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Brigham Buhler

๐Ÿ‘ค Speaker
3378 total appearances

Appearances Over Time

Podcast Appearances

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

I think it's a multitude of things. I hate to go that far, but one, an easy low-hanging fruit that we could all agree on is... The insurance companies look at that and go, why do I want them to run a $500 blood test when I can pressure them into running a $50 blood test, right? And now, why would I want to uncover something that could lead to a surgery that costs me more money?

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

I think it's a multitude of things. I hate to go that far, but one, an easy low-hanging fruit that we could all agree on is... The insurance companies look at that and go, why do I want them to run a $500 blood test when I can pressure them into running a $50 blood test, right? And now, why would I want to uncover something that could lead to a surgery that costs me more money?

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

Because they're not monetizing the surgery, but they are monetizing the drugs. And so there's an incentive system to keep you on drugs. And then people go, well, eventually they're going to need surgery. So wouldn't that be catastrophic for the insurance? No, because I go back to my previous statement. Most people's insurance comes from their employer. And guess what happens in America?

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

Because they're not monetizing the surgery, but they are monetizing the drugs. And so there's an incentive system to keep you on drugs. And then people go, well, eventually they're going to need surgery. So wouldn't that be catastrophic for the insurance? No, because I go back to my previous statement. Most people's insurance comes from their employer. And guess what happens in America?

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

Because they're not monetizing the surgery, but they are monetizing the drugs. And so there's an incentive system to keep you on drugs. And then people go, well, eventually they're going to need surgery. So wouldn't that be catastrophic for the insurance? No, because I go back to my previous statement. Most people's insurance comes from their employer. And guess what happens in America?

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

The average American switches jobs every two and a half years. So if I'm an executive at, let's just say Cigna, so I don't keep picking on United. If I'm an executive at Cigna and I've got Joe Bob and he's pre-diabetic and he's Bubba's headed towards being morbidly obese and losing a foot. I know that he's got two years before we reach that chronic crisis. And by then he's somebody else's problem.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

The average American switches jobs every two and a half years. So if I'm an executive at, let's just say Cigna, so I don't keep picking on United. If I'm an executive at Cigna and I've got Joe Bob and he's pre-diabetic and he's Bubba's headed towards being morbidly obese and losing a foot. I know that he's got two years before we reach that chronic crisis. And by then he's somebody else's problem.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

The average American switches jobs every two and a half years. So if I'm an executive at, let's just say Cigna, so I don't keep picking on United. If I'm an executive at Cigna and I've got Joe Bob and he's pre-diabetic and he's Bubba's headed towards being morbidly obese and losing a foot. I know that he's got two years before we reach that chronic crisis. And by then he's somebody else's problem.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

Obese bag. But where the sad part is, most of the time, that these huge healthcare expenses happen are when they become the taxpayer's problem. Once you're over the age of 65 and you're Medicare or Medicaid and you're no longer on an employer's plan is when the years and years and years of chronic abuse, overprescription, all of that, the bill gets passed to who? Us, the taxpayers. Right.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

Obese bag. But where the sad part is, most of the time, that these huge healthcare expenses happen are when they become the taxpayer's problem. Once you're over the age of 65 and you're Medicare or Medicaid and you're no longer on an employer's plan is when the years and years and years of chronic abuse, overprescription, all of that, the bill gets passed to who? Us, the taxpayers. Right.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

Obese bag. But where the sad part is, most of the time, that these huge healthcare expenses happen are when they become the taxpayer's problem. Once you're over the age of 65 and you're Medicare or Medicaid and you're no longer on an employer's plan is when the years and years and years of chronic abuse, overprescription, all of that, the bill gets passed to who? Us, the taxpayers. Right.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And so the insurance companies play this whack-a-mole, kick the can down the road, delay, delay, delay, deny, depose. Like, let's stay away from it. We'll just let somebody else deal with it because it's all about hitting the quarterly number. And even at the hospital systems. I would be at the hospital, and they're like, we've got to get our surgical volumes up.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And so the insurance companies play this whack-a-mole, kick the can down the road, delay, delay, delay, deny, depose. Like, let's stay away from it. We'll just let somebody else deal with it because it's all about hitting the quarterly number. And even at the hospital systems. I would be at the hospital, and they're like, we've got to get our surgical volumes up.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And so the insurance companies play this whack-a-mole, kick the can down the road, delay, delay, delay, deny, depose. Like, let's stay away from it. We'll just let somebody else deal with it because it's all about hitting the quarterly number. And even at the hospital systems. I would be at the hospital, and they're like, we've got to get our surgical volumes up.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

We've got to hit our number this quarter. We're down 25%. You need to see more patients today. You need to find knee surgeries. You need to find spine surgeries. It is all about generating revenue. The entire ecosystem, the checks and balances, all of it's been thrown out the fucking window, man. It is all crank, crank, crank. Print money.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

We've got to hit our number this quarter. We're down 25%. You need to see more patients today. You need to find knee surgeries. You need to find spine surgeries. It is all about generating revenue. The entire ecosystem, the checks and balances, all of it's been thrown out the fucking window, man. It is all crank, crank, crank. Print money.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

We've got to hit our number this quarter. We're down 25%. You need to see more patients today. You need to find knee surgeries. You need to find spine surgeries. It is all about generating revenue. The entire ecosystem, the checks and balances, all of it's been thrown out the fucking window, man. It is all crank, crank, crank. Print money.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

Yeah. So one of the challenges is let's let's go to like let's go to even let's go back to just red dye. Right. This is really easy. Even when we got together, that first Maha group and we testified in front of the Senate, I think in September of last year, there was an article that came out.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

Yeah. So one of the challenges is let's let's go to like let's go to even let's go back to just red dye. Right. This is really easy. Even when we got together, that first Maha group and we testified in front of the Senate, I think in September of last year, there was an article that came out.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

Yeah. So one of the challenges is let's let's go to like let's go to even let's go back to just red dye. Right. This is really easy. Even when we got together, that first Maha group and we testified in front of the Senate, I think in September of last year, there was an article that came out.