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Episode 2110 Transcript:

00;00;01;00 - 00;00;09;23

Announcer

Ladies and gentlemen, this is America's Healthcare Advocate broadcasting coast to coast across the USA.

00;00;09;25 - 00;00;17;08

Caller

It's a pleasure to be with you. And I do have to say, you are the most knowledgeable about health policy to superlative.

00;00;17;10 - 00;00;21;18

Announcer

And now America's Healthcare Advocate, Cary Hall.

00;00;21;20 - 00;00;37;15

Cary Hall

Hello, America. Welcome to America's Healthcare Advocate show broadcasting coast to coast across the USA here on the HIA Radio Network. Behind the camera is my producer, Mr. Dave Thiessen. Behind the microphones, Garner Cowdrey. We are here in the beautiful Cumulus Studios in Overland Park, Kansas, bringing you this show today.

00;00;37;21 - 00;00;55;15

Cary Hall

I'm your host, Carrie Hall. This is your show, America. So thank you for joining us and making us one of the most listened to talk shows across the United States. I want to say hello again. A little shout out to KMET, 98.1FM and 1490AM in beautiful Redlands, California. They've been on board with us for a long time.

00;00;55;22 - 00;01;15;23

Cary Hall

It's a load of all the listeners, the audience up there and the good folks at KMET in Redlands, California. If you are chronologically challenged and you're looking for Medicare insurance of any kind, you can reach out to the lovely Carolee Steele at 877-385-2224anywhere in the country. She can help you and is happy to do so.

00;01;15;28 - 00;01;40;13

Cary Hall

And by the way, if you're one of those gig economy workers, you're an Uber driver. Maybe you're a contract anesthesiologist or a realtor. Well, you know, there is a product now called Gig Care. And you can also reach out to the good folks at RPS Benefits by Design 877-385-2224. Maria Ahlers would be happy to help you with that and any other employer sponsored health care programs you might be interested in.

00;01;40;21 - 00;01;49;10

Cary Hall

She has some unique solutions for you back in the studio again, all the way from Ohio. Doctor Firouz Daneshgari, welcome back.

00;01;49;10 - 00;01;49;25

Dr. Firouz Daneshgari

Thank you.

00;01;49;26 - 00;02;07;21

Cary Hall

How many of these have we done? Is this like our fifth or sixth one? I think you must be. Dave how many have we done. We’ve done five. He's signaling me. We've done five. At 4:45 this morning I was up working on the show notes for this show. And I have to tell you, when I get notes from my guests that are coming on, usually I get maybe a page or two page as well.

00;02;07;26 - 00;02;31;13

Cary Hall

That's not what you get when Doctor Firouz comes on one of these shows. So what I have here basically are, four pages, okay, of, of information that we're going to try to get through most of today. But this is very different today that the theme of this show is basically prosperity and longevity. And I'm going to read you a little piece from what Doctor Firouz wrote at the beginning, for the beginning of this show.

00;02;31;16 - 00;02;50;16

Cary Hall

Today, we're going to explore the parallels between two core human pursuits prosperity and longevity. These have long been the goals of individual societies and political systems. Since the dawn of humanity, we have sought systems that offer comfort and freedom to pursue our desires. We now define that broadly as prosperity.

00;02;50;22 - 00;02;59;27

Cary Hall

You know, this really grabbed me this morning when I read this. I was like, wow. We talked about a lot of things, but this was really interesting to me.

00;02;59;29 - 00;03;16;03

Cary Hall

And the way you connect all this. So let's just go through, you know, you go on to talk about the comparison between socialism, communism and free market capitalism. You know, just take it and go with this. I just want to hear what your thoughts are, because it's fascinating to me that you picked this as a topic today.

00;03;16;06 - 00;03;36;24

Dr. Firouz Daneshgari

Sure. You know, the reason I picked up this topic is because we are, I think with the previous election, frankly. And I would declare, again, I'm apolitical, but with the previous election and you wave of hope and worries has kind of penetrated our beautiful country.

00;03;36;26 - 00;03;53;15

Dr. Firouz Daneshgari

the hopes that we are going to basically look at some of the stuff we have done, we are going to fix them, you know, as you know, again, the, the DOGE you know, Department Of Government Efficiencies there is doing some the stuff that a lot of people admire.

00;03;53;15 - 00;04;20;16

Dr. Firouz Daneshgari

They say this is the way it has to be. Some people are scared. What are they doing? Some of the jobs are lost and so forth. So I thought this is the time for us to kind of step back and basically ask some fundamental big questions. And those are why American society, we as we have 5% of the world population, why we have been able to generate more than 50% of the world's wealth over the past century or so.

00;04;20;19 - 00;04;43;16

Dr. Firouz Daneshgari

Why we consistently - Again, 5% of the world's population - generate a good, one third of the world GDP. And what is the engine? What is it? You know, are we different kind of human beings or. And the answer is no. The systems, I think is that they say, there's a famous book called The Atomic Habits.

00;04;43;18 - 00;05;01;27

Dr. Firouz Daneshgari

And if I borrow a sentence from them, they say, “don't focus on your goals, focus on your systems”. Because everyone has goals. Both the winners and losers have the same goal. They want to, you know, win something. It is the difference in the systems, that basically determines who wins and who loses.

00;05;01;29 - 00;05;35;15

Dr. Firouz Daneshgari

And I thought the very, very prominent example that most Americans agree are about 100, about 50 years ago, two kind of theories started to, leading us. One was and the question was prosperity after the Industrial Revolution, which system can generate more prosperity? And everyone knows what prosperity means. It means have enough resources that you could basically do as human do. Do what you want to do. And the one was it started with Karl Marx, you know, socialism, communism.

00;05;35;15 - 00;06;00;03

Dr. Firouz Daneshgari

And one was probably led by, you know, Adam Smith, you know, the Wealth of the Nations, the sources of the capitalism and the, this kind of competition came to when, your favorite president or our favorite president stood in Berlin and told... Didn’t tell Mr. Gorbachev, the leader of the other camp, I'm going to sanction you. I'm going to kill you.

00;06;00;03 - 00;06;08;20

Dr. Firouz Daneshgari

I'm going to invade you. All he said was, Mr. Gorbachev, tear down this wall. Let the freedom prevail.

00;06;08;22 - 00;06;26;11

Cary Hall

I gotta stop him there. One of the first things he said when he walked in, I have that plaque with the piece of that wall. So I put my office along with a picture of Ronald Reagan, because he was my favorite president. And those words are infamous, that he said, tear down that wall. So I yeah, this resonated with me right out of the bottle.

00;06;26;11 - 00;06;49;05

Dr. Firouz Daneshgari

I knew it, that's why. So what he said, he basically proposed that if you let people be free, prosperity would follow. And that is really the foundation of those differences and the next pursuit. So that is very familiar to everyone and so forth. Now again, on the political part, will you basically the new administration says we have some problems.

00;06;49;05 - 00;07;17;05

Dr. Firouz Daneshgari

You know, our debt is surpassing our GDP. If we continue this, we are going to be bankrupt. You know, we need to regather our, resources and spend our resources where our interest are, you know, and again, I don't want to get to the details of the policies, but I want to put a big perspective on this, that when when basically you see something is wrong with the system, the time is there to pause and say, we need to fix this.

00;07;17;08 - 00;07;18;20

Dr. Firouz Daneshgari

Right? Exactly.

00;07;18;22 - 00;07;42;04

Cary Hall

And you're 100% correct. Which begs the question, why is there so damn much pushback on even looking at the system, not even talking about what they're doing? Let's just talk about the fact that you're actually looking at the system with these massive inefficiencies, 3 million people getting Social Security checks that are over 105 years old. We don't have 3 million people, 105 years old.

00;07;42;06 - 00;08;01;27

Dr. Firouz Daneshgari

Let me stop you there. Because, again, I know you more political than I am. I'm just picking that up as an example. I, I support the entire concept that we can't have a healthier society if we continue to build debt. We can't do change. We have to change things. We can't do the same thing and get different results.

00;08;01;28 - 00;08;06;20

Cary Hall

Our debt is larger than the defense. The interest on our debt is larger than the Defense Department.

00;08;06;20 - 00;08;39;14

Dr. Firouz Daneshgari

I want to put that kind of that concept up and bring it back now to to health care, right? As I have shared with you, 92% of Americans, they think that our health care system is sick, is broken. Something needs to know, something needs to change. And so the topic for today was initiated from there. It is at the again what is it basically is broken and what is it that needs to be fixed and how we want to focus basically, on that element.

00;08;39;14 - 00;08;52;22

Dr. Firouz Daneshgari

So that's why I think, again, every human’s pursuit is prosperity and longevity. We want to live well and we want to live long. And where are the commonalities, the parallels between those two trends.

00;08;52;24 - 00;09;07;15

Cary Hall

And that's what we're going to explore today. And it's fascinating. How so. So now the question becomes how does our health care system, how does the deliverable of health care in this country affect all the things that you just heard doctor describe?

00;09;07;21 - 00;09;33;23

Cary Hall

That's what we're going to talk about today. Then we're going so we're going to talk about what's wrong then we're going to talk about how to fix it. That's the part that you're going to find most fascinating I think. Stay tuned. You're listening to America's Healthcare Advocate broadcasting here on the HIA Radio Network. Coast to coast across the USA. The doctors in the house don't go anywhere.

00;09;33;26 - 00;10;02;09

Cary Hall

Welcome back. You're listening to America's Healthcare Advocate show, broadcasting coast to coast across the USA in studio with me, Doctor Firouz Daneshgari. You know, I'm going to give you a little background on doctor. We talked about this before, but I want to just tell you a little bit about him. He was an assistant professor of surgery at the University of Colorado. Founding director of fellowship program in Female Pelvic Medicine and Reconstructive surgery at the Cleveland Clinic and Urological Institute. Professor and chairman of Upstate Medical University, Suny.

00;10;02;12 - 00;10;22;22

Cary Hall

Professor and chairman at Case Western University Study and founding director of the Urological Institute. You know, we're very fortunate to have this man come in here, travel here to do these radio shows. I hope, you're going to enjoy listening to him and learn from what he's telling us, because you're getting a remarkable piece of information and education here.

00;10;22;27 - 00;10;28;02

Cary Hall

You typically aren't going to get in most broadcasts. All right, doctor, listen, let's keep rolling. Yeah.

00;10;28;05 - 00;10;39;01

Dr. Firouz Daneshgari

Okay. So now comparing to the health system again by 120 30, 40 years ago two school of thought started. One was the government should pay for the health care of people, the citizens.

00;10;39;05 - 00;10;40;00

Cary Hall

Like the UK, Canada.

00;10;40;03 - 00;10;59;24

Dr. Firouz Daneshgari

That gave birth to a single payer system in Canada and Europe and in the US, we couldn't agree on the single payer system. So we chunked it, carved a piece of the single payer system for citizens, older citizens, and, you know, Medicare and Medicaid.

00;10;59;24 - 00;11;02;28

Cary Hall

He's looked at me when he says that, by the way, I’m 75.

00;11;03;01 - 00;11;37;08

Dr. Firouz Daneshgari

So since 1965, the American society is health care basically is divided into really two segments. About two thirds of Americans who are working, the employers are the sponsors, and one third is the federal government. And by the way, again, going back to the discussion of DOGE, this federal government created what is called the fourth, arm of government, the center for Medicare, who not only is the payer for that one third of Americans, but because it's sheer weight and the size of it, it has become the regulator of health care.

00;11;37;10 - 00;12;11;00

Dr. Firouz Daneshgari

And that has brought the concept of, oh, maybe we should do Medicare for all, or basically revert back into a single payer system. And the thinking of that process kind of came to surface during the Obamacare. And again, I'm apolitical. I'm not going to attack Obamacare from a political standpoint. But the concept was born that if we expand the insurance coverage to everyone and basically we government subsidize this for people who can't afford it, we're gonna basically improve their care and lower the cost.

00;12;11;00 - 00;12;12;03

Cary Hall

So how does that work?

00;12;12;06 - 00;12;35;03

Dr. Firouz Daneshgari

That is a good question, my friend Cary. We have about 14 years after March of 2010, when Obamacare was approved. And in June of 2012, the Supreme Court basically approved the mandate. So I'm going to share with you some facts. Okay. So the cost of health care for, as you know, Obamacare was called the Affordable Care Act.

00;12;35;05 - 00;12;45;22

Dr. Firouz Daneshgari

So the cost of health care for a family of 4 in 2010 was under $18,000. The cost of care for a family of four today is over $32,000.

00;12;45;25 - 00;12;47;08

Cary Hall

Did you hear that?

00;12;47;11 - 00;12;48;29

Dr. Firouz Daneshgari

$32,000.

00;12;49;04 - 00;12;51;22

Cary Hall

Dollars for a family of four. Think about that.

00;12;51;29 - 00;13;19;28

Dr. Firouz Daneshgari

Okay, so with the subsidies, we as a nation, we are spending over $50 billion, I think is about 56 billion to basically pay subsidies to the exchanges, for people to have the insurance. So going back to the past prosperity, we bring basically health insurance to people. We want to get the health outcomes, the ratio of the chronic conditions that existed.

00;13;19;28 - 00;13;45;09

Dr. Firouz Daneshgari

And, in 2010, it was less than 40% of Americans now is over 60% of Americans have 2 or 3 chronic conditions. So going back to the basically past 60, 70 years, we have another systematic basically change with it. As you know, I am a product of the health care training in this country. I think we have the best doctors in the country.

00;13;45;09 - 00;14;13;21

Dr. Firouz Daneshgari

In this country, we have the best technologies, you know, from the transplantation, the stem cell, you know, splicing the DNA and the rest of it. But in my humble opinion, the number one, the most significant improvement we made during the past century was we eliminated the infectious diseases as the number one cause of death. And that was we basically created the system by which we did the risk mitigation, risk prevention.

00;14;13;23 - 00;14;22;28

Dr. Firouz Daneshgari

We wash our hands, the foods are refrigerated, we do the vaccination and the rest of it. We eliminated the top killer of the past century.

00;14;23;01 - 00;14;41;09

Dr. Firouz Daneshgari

Now coming back, we went with that mentality of the single payer system toward the Affordable Care Act, which by no data has made it more affordable to the country. It has made it unaffordable. We have increased, basically the prevalence of the chronic conditions.

00;14;41;09 - 00;15;02;24

Dr. Firouz Daneshgari

Today, as you and I are sitting here, last year, we spent $4.8 trillion on health care, and every single day, 180,000 new cases of chronic conditions were diagnosed in this country. So we are spending $4.8 trillion and we keep generating chronic conditions. So you're you're with me on this?

00;15;02;29 - 00;15;06;17

Cary Hall

Oh, 100%. Maybe, maybe at some point DOGE will take a look at this.

00;15;06;24 - 00;15;25;20

Dr. Firouz Daneshgari

Oh definitely. Definitely. They have to do that. So the point I'm trying to make is now is the time for us to step back and say, what is wrong with this picture? We keep pouring more and more and more money into the system. We getting the worst, basically, worse results. What should we do?

00;15;25;22 - 00;15;43;27

Cary Hall

Okay, but so and here's the thing. This is the, you know, you want to call it the dirty little secret. It's not a secret. There are two groups of people that are benefiting from this enormously: Insurance carriers and hospitals. That's right. I mean, okay, so you know that when you think about it, okay. And the hospitals have enormous benefit from this.

00;15;43;27 - 00;15;47;20

Cary Hall

And we'll talk about that. Well, we've got about three minutes left here.

00;15;47;23 - 00;16;15;27

Dr. Firouz Daneshgari

So first thing first, what I want to say is now we are facing the chronic conditions as public enemy number one. If anyone disagrees with me, please speak up. Chronic conditions are public enemy number one. We are spending over 75 to 80% of that $4.5 trillion on basically handling these chronic conditions.

00;16;15;29 - 00;16;18;12

Cary Hall

Not before the fact, after the fact.

00;16;18;12 - 00;16;49;01

Dr. Firouz Daneshgari

After the fact. And that comes back to the role of the hospitals, why this system is basically reporting more money when we're getting worse results because the health care is delivered through 5000 hospitals that have become financial institutions, and they benefit from delivering SICK CARE services, meaning they benefit from doing bariatric surgery rather than preventing obesity. They're benefiting from doing after the fact.

00;16;49;01 - 00;17;12;13

Dr. Firouz Daneshgari

And I'll give you, a quick rundown. When Obamacare was being discussed. I know this for a fact, it is documented, that President Obama basically made the deal with the five industry groups hospitals, insurance companies, pharma’s and, you know, device manufacturing and said, we are bringing in 40 million people more to the market and therefore is going to increase your revenue.

00;17;12;13 - 00;17;35;15

Dr. Firouz Daneshgari

And I want a piece of this revenue back. So they made a deal. In 2010, the two major hospitals in northeast Ohio that I work at, the revenue was one of them was $6 billion. Last year, that hospital finished with $15 billion revenue. The other one was 2 billion. Now is getting close to 6 billion. So in a nutshell, we are running out of time.

00;17;35;15 - 00;17;51;28

Dr. Firouz Daneshgari

Here is if you look at the revenue of the hospitals over the past 14 years, the revenues have at these increased by 300%. And the revenue of nonprofit hospital has doubled more than the for-profit hospitals.

00;17;52;00 - 00;18;10;25

Cary Hall

Of course, it is because they don't pay the same taxes as the for-profit hospitals do. Here's the thing, okay. Chronic obesity in this country on a rampage. Type two diabetes on a rampage. Type one diabetes, in epidemic proportions. Those are all facts. So what we're presenting are the facts on where we're at. When we come back from the break.

00;18;11;01 - 00;18;40;22

Cary Hall

Doctor Firouz is going to start talking about how do you turn this aircraft carrier around, how do we turn it around and change the way we deliver health care in this country? We'll be right back after the break. You're listening to America's Healthcare Advocate Broadcasting here on the HIA Radio Network. Coast to coast across the USA. Stay right there.

00;18;40;24 - 00;19;05;07

Cary Hall

Welcome back to America's Healthcare Advocate show broadcasting coast to coast across USA here on the HIA Radio Network. If you want to learn more about what doctor Firouz is talking about his company, Bowtie Medical, the website is bowtiemedical.com. There's a lot of information up there. We've actually partnered with Bowtie Medical at Detego Health which is a TPA that I'm a founder of.

00;19;05;14 - 00;19;32;07

Cary Hall

And so if you want more information go up to the website bowtiemedical.com. That's bowtiemedical.com. All right. So we're going to shift gears now. And we're going to talk about the need for systemic reform. But I do want to go back a little bit on this ACA thing because you talked about this. You know, the fact that you've seen 60% of U.S. hospitals grow twice as much, the nonprofit as the for-profit of hospitals.

00;19;32;07 - 00;19;51;11

Cary Hall

And this continues to grow in these astronomical numbers. I mean, you think about it. We're sitting here in Overland Park. We've got new hospitals that that have been built in the last, what, ten years? Five years, that are huge. Okay. And and, you know, our population hasn't grown that much. We're in Kansas. It's not Florida.

00;19;51;11 - 00;20;10;24

Cary Hall

We don't have people pouring in here. You know, we're in a very prosperous part of the country. We’re the fourth richest county in the country and Overland Park is the third most desirable city to live in. But having said that, this revenue thing is astronomical. So back to our topic. Where is the. Where is the incentive to reform anything?

00;20;10;28 - 00;20;12;16

Cary Hall

Why would they want to reform, doctor?

00;20;12;20 - 00;20;38;06

Dr. Firouz Daneshgari

Well they wouldn't. It's very much like again, that's why I compared the prosperity with longevity. If you go as to all the, you know, they were getting a few million dollars for, for unrelated issues, to our, our issues, you know, the whole USAid, you know, the whole political discussions is there and so forth.

00;20;38;13 - 00;20;56;04

Dr. Firouz Daneshgari

Where do we as Americans want to spend our money? Right. Because as long as people who are receiving the money, they're not going to say no. The hospital is not going to say, no, don't pay me. Right. But if you look at the numbers, as you say, in every market, they keep building hospitals, you know, building and building.

00;20;56;04 - 00;21;06;21

Dr. Firouz Daneshgari

And the question to me, again, I know the Northeast Ohio. My question is the hospital who went from a $6 billion revenue to 15 billion, you know,

00;21;06;21 - 00;21;07;07

Cary Hall

That’s insane.

00;21;07;09 - 00;21;14;03

Dr. Firouz Daneshgari

So the question is, did the health of people of Northeast Ohio improve by that, you know, 200%?

00;21;14;03 - 00;21;15;29

Cary Hall

What are the results on where that money was spent?

00;21;16;04 - 00;21;25;06

Dr. Firouz Daneshgari

All right. What is the results? So we are not getting results because the system has become addicted to a SICK CARE system that is at the foundation of it.

00;21;25;06 - 00;21;27;09

Cary Hall

Or you could say has become addicted to money.

00;21;27;12 - 00;21;53;06

Dr. Firouz Daneshgari

Is addicted to money, right. Because it's delivering the SICK CARE system. So going back to the concept of okay, if we go and basically do a Medicare for all, or if you go toward a thought of someone has to control this from above, there's no end at the end of this. As you see in every market, they keep building more buildings and more buildings, and the cost of the health care is going up.

00;21;53;08 - 00;22;27;26

Dr. Firouz Daneshgari

So there are two elements to this basically, reform. First of all, is very much like we did with public health in the previous century. We need to turn our attention from delivering SICK CARE services to health care services, because the 4 or 5 top chronic conditions, that basically are draining our resources. And going back to our partnership with Bowtie and Detego Health, I was looking at the numbers yesterday, people who have basically chronic conditions such as obesity and diabetes.

00;22;27;26 - 00;22;29;01

Cary Hall

Huge.

00;22;29;04 - 00;22;35;07

Dr. Firouz Daneshgari

Musculoskeletal, pain, cancer, substance abuse.

00;22;35;07 - 00;22;42;17

Dr. Firouz Daneshgari

These are the one who are basically on the top of the spending. Basically, they're getting other people's resources and their spending.

00;22;42;17 - 00;22;44;29

Cary Hall

20% of the people drive 80% of the cost.

00;22;45;01 - 00;23;07;07

Dr. Firouz Daneshgari

100%. Right. So what we need to do at the system level number one. They say follow the money, right? Because even if that $50 billion that is a spend by the federal government on behalf of individuals, we can't afford it on the subsidies. Those monies are going and paying for those buildings and going to the coffers of the insurance companies.

00;23;07;10 - 00;23;07;27

Cary Hall

Yeah.

00;23;07;29 - 00;23;29;03

Dr. Firouz Daneshgari

So the first systematic reform is very much like the President Reagan said, “let freedom prevail”. Give the control of the money to the individuals. We can do that through the FSA’s. We can do that through the Health Savings Accounts. And through that people can go and pay directly to the doctors.

00;23;29;03 - 00;23;31;14

Cary Hall

So you’re talking about HSA’s, right. Yeah.

00;23;31;18 - 00;23;55;17

Dr. Firouz Daneshgari

So it's called the direct primary care. So people should be able to basically pay their doctors directly rather than the insurance company says who you can pay or who cannot pay, how much you can pay, and so forth. Not only the primary care, the next level is to pay directly for specialty care. So you and I need the knee surgery, we need eye surgery and so forth.

00;23;55;20 - 00;24;20;10

Dr. Firouz Daneshgari

We can go to an outpatient. This could apply to over 80% of the, specialty care. Right. You can go and say, what is your quality? What is the, you know, your customer service and how much is your prices? And I can pay this right up front if I choose you, is I'm not coming to you because someone else tells me I have to go to you because they have made the secret, behind-the-scene, how much they are going to pay.

00;24;20;13 - 00;24;39;06

Dr. Firouz Daneshgari

So the very first part of the reform is really what I called is a free market. Make the information about the pricing transparent to the consumer and allowed to empower the consumer to control the fate of the money that is coming out of their paycheck or out of our tax dollars. That is a.

00;24;39;08 - 00;24;40;11

Cary Hall

So it’s consumer driven health care.

00;24;40;11 - 00;24;58;12

Dr. Firouz Daneshgari

100%. Consumer driven health care. In order for a consumer to drive the choices of health care, they need access to basically accurate information, both in terms of the quality and they need access to the ability to pay and control the money.

00;24;58;12 - 00;25;18;10

Cary Hall

But somebody has to assist them in this. This system is confusing as hell to people. I've been in this business for the, you know, in the health care system business for 30 years now. And, you know, my wife just had knee surgery and we went to two separate facilities before we found somebody could do the surgery. Now it's insurance, covered all the rest.

00;25;18;10 - 00;25;29;08

Cary Hall

And we found a great doctor, a great surgical center. They did a wonderful job. It couldn't have been better, but I know how to navigate the system. That's right. 90% of the people out here don't know beans from apple butter.

00;25;29;11 - 00;25;29;17

Dr. Firouz Daneshgari

100%. Cary,

00;25;29;24 - 00;25;30;18

Cary Hall

So how do they do it?

00;25;30;21 - 00;25;55;08

Dr. Firouz Daneshgari

I would have hugged you if, we weren't on the camera here because you're you're you're pointing out to the really? Why? I basically founded the Bowtie Medical. Because the health care is not only complex, it not only is confusing, it deals with our vulnerability. I'm sure when you were going through the selection of surgery for your wife, for you in a surgery after surgery, you're very emotionally engaged.

00;25;55;08 - 00;26;16;07

Dr. Firouz Daneshgari

Your stressed. That's not the time. If someone is like, is like, you know, the valets, you know, when you date, when you're late for your date, you'll pay anything to the valet to park your car. During stressful emotions. It's, you know, a stressful emotional time. You're not there to choose and, you know, to bargain for better price and so forth, right?

00;26;16;08 - 00;26;29;02

Dr. Firouz Daneshgari

No. That's why the concept of the guardianship was born. You need a health care professional who you have a communication with, you have a history with is like a good old family doctor. Remember.

00;26;29;05 - 00;26;30;17

Cary Hall

It’s your good old family doctor.

00;26;30;17 - 00;26;46;22

Dr. Firouz Daneshgari

Yeah. If you remember, for example, in your case, if your family doctor or his representative would come with you during the time. Yeah. And he's the one who's emotionally not as involved as you are, but he knows the information on what should be done and what shouldn't be done and so forth.

00;26;46;22 - 00;27;12;27

Dr. Firouz Daneshgari

That is the whole concept of the guardianship that was born. That we in dealing with health care we need, like a Sherpa, we need a guardian who scientifically, professionally, they know the medical, the clinical issues, but also they basically can assist you and the concept of the agency you know, in finances, they call the financial agents. They say, I won't make money unless I make money for you.

00;27;12;29 - 00;27;24;28

Dr. Firouz Daneshgari

That is how the system has to work. The provider's, primary care providers, the Guardians, are your agent. They're not being paid by the hospital so tell you go to this place or go to that place. They are your agent.

00;27;25;05 - 00;27;44;01

Cary Hall

And that's the way it works. Now, just so we're clear on this, okay? The reason why you don't see primary care practice anymore and who refers you to the orthopedic surgeon who refers you? You know, to the heart, doctor or the if you've got arthritis, the rheumatoid doctor, whatever the case may be, is the primary care doc.

00;27;44;01 - 00;28;04;00

Cary Hall

Well, if the hospital owns the primary care system, who do you think they're going to refer you to? Are they going to refer you to, the, you know, a doctor that's outside of their system? That's highly unlikely. Okay. And so what we're talking about here is an independent source that can help you navigate this and do it the right way.

00;28;04;00 - 00;28;24;22

Cary Hall

So you set up the primary care and then you have a guardian, a doctor, an actual doctor who is your guardian who's going to help you navigate that system. Where's the best place I can go for this surgery? Who has the best outcomes? Who has the lowest infection rate? That's what comes out of this program that's in place with Bowtie Medical, and that's why we're doing it.

00;28;24;29 - 00;28;45;02

Cary Hall

So if you're an employer out there or you're a company out there looking for a better way to do this, you probably have to take a look at this. And the website is bowtiemedical.com. It's bowtiemedical.com. All of doctor Firouz’s information is up there. They've got a great staff. We've engaged with them. They're working directly with us and our customer service department.

00;28;45;06 - 00;29;03;01

Cary Hall

They're working directly with us to help our clients at Detego, on the GigCare plan and other plans that we produce and run to guide them to better systems at a lower cost, with better outcomes. That's how they do it. At Bowtie Medical, the website once again bowtiemedical.com. We'll be right back from the break.

00;29;03;01 - 00;29;22;02

Cary Hall

After the break. You're listening to America's Healthcare Advocate broadcasting here on the HIA Radio Network. Stay tuned. The doctor's still in the house.

00;29;22;05 - 00;29;50;07

Cary Hall

Welcome back. You're listening to America's Healthcare Advocate show, broadcasting coast to coast across the USA. We're on 16 podcast platforms. We're on our own YouTube channel and on 239 affiliates across the country. If you're listening to us on terrestrial radio, we're very happy you are. And thank you very much for listening to the show. But if you want to tell somebody about Bowtie, maybe you're an employer and you got 150, 200 employees and you know, you're beating your brains out trying to figure out how you're going to lower your insurance cost.

00;29;50;13 - 00;30;09;00

Cary Hall

You're not going to do it on the BUCA plans. Blue Cross, United, you know Aetna and Coventry. That's not going to work okay. If you if you're going to do it you're going to have to step out of that model and go to something different. That's what you can do at Bowtie Medical. So the website once again is bowtiemedical.com.

00;30;09;03 - 00;30;29;08

Cary Hall

By the way, if you're a broker, you really ought to take a look at this because this is a very, very different way to access healthcare and save an enormous amount of money. At the same time, without without lowering the quality, you're actually going to improve the quality of health care. People are going to get. The website is bowtiemedical.com and you'll find doctor up there.

00;30;29;15 - 00;30;32;29

Cary Hall

All right. So let's let's kind of bring this all together now.

00;30;32;29 - 00;30;47;09

Dr. Firouz Daneshgari

Sure. So we have established viewpoints in the previous segments. One is we are spending too much and we are getting bad results. Number one, the Affordable Care Act did not make it affordable

00;30;47;14 - 00;30;48;01

Cary Hall

It made it unaffordable.

00;30;48;04 - 00;30;49;09

Dr. Firouz Daneshgari

It made it more exspensive.

00;30;49;11 - 00;31;08;06

Dr. Firouz Daneshgari

And we have a public enemy that is growing, more than or, we cannot control it. And that is called chronic conditions: Diabetes, obesity, cardiovascular, musculoskeletal, those conditions there is are 75 to 80% of the spending is those.

00;31;08;09 - 00;31;31;22

Dr. Firouz Daneshgari

So going back to basic the concept of how we can tackle this a step back is is the do changing the direction from basically pouring money into the hospitals and insurance companies, reversing the money toward the health, toward the health care. And that's why I wear the Bowtie.

00;31;31;24 - 00;31;33;12

Cary Hall

As you always do.

00;31;33;14 - 00;31;54;09

Dr. Firouz Daneshgari

The fact, remains that regardless of your genetic background, whether you were born in China or Japan or in Iowa or, you know, wherever you were born, you come to US and you live 40 to 50 years in the US. By the age of 40 and 50, you have more than 50% risk of having 2 or 3 chronic conditions.

00;31;54;15 - 00;32;20;16

Dr. Firouz Daneshgari

So the knot of the Bowtie is basically the risk, the health risk that we all are at for developing chronic conditions. Over the past 100 years to discover what these chronic diseases are cardiovascular, cancer, diabetes. We created hospitals to basically do tests and procedures and so forth. Try to stop this. And this is not working, right?

00;32;20;16 - 00;32;43;12

Dr. Firouz Daneshgari

No, we established this is not working. Scientifically we know now more about the risk factors for these conditions than we know how to cure them. I would claim actually we do not know how to cure them. We just turn them into chronic conditions. As soon as I have plugged artery my heart, I become a source of annuity for my local hospitals because every few months they have to check me out.

00;32;43;13 - 00;33;07;12

Dr. Firouz Daneshgari

They put on the stint. The only way we are going to tackle this chronic condition is very much like we did with the infectious diseases of the past century. So to me, I would say this is like a public health revival. We are going to start looking at the risk factors that people have from the beginning. You know, from their young age, their lifestyle, their eating habits and so forth.

00;33;07;14 - 00;33;28;14

Dr. Firouz Daneshgari

And it starts really creating what I call the leading indicators. Means by the time that you have a symptom that, you know, this morning, I get up, I have a chest pain that is too, too late. By the time I have gained another 50 pounds, that is too late. So we are going to put together risk mitigation policies.

00;33;28;14 - 00;33;41;18

Dr. Firouz Daneshgari

Health risk mitigation is very much like we did in with the infectious diseases, very much like we do in the airline. Airline is my favorite industry. They would not let an airline to take off unless all the checklists have been checked out.

00;33;41;19 - 00;33;42;17

Cary Hall

On the plane.

00;33;42;20 - 00;33;53;18

Dr. Firouz Daneshgari

Right on the plane, on everything and the weight on the path and so forth, and on the airline industry. And, as you know, I fly with my brother.

00;33;53;20 - 00;33;55;09

Cary Hall

We have three airplanes, by the way.

00;33;55;10 - 00;34;18;22

Dr. Firouz Daneshgari

Going through this. We go from one pocket of the air, the risk basically air travel is to the next one to the next one. So the concept is I propose under the Bowtie Health Guardianship, the doctors become the air tower controllers. They have information about your health risk when you become a member. We know, we check out your health score.

00;34;18;22 - 00;34;44;29

Dr. Firouz Daneshgari

What are your risk? Whether it's a background, family risk or your lifestyle or whatever it is. And out of that, I will say you're at risk for these conditions. And what are the mitigation policies we can put in to check your blood sugar and the rest of it, to basically predict that if you're going to develop a chronic condition and intervene before the chronic conditions, as this has settled.

00;34;45;02 - 00;35;12;15

Dr. Firouz Daneshgari

So this will change the direction of the primary care from just waiting for you to begin to basically get sick to mitigating your health risks so you would never develop chronic conditions. Scientifically, biologically, we have the ability to do that. The ability of people to go and basically pay directly to the doctor is just going to facilitate that, because you won't go to the pocket of the hospitals.

00;35;12;17 - 00;35;39;27

Dr. Firouz Daneshgari

And the result of that, I would claim and I proposed to the new administration, who is very much aligned with this, because President Trump, when he was appointing Bobby Kennedy junior, and Mr.. Oz, he said your your, job is to tackle the chronic conditions. In order to tackle the chronic condition. We need to shift the money from going to the hospitals and to the insurance companies, to the risk mitigation, efforts.

00;35;39;27 - 00;35;55;01

Cary Hall

And to the people you're servicing. Yeah, yeah, yeah. So we've got a system that you're using. You told me about it on the break. It's called Apta. APTA. This may sound confusing to a lot of people, we got about a minute left. How are you using that with Detego for our clients. How's it working.

00;35;55;05 - 00;36;18;18

Dr. Firouz Daneshgari

So the ways we are going to use this is again, you're you are a member of the Guardianship. You have access to the doctors and your team. 24/7. Any time, at your home, at your work and so forth, then you have a need to go in and have a to see a specialist, to go and see a orthopedic surgeon, you know, for arthroscopy.

00;36;18;20 - 00;36;43;17

Dr. Firouz Daneshgari

Now, what we do with this guardianship and we have partnered with a group called Apta. We say they Cary, or Cary’s his wife. These are the three orthopedic choices you have in your zip code. And these are the quality rankings. And when you choose after your interaction and we are there with you to interact with them, when you go to do your procedure, you simply pay for the services upfront.

00;36;43;19 - 00;37;01;20

Dr. Firouz Daneshgari

No more billing, no more receiving that lengthy paper in the mail. This is your not bill, this is the bill and so forth. Settle everything right up front. What he would do, he would give you a basic transparency of the how much you're paying. Right. And you're paying it with your own hands. It is the control of the consumer.

00;37;01;20 - 00;37;21;14

Cary Hall

So you're asking yourself, how are you going to pay for a 15 $20,000 surgery if you're living paycheck to paycheck? That's what an HSA (Health Savings Account). If you're not spending the money on premiums and you're putting it away and saving that money so you can use it for these kinds of situations, that's how you pull all this together and make it work.

00;37;21;14 - 00;37;34;10

Cary Hall

If you want to learn more, the website is bowtiemedical.com. bowtiemedical.com. It's all up there. It's a great system. If you’re a broker, employer. Take a look. Thank you again. It's always great to have you in studio.

00;37;34;10 - 00;37;34;26

Dr. Firouz Daneshgari

Thank you Cary.

00;37;34;27 - 00;37;58;13

Cary Hall

Now I leave you with this thought from Doctor Martin Luther King. If we are going to learn to live together as brothers and sisters, or we are surely going to perish together as fools if we don't learn to live together as brothers and sisters. Thank you for listening to America's Healthcare Advocate. Goodbye, America.

00;37;58;15 - 00;38;02;21

Cary Hall

And you?