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August 5, 2025 16 mins

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The medical profession is facing a significant shift as doctors are increasingly finding more lucrative opportunities on social media than in clinical practice. While some doctors manage to balance both worlds, the trend points toward a future where medical knowledge is increasingly monetized online rather than applied in hospitals and clinics.


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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
All right, guys.
We just talked about howessentially the medical
profession is going to getspanked by the big beautiful
bill, as well as the getting ridof or pausing of the student
loan forgiveness program.
If you missed that in the lastsegment, go back.
But now we're going to betalking about getting paid on

(00:20):
TikTok as a doc instead of goingto work and hitting that clock.
Hey.

Speaker 2 (00:27):
Hey, hey, hey, hey, Don't rap please.

Speaker 1 (00:30):
I thought that was pretty good.

Speaker 2 (00:31):
I have some raps Hold on.

Speaker 1 (00:33):
No, please don't rap.
Let me share some raps with you.
Don't rap.
Just go into making money onTikTok as a doctor.
We're going to talk about this.

Speaker 2 (00:38):
So you know which?
I went back, I listened to thetape and I was like man.
I was him With less liability.

Speaker 1 (00:56):
I was him and Han about it and I was like yo, I
need to make a point.
She's got less liability thandelivering babies.
Hold on a second.

Speaker 2 (01:00):
Hold on a second.
I want to share something withyou.
What delivering babies?
Hold on a second.
Hold on a second.
I want to share something withyou.

Speaker 1 (01:04):
What.

Speaker 2 (01:04):
Please don't rap.
Hold on, man, I need to rap,hold on.
Well, anyway, I can't find it,but I do want to say this.
The universe loves me, thething that I didn't present, so
we talked about it, right, but Ididn't say specifically what my
issue is with this.

Speaker 1 (01:22):
Okay, what's your issue?

Speaker 2 (01:23):
My issue with this is it's not her, it's the actual
system that yo like, the factthat you can and she's not
dancing on TikTok, but inessence she could be dancing for
TikTok.
Well, there was a doctor whowas dancing on TikTok at one
particular point in time, butthe fact that she's on TikTok
and she's making more than whatit takes to, in essence, work

(01:44):
with someone or take care of,bring new life.
Work with an actual human being.
Be in a hospital.
She's getting paid more to makea 30 second video okay than to
take care of someone.
That's a that to me, that's anindictment on our health care
system, you know why, because umwhy, I think it's a problem.

(02:05):
What's the best way I could say, without coming off too like I
don't like?
You know me, aaron, I don'tlike to be polarizing.

Speaker 1 (02:11):
Don't choose your words wisely.
Go ahead be polarizing.
Go ahead, Go ahead.

Speaker 2 (02:18):
Do it.
The more you have, the morethat you make it easier for
people to make money outside ofwhat you really need people to
do, which is take care of peopleand so forth.
So, for example, the fact thatshe can make more money on
TikTok like she's just it's asymptom, right?
More and more people are goingto be like, well, I'm not.
Why would I want to go practicemedicine when I can fake
practice online and make a lotmore money, Right?

(02:41):
So what I'm saying is is thatthis is basically you're just
attracting more and more peopleto literally be doctors on
social media, which, to me, isnot as useful as someone being a
doctor in real life at thispoint.

Speaker 1 (02:55):
That's how I feel Right.

Speaker 2 (02:57):
So you already have like a bunch of people.
Like I've looked at on YouTubeand stuff like that.
There's a bunch of people whoare quote unquote like med
school doctor, influencers whohave left medicine.

Speaker 1 (03:07):
Right.

Speaker 2 (03:07):
They don't want to finish school because they're
realizing that they're makingmore money doing YouTube and so
forth.
That's not I don't know ifthat's in essence identifies the
essence of the real issue.
They probably just see dollarsigns and like, look, I'm just
better off as a as a creatorthan as a med school.
But I'm talking about someonewho's's gone through residency,
has taken care of people, havegone through the whole process

(03:29):
of getting credentialed andcertified and then all of a
sudden just like, yeah, I don'twant to do this.

Speaker 1 (03:35):
She still practices.

Speaker 2 (03:36):
She still practices.

Speaker 1 (03:37):
Let's be clear on that that she is not somebody
who doesn't practice medicine.

Speaker 2 (03:42):
Correct.

Speaker 1 (03:42):
She is still practicing, so we're not talking
about her specifically.
We're talking about the abilityfor someone to be able.

Speaker 2 (03:49):
I'm talking about the system.
I'm talking about the system.
The fact that that could occuris a problem, right?
And I think that what you'llsee is you'll see more and more
people a significant amount ofpeople online instead of in the
hospital.

Speaker 1 (04:06):
Okay.

Speaker 2 (04:07):
That's what I get nervous about.
I think that's what societyshould be concerned about Well
society is not concerned aboutthat.

Speaker 1 (04:18):
Because if society were concerned about that, then
they would actually be doingthings to help doctors be
lucrative in their lives asclinicians, which our society
has said that they don't wantpeople to be subsidized.
Right, they don't want doctorsto be subsidized.
Well, they got to be subsidizedbecause they X, y and Z, blah,

(04:41):
blah, blah.
So at that point it's afree-for-all, right, it's a
free-for-all to say, listen, ifwe live in a capitalistic
society, then I can make moneydoing whatever I want, no matter
what my education is right.
And so we see this in theprofession of law.
Right, we see this in theprofession of law.
So you know, lawyers aren'talways litigating.

(05:01):
Lawyers aren't always.
You know the ones.
You know making sure thatpeople are advocated for.
You know doing contracts andall these kinds of things.
You know lawyers work in lotsof different you know in lots of
different ways.
And so now the medicalprofession has finally caught up
and said, listen, we don't justneed to be in the clinics.

Speaker 2 (05:23):
We don't just need to be in the clinics, we can take
care.

Speaker 1 (05:26):
We can still take care of people right to some
degree without necessarilyhaving to put our hands on them
or seeing them in you know someclinical fashion.

Speaker 2 (05:37):
They're already saying that.
I agree with you there.
Basically, what I'm saying isthe traditional way in which we
in general not me and you asdoctors, but we in general look
at doctors.
That's going to changesignificantly.
Oh, of course Right Becauseexpecting a doctor to be
attached to a clinic or attachedto a pager or a patient or to

(05:57):
be.
That's what I was about to say.
Yo, you had it.
You hit it right on the point.
That's what I was about to say.
To be attached to you, right?
Even though they take oaths andall these different things,
they're not attached to youanymore, right?
This is a lot to do with thestate of our healthcare system.
I think that's a problem.
You have corporatization ofhealthcare.
You're going to see a lot ofdoctors, or there are a lot of

(06:18):
doctors who are just like.
You know I'll just get paid formy knowledge.
You know I'll just get paid formy knowledge Without the
liability, my clinical acumen,Without the liability.
So, for example, what's thatlady's name, what's her name?
Dr Casey Means or somethinglike that?
We never even talked about that.
This is the lady who she wentto Stanford for.
She's like in charge I think itwas, she was.
She was being.
What's the word?

(06:40):
She was being?
I got to look, no, no, no, no.
She was being nominated for aposition in, and I think, the
Department of Health, ok, orDepartment of Human Sciences, oh
I know who you're talking about, she's the one who'd never
finished residency.

Speaker 1 (06:54):
Yes, she didn't finish residency, she went to
Stanford.
Yes, yes, yes and so forth.

Speaker 2 (06:57):
And then she's going to be in charge of policy and
it's like wait, hold on a second.
Like this is a major problem,right, like I can understand if
she went afterwards and wasdoing all this public policy
work.
She's not Right.
She's just going on podcastsand talking about how the health
care system is failing peopleand it's like well, if you're
not participating in it, aren'tyou part of the failure?

(07:18):
You're part of the problem.
The failure, you're part of theproblem.
Right, you're part of theproblem that's how.

Speaker 1 (07:20):
That's why she qualified, because she know
she's part of the problem.

Speaker 2 (07:23):
No, no, like this is different, like I could
understand.
If you're doing stuff activelyto change it, all you're doing
is podcasting, right?

Speaker 1 (07:31):
about.
She's creating the problem, soshe knows what the problem is
but that's another issue.

Speaker 2 (07:36):
It's like okay, but you're this lady, she couldn't,
lady, she couldn't.
In essence, she couldn't hackit.
Right, right, she couldn't hackit and she said it.
She couldn't hack it.
She couldn't hack it inresidency.
She doesn't know how residencygoes, right, then she's not
practicing.
So she doesn't know what it'slike working with insurance
companies, working with patientshaving a clinic or not having a
clinic, working in a hospital,you know, not getting reimbursed

(07:58):
.
And then, like now, you'resaying, well, the problem with
the healthcare system is wedon't know about nutrition and
all these different things.
It's like, wait what?
Slow down, right.
That's the part that I have.
Like it's like we're creating asystem of like people who are
experts but they're not reallyexperts, right?

Speaker 1 (08:12):
So that's the things like when you live in this type
of society, right?
Listen, society makes yoursociety makes its own rules,
right, and each society can be,you know, very different.
It has different values anddifferent principles and a
different vision, right?

(08:33):
And so the people who run yoursociety, the people who run your
country, for example, peoplewho run your society, the people
who run your country, forexample, are the people who
determine what that vision is,what those values are,
regardless of whether or notthere are people within the
society who have differentvalues.
It doesn't matter because, atthe end of the day, the only

(08:54):
people's visions and values andprinciples that actually get
executed are the people who runyour country, the people who run
your society right.
And everything else is just alittle silo.
Right, everything else is justa little silo.
So you might have a littlecommunity here.
Oh, this is what we value andthis is what it don't matter,
because you live in a society,you live in a country where your

(09:17):
values actually don't matter.
So, within your littlecommunity's cute, and that might
work for you for a little bit,but that's not going to be as
long lasting as if you wereactually running your society.
So right now, we live in a placewhere you know experience
doesn't matter yeah, experiencedoesn't matter, you know it
doesn't matter.

Speaker 2 (09:36):
Is health care going to be able to attract like the
best and brightest in like 10years?

Speaker 1 (09:40):
Clearly it doesn't mean you got Linda McMahon, you
got freaking RFK Jr, you gotthis what's her name?

Speaker 2 (09:47):
And then folks are folks are.
It don't matter, cause now andthen, you know, you throw on top
of this the student loan issue.
You'll have people who are justsaying like, well, why am I
going into this field, right,I'm not going to be able to
afford it.
Why am I going into this field?
Right, I'm not going to be ableto afford it.
I'm going to have to go into alot of student loan debt.
Um, that student loan debt, I'mgoing to have to be begging off
a lot of people, right, it'snot even just debt to like a
federal, a federal debt.

(10:08):
It's going to be private loandebt.
It might even be some hardmoney that you have to get from
people, right, there's a lot ofdisillusionment that's going on,
and I think that people aregood.
More and more people are goingto go to bigger and brighter.
You know, if you see somethingthat's bigger and brighter,
something that's fancier, I'mout.

Speaker 1 (10:24):
I think that, that, that is true, but that's what.

Speaker 2 (10:27):
That's the.
These are the things that Ithink I wanted to talk more
about last week that I think weskipped over.
So I was listening to the gametape because I think it's
important.
You know me, I don't listen togame tape, but now I've been
listening to game tape because Ithink it's important.
You know me, I don't listen togame tape, but now I've been
listening to game tape more andI'm like I could have done a
better job of making our pointright there.

Speaker 1 (10:44):
So yeah, I think that that is true.
Um, you know that people aregoing to look to other either
professions, or they're going tolook to other means of making
income.
Um, and I think it's going towork for them.
I mean, frankly, I think it'sgoing to work for them.
I mean frankly, I think it'sgoing to work for them because
it's working.
You know, it's working forpeople right now.

(11:06):
What I, you know, my concern isalways that, especially when it
comes to the medical profession, there are people who are very,
very, very impassioned by thepossibilities of the impacts
that they can make in differentcommunities through medicine.

(11:28):
Right, and I was talking to amentee about this yesterday, and
I think it's going to seemstrange that I'm transitioning
to this, but there's a reason.

Speaker 2 (11:40):
I hope you're not trying to get serious on this
yeah, this is serious.

Speaker 1 (11:43):
So I was talking to my mentee about this yesterday
and it was in a differentcontext, but I find that it
applies here is that there are alot of people who are really
passionate about being inmedicine, and when they can't be
in medicine, like you said,they get very you know, they get
very disillusioned, right?
Or if they do get in medicine,they get very disillusioned as

(12:06):
well, right.
What I think we need to also becareful about, especially as we
have pre-meds medical students,residents, you know, watching
and listening is that don't setyourself up to really have a

(12:26):
mindset that you are going tosave the world by becoming a
doctor.

Speaker 2 (12:32):
Mm.
Okay, that's what I'm talkingabout.
Like, speak on that man.

Speaker 1 (12:35):
I feel like you're like.
I have a dream speech.
You're not, You're not.

Speaker 2 (12:38):
That's what I'm talking about.

Speaker 1 (12:39):
Say something You're not going to you.
You yeah, you finished.
Yes, go ahead.
You're not going to save theworld by becoming a doctor.

Speaker 2 (12:48):
Okay.

Speaker 1 (12:48):
Right, you're probably not even going to save
your entire community bybecoming a doctor.
Right, you are going to, youknow, give value to some
people's lives in terms of theirhealth care.
You are, you might actuallysave some lives.
We save you, obviously, as atrauma surgeon, you know, right,
I actually am the one who'ssaving lives up in this mug Well

(13:11):
, but you also lose a lot ofpeople.

Speaker 2 (13:14):
So no, I don't.
Actually it's give and take.
No, I don't.
The percentage is low.

Speaker 1 (13:16):
Yeah, because those people don't make it to you.

Speaker 2 (13:18):
The percentage is low .
Okay, what are you talkingabout?

Speaker 1 (13:20):
So those people don't make it to you.

Speaker 2 (13:26):
Listen, you do not have.

Speaker 1 (13:27):
You're damn right.
I don't want to go to the ICU.
Why do I want to go here?
You do not have the position tocritique me.
Why, why do I want to go to theICU?
For what reason?
Come on now.

Speaker 2 (13:36):
Don't even step into that room.

Speaker 1 (13:37):
Okay, Anyway, anyway.

Speaker 2 (13:41):
You over here making fun of people.
Oh my God, let me finish.
Know how to replace potassium.

Speaker 1 (13:45):
I replace potassium.

Speaker 2 (13:46):
Need bart oh yeah, trying to tell me about people
who live and die.

Speaker 1 (13:48):
Listen listen, listen , so save you.
Most of us, as doctors are notsaving lives.
Most of us, okay, many of us,probably most of us are helping
people to maintain their health,if we're lucky and they listen
to us.
Otherwise they go to tiktok andthey listen to doctors and
maybe they will take thosedoctors more seriously so that

(14:11):
when they do and those doctorsbe having an agenda.

Speaker 2 (14:14):
They can A lot of them have an agenda.

Speaker 1 (14:17):
But maybe that will help them.
Maybe that will help ourpatients, especially if the
information is good.
Maybe that will help ourpatients to take us seriously,
because you know how it isSometimes you got to hear
another party say somethingbefore you believe the party who
you actually hired or youinvested in.
I think you're going to have towrap it up so anyway, the point
being that I think we need toand this goes into what we

(14:40):
talked about before we need tokind of get rid of that hero
complex.
You know that we're all we'regoing to save the world.
We're going to do this, we'regoing to do this, we're going to
do that.
Listen, you're going to do asmuch as the healthcare system is
going to allow you to do, andyou don't control that.
You don't control that.
So you have to control yourmindset and understand that you

(15:01):
are not here to save the world.
And so if you can't get intomedicine, if you can't get
through medicine, it is not theend of the world.
There are other things that youcan do.
It is not the end of the world.
It is not a reason to go offthe deep end.

Speaker 2 (15:15):
Okay, all right, we got you on that one.
That's all I want to say.
Guys, if you guys areinterested in what we have to
say, if you have an opinion onwhat we got to say, go to the
show notes.
You can leave us a text message.
You can even hit us up onInstagram at Docs Outside the
Box.
Is it a podcast or just DocsOutside the Box?

Speaker 1 (15:31):
On Instagram.
Yeah, just Docs Outside the Box.

Speaker 2 (15:32):
Docs Outside the Box.
All that stuff is in the shownotes.
Listen, we got so much to talkabout, but we're going to have
to put that on another episode.
I got another meeting.
I got to get to.
We love you guys.

Speaker 1 (15:50):
And the algorithm.
We catch you guys on the nextone, y'all.
Well, now that we're doingsegments, I think they do listen
to the end.
Peace, I love y'all.
Bye.
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