Fixing healthcare is simple: More people need preventative, conservative care earlier.
But getting to this fix is a massively complex web of structural policy choices. The reality is that our modern healthcare system often misaligns incentives, rewarding the management of chronic sickness over the investment in wellness. We've seen a shift toward market consolidation, where vertically integrated monopolies-both in insurance and hospital systems-drive up prices while limiting choice.
It's this playbook-which includes a lack of site-neutrality, high specialist payments, and insufficient transparency-that has allowed consolidated systems to post record revenues, even as:
Medicaid is cut
Insurance premiums are up
Rural hospitals close
Frontline workers experience burnout and higher suicide rates.
The US pays the most in the world for healthcare, without the leading outcomes to show for it.
As therapy providers, we have watched as our common-sense bills collect dust. Our care is denied, our expenses are skyrocketing, and our reimbursement is stagnant because Medicare budgets are squeezed and commercial rates are failing to close the gap. We're fighting red tape to provide simple telehealth, while "AI Therapist" expands with a fraction of our professional oversight.
That's why I wanted to have U.S. Senate Candidate Dan Osborn on the podcast. I wanted to talk about therapy in the Senate. Why aren't we making true progress? How do we move our bills forward? And what does it take to tackle these structural failuresÂ
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