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What happens when the business of medicine begins to interfere with the practice of medicine?

Physicians experiencing exhaustion, frustration, and disillusionment are often handed a familiar prescription: build resilience. Practice mindfulness. Take better care of yourself.

But what if the physician isn’t the problem?

What if a perfectly reasonable human being is having a perfectly reasonable response to a healthcare system that increasingly puts financial incentives, productivity demands, and organizational priorities at odds with good patient care?

In this episode of Medical Money Matters, I sit down with Dr. MaryAnn Wilbur, a physician, public health strategist, author, researcher, and advocate who is working to change the systems in which physicians and patients find themselves.

MaryAnn trained and practiced as a gynecologic oncologist before stepping away from clinical practice in 2022. Her experience led her to examine a much bigger question: Why are physicians leaving medicine, and what does their departure tell us about the health of the healthcare system itself?

MaryAnn is co-author of The Doctor Is No Longer In: Conversations with U.S. Physicians, Director and CEO of Health Equity Consulting, and an executive producer of Suck It Up, Buttercup, a documentary examining systemic problems in American healthcare. She is also involved with Medicine Forward and the Clinician Burnout Foundation.

One of the questions at the heart of this episode is one I suspect many physicians have quietly asked themselves:

“Is it me—or is there something fundamentally wrong with the system I'm working in?”

That question deserves more than a wellness seminar.

It deserves an examination of the systems, incentives, economics, and power structures shaping modern medicine.

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Want more formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Promo pricing available now: https://education.healtheps.com/offers/Ry3zfLYp/checkout?coupon_code=PHYSEDGE3000

Purchase your copy of Jill’s book here: Physician Heal Thy Financial Self
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Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig’s website to book your Once in a Lifetime music experience
Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/

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What would it take to build a healthcare system where physicians and patients can actually thrive?

In this episode of Medical Money Matters, Jill Arena sits down with Dr. Gabe Charbonneau, a rural family physician, technology entrepreneur, nationally recognized advocate for physician well-being, and co-founder of Medicine Forward, a grassroots organization focused on protecting and strengthening the patient-physician relationship. https://medicineforward.org/

Gabe is also the creator of the #FightBurnout movement and FightBurnout.org. His work has taken him from rural family medicine to healthcare technology, including co-founding the EHR automation company Fluent Systems, teaching physicians better EHR workflows, and advising organizations working with AI and medical documentation.

Jill and Gabe also serve together on the board of Orchid Health, an innovative rural health organization in Oregon.

Physician burnout is often framed as a problem of individual resilience: exercise more, meditate, develop better coping skills.

But what happens when the environment itself is the problem?

Jill and Gabe explore a different way of thinking about physician well-being—one that examines the systems, incentives, technology, leadership, and culture surrounding physicians.

Their conversation centers on a fundamental question: How do we create conditions in which physicians can do excellent work, patients can receive excellent care, and medical practices can remain sustainable?

Please Follow or Subscribe to get new episodes delivered to you as soon as they drop!
Visit Jill’s company, Health e Practices’ website: https://healtheps.com/
Subscribe to our newsletter, Health e Connections: https://share.hsforms.com/1FMup6xLPSpeA8hB77caYQwd32sx?hsCtaAttrib=171926995377

Want more formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Promo pricing available now: https://education.healtheps.com/offers/Ry3zfLYp/checkout?coupon_code=PHYSEDGE3000

Purchase your copy of Jill’s book here: Physician Heal Thy Financial Self
Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/
Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig’s website to book your Once in a Lifetime music experience
Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/

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Vaccines are one of medicine's greatest public health achievements—but for today's physician practices, they're also becoming increasingly complex to manage. Between changing recommendations, reimbursement challenges, inventory costs, and patient education, vaccination programs require thoughtful clinical and business leadership.

In this episode of Medical Money Matters, Jill Arena welcomes Michael Myers, MD, MBA, physician executive, author, and nationally recognized expert in primary care, public health, and healthcare leadership. Dr. Myers discusses his new book, The Vaccine Bible, sharing why he wrote it, the knowledge gaps he hopes to address, and what physicians need to understand as the vaccine landscape continues to evolve.

Together, Jill and Dr. Myers explore how vaccine programs affect the financial health of medical practices, practical strategies for navigating reimbursement and operations, and how physicians can have productive conversations with patients while maintaining trust and delivering high-quality care. Dr. Myers can be reached via LinkedIn at: https://www.linkedin.com/in/michael-t-myers-jr-md-mba-45325762/ and The Vaccine Bible can be purchased here: https://www.amazon.com/dp/1646049403/?bestFormat=true&k=the%20vaccine%20bible&ref_=nb_sb_ss_w_scx-ent-bk-v2_k0_1_17_de&crid=39W581IUY0TZP&sprefix=the%20vaccine%20bible

Whether you're in private practice, employed by a health system, or leading a medical group, this conversation offers practical insights into balancing clinical excellence with sound business management.

Please Follow or Subscribe to get new episodes delivered to you as soon as they drop!
Visit Jill’s company, Health e Practices’ website: https://healtheps.com/
Subscribe to our newsletter, Health e Connections: https://share.hsforms.com/1FMup6xLPSpeA8hB77caYQwd32sx?hsCtaAttrib=171926995377

Want more formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Promo pricing available now: https://education.healtheps.com/offers/Ry3zfLYp/checkout?coupon_code=PHYSEDGE3000

Purchase your copy of Jill’s book here: Physician Heal Thy Financial Self
Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/
Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig’s website to book your Once in a Lifetime music experience
Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/