How To Put the Care Back in Healthcare (w/Dr. Eric Crall) | Incident Report 186

Dr. Eric Crall discovered a way to bring the joy back to practicing medicine. Here's how...

[roosterw]

I just learned yesterday that freezing off a skin tag or wart is a 500+ USD. Because it's labeled as cryo surgery. You can buy a bottle to do it yourself for 12 bucks at the store. Fucking insurance companies have jacked the price up like crazy.

[jordanturner]

You're really hammering out these interviews lately. I love it. Keep up the great work, ZDogg! As a pre-med student, I constantly learn so much from your videos as to not only some degree of medical knowledge but also how physicians should conduct themselves and what they can do to move healthcare forward.

[AlphaDelilas]

My only problem with cash up front medicine is when you're someone like me where even with discounts my meds cost several thousand dollars a month and I have to see specialists constantly, but only make minimum wage part time (becoming disabled during college is a bitch, y'all). I, and other disabled people, desperately need a pooling of resources. Honestly, this sort of medical care system would need a complete social and governmental overhaul so disabled, poor people don't get fucked over.

[TimelessjewelbyDebra]

Always Fantastic Dr Z..I am lucky my gastro and my family physician will spend as much time that is needed..Hoping that my cardiologist, nephrologist, would spend more than 10 minutes with me..

[robw]

Dr. Carll's rates are unbelievably low. I am on the other side of the state, and DPC costs are three times his. I would jump on the DPC bandwagon, but as someone who is self-employed with diabetes, I am stuck with the ACA. At $900 a month for ACA, adding another $175 is just out of the question,

[drkienzle]

ZDogg, I would love a video made to share to the public about what DPC is... As a FM resident, I talk to patients and colleagues all the time about DPC but most of them are totally unaware and surprised to hear about the movement. They are all, however, excited about the prospect. I LOVE the idea about going into DPC someday, but I would love to feel more secure about it straight out of residency. I would also like to more effectively communicate to the general public about what DPC really is and how it really can be a reality for them.

Most people, as you know, hate the way our primary care system works. They just don't know that there are other options for them (or at least there are JUST around the corner)!

[matthewloxton]

What happened to the Medicare/Medicaid patients? Did anyone follow up to see?

[americaneclectic]

I have an HSA with extremely high deductible regular insurance. My employer puts $350 per quarter in the HSA, I put in about $1000 for that period for a family plan. It's the bomb!

[yomaze]

Under these subscription models how does a practice ensure patients don't just pay for a month and then leave? If you subscribe are you locked in for a year? A gym membership is made as hard as possible to cancel without a early termination fee. Is their some type of honeymoon period where the new patient can back out? I'm afraid of oligopolist methods becoming the norm so that doctors who aren't in health for the right reasons can trap patients. Vice versa, I think doctors should have the right to drop patients if they aren't making a good faith effort to participate and pay for services.

[UnseenMenace]

Do these developments mean Turntable could be back soon?

[TaggeMD]

Future PCP here. So gassed up about the DPC take off. Do you think it is possible to come fresh out of reisdency and go straight to DPC? I hear minimal overhead, but there is that med debt....

[HelixChaga]

Also, if this leads to getting rid of anti-vaccers, I am all in! #ShutUpAndTakeMyMoney

[HelixChaga]

I can see the benifet of what you're saying. But what happens when a person is sick? Like i mean with rare diseases and cancer and stuff that is super expensive? Doesnt primary care (normal people) currently support the really sick people in today's inusrnace models? I just dont see insurance companies willing eating the cost of only carrying only super sick people. Or maybe I'm misunderstanding. If people have to pay for insurance and the direct primary care, I think people will willing forgo actual insurance and just do the direct primary care. If that happens, does this network also include specialist? Though I could see how affordable primary care would defintely help prevent worse diseases or catching them early on. Also, I really do not like the idea of people's healthcare being tied to their jobs. I think those two things should be completely divorced in this day and age. I could understand how it was once seen as a perk but now it's almost like a ball-n-chain keeping some people tied to their job, working, even when they really are sick and need to rest. Of course I'm also writing this only half way through the video, and I did hear the thing about letting the government pay for the HSA and allowing entire families to join their own pool. I just worry about what happens when people exceed that fund? Then what? Assuming they bought the regular health insurance (still not sure how insurance wont price gouge people for that anyways), i could see them being covered. But I work with too many cases where families can barely afford insurance now. I think those same families, or individuals, would throw away their regular insurance and only do the direct primary care because of what their family dollar can cover. And when you say direct primary care, does that also include patients who suffer mental health issues? Like would the primary doctor be linked with a psychiatrist who would be linked with a social services company/provider who would all be involved in managing the patients care? I know I'm probably asking a lot of questions, or maybe even sounding pesimitic, but it's because I really believe in healthcare 3.0. In my ideal healthcare system, private doctors have their practices with PA's and NP and nursing teams, evenly divided among the population and see patients both in office and at home. Compensation would be fair. Care would be managed no matter where the patient is in their life. Hospitals would go back to being for acute care things because primary care is so good. Hell, even speciality care would be included in this. I really believe health 3.0 is the answer to solving many of the deficits in today's system, but I also don't want people being left out. Just my thoughts, and I'm open to solutions to these hypothectials I posed. I'm still early in my healthcare career and I want to be apart of the solution to make it better once I finally get some place to enact true, meaningful change.