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December 2, 2025 29 mins

Most doctors assume patients will make a major healthcare decision after a quick consult. Reality is different. Very different. In this episode, Bob Miglani breaks down the biggest reason patients hesitate to enroll in elective and out-of-pocket treatments. It has nothing to do with your credentials, your technology or your clinical skill. It has everything to do with the journey you are (or aren’t) giving them.

Bob shares personal stories from eye care, dentistry and specialty medicine that reveal a simple truth. Patients will not spend two thousand, five thousand or ten thousand dollars after a rushed fifteen minute conversation about a condition they just heard about seconds earlier. They need time, trust and education. And today’s buyers want to learn on their own device and on their own schedule.

You will learn:

• Why first-visit conversions are almost always a losing strategy
 • How real patients think, research and decide on high-ticket medical treatments
 • The psychology behind the “law of 16 touches” in specialty care
 • How to communicate findings without sounding salesy or pushy
 • How to use videos, text follow ups and simple handouts to build comfort and trust
 • Why the real decision happens in the kitchen, not the clinic
 • How to position yourself as the trusted expert patients choose

If you offer any elective, cash pay, out-of-network or specialty service, this episode is essential listening. Bob shows you exactly how to lengthen the patient education journey so your conversion rates rise, your reputation strengthens and your patients feel informed, respected and ready to move forward.

Tune in to transform the way you guide patients toward life-changing care.

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