Episode Transcript
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Speaker 1 (00:04):
Hello, I'm Dr Arlen
Foer, the chairman and founder
of Activator MethodsInternational, and today we're
bringing you Activate yourPractice from Las Vegas, nevada,
at the Parker Seminar, whichallows me to interview some
people that would be difficultto get a hold of.
And our interviewee today is DrRay Foxworth, the CEO and
(00:28):
founder of ChiroHealth USA, andwelcome to the program, ray.
Speaker 2 (00:33):
Thank you so much,
Roland.
I appreciate the opportunity.
Speaker 1 (00:36):
What I'd like to ask
you is what got you into
chiropractic to start with?
Speaker 2 (00:41):
It was strictly by
chance.
I often say I didn't choosechiropractic, it chose me.
It had nothing to do with thefact that my mother and father
were both chiropractors.
Growing up, I never, ever eventhought about following in their
footsteps.
That's just what my parents did.
And I happened to go to one ofthe state association meetings.
(01:05):
I was in junior college, in apre-med program back at that
time, and I heard Sig Millerspeak, and the longer I heard
him talk, it's like, even thoughyou're the kid of a
chiropractor, you don'tunderstand.
You don't have the full depthof understanding of chiropractic
, and sig really did a great jobin explaining chiropractic in a
(01:29):
way I hadn't heard before.
And um, that's when I decided Iwant to go to chiropractic
college and I'll never forget I.
I went to my folks houseprobably about a week later and
I said I think I want to go tochiropractic college.
And they're going.
What?
Because they never reallypushed me or encouraged me.
Had they done that, I probablywouldn't have.
(01:49):
But I remember my dad sayingwell, you've thought about it
for a week now.
Have you saved up any money?
And I opened my wallet and Isaid, yeah, I got $14.
And literally within, you know,there's the power of the made
up mind.
Literally in three weeks wepacked up our Datsun B210, with
(02:10):
my wife and son at the time, andmoved to Kansas City and never
looked back.
Speaker 1 (02:14):
Interesting.
What drives you to improve theprofession?
Speaker 2 (02:22):
A very personal story
and I'll try not to be tearful,
but I often am when I tell thisstory.
My mom divorced my dad.
All she ever did was workeither as a chiropractor's
assistant and then became achiropractor, and when she
opened her practice in YazooCity, mississippi, home of Zig
(02:44):
Ziglar, it was a struggle, ahorrible struggle, and I'll
never forget.
As I tell the story, one nightmy mom's practice was in the
front of the house.
Me and my two sisters and momlived in the back of the house,
shared the same room forbedrooms, and I heard my mom
(03:06):
crying and my sister, nancy,says, mom, what's wrong?
And she said, honey, we're downto our last 37 cents and I
don't know where the next newpatient's coming from, and so I
didn't realize the impact thathad on me at that time.
But I never, ever want to seeanother chiropractor ever have
(03:26):
to go through anything like that, and so my part of my purpose,
cause and passion is to try toelevate the profession.
Have us compensated fairly,just not not be.
It's a shame that someone whochooses a healthcare profession
as powerful as chiropracticwould ever be in that situation,
and unfortunately, a lot ofdoctors do struggle because, as
(03:50):
I've said recently, they're inpractice but they're not in
business and they've got tounderstand how good of a
chiropractor you are.
If you're not cash flowpositive, if you're not making
money, you can't serve people.
Speaker 1 (04:07):
What's changed since
1985?
Speaker 2 (04:11):
Oh boy, when I got
licensed in 85 in our state well
, keep in mind, we're the secondto last state to even be
licensed so when I came to thestate, we couldn't draw blood,
we couldn't do nutrition, wecouldn't use therapies, just a
lot of limitations.
The medical association in thestate at the time clearly was
(04:34):
very controlling, like they arein a lot of states, but it was
actually in our scope ofpractice law, in our law itself.
It said nothing in this actshall permit a chiropractor to
be reimbursed under workers'comp or personal injury.
(04:54):
That was the law.
That was in the law.
Yeah, so fast forward.
When I got to the state, quitefrankly I was pissed off at the
state of affairs and I startedshowing up and getting involved
and and um, I tell folks I'velived the chiropractic dream.
We went from where I was withmy mother in that experience to
literally within 20 years.
(05:16):
Um, because I did show up and Idid say yes and I got outside
of the four walls of my practiceand way out of my comfort zone.
You know, I saw things.
Well, we got the workers compthing turned around by a Supreme
Court case.
We got reimbursed by personalinjury.
(05:38):
Probably one of the biggestthings is I'll tell a short
story I would request x-raysfrom a hospital, from another
doctor's office, and they wouldtell you well, we don't share
x-rays with, we don't work with,chiropractors.
So, being young and havingparents who never told me there
was something I couldn't do, Isaid I'm going to change this
(06:01):
and I had some goals.
I wanted to be on staff at ahospital, I wanted to be
involved in healthcare biggerthan chiropractic, and so I
wrote this is on the heels ofthe Wilk case.
You remember all theorganizations in medicine that
had to publish that they wereguilty of violating the Sherman
Antitrust Act.
Well, I had all of thosestatements from all of those
(06:22):
different entities in medicine.
I wrote an 11-page letter, Okay, and sent it to over 500 MDs in
our town and I got a couple ofcalls back from them saying I
don't know who you are, butdon't you ever send me anything
again.
I said, okay, you're off theChristmas list.
But literally within a coupleof days' time, I had a couple of
calls from orthopedics andfamily practice docs.
(06:46):
Because what I did in theletter I said here's who I am,
here's my background, here's mytraining, here's who I am,
here's my background, here's mytraining, here's when you ought
to consider referring to achiropractor and here's when you
should never refer to achiropractor.
And literally within a matterof weeks' time, I got invited to
speak to an orthopedic group atRiver Oaks Hospital.
Fast forward, I got invited tospeak at University Medical
(07:11):
Center to the Department ofNeurosurgery anesthesiology.
Ultimately, I ended up beingappointed to the State Board of
Health, first chiropractor everon the Board of Health.
All hell broke loose, as youcan well imagine.
Yes, give you a littlebackstory on that.
When I left the Board of Healthafter 12 years, I was given a
book by the state health officerit was from 1913.
(07:32):
And it was a letter to all thedistrict health offices to send
in copies of ads and report thenames of people that were
practicing chiropractic, becausetheir intent was to try to
round them up Excuse me, it was1933.
And so you know, seeing that itwas just amazing to go from
(07:54):
that kind of attitude toward theprofession to actually I ended
up being chairman of the StateBoard of Health for two years.
And then, probably the nextbiggest thing is because I was
involving myself in thingsoutside of chiropractic side of
(08:15):
chiropractic.
I was on the workers' compphysician advisory committee and
got to meet a lot oforthopedics and physical
medicine and rehab docs.
And I'll never forget.
I got the call from my buddy,raul Vora, and he said we're
going to build a spine centerand we want you to be a part of
it.
And I'm going like, wow, Idon't have the pockets for that.
Little did.
I know that the others didn'teither.
But my wife said, ray, we don'thave the money to do that.
(08:39):
I said you just got to believe,you got to show up, and so now
my practice.
I'm out of practice now.
I sold it in 2020.
But it's on the campus of NewSouth Neurospine with seven
neurosurgeons, orthopedicsurgery, physical medicine,
rehab, chiropractic, pt.
It's got anything to do withthe spine.
That's in that facility.
(09:00):
That's what can happen in onegeneration if you show up and
you say yes, and so that's partof my encouragement to our
profession.
We sit and complain and gripeabout the state of affairs, but
we don't get out and do anythingabout it.
We wait on someone else toomany times.
Speaker 1 (09:20):
What drove you to
start Cairo Health.
Speaker 2 (09:26):
That would be my Miss
Jones story.
So I was taking care of thisfamily husband, wife, a couple
of kids and at that time I'mprobably charging, you know, $35
, $40 a visit.
They had no insurance at all,so I gave them a break on their
(09:48):
coverage.
Well, fast forward, they wereinvolved in an auto accident and
so I billed out my normal fees,which were much higher than the
$35 or $40.
And I come into the room one dayand there's Ms Jones and her
family there and she just youever walk into a room and you
(10:08):
know something's wrong?
Yes, well, something was reallywrong.
Ever walk into a room and youknow something's wrong.
Yes, well, something was reallywrong.
This nice little lady that I'vebeen taking care of for years.
I said Ms Jones, you look likesomething's wrong.
She said it is.
She said I saw what you billedthe insurance company and I know
what you were having us pay ascash patients and it's guys like
you ripping off the insurancecompanies that keep us from
(10:30):
affording health care.
And I was speechless for about10 seconds, which was a long
time for me, and I said no, it'sguys like me that bend over
backwards.
I said, but I made a horriblemistake.
I never let you know that I wastrying to help you or what my
actual fees were.
She said well, I don't care,I've reported you to your board
and to the attorney general.
Fortunately, it wasn't againstthe law in our state to have a
(10:56):
dual fee schedule then.
But what it made me startthinking about is there is no
way that that looks good in theeye of a patient, yes, so I
started looking at what are themodels out there and I found the
discount medical plan planmodel, which basically allows
doctors to bill higher fees toget paid well and then, when
(11:16):
insurance is available, but thenhave a legal contractual
discount for those patients thatdon't have health insurance or
have limited benefits.
So it was out of a pain.
Speaker 1 (11:26):
What I call the most
painful day in practice turned
out to be a great solution and,as I understand it, it was a way
to do a legal cash practice.
Speaker 2 (11:38):
It is.
And I discourage doctors fromsaying you know, I'm an all-cash
practice, because the realityis we've always, as
chiropractors, we love helpingour patients and so we bend over
backwards to help them.
But you've heard that saying nogood deed goes unpunished.
Yes, well, there are rules andregulations from your board of
(11:58):
examiners, from your provideragreements, from the attorney
general to the OIG and Medicare,and a lot of those rules
conflict.
Well, if you use that DMPO, theDiscount Medical Plan
Organization model, all of thatgoes away because it's now just
another contract that you have.
Blue Cross, seton and Cignadon't pay us all the same thing
(12:21):
for a 98940.
So why can't we do that for ourunderinsured and limited
benefits?
You can if you go through aDMPO, which is regulated by the
Department of Insurance.
So we spent an awful lot ofmoney in getting regulated and
we're now in 48 states.
Speaker 1 (12:40):
To me, for a new
practitioner, it's an absolute
must to have a legal cashpractice.
Absolutely, and that's what I'mseeing that you've done is to
make it legal and follow the lawand end up without any trouble.
Speaker 2 (12:56):
That's it.
It started out as strictly aresponse to a problem I had in
my office and then, as I talkedwith other folks, everybody was
having this type of issue and,because of my background and
some other things I had done,that's really what made me start
(13:16):
looking at there's got to be asolution out there and it
appears to have been it well,what would you?
Speaker 1 (13:23):
what's your number?
Speaker 2 (13:24):
one piece of advice
you'd give other kairos and
business owners clearly it wouldbe, as I said earlier, get
outside of your comfort zone.
In fact, my, my daughter, gaveme a little pen that says life
begins at the end of yourcomfort zone and and I I can
tell you that, um, all theblessings that I've had and the
(13:48):
the ability to do things that,literally in a generation from
where my parents were literallyfor two reasons, I showed up, I
said yes, and I was blessed tohave parents that never told me
there was something I couldn'tdo, you know, and my other
influence is probably Imentioned Zig Ziglar earlier.
(14:08):
We live next door to his sisterand his two nephews, and so I'd
always been a Zig Ziglar fanand I love what he says.
You can have anything in lifeyou want if you help enough
other people get what they want,and so that's kind of been my
focus and that's what I wouldencourage doctors to do.
Number one realize you're inpractice and in business, and to
(14:31):
get outside of your comfortzone.
If you're, if you want to buildyour practice, if you want to
impact your, your community,you're not going to do it inside
the four walls of your practiceand just complaining.
Oh, poor pitiful me.
You got to get out and get upand go do something.
Speaker 1 (14:47):
Exactly.
Well, I can't thank you enoughfor the interview because you
have given the profession a newlease on life, for having the
cash practice legally, and Ithink that's a great
contribution.
So thank you for today andthank you for taking time.
It was a pleasure and I'vealways admired you, so I just
(15:08):
wanted to get you on this castand I knew at Parker we could
find you.
Well, I appreciate that thefeeling is mutual.
Well, thank you very much.