Georgetown chapter founder and past president talks about how he discovered BRI and leveraged his interest in free market healthcare policy and medicine into a prestigious fellowship. His white paper on Direct Primary Care was influential in passing healthcare legislation on a state level, and continues to influence policy discussions across the country.
Direct Primary Care, Concierge Care, Connected Care: What distinguishes these medical models, and which might be best for a future medical practice? See how each of these medical practice models put the patient and the doctor more in control of healthcare delivery.
What is a health care sharing ministry (HCSM), and how do they help reduce costs and increase transparency for patients? The HCSM model has provided an avenue for affordable, quality health care that does not entail paying for services that are against a member's conscience, while encouraging personal responsibility and cutting the price of healthcare services.
Dr. Venu Julapalli returns to NexGenMed discussing Health 3.0. How has medical delivery evolved, and how can we take the best of the past and combine synergistically for a brilliant healthcare future?
Gayle Brekke explores the proper role of insurance companies and how DPC can challenge the status-quo of US healthcare.
Society of Actuaries DPC study:
https://www.soa.org/resources/research-reports/2020/direct-primary-care-eval-model/
Leah Houston, MD says a hospital stole her identity. To prevent this from happening to other physicians Dr Houston wants utilize block chain technology to create a self-soverign digitial identity for doctors.
HPEC website: www.hpec.io
Twitter: @LeahHoustonMD & @HPECid
Zak grew up on a farm in New Zealand and from a young age dreamed of going to Silicon Valley. He made his dream come true and is the CEO of Hint in San Francisco. Hint (which stands for Health Intelligence) works with doctors that want to remove 3rd party payers from their practice.
James Price is a 4th year medical student who fought to end Step 2 Clinical Skills. In its current state James believes Step 2 CS' cost outweighs the benefit. James also tells us about his experience testifying about DPC before the Wisconsin State Assembly.
Naomi Lopez Bauman is the Director of Healthcare Policy at the Goldwater Institute. Naomi joins NexGenMed to share why she believes DPC could become a vital part of US healthcare and her thoughts on prescription drug costs and possible solutions.
goldwaterinstitute.org
@LopezBauman
Rafael Fonseca, MD is a consultant in the Division of Hematology and Oncology at the Mayo clinic in Arizona and a visiting healthcare fellow at Goldwater Institute. Dr. Fonseca discusses the fiduciary responsibility of the physician to the patient.
Tony Dale is a former physician from Great Britain. He became interested in US health care when he had surgery in the US in the 1990s. Dr. Dale knew there had to be a better way so he created Sedera Health in 2014.
Caren Gallaher, MD shares her thoughts on the expanding scope of practice for NPs and PAs. Dr Gallaher believes integrated medical teams led by physicians is best for America.
https://www.physiciansforpatientprotection.org/
John Inazu is the Sally D. Danforth Distinguished Professor of Law and Religion at Washington University in St. Louis. He writes and speaks frequently to general audiences on topics of pluralism, assembly, free speech, religious freedom, and other issues. Dr. Inazu joins NexGenMed to share his ideas on thriving in society with deep differences.
Amazon: Confident Pluralism: Surviving and Thriving through Deep Difference
Allison Edwards, MD shares her journey from academic medicine to running her own DPC practice. She discusses the challenges and opportunities in running her own practice, doing locum tenens work in the ER, how she learned to run a business, her consulting work with tech start ups, and more!
Links:
Dr. Christion Rice is an advocate for physician executives and of physician-owned healthcare models. He believes that the US health care system can be best improved when compassionate American physicians provide physician-led and free-market solutions.
Website for direct pay Oklahoma ER:
Contact: crice@okerhospital.com
Michael J. Daughtery shares with NexGenMed his incredible battle with the FTC and cybersecurity black-mailers. After years of court battle Michael finally won.
The Devil Inside the Beltway
The Shocking Exposé of the US Government’s Surveillance and Overreach into Cybersecurity, Medicine and Small Business.
https://michaeljdaugherty.com/the-devil-inside-the-beltway-available-now/
Amazon link:
https://www.amazon.com/Devil-Inside-Beltway-Surveillance-Cybersecurity/dp/0985742224/ref=sr_1_1?ie=UTF8&qid=1551052892&sr=8-1&keywords=the+devil+inside+the+beltway
Instead of telling other people how to fix healthcare Dr. Brian Hill decided to go out and do it. HIP Nation was founded in order to avoid dealing with third party payers.
https://hipnation.com/
Stop the Noise: A Physician's Quest to Silence the Politics of Health Care Reform
Most new 'solutions' to fix the healthcare system put more and more layers between the patient and the doctor.
www.fmma.org
Almost all medical students have to take out loans to fund their education. Tuition is on the rise and the debt load is an increasing concern for students. Daren Blonski, CFP gives advice on choosing a financial advisor, managing the debt, and more.
Medical students and physicians need to be educated in public policy so we can add our voice to the debate. Physicians must advocate for healthcare reform the benefits both providers and patient. Aamir shares what he learned from his MPP and his research into single-payer.
Maggie is from Canada and attends medical school in the US. She shares her ideas on Canadian style healthcare in America.
Jeffrey Singer, MD is a general surgeon, private practice owner, and a senior fellow at the Cato Institute. He shares with NexGenMed his research on the opioid problem.
May 2018 President Trump signed the Right to Try bill. Christina Sandefur is a co-drafter of the Right to Try initiative and she discusses why it is important for patients. Links: Goldwaterinstitute.org, https://indefenseofliberty.blog/
Juliette Madrigal, MD is the former president of AAPS and owns her own DPC practice. She discusses her journey to DPC and the genuine doctor-patient relationship she enjoys.
Kimberly Corba, MD explains her journey to DPC and her political advocacy in DC.
Originally planning on becoming a physician, Christopher Habig changed course and decided to create a business designed to help direct primary care doctors. Freedom Healthworks helps doctors transition their practices to a direct primary care model as well as helping young doctors establish new DPC practices.
Brian Dixon, MD, owns a direct care child psychiatry clinic in Texas. He explains his ideas for improving US healthcare and Physicians Rise.
Marilyn Singleton, MD, a board certified anesthesiologist and president-elect of AAPS, discusses upcoming AAPS conferences, the essay contest, and her goals as the future president of AAPS.
Marion Mass, MD, has been a practicing pediatrician for over 20 years. Recently she has concentrated her time on political advocacy, specifically fighting to repeal Safe Harbor Laws for Group Purchasing Organizations (GPOs) and Pharmacy Benefit Managers (PBMs).
Joel Bessmer, MD tells his story from academic medicine to DPC. He realized that he wasn't getting the career satisfaction or work/life balance he wanted, so he created his own DPC practice.
John Flo, medical student, BRI-SLU chapter founder and mentor, BRI and Heritage Foundation intern, on taking charge of one's medical education and building in other aspects of healthcare.
Beth Haynes, MD and BRI medical director, drills into what constitutes a right, and is claiming that healthcare is a right really in accordance with our Constitutional principles?
Twila Brase, RN co-founded the Citizens' Council for Health Freedom, an organization designed to empower average citizen patients to advocate for their own health freedom.
Sally Pipes, founder of Pacific Research Institute and BRI, examines the realities of government medicine and recommends ways to end it before it becomes entrenched in the US.
While a PA student, Will Craghead researched student attitudes towards Direct Primary Care. In spite of institutional obstacles, he was able to gather some eye-opening information. (Be sure to check out the article included in the bonus material, "Direct Primary Care: Improving Medical Student Interest in Primary Care" by Will and BRI alum Danny McCorry, MD.)
Jason Fodeman, MD, MBA discusses how his background in economics, business and medicine has enabled him to understand the US healthcare system and be a powerful voice for appropriate healthcare solutions.
Dr. Phil Eskew obtained his JD degree by design prior to pursuing an MD. Now he uses knowledge from both domains for the purposes of furthering healthcare freedom, specifically in the area of direct primary care (DPC). In this episode, he discusses the "state of the nation" for DPC in the states.
Physician and author Dr. Michel Accad reflects on his journey through system-based medicine and how his skepticism of population medicine led him to establish his own private practice.
How have historical, political constructs influenced healthcare, not only in Israel, but also in the US? Jordan Halevy walks us through a comprehensive overview of the history of US healthcare, illuminating why it is grossly inaccurate to say that the US has a truly free market healthcare system.
In the third of a 3-part series on diagnosing American healthcare, Dr. Venu Julapalli explains from a physician's medical perspective what is fundamentally missing from the American healthcare system. Starting with first principles that also address the individual's life purpose and passion, Dr. Julapalli examines what could return the "crackle," joy, and spark to medical practice.
Part I: Diagnosing American Medicine - Policy with Patrick Ishmael, Show Me Institute
Part II: Diagnosing American Medicine: Business with David Goldhill, CEO of the Game Show Network & author of Catastrophic Care
In the second of a 3-part series on diagnosing American medicine, David Goldhill, CEO of The Gameshow Network and author of Catastrophic Care: Why Everything We Know About Healthcare is Wrong, takes on this diagnosis from a business perspective. Mr. Goldhill outlines many ways that sound business practices and the right economic incentives can be applied to healthcare, which would result in positive solutions like lowering costs, increasing quality and heightening access.
Part I: Policy with Patrick Ishmael, Show Me Institute
Part III: Medicine with Venu Julapalli, MD on Healthcare 3.0
Patrick Ishmael, Director of Government Accountability at the Show-Me Institute (MO), takes on the diagnosis of American Medicine from a policy perspective in the first of a 3-part series. How are current policies influencing healthcare, and what policy solutions could be introduced to ameliorate the problems we currently face?
Watch for the rest of the series:
Part II Business with David Goldhill, author of Catastophhic Care
Part III Medicine with Venu Julapalli, MD on Healthcare 3.0
Andrew Widener, MS1, BRI chapter president at McGovern Medical School (University of Texas, Houston) discusses how he and other medical students are making a difference beyond the classroom. Mr. Widener shares about running a successful BRI chapter, and how BRI is the only free market organization encouraging medical students to engage in productive healthcare policy debate.
Dr. Lee Gross, president of the Docs 4 Patient Care Foundation and founder of Epiphany Health, a Direct Primary Care clinic in Florida, joins BRI's NexGenMed host John Flo to discuss the genesis of Epiphany Health and how this direct pay model is spreading across the country. Not only are patients saving enormously on everything from routine labs and procedures to life-saving cancer treatments, states are saving millions of dollars in their healthcare budgets by enrolling their staff with DPC clinics.
In spite of these positive gains however, the fight isn't over yet. Many states have not adopted legislation that will protect this life- and money-saving healthcare delivery model. We encourage all physicians and medical students to listen to this podcast to find out more about Direct Primary Care and how they can become involved in the free market healthcare movement.
Aravind EyeCare has been saving people in India from unnecessary blindness since the 1970s. Thulsi Ravilla, director, joins BRI's NexGenMed host John Flo to discuss how Aravind's business model is spreading throughout India, making quality eye care affordable for even the most indigent of India's population.
By copying the McDonald's business model of training people—in this case technicians and physician—to perform repetitive procedures consistently, Aravind has been saving people all over India from unnecessary blindness, mostly due to cataracts.
"Intelligence and capability are not enough. There must also be the joy of doing something beautiful. Being of service to God and humanity means going well beyond the sophistication of the best technology, to the humble demonstration of courtesy and compassion to each patient." ~Dr.G.Venkataswamy, Aravind Founder
According to Thulsi, healthcare prices don't necessarily reflect true costs, but rather reflect healthcare practice inefficiencies. Streamlining efficiencies is just one way that Aravind provides free or low-cost eye surgeries to millions of people who otherwise would not even seek eye care.
In every other industry, advances in technology have improved quality while simultaneously lowering prices. Why hasn't this occurred in medicine and healthcare? Dr. Robert Graboyes of the Mercatus Center discusses the effect of regulations.
Access to healthcare goods and services vary by state. Jared Rhoads, former BRI chapter leader, worked with the Mercatus Center to create the Health Openness and Access Project to index state-to-state differences.
Also - be sure to check out Jared's other project HealthPolicyTV for the best-of-the-best videos on health policy from across the political spectrum. For more information on the role of regulations in medicine, see "Fortress and Frontier in American Health Care" by Dr. Graboyes.
Trenton Schmale, recent graduate of Marian University College of Osteopathic Medicine, and John Flo, host and medical student at St. Louis University, discuss how involvement in health care policy has benefitted their medical education and prepared them for leadership. Trenton also shares tips for running a successful chapter of the Benjamin Rush Institute. Brought to you by BRI.
Dr. Josh Umbehr, family physician and co-founder of AtlasMD, and John Flo, host and medical student at St. Louis University, discuss direct primary care (DPC). Dr. Josh shares how he saves his patients money in a number of ways while bringing an incredible amount of personalized attention to his patients' health care. This model is revolutionizing primary care. For a longer talk by Dr. Josh on DPC, watch this video on the BRI webpage. Brought to you by the Benjamin Rush Institute.
John Flo, host and medical student at St. Louis University, interviews Dr. Keith Smith. Dr. Smith is an anesthesiologist, co-founder of the Surgery Center of Oklahoma, and co-founder of the Free Market Medical Association. Price transparency, independent practice, and the free market medical revolution are discussed. Brought to you by the Benjamin Rush Institute.
In this episode, host John Flo, medical student at St. Louis University, interviews BRI Medical Director, Dr. Beth Haynes, on the origin and purpose of the Next Generation Medicine podcast and its sponsor the Benjamin Rush Institute.
