A medical practice is the one service business where inflation cannot be passed on to the payor. Even though our expenses continue to rise (staff wages, rent, IT) we cannot simply charge more and recoup those costs like every other business.  

We are hamstrung by Medicare and insurer contracts that have no interest on reimbursement keeping up with inflation (despite increasing premiums on patients) 

I agree that a bitcoin standard can be a solution. Would love to opt out of all insurances and have patients pay a much lower fee in bitcoin than their deductible. A fee that is reasonable to both our practice and the patient. Unfortunately, that seems decades away at the moment. 

I’ve long thought there is a massive opportunity for a startup to generate a national bitcoin health network where practices could opt in and payments and billing could be somewhat standardized as a  localized fee schedule.  

Your own or your family’s  health  may be one of the few instances where a pleb would willingly choose to part with a small portion of  their bitcoin. 

Always appreciate your content Dr. Jeff. Not sure if you’re back practicing, but keep up the strong work.