Dutch Rojas

Why You MUST know Dr. Tom Catena.

Imagine being the only doctor in a war zone.

Now imagine that war zone is in the Nuba Mountains of Sudan, where half a million people rely on you to survive.

That’s Dr. Tom Catena’s life.

In the documentary “The Heart of Nuba,” Dr. Catena’s mission is shown with raw honesty.

Here’s a man, a former Navy doc, who could have had a comfortable life practicing medicine anywhere, but he chose to serve people who have nothing.

It’s a relentless grind of surgeries, injuries, and little sleep, but he keeps going.

Why? Because he believes in it.

There’s no PR team, no profit margin—just one man and his duty to serve.

Here’s why you MUST watch this: We often hear that “business as usual” in healthcare can’t change.

But Dr. Catena challenges that belief by proving that when it’s about people first, everything else falls into place.

In a world driven by profit, he’s a reminder that medicine MUST be about the patient, not the bottom line.

His story will make you rethink why you’re in healthcare in the first place—or why we MUST all demand better.

Watch The Heart of Nuba is a shot of reality.

It’s healthcare in its purest form.

And if that doesn’t inspire…

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The world’s most important doctor to millions in the war-torn villages of Sudan (#40 rebroadcast) Watch the full episode and view show notes here: https://bit.ly/46kWZjaBecome a member to receive exclusive content: https://peterattiamd.com/subscribe/Sign ...

𝐀𝐥𝐫𝐢𝐠𝐡𝐭, 𝐬𝐨 𝐥𝐞𝐭 𝐦𝐞 𝐠𝐞𝐭 𝐭𝐡𝐢𝐬 𝐬𝐭𝐫𝐚𝐢𝐠𝐡𝐭: you need a knee replacement.

Happens to 750,000 people every year, right?

And if you’ve got coverage, they go, ‘Great! That’ll be $50,000.’ Fifty. Freaking. Thousand.

For one knee! It’s like they think you’re buying a sports car, not a joint so you can walk to the mailbox without wincing.

But then—here’s the part that kills me—if you pay cash, it magically drops to $25,000. Like, oh!

Suddenly we’re getting the knee from the discount knee aisle. What, are they throwing in a coupon for half off your leg?

So here’s the math: $50k a pop if you go the insurance route, or $25k if you pay direct.

Do the math on that, and the difference is $18.75 billion. BILLION. That’s how much less American families would pay save if everyone just slapped down cash.

But no, they gotta keep up the racket.
They tell you it’s all for ‘better care,’ meanwhile they’re up-charging your knee like it’s a luxury suite.

Unbelievable. And here we are, just trying to walk across a room without sounding like a bowl of Rice Krispies!”

Brokers make more on traditional Medicare with Medigap – but why won’t anyone tell you that?

Medicare Advantage gets labeled as the ‘big money play,’ yet Medigap commissions climb each year.

So, who’s really cashing in?

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Physicians call all the time,
That’s part of how this works.

While I run advisory and consulting firm, PhyCap Benefits, and a physician-led venture capital firm , PhyCap Fund, and physicians call me everyday and ask about a myriad of topics that have nothing to do with what I do.

and I love it…

So far today, lease versus buy (sale and leaseback) on a new building, Medicare advantage plan sponsor agreement, and is cash payment for medical treatments legal?

The Unique Value of My Insights - PhyCap

Doctors Ask Me Everything The Unique Value of My Insights - PhyCap Join an insightful panel discussion where physicians share their experiences about transitioning into private practice. Discover essential insights on RCM, m...

Some disease advocacy groups accept big contributions from drug companies but don’t disclose the details.

They’re supposed to be unbiased but end up like a restaurant reviewer who gets free meals from every chef in town.

It’s tough to recommend ‘the best,’ especially when your best recommendation is for ‘the most.’

”

Pharmaceutical companies leave out the bad results in studies.

It’s like giving a restaurant review but skipping the part where the waiter spills soup on you.

I get it, though—no one wants to talk about their side effects.

Still, maybe patients deserve the whole picture.

If I ever need surgery, I’m going to ask my doctor to tell me all the parts he plans to skip.

(Do not read Bottle of Lies by Katherine Eban)

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I end up at a nonprofit health system without insurance.

They hand me a bill for $10,000.
I tell them, ‘I can’t pay this. I don’t even have health insurance.’

They say, ‘Well, our billing office can set up a lawsuit against you if that’s easier.’

I say, ‘Oh, perfect!
Can we stretch it out to pay over the next 100 years?’

They say, ‘We can do it in 20—if you live that long.’
I say, ‘Well, if you keep charging me, I might not.’

And the nurse hands me another form: ‘Sign here to waive your right to laugh about this later.’

And I tell them, ‘If I pay this, I’ll never laugh again.’

Not

𝐈 𝐰𝐞𝐧𝐭 𝐢𝐧 𝐟𝐨𝐫 𝐚 𝐂𝐓 𝐬𝐜𝐚𝐧 𝐨𝐟 𝐦𝐲 𝐚𝐛𝐝𝐨𝐦𝐞𝐧 𝐚𝐧𝐝 𝐩𝐞𝐥𝐯𝐢𝐬.

They asked if I had insurance.
I said, ‘Yeah, I’m covered.’

They said, ‘Great, that’ll be $3,000.’
I said, ‘What if I pay cash?’

They said, ‘Oh, then it’s just $400.’
I said, ‘Can you scan my wallet, too?’

𝐂𝐓 𝐒𝐜𝐚𝐧 (𝐀𝐛𝐝𝐨𝐦𝐞𝐧 𝐚𝐧𝐝 𝐏𝐞𝐥𝐯𝐢𝐬)

Volume: 15 million scans per year

Insurance Price: $3,000
Direct Pay Price: $400

Reduction in Spend: $39 billion annually

When we look closer, it’s clear:
1. paying directly can reveal a massive difference in expense.

2. Insurance carriers and health systems want higher prices and higher premiums.

If every scan were at the direct pay rate, American families could save billions. Imagine what that could mean for everyone’s healthcare costs.

Why Nike Must Buy Surgery Partners Over TPG or UHC

As TPG and UnitedHealth Group battle for control over Surgery Partners, an unexpected contender could bring a fresh, transformative perspective: Nike.

While traditionally a sports and apparel powerhouse, Nike’s global brand and deep connection with athletes give it a unique edge in the healthcare space, particularly in the musculoskeletal (MSK) sector where Surgery Partners operates.

Imagine a world where athletes and active individuals turn to Nike not only for performance gear but also for world-class orthopedic and sports medicine care.

With global MSK expenditures exceeding $1 trillion, Nike’s entry into this space could be a game-changer—offering innovation, trusted care, and premium services under its renowned brand.

Could this be the next evolution in Nike’s journey from the field to the clinic?

Explore the full article to see why Nike, more than private equity or insurance companies, is the best fit to revolutionize the future of MSK healthcare.

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Physicians CAN Accept Cash for Services—Let’s Clear Up the Myth 💡

There’s a misconception that physicians can’t accept cash for services if they also accept various insurance products.

The truth?
Physicians CAN legally accept cash payments, as long as proper billing procedures are followed and insurance isn’t also billed for those services.

Why does this myth persist?
It often comes down to:

Overcaution about insurance contracts – Many think insurance agreements forbid cash payments, but that’s not necessarily true.

Confusion over laws – Regulations like the Stark Law and Anti-Kickback Statute can make doctors overly cautious, but these laws don’t prevent cash payments for services rendered.

Administrative complexities – Some doctors may simply prefer to avoid managing dual systems of payment, but it’s entirely possible.

It’s time to bust this myth.

Physicians have more flexibility than they think when it comes to accepting cash—let’s get the facts straight.

Remember a $1 today is worth way more than $.60 on the dollar in 45 to 60 days.

“If a builder builds a house, and it collapses and kills the owner, the builder shall be put to death.” – Hammurabi, 1754 BCE

Accountability has always been fundamental. In ancient times, those who built were held responsible for the quality and safety of their work.

Today, in healthcare, we celebrate innovation—but why must the companies be immune from accountability?

If these treatments are truly safe and effective, why do companies seek protection from liability?

I love capitalism, and in true capitalism, accountability is key.

Let’s stop using government shields and regulatory capture to avoid responsibility and start fostering real innovation.

Profits are well-earned when they come with responsibility—anything less is dangerous.