Doctor Mike

Lobbyists from different companies, they buy politicians, they...

point out some flaw of making that change that does exist but it's a small flaw and then they leverage that flaw to be the reason why we can't make this change because this will break that will break and as a result nothing changes so it's it's very very messy but i think transparency is at the heart of making improvements and then the biggest change that i would love to see happen

is a full-on investment in primary care, which is the type of doctor I am.

And while I am biased, given that I'm a primary care doctor, I think the real value from primary care comes from prevention, continuity of care, meaning that you see a doctor who actually knows you.

When you say you have a pain level eight, does that mean that, oh my God, we're taking you to the ER?

Oh, I know what a pain level eight is.

That means you stubbed your toe.

So that continuity of care goes a long way in improving outcomes.

And then you rely less on subspecialty services, therefore costs go down.

So you have prevention, costs go down, less subspecialized care, costs go down.

But right now it's one of the lowest paying fields, like psychiatry, pediatrics, family medicine, which is the type of doctor I am, lowest paying specialties.

Students don't want to go to it because they paid all this money for medical school and they're like, oh my God, I need to pay off my loans.

I'm not going to go to the lowest paying specialty.

Sure.

And there's fear that those specialties are not gonna exist because the money, the reimbursement for those specialties is constantly dwindling.

And people are like, why would I go into those specialties?

But those are where we need the brightest minds.

Whereas right now, the brightest minds are like, I'm gonna be a derm because people aren't that sick generally.

It pays really well.

I can accept cash.