The Checkup with Doctor Mike

Viral Plastic Surgeon Who Exposed The Health Insurance Industry

20 snips
Jun 8, 2025
Dr. Elisabeth Potter, a board-certified plastic surgeon known for her expertise in microsurgical natural tissue breast reconstruction, shares her journey as a patient rights advocate. She dives into the ethical challenges posed by the health insurance industry, revealing how barriers hinder access to crucial surgical procedures. Dr. Potter discusses the absurdities of insurance practices, the impact of social media in healthcare advocacy, and emphasizes the necessity of reforming systemic flaws to prioritize patient care over profit. Her insights aim to inspire change and resilience within the medical community.
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INSIGHT

Consolidation Harms Patient Care

  • Vertical and horizontal consolidation in medicine has increased administrative burdens and decreased physician autonomy.
  • This has shifted focus from patient care to maximizing profits, harming patient outcomes and workforce morale.
INSIGHT

Insurance Controls Patient Care

  • Insurance companies control access and reimbursement, making physicians feel powerless, as if they must comply without question.
  • This power imbalance harms both patients and doctors who want to provide optimal care.
INSIGHT

Denials Mostly Administrative, Not Medical

  • Insurance denials primarily result from administrative technicalities, not medical necessity.
  • Only 1% of denials are appealed, enabling insurers to deny broad claims as a cost-saving tactic.
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