What happens when you’re insured, in pain, and still can’t get the help you need? In this episode, Chuck sits down with John Hoffman, an industry leader in health policy advocacy and a long-time veteran of the healthcare industry with an impressive 37-year tenure at Johnson & Johnson. Together, they unpack the frustrating, expensive, and often absurd realities of the American healthcare system.
See how good intentions morphed into financial incentives—and why even the best physicians are now bound by spreadsheets, not science. With a combined 75+ years of healthcare experience, Chuck and John break down the tangled mess of managed care, drug rebates, hospital consolidation, and the dangerous loopholes that reward the highest prices over the best care.
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What You’ll Learn in this Episode:
How PBMs and insurers make more from higher drug prices—not less.
How hospital consolidation drives costs up
Why independent doctors are vanishing—and younger physicians are opting out
The hidden power of vertical integration (and why it’s bad for patients)
How state-level advocacy sets the stage for national healthcare reform
How one phone call to your legislator can make a difference
Quotes of Note:
“Rebates are the crack of the healthcare system—every player is addicted.”
“Five major drug companies make less than one insurer—each. Let that sink in.”
“Physicians aren’t artists anymore—they’re cookbook followers stuck in a managed care kitchen.”
“If you're not part of the solution, you're part of the problem. Silence is no longer an option.”
Resources Mentioned
1. CSRO Advocacy Tools – Find your legislator and send a customizable letter
2. Kaiser Family Foundation – Patient-friendly policy explainers
3. Drug Channels Institute – Vertical integration trends in healthcare
4. White Paper by John Hoffman – Coming soon
5. Disruptive Dialogue Episode 2: Follow the Money
6. Dr. Maddie Feldman Interview. On Disruptive Dialogue – PBMs and drug rebates explained
Additional Resources That Inform This Episode:
• Inflation Reduction Act (2022)
• Stark Law limitations vs. insurer self-referral loopholes• “Profit-Based Medicine” – John Hoffman’s forthcoming book
• Drug Channels: 2025 Consolidation Trends
• “PBM Reform and the Help Copays Act” – Congressional updates (May 2025)
