The DocNation Podcast

In this foundational episode of the Doc Nation Podcast, the founders share how this movement came to be and why it's so critical for physicians.  We discuss the harsh realities facing physicians today, which ultimately led us to create this movement. We dive into how doctors are only taking home 7-8% of the revenue they generate, residents work long hours for minimal pay, and how they're expected to endure it all while carrying massive student debt.  The toxic culture of martyrdom in medicine has gone too far, and the emotional toll— including the heartbreaking number of physician suicides—can no longer be overlooked. 

Doc Nation was birthed from our frustration after spending over a decade witnessing these struggles. We realized that helping individual doctors was not enough—we needed a collective voice to truly make an impact. Whether through unionization or striking, like the one happening in Buffalo, we are committed to advocating for physicians and putting the power back in our hands. 

This episode is a call to action, but also a critical introduction to what we’re all about. If you're new to Doc Nation, this is the episode to listen to. It’s time to stand together, reclaim our autonomy, and bring real change to healthcare. 

What is The DocNation Podcast?

A movement founded by doctors, for doctors, dedicated to empowering medical professionals to reclaim control over healthcare decisions and advocating for their fair share of the industry's resources.

00:00:00:00 - 00:00:27:07
Unknown
This is the Doc Nation podcast. We are a movement founded by doctors for doctors dedicated to empowering medical professional to reclaim control over health care decisions and advocating for their fair share of the industry's resources. Please note the views expressed are those of Doc Nation and not necessarily those of our Guests or referenced health centers.

00:00:27:15 - 00:00:44:18
Reid Lancaster
Yeah. Welcome to the Doc Nation podcast. We used to do webinars. We did it for about a year, and we wanted to be a little bit more flexible at and keep things a little bit shorter. We want people to look at Doc Nation podcast and say, I got 15 minutes. I'm going to get from beginning to end on one of them.

00:00:44:20 - 00:01:03:22
Reid Lancaster
And this one's the founders, meeting. This is the Founders podcast, and it's a little bit about why and how we got started. And I'm just going to try to do it in two minutes for myself. But I played high level sports. So individually, this is this. This was my dream and my focus. And Doc Nation coming to life is me realizing, a dream of mine.

00:01:03:24 - 00:01:25:24
Reid Lancaster
But I played high level sports. And as I was looking around and us players were getting pampered and it was really, really cool and, but quickly I, I, I asked myself a question like, “Why? I throw a ball?” And it was to the level where people are, you know, obviously people are cheering. We know what how fans are.

00:01:25:24 - 00:01:36:17
Reid Lancaster
But I don't think the typical average fan understands the level of care we get behind the scenes. Like I had an agent read a contract.

00:01:36:17 - 00:01:37:01
Dr. Anthony Giuffrida
To.

00:01:37:01 - 00:01:56:12
Reid Lancaster
Me. I never even read it. It was like story time. It was awesome. It was awesome. And, I just knew baseball wasn't going to be a forever thing for me. You know, I was making like $800 a month. It was it was a short thing, a very, very short stint. And I've always been an entrepreneur before baseball even, and always wanted to after.

00:01:56:12 - 00:02:17:19
Reid Lancaster
And my whole focus in life was I like creating businesses to solve problems. But after playing and seeing some of my friends and other teammates and they're just they're just getting pampered, I'm thinking, this is a little weird. Honestly, this is a little much for me. And I thought to myself, but I have a brilliant idea, and it's going to come after we're done playing.

00:02:17:21 - 00:02:47:06
Reid Lancaster
And the idea is create an agency with this type of white glove service and focus on people who who really matter at another level. And I was taking a shower today, and I know I'm going to get hammered on this morning I was thinking about this. I know I'm going to get hammered on by some of my ex players, but like, let's create that kind of white glove service for people who who an average Tuesday is cutting someone's heart open, saving someone's life as the family is.

00:02:47:06 - 00:03:06:05
Reid Lancaster
Then I got full body chills just thinking about the families in the waiting room on their knees, praying that you got enough sleep last night, that you were responsible enough to manage your four kids, five years old, and under which I have a say. I'm a doctor. I have four kids, five years old and under. I woke up at 3:00 last night and I didn't go back to sleep. At 4:00 this afternoon,

00:03:06:05 - 00:03:32:05
Reid Lancaster
I might not be my sharpest, but guess what? The patients don't care. The car accident didn't care, didn't wait. Right? So am I going to be my best at 4 or 5:00? I don't know, and so when I look at how professional athletes are getting treated, which they deserve it, here's why they deserve it. In the United States of America, if money is made, respect is garnered.

00:03:32:07 - 00:03:52:07
Reid Lancaster
That's just how good whether it's a good way of making money or a bad way of making money, there's a level of respect that's garnered an attention. There wouldn't be agents if the players weren't making a bunch of money. That's just that's that's just how it works, right? Well, there's a group in the United States who across the board make some good money.

00:03:52:09 - 00:03:52:22
Reid Lancaster
Right?

00:03:52:22 - 00:03:58:01
Justin Nabity
And they used to say it's changed. Do you do. Yeah. It's getting, it's gotten.

00:03:58:01 - 00:04:17:19
Reid Lancaster
And it ought to be protected as all I'm saying. It ought to be protected. And it's just not the money side of things. The agents would do all kinds of things like buy cars, buy homes, find babysitters, everything, everything. And so my dream was always to start an agency to support a group that was a little bit more important.

00:04:17:21 - 00:04:39:13
Reid Lancaster
And I don't care how hammered on I get for this. Bring it like you throw a ball, you catch a ball. It's uplifting. I remember after September 11th, since we're we're one day away from the anniversary. I remember after September 11th and, our president throwing out a strike to Derek Jeter and how that uplifted the spirit of the United States.

00:04:39:15 - 00:05:02:24
Reid Lancaster
And I was like, I had tears rolling down my face. My whole family. We were, like, pumping our fists. Doctors do that every day, and more and more. So, my background is that, I've always had this dream to start, an agency that protected a really, really important group of people. I thought about astronauts, and I thought about high level politicians.

00:05:02:24 - 00:05:23:00
Reid Lancaster
That quickly went out the window. I thought about astronauts and scientists for for quite some time. And and in part, I got that because physicians are all scientists. And I just feel very, very grateful to be here. We currently serve, a large group of people. And, I think we're doing really, really good. So thanks for having me today.

00:05:23:02 - 00:05:47:15
Dr. Anthony Giuffrida
Yeah, I think that was a great start, Reid. I mean, for me, a lot of it is the same. The idea started for me when me and my buddies were watching football on a Sunday in med school. I just kind of, like, turned on. I said, why don't physicians have agents? You know, if there's any group of people out there that's extremely high level performance, high stress and have to be on at all times?

00:05:47:17 - 00:06:05:11
Dr. Anthony Giuffrida
Oh, you're thinking an NFL wide receiver. It's like, no, that's a physician. Like you have to be on at all times. Sick days are almost not allowed, right? If you say, hey, I'm sick, I need to cancel your surgery. That patient has been thinking about this surgery from the day it was scheduled. Yeah, the day they had the pain first or the day they have the issue.

00:06:05:11 - 00:06:23:08
Dr. Anthony Giuffrida
Right? You can't just walk in and schedule not scheduled surgeries. And what agents do for physicians is just give you that time to take care of yourself, take care of your family, take care of your mind. And right now, physicians don't do that. And that's why I'm so passionate about Doc Nation is no longer are we just helping the physician because physician burnout is through the roof.

00:06:23:08 - 00:06:37:10
Dr. Anthony Giuffrida
We all know this physician compensation is going down, which causes physician burnout to go up. Now it's the patients being affected. And we see this these these numbers are on every national media station where we say we spend the most amount of money in the world.

00:06:37:12 - 00:06:37:20
Justin Nabity
Mm-hmm.

00:06:37:23 - 00:07:06:20
Dr. Anthony Giuffrida
Health care, and we have some of the worst health care in the first world countries. And there is no one then takes the next step and talks to the reason. The reason is because we're we're not treating our physicians properly. People aren't happy to go into medicine. People are very tired. We're exhausted. And I know I'm speaking for myself, but I may be generalizing to all physicians, but almost on every level, most physicians who say it's harder today to be a physician than it was 20 years ago, and medicine in the last 20 years has decreased because of that.

00:07:06:20 - 00:07:25:10
Dr. Anthony Giuffrida
And there's a lot of factors that's causing that. Or you can get into the health insurance debate. We can get into the Medicare debate of the Medicare CMS cut. We get student debt debate of how much debt these, kids are having coming out of med school. All of this is a reason that physicians are burning out and health care is getting worse.

00:07:25:16 - 00:07:40:20
Dr. Anthony Giuffrida
And what Doc Nation can do is take a lot of that off of you. Take all of your finances off of you, take all of that worry off you, take all that fight, that thing you said about contracts. We don't know what we're doing with contracts. They hand us a contract, we sign it happens immediately. We're not getting the most out of what we could be.

00:07:40:20 - 00:07:48:12
Justin Nabity
And without a lawyer does not read the contract? No. The doctor like to what? What you had, Reid? That doesn't happen.

00:07:48:14 - 00:08:02:10
Reid Lancaster
Nor does the patient, nor does the patient want you to be a specialist at anything else other than the life saving or life renewing stuff that you do. Please just do that only and then do whatever fun stuff you want. And that's the goal here.

00:08:02:12 - 00:08:17:22
Dr. Anthony Giuffrida
Yeah, I met Neil, and Neil was the one that finally said to me, he's like, do it, do it. Start. Let's start Doc Nation. And you know, we met Justin and Reid later and Justin read it. This is kind of how things come together, right? We were running one lane. They were running one lane. We were running them.

00:08:18:01 - 00:08:31:21
Dr. Anthony Giuffrida
And then we just got together and went apart. But I'll never forget the day Neil was like, just do it. He's like, start, start the business now. Let's do it. And, Neil is one of those guys that understands medicine. Kind of. He's he's inside medicine, but he's not a physician. So, Neil, I'd like to hear your story.

00:08:32:01 - 00:08:37:11
Dr. Anthony Giuffrida
You're an athlete as well. I mean, we have that same conversation. I remember where we were. We had that conversation at Beau camper's.

00:08:37:14 - 00:08:38:10
Neil Dougherty
Beau camper’s

00:08:38:12 - 00:08:51:13
Dr. Anthony Giuffrida
After an event here, and you said, we got to do this. We have to do this for the patient. We have to do it to save healthcare. The sad thing is that was three years ago, things 3 or 4 years ago, probably. Right. Things keep getting worse. And we're trying we're really trying to make it better.

00:08:51:15 - 00:09:11:07
Neil Dougherty
Yeah. I remember that night too, Dr. G. It was, I could see in your eyes that as soon as I said, dude, I was like, I know he's for real. He's going to do this. He means business about this. And, and I was coming at it from a different angle, right? I, it's funny that you mentioned the patients are suffering.

00:09:11:09 - 00:09:35:12
Neil Dougherty
I had a heart for the patients. I was an athlete just like Reid and you as well, and I went through some injuries, so I was interested in the body injuries, pain recovery. And that's how I got into medical devices, trying to help patients. And with some maturity and excuse my ignorance here, but I you realized quickly that in order to make an impact on these patients, you have to better take care of the doctors.

00:09:35:12 - 00:09:36:21
Reid Lancaster
That's right.

00:09:36:23 - 00:09:49:18
Reid Lancaster
It's not ignorant I think people I that's not being ignorant that I think we just expect that that's like a thing. But people don't understand that it's not. Sorry to interrupt but no, no not everybody feels that way and thinks that way.

00:09:49:20 - 00:10:16:08
Neil Dougherty
Yeah. And I and I think on my side of the business here, when you're interested in patient care and medical devices and partnering with doctors that way the best representatives are the ones that are focusing on physician advocacy and improvements of, their lives overall. What you can, what you can legally and ethically do to help your physician just focus only on patients.

00:10:16:10 - 00:10:40:21
Neil Dougherty
I think those reps are focused on that. So you asked me what I wanted to do, what I thought I was good at, and I was like, I want to help patients. But I also like to help coach doctors get to get to their goals. What are those? You know, I want doctors to actually feel like normal people too and actually have some free time and family as well, because I you see them sacrificing so much on a daily basis.

00:10:40:23 - 00:11:05:04
Neil Dougherty
So they're easy for me to fight for and advocate for. And, every single, you know, every chance I get to spend time with you guys, it just, you hear my voice start to sound like this. I'm like, something's got to be done. And and we're, we're transitioning from these webinars to doing these podcasts because we're getting busier and we're being more successful here.

00:11:05:06 - 00:11:07:19
Neil Dougherty
So I really do like this idea.

00:11:07:21 - 00:11:23:18
Dr. Anthony Giuffrida
And one thing I have to say for Neil, Justin and Reid is it's very important for physicians. And sometimes physicians are wary of who to trust outside of medicine to have people like you guys fighting for physicians, you know, we've been burnt before. Health insurance companies really burned us, you know?

00:11:23:18 - 00:11:26:04
Justin Nabity
Well, not just that everybody.

00:11:26:06 - 00:11:45:01
Dr. Anthony Giuffrida
The Affordable Care Act, or Obamacare, whatever you want to call it, was not supposed to take so much power away from physicians. And it did. You know, we aren't allowed to own any portion of hospitals. It gave a lot of the power to the health insurance companies. And listen, I understand it was there to give more patients health insurance, but it really has ruined medicine.

00:11:45:03 - 00:12:08:09
Dr. Anthony Giuffrida
Not just that, but I don't want to get too political about it, that's why. But it’s ruined medicine in the fact that the physicians don't have the power anymore. We had someone on an earlier podcast talking about how we're being told what to do by administrators who have no, you know, physician background. So to have guys like you that your sole focus when you're with Doc Nation is to help the physician is extremely important.

00:12:08:09 - 00:12:26:08
Dr. Anthony Giuffrida
And and I think we've seen it. I mean, it's one of my jobs helping with Doc Nation is to tell physicians like, hey, these guys are legit because physicians don't trust anyone anymore. We've had the rug pulled from us too much and we're too tired. I mean, there's there's the AMA just published something last week about preventing physician suicide.

00:12:26:10 - 00:12:46:14
Dr. Anthony Giuffrida
Like... the fact that that's where we're at is how do we prevent this rising growth of physician suicide is an insanity. Yeah, right. It should be. You don't you don't hear prevent quarterbacks from killing themselves because they have a great life and things are going really well. Right. While they're there. Like, we need to get physicians to the point where they're happy.

00:12:46:14 - 00:12:58:02
Dr. Anthony Giuffrida
They're healthy, they're enjoying their life. So then then they can take care of patients. Right now, it's backwards. Right now we're taking care of patients, trying to just tread water with the rest of our lives.

00:12:58:04 - 00:13:06:01
Neil Dougherty
You know, you say life. You remember that game life. It was like maybe Milton Bradley. It was like, you got to be the doctor that you were, right.

00:13:06:06 - 00:13:07:23
Dr. Anthony Giuffrida
The best one! Yeah.

00:13:08:00 - 00:13:08:20
Neil Dougherty
You were going to win.

00:13:08:21 - 00:13:10:05
Justin Nabity
You're like, oh no.

00:13:10:06 - 00:13:14:12
Neil Dougherty
That's how do we go from the best life to suicide?

00:13:14:14 - 00:13:16:02
Justin Nabity
Yep. Yeah.

00:13:16:04 - 00:13:31:17
Neil Dougherty
It's nuts. And you mentioned one thing and I don't want to get us off track here, but I think it's probably a good episode for. Yeah different part of, you know, another podcast episode. But yeah, you said we've been burned by. Right. I want to know.

00:13:31:19 - 00:13:57:03
Dr. Anthony Giuffrida
A lot of people in medicine. Yeah, a lot of people have put their hands in the pot of medicine and just taken away. That pie doesn't get any bigger, right? CMS is cutting money for medicine every year, the portion that physicians get it just Justin, I think you have the exact percentage, but the portion that physicians get of that pie is going down and down and down, and we're seeing more and more and more patients just to mainstay maintain the same revenue.

00:13:57:03 - 00:14:17:04
Dr. Anthony Giuffrida
That's why I see so many physicians without private practices anymore is they can't afford it. You can't have a private practice. You can't build a business anymore with the reimbursements we're getting. So we're all getting conglomerated into big systems. That's where I'm saying we're being burned. We trust people. Physicians are very trusting people to give up your 20s and go to that much education.

00:14:17:06 - 00:14:35:15
Dr. Anthony Giuffrida
You just trust people. That's the kind of person that becomes a physician. And this is where other lawyers or other finance people are going to get upset at me. But like, no one fails out of like finance school and goes to med school, right? It doesn't happen like you fail out of med school, maybe and go to law school or go to finance school.

00:14:35:15 - 00:14:49:22
Dr. Anthony Giuffrida
It's not the other way around. It's not that physicians aren't smart enough to become lawyers or become financial people. It takes a special person to want to be a physician. You actually have to want to help people. That's your main goal. That has to be your main goal. Or believe me, you want to do it because it's brutal.

00:14:49:23 - 00:15:10:14
Dr. Anthony Giuffrida
Med school is brutal, residency is brutal. But that, hey, I want to help people has to maintain there. What Doc Nation wants to do is help that physician. So all they have to worry about is helping people and and it's crazy that we've lost this. It's crazy that politicians and big business have taken so much away from physicians to the point where they're like, I don't want to do this anymore.

00:15:10:16 - 00:15:25:08
Dr. Anthony Giuffrida
I helping people isn't enough. My life is miserable. Like, that's what I hear from a lot of physicians. And then when I say, I'll let you guys jump in, if you ask physicians, would you let your kid go into medicine? Something around 70 to 80% of physicians say, no, that is scary.

00:15:25:08 - 00:15:29:21
Justin Nabity
That's the advice. The advice they give is to not do what I did. Don't follow my footsteps.

00:15:29:22 - 00:15:49:22
Dr. Anthony Giuffrida
It's scary though because you want in a country, in a community you want your best and brightest going into medicine. And if they aren't you're going to have a very unhealthy community, a very unhealthy country. Our best and brightest are going into finance because it's an easy life and you make a lot of money. Not no, I know it's not super easy, but it's believe me, it's easier than medicine.

00:15:49:24 - 00:15:53:08
Justin Nabity
It's not ten years. You don't have to give up ten years ago. Oh, I just started 20.

00:15:53:08 - 00:16:13:16
Dr. Anthony Giuffrida
You’re 22 in New York City, making bank after you went to four years of business school at Warren's at 22, I was paying $60,000 a year, studying 80 hours a week and then going to class for another 30 hours. I mean, that's just what it was, right? I didn't have a 20s. No one starts a family in their 20s in medicine because they can't.

00:16:13:18 - 00:16:19:08
Dr. Anthony Giuffrida
All we're asking for as DocNation is once you're done, you deserve an easier life.

00:16:19:10 - 00:16:28:21
Justin Nabity
So let's talk about the financial piece of this for a second. I know it's not about just finances, but what's the number one cause of divorce or what is a top cause of divorce?

00:16:28:21 - 00:16:33:10
Reid Lancaster
It is the number one. It is the number one reason people get divorces is financial issues.

00:16:33:10 - 00:16:57:22
Justin Nabity
Financial issues, whether good financial like good financial situation or bad financial situation. It's it's very disruptive not being on the same page. Their spouse and I'm a certified financial planner have a whole history in the financial services industry. My grandfather and father now myself in financial services before Doc Nation and this is insane. What I'm about to say.

00:16:57:24 - 00:17:21:10
Justin Nabity
I'm torn to to go and talk about this because we're we're talking about things that are meaningful to doctors, but then also things that are meaningful to patients and really the patient and doctor relationship used to be like this. It's been completely separated because like you said, Anthony, there's only so many ways you can slice the pie. Yeah.

00:17:21:11 - 00:17:36:01
Justin Nabity
What is the number one concern among Doctor of Doctors in every age category? If you were to survey them? The number one concern that they all have together collectively.

00:17:36:03 - 00:17:36:16
Justin Nabity
Right.

00:17:36:18 - 00:17:50:00
Justin Nabity
And if you if you narrow it into like maybe putting it in the category of financial preparedness, what's the number one thing that they are concerned in every single age group having. And okay, right. You have.

00:17:50:03 - 00:17:52:11
Reid Lancaster
It just because I've been with you for ten, 11 years, what.

00:17:52:11 - 00:17:53:01
Justin Nabity
What is it?

00:17:53:03 - 00:17:56:06
Reid Lancaster
Having enough money to retire. That’s insane.

00:17:56:08 - 00:18:06:16
Dr. Anthony Giuffrida
Okay, let me jump in there. So you know what? I just saw a stat on the number of physicians that have a side business, and I sat there. I'm like, and they were celebrating this.

00:18:06:18 - 00:18:07:12
Justin Nabity
You should have.

00:18:07:13 - 00:18:08:16
Justin Nabity
Time for a side business.

00:18:08:16 - 00:18:28:14
Dr. Anthony Giuffrida
But you want to do it. You shouldn't have to have a side business unless you want one. It was over 50% of physicians aged 35 to 50 have a side business. You should one. You shouldn't have to have a side business if you want to. Understandable. But 50% of physicians I don't think those people want to

00:18:28:16 - 00:18:30:01
Neil Dougherty
The necessity that they need.

00:18:30:01 - 00:18:32:06
Dr. Anthony Giuffrida
To or they're looking for an avenue out.

00:18:32:07 - 00:19:17:10
Justin Nabity
Right. So that's a that's not healthy for. So in the early 2000 when I was pursuing finance and ended up marrying my wife and met her father, who's a doctor, her brother's or his wife or an uncle or her cousin's husband, father, grandfather. There's multiple doctor diabetes on my side of the family and financial services. It's like, okay, if there is a group of people that should be financially stable and secure and not have any worries at all and ought to be doctors, let's help them be as as their life, being as on the right path and and healthy and ready for life to be able to.

00:19:17:11 - 00:19:41:22
Justin Nabity
To do what? To impact their patients and there's an a better way to impact the community than to be at the best place mentally, physically, spiritually, emotionally, everything. As a doctor and the financial area is such a stressful component. And so this ought to be the group that should have the least of the issues. And it's this is the number one problem.

00:19:41:24 - 00:20:04:05
Justin Nabity
And so when you look at it back in the 1980s, most doctors were in charge of their lives when it comes to decisions around their practice. And they had ownership in what they were doing, and they received income that was commensurate to the time they took away to educate themselves, the training and the risk they are taking. Seeing patients and malpractice and whatnot.

00:20:04:07 - 00:20:21:08
Justin Nabity
And we're in a situation now where they're only collecting 7 or 8% of the revenue they generate. There's no other profession that makes that small of income relative to what they generate. Coming into the door for the business we.

00:20:21:08 - 00:20:24:06
Neil Dougherty
Started in, just in what percentage?

00:20:24:06 - 00:20:43:19
Justin Nabity
Imagine, imagine an engineer or a lawyer or some other professional that generates income to the business. They only get 7 to 8% of what they bring in the door. Yeah, yeah. There's overhead I get that and there's overhead.

00:20:43:19 - 00:20:59:04
Dr. Anthony Giuffrida
There's there's a crosswalk at a softball. Right. Like the players association, their bargaining agreement is 50, 50, 50%. Oh right. Revenue is disbursed to the players. Every major sport is like that.

00:20:59:04 - 00:21:04:21
Reid Lancaster
So since we're on this topic, how much does a resident how much do you make during residency and fellowship?

00:21:04:23 - 00:21:06:12
Dr. Anthony Giuffrida
Yeah, we got out.

00:21:06:14 - 00:21:12:20
Dr. Anthony Giuffrida
I mean, I met I made a little while ago about 40, 40 grand a year. Now it's around the average like 50, 60 grand a year.

00:21:12:20 - 00:21:13:14
Justin Nabity
It's kind of 60 or.

00:21:13:14 - 00:21:31:00
Reid Lancaster
60 grand a year. Okay. Hey hey hey hey hey hey hey, doc nation fact check me and jump on here. What's a fact? But I think to be on the practice squad, to not even play in the games in the NFL, I think you make 400 K. Yeah, 100 k. Check. Check me on the doc Nation.

00:21:31:02 - 00:21:37:14
Dr. Anthony Giuffrida
Yeah. The other, the other big thing, when you start talking about resident salaries, which we know that there's a a residency up in Buffalo.

00:21:37:15 - 00:21:39:05
Justin Nabity
Buffalo on strike right now.

00:21:39:05 - 00:21:48:11
Dr. Anthony Giuffrida
The one strike. But then you start factoring in the number of hours you work and you bring it into an hourly wage. You know, the mentality it's half.

00:21:48:15 - 00:21:48:21
Neil Dougherty
That's nuts.

00:21:48:21 - 00:22:16:05
Dr. Anthony Giuffrida
Not. But you're, you're, you're you're like still taught to be this like martyr if you will like do it for the better good. Which if if physicians had more autonomy, more say in how patients got treated. Honestly, I don't think it would be as big of an issue too. It's a combination of having no autonomy, no life outside of medicine and then not being compensated for that, while also also the residents nowadays are coming out with $300,000 in loans.

00:22:16:07 - 00:22:18:19
Dr. Anthony Giuffrida
Yeah, like the numbers just don't work.

00:22:18:21 - 00:22:28:05
Reid Lancaster
So you're giving up money, you're giving up your 20s, you're not making any money. What do most people do during their 20s?

00:22:28:07 - 00:22:32:00
Dr. Anthony Giuffrida
They travel, they enjoy themselves. They find a wife. They, you know, or husband.

00:22:32:01 - 00:22:41:02
Reid Lancaster
They they how do you have how do you have two or 3 or 4 kids when you're working 80, 90 hours a week, not making any money?

00:22:41:04 - 00:23:00:06
Dr. Anthony Giuffrida
Yeah. It's it's very difficult. And it's even harder on women to have kids during residency. It's almost, I don't want to say frowned upon, but I've seen it where they expect that things are getting better now, but I, I went to residency, someone had a baby and they were back in two weeks. Yeah. I don't think they wanted to be right.

00:23:00:07 - 00:23:00:16
Dr. Anthony Giuffrida
They just.

00:23:00:16 - 00:23:05:13
Reid Lancaster
You think they were. Do you think they were at par to provide the service they needed to provide?

00:23:05:15 - 00:23:23:07
Dr. Anthony Giuffrida
No, I couldn't believe they had a child. I was struggling being a single guy in residency. They I mean, to me, I was like, Holy cow, you're you're a rock star that you're getting through here. But there was no support. There's no real support for physicians growing a family while they're going through residency. Just it's very hard.

00:23:23:09 - 00:23:47:24
Justin Nabity
It's tough after after over a decade, 15, some years of helping doctors financially, seeing the intricacies of their lives, doing financial, colonoscopies of their, their situation, going through their checking account, going through their credit card statements, going through and looking at and trying to find ways to help them cut expenses, increase income and doing that on an individual basis.

00:23:48:01 - 00:24:12:09
Justin Nabity
I think for Reid and I we just saw that, yeah, we can help somebody be more efficient in their own little bubble. And that's good. And we want to do that. And we do. We actually do help in a lot of ways on the DocNation side with that, you know, getting a mega tax deduction, getting getting hundreds of thousands of dollars back into our client's pocket through tax savings.

00:24:12:09 - 00:24:38:00
Justin Nabity
That's that's a key piece of this stuff. But it's one thing if we can help people on the individual level. But at work, the rate at which we're able to help people one by one is not going to we're not going to be able help enough people in time to keep up with what CMS is doing. So that's why for us, it was like, we need to do something that we can take the gloves off, meaning we can be representing our clients in a way that we're not.

00:24:38:00 - 00:25:06:12
Justin Nabity
We don't have compliance and a red tape and, other bureaucracy types of things that get in the way. We can go direct to having the conversation with whoever needs to be spoken to about advocating for our client or the group of doctors at the employer to form their own union or things like that. We just we saw the writing on the wall after ten, 15 years of seeing this, we we're not going to be able to to keep up with the erosion, the decay that's taking place.

00:25:06:18 - 00:25:37:00
Justin Nabity
We have to find a way to get larger groups of doctors together to do what you were talking about, Anthony, which was the voice we had a guest on, and unifying that voice of doctors. There's no other voices more powerful today across the board in any labor group, than doctors. They just are all over the place. So we exist to be that unifying voice for you in your workplace, helping in your personal life, and then on an industry level, making change.

00:25:37:02 - 00:26:04:17
Justin Nabity
And the agency piece is helping on the individual side. But the advocacy piece helping explore all the avenues. What are you really getting from your employer? Where should you really be at from an overall structure of work life balance sort of experience, standpoint, all those factors, it's we needed to do something bigger and that had more momentum to make a difference, to help really put health care back on the right track.

00:26:04:22 - 00:26:22:12
Justin Nabity
And that is putting the power back into doctors hands. That's really, I think, what is that glue that brings us all together, each having a different place along our journey to getting to this point in time where we need to do something different about this, and it's amazing the people that are coming out of the woodwork to talk to us about this.

00:26:22:12 - 00:26:44:08
Justin Nabity
We're getting contacted on a regular basis about stuff that's going on and the strike. People thought striking do no harm. Do no harm for your patients. Okay. How much does the employer actually care about not doing harm if you don't take care of your team, the people on the other side are going to be suffering. They're not going to receive the care they need.

00:26:44:08 - 00:27:10:16
Justin Nabity
And so that we need to take some some serious steps and some action, to, to do things like potentially striking like they are in Buffalo right now to see some change because they're getting if you say the numbers they're getting like ten, 15, $20,000 less compared to some of the neighboring institutions, they're at the same level. So getting a correction right there is it's absolutely essential.

00:27:10:18 - 00:27:37:02
Neil Dougherty
I love I love it. That's well said too. And I've been to I think it's worth saying that patients when they get it, they want the doctors to be really happy too. That's right. Yeah. You want that's right. You doctors to be happy and healthy and all the things that they're and so that when they hear that doctors are striking, they're curious as to how they've been treated.

00:27:37:04 - 00:27:55:12
Neil Dougherty
Yeah. And so it's, that there's a, there's so much of our communities that are really behind the doctors right now. But their voice does need to be heard. And it is it's finally being heard on this platform with this brand new microphone.

00:27:55:14 - 00:28:19:01
Justin Nabity
That's right. We exist to bring courage. The whole idea of you being a martyr and continuously being a martyr, like the martyrdom that's been taking place to just erode erode erode doctors voice. We can't do it anymore. There won't be a future if we stay on this path. Courage. It's time for courage. You have people behind you. You can contact us.

00:28:19:01 - 00:28:27:06
Justin Nabity
We're here to support you. Whatever you need. If it's just a conversation we've had a guest on, and we'll probably have her on again, they have a physician suicide hotline.

00:28:27:11 - 00:28:28:11
Reid Lancaster
I was just going to say, and they've.

00:28:28:11 - 00:28:30:21
Justin Nabity
Actually had someone commit suicide.

00:28:31:02 - 00:28:39:19
Reid Lancaster
Five people. Five people. I've years actively commit suicide on the hotline with them. They heard it happen. They heard it happen.

00:28:39:23 - 00:29:05:22
Justin Nabity
So if you're afraid, if you know somebody who's afraid about what to do in their workplace, there's abuse, there's moral injury, there's people being taken advantage of, there's injustices that are going on. It's time to have courage. We're here to be courage for you. If you don't have courage yourself, we're here to be that courage for you. Just get in touch with us and we will provide whatever you need to support that, because we can't do it anymore.

00:29:05:24 - 00:29:14:23
Justin Nabity
We can't have the physician suicide hotline. Yes, it's helping some people, but other people are not making it through the phone call. Like that's a problem.

00:29:15:00 - 00:29:37:12
Reid Lancaster
Hey, if you are listening from beginning to end, thanks for staying a little longer. I promise. 15 to 20 minutes. We've kept them to 15 to 20 minutes with guest speakers. But you're talking about the four founders here and the passion behind this. We're fed up. We're fed up. And so, we might get a little long winded because we feel like it's time to do something about this. Justin, that was a great way to land the plane.

00:29:37:18 - 00:29:42:19
Reid Lancaster
Thank you, gentlemen. Appreciate you. We'll be back for more awesome guys. Thank you.

00:29:42:19 - 00:30:01:17
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00:30:01:23 - 00:30:13:12
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