Trust Me: Cults, Extreme Belief, and Manipulation

J. Wesley Boyd - When Physician Health Programs Go Wrong

Jul 17, 2024

J. Wesley Boyd, director of education at the Harvard Medical School Center for Bioethics, discusses the dark side of Physician Health Programs. He reveals how doctors are coerced into costly treatments, risking their licenses. The profit motives behind PHPs, the impact on mental health and careers, and the lack of belief in victims are highlighted, urging for more accountability.

01:15:38

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Episode guests

J. Wesley Boyd

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Episode notes

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Quick takeaways

PHPs coerce doctors into costly treatments, threatening careers and licenses.

Doctors may face unnecessary rehab stays due to PHPs overdiagnosing and profiting from referrals.

Lack of oversight exposes PHPs' harmful practices, emphasizing the need for national standards.

Deep dives

State Physician Health Programs Overview

Physician Health Programs (PHPs) are designed to assist doctors struggling with substance use disorders or mental health issues. However, the programs have evolved to include coercive practices where even doctors without substance use disorders can be coerced into costly, for-profit inpatient treatments that threaten their careers and licenses.

Intro

2min

Physician Health Programs and Cult-like Group Exploitation

6min

The Aftermath of a Failed Assassination Attempt and Interview with Wesley Boyd

7min

Physician Referrals to State Health Programs and Conflicting Confidentiality

4min

The Dangers of Physician Health Programs

10min

Financial Burden and Controversies in Physician Health Programs

9min

Unjust Consequences of Physician Health Programs

3min

Dangers of Physician Health Programs

11min

Unethical Practices in Drug Rehab Programs

2min

10.

Dangers of Physician Health Programs

18min

Today our guest is J. Wesley Boyd, psychiatrist, professor, and the director of education at the Harvard Medical School Center for Bioethics. He joins us to talk about Physician Health Programs, (or PHPs) which are under-the-radar programs that most states have. They're supposed to be a place where doctors who are struggling with substance abuse or mental illness can go to recover. But Wes shares how a shocking number of doctors who do *not* have a substance use disorder are coerced into for-profit inpatient treatment that rips them away from their lives and costs them tens of thousands of dollars of their own money. And if they don’t comply with every demand, they’ll very likely lose their medical licenses. We’ll talk about the benevolent origin of PHPs, the profit motives that corrupted so many them over time, examples of folks who experienced this coercion at the expense of their mental health and career, and how no one believes people who were victims of them - which is why it’s important for people like Wes, who worked for one as a psychiatrist, to speak out. And as always, we will discuss the exceptions, because of course there are people who have been helped by them too.

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Trust Me: Cults, Extreme Belief, and Manipulation

J. Wesley Boyd - When Physician Health Programs Go Wrong

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

State Physician Health Programs Overview

Incentivized Assessments and Treatment

Adverse Consequences and Coercive Practices

Doctors' Dilemma with Physician Health Programs

Lack of Oversight and Reforms in Physician Health Programs

Remember Everything You Learn from Podcasts