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December 5, 2025 20 mins

In this conversation, Heath breaks down the brutal math reshaping American healthcare:

1.1 million physicians left.

68% employed by health systems.

12% employed by Optum.

6% by private equity.

Barely 220,000 independent—and shrinking.  

We talk plainly about:

• Why physicians “had the opportunity of a lifetime in the last six months” and missed it

• How hospitals weaponize provider taxes, subsidies, and politics

• Why premiums are now the second-largest financial burden after taxes

• What’s really driving 20% of GDP in healthcare spending

• Why DC never sides with physicians—and how the AHA keeps winning

• The math behind a consumer uprising that’s already underway


Heath also reveals the untold story of physician-owned hospitals, the billion-dollar arbitrage that keeps independent doctors locked out, and why the next 12 months will decide the future of the profession.  


If you’re a physician who wants independence, leverage, and a path out of the health system trap, this episode is a wake-up call.

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