Brigham Buhler

The biggest thing I saw in health care was doctors were exhausted, whether orthopedic surgeons, neurosurgeons. I mean, I told you this. My buddy, he's a prominent sports medicine surgeon. He's a team doctor for multiple teams. He's had highest positions at hospital systems. And even he says, what am I going to do, man? What am I fucking supposed to do? You know, I got it. I need to do surgeries.

The biggest thing I saw in health care was doctors were exhausted, whether orthopedic surgeons, neurosurgeons. I mean, I told you this. My buddy, he's a prominent sports medicine surgeon. He's a team doctor for multiple teams. He's had highest positions at hospital systems. And even he says, what am I going to do, man? What am I fucking supposed to do? You know, I got it. I need to do surgeries.

The biggest thing I saw in health care was doctors were exhausted, whether orthopedic surgeons, neurosurgeons. I mean, I told you this. My buddy, he's a prominent sports medicine surgeon. He's a team doctor for multiple teams. He's had highest positions at hospital systems. And even he says, what am I going to do, man? What am I fucking supposed to do? You know, I got it. I need to do surgeries.

I've got to do a certain amount of surgeries to make all the all of this flow and work. And I've got to hold my team accountable for the amount of surgeries and their volumes. And you're never supposed to make it about volumes. But all of these hospital systems are incentivized off volume metrics that are based off. cranking out the most amount of surgeries.

I've got to do a certain amount of surgeries to make all the all of this flow and work. And I've got to hold my team accountable for the amount of surgeries and their volumes. And you're never supposed to make it about volumes. But all of these hospital systems are incentivized off volume metrics that are based off. cranking out the most amount of surgeries.

I've got to do a certain amount of surgeries to make all the all of this flow and work. And I've got to hold my team accountable for the amount of surgeries and their volumes. And you're never supposed to make it about volumes. But all of these hospital systems are incentivized off volume metrics that are based off. cranking out the most amount of surgeries.

And so there is a tremendous amount of pressure from the top down. And with insurance companies dwindling reimbursements and dwindling, like even primary care reimbursements, but also surgical reimbursements, you're not going to be able to innovate when it's a race to the bottom, right? A total joint's paying less now.

And so there is a tremendous amount of pressure from the top down. And with insurance companies dwindling reimbursements and dwindling, like even primary care reimbursements, but also surgical reimbursements, you're not going to be able to innovate when it's a race to the bottom, right? A total joint's paying less now.

And so there is a tremendous amount of pressure from the top down. And with insurance companies dwindling reimbursements and dwindling, like even primary care reimbursements, but also surgical reimbursements, you're not going to be able to innovate when it's a race to the bottom, right? A total joint's paying less now.

It's going to take an 8% haircut every year, and it has for like the last 15 years. So nobody's going to go out and buy some brand new state-of-the-art joint or even innovate a brand new state-of-the-art joint because it's all about commodity, commoditizing it and driving down the cost right now to make it affordable to even get a joint.

It's going to take an 8% haircut every year, and it has for like the last 15 years. So nobody's going to go out and buy some brand new state-of-the-art joint or even innovate a brand new state-of-the-art joint because it's all about commodity, commoditizing it and driving down the cost right now to make it affordable to even get a joint.

It's going to take an 8% haircut every year, and it has for like the last 15 years. So nobody's going to go out and buy some brand new state-of-the-art joint or even innovate a brand new state-of-the-art joint because it's all about commodity, commoditizing it and driving down the cost right now to make it affordable to even get a joint.

That's crazy.

That's crazy.

That's crazy.

Growing up in Houston, I was used to hurricanes. A fire would be terrifying.

Growing up in Houston, I was used to hurricanes. A fire would be terrifying.

Growing up in Houston, I was used to hurricanes. A fire would be terrifying.

cracking in half. Are they having that many claims? Is that why?

cracking in half. Are they having that many claims? Is that why?