When it comes to bitcoin, it
of what we call in the
You know, we know what we do.
We know bitcoin is sound and
to a point now that it works
scale.
And I really feel like that's
It's proven.
It's proven to the point that
and all we're doing now is
So if somebody feels like
not.
You know, we're right where I
ready for it to scale.
And I'm so happy now that
for payment for services.
Welcome to the Business
The show dedicated to helping
business with bitcoin, the
I'm your host, Josh Friedman,
Roger Mochegemba, who heads up
Antonio.
Today we're going to be
the DPC model and accepting
We're also going to be talking
something.
He was the first physician at Teladoc.
He was also an early adopter
to bitcoin.
We're going to get to our
Roger right after this.
Dr.
Roger, welcome to the podcast.
I'm glad to be here.
Thanks for inviting me.
So I'd like to start off every
that help us to get to know
us some insight for our own lives.
Are you ready for these?
Yes.
Question number one is this.
When and how did you first
Well, actually, I first heard
living in Utah.
My.
My neighbor told me about it,
there.
And I never really got
I just wasn't.
It just wasn't time for me then.
And so then last year, a
me about stuff he was doing
And then I, I.
My interest peaked at that time.
And then I got an email from
telling me how I could
So that's how I got started
That's how I heard about it
Question number two is what's
that you wish everyone understood?
I wish that everybody
and it's not just something to
And most importantly is, it's,
and that kind of makes it
So that's, I think we'll talk
I really like that because it
Now question number three is
most recommend to other people?
I really like the Seventh
That was the perfect book for
about how our monetary systems
And then it goes, it shows
centralized banking and how
And there's patterns that he
through the ages.
And then he does a very good
still pretty new to Bitcoin
He goes into as much technical
want.
It's pretty technical.
So that's why I really like
Question number four is beyond Bitcoin.
What's a resource, tool or idea?
This has been helpful to you
That the idea of this, this
I'm a doctor obviously and
for me stepping away from the
insurance and dealing directly
primary care or direct pay.
So I, I talk to business
with the high cost of health
And I tell them how this model
show them how this model can
spend and provide affordable
So that's made a great big
also in my career, the way I practice.
Now we have our final, what we
question and it's this.
As a general life principle,
You know, I think the, the
questions.
So why or why not in my mind
or that one.
But the most important thing
you're asking.
I firmly Believe that things
You know, you'll find answers.
You know Scripture says seek
I firmly believe that when a
looking in their environment,
talking to people, they'll get
That's a great answer.
I don't think we've ever had
but I think it's a good word,
Well, Dr.
Roger, we're here today to
recently begun accepting Bitcoin.
You've just introduced the
your previous answers.
We've had one other, I think
physician before and some
But I love the concept and I
a little bit about how you got
and some of the strengths
the business side, but also
Great.
Yeah.
I was living in Utah and I
there that was a hybrid.
They were doing insurance, but
care.
And I thought, oh my gosh, how
people that are paying me
that with this clinic.
And I thought, wow, this is amazing.
And so I came across a guy
model and I said, hey, well, I
So I, I started working with
And make a long story short,
The, with working with him,
myself in San Antonio.
And it's called Direct Med Clinic.
And as far as I know, it's the
in San Antonio.
And it's been so refreshing,
this way.
And it's so rewarding to get
me like, I'm so glad you're
I wouldn't have anything.
And it's rewarding to see
I know they need rather than
or conditioned to just provide
for, you know, working with
And I, I saw this so much
to treat people the way my
were, were telling me they
And people responded to that.
And many people told me, like,
For saving my life, thank you
parents, you know, so that's.
That was so rewarding to do that.
And now we have other things
people that aren't reimbursed
So I kind of forgot the question.
Did I answer the question?
I got kind of on my soapbox a
Yeah, I think you answered the
the.
What are some of the benefits
model goes?
You know, you've just talked
practice medicine, how you
what does the financial side
conventional model?
We don't have a waiting room
We get to spend time with our
know them.
Doctors in primary care might
or 4,000 patients.
Ours is under a thousand usually.
So we spend time and then the.
Financially, we don't have to
insurance companies all the
So we don't need that expense
And what patients pay us pays
And it provides a nice
us.
So one of the interesting
is that at least all of the
basically a monthly retainer.
You kind of pay a certain
You might have some additional
That model makes so much more
to paying for things on a
Now, I will admit that paying
to just paying one time is a
it's upfront and clear as
companies where a lot of the
hard to really get down to the
So is that a pretty, pretty
you, or are there some
for your patients?
That's a great, great point.
And we try to be very, very transparent.
All of our prices are listed
comes in and they need labs or
of service what it's going to cost.
You know, a clinic can
pricing or discount pricing.
Because we're a clinic and my
imaging facilities in the area.
So we get direct cash pay
So imagine this if you're a
the doc and he says, well, I
X ray.
Go up to the front desk and
desk our patients will pay 50
X ray right there.
And then they go get the, the
So it's upfront and it's transparent.
If someone needs labs, like
people, the routine labs might
Then if somebody tries to go
set of labs might be 100 or $200.
So how, how cool is that?
You know, that as a patient,
you.
So it's, it's a wonderful
I, I'm so passionate about the
that a couple of years ago I
Texas to a special committee
need insurance for primary care.
Because I'm proving, I'm proof
You know, it's affordable and
People can reach us same day
They can text us after hours visits.
If they need us, we'll do a
text them.
Our goal is to keep people out
room so they have access to us.
How realistic is it to have no insurance?
Like you've just said, direct
insurance.
How realistic is it to have a
primary care and maybe health
such as crowd health, as
a more conventional approach
every step of the way.
Is that realistic for an
or are there reasons why it
That's a great question, Josh.
And it is realistic in order
Right.
I think that we need to take a
to do.
It's designed to take care of
going to break the bank if, if
You know, for example, if we
cancer, well, we all need to
That's insurance that will
That's what insurance was
Health care insurance has
You know, we don't need it for
need our car insurance to pay
You know, it's, it's the same concept.
And so there are other models
can be used to keep the cost
more affordable.
One of the things that we
is that you found yourself
And I'd be interested to hear about.
First of all, now that bitcoin
It's been over and it's been
comes out, it might be over again.
But, you know, in the $100,000
they're late to bitcoin.
Could you talk about kind of
bitcoin, and how that has been
Yeah, I, I love finding ways
And I think because of that,
that I've been able to help
One of them was a company
I was the first doctor doing
of the physician association
nationwide network.
And I, I knew what I could do.
I knew I was competent and
take care of people that way.
And I, I knew what, what I
I knew if someone could have a
wouldn't let that happen, you
tool for a trained doctor.
So I was, I feel really
that and had no bad outcomes
And then direct primary care
I feel so fortunate to have
I wish I would have found it
then when it comes to bitcoin,
concept of what we call in the
You know, we, we know what we do.
We know bitcoin is, is sound
to a point now that it works
just needs to scale.
And I, I really feel like
It's proven, it's proven to
has developed and all we're
So if, if somebody feels like
I think not.
You know, we're, we're, we're
be, you know, ready for it to scale.
And I'm so happy now that
for payment for services.
And what is it that you use
I'd be interested for you to
how your clientele have
Yeah, so we, we switched to a
their credit card or they can,
It's called Zap.
Right.
And so from there it goes into
there I can move it into a
So then I've not had a lot of
yet, but I'm still trying to
know people and share what we
we do and educate people about
Excellent.
So one of the things that I
kind of B2B relationships on
my understanding is correct.
I'd be interested to learn a
we've talked about the peer to
also just a benefit in giving
this through their job.
How does that work?
And I guess is this something
or is it, I'm guessing it's
or, you know, working with families.
But how does, how has this
Yeah, it's been working very well.
As, as I was growing up in my
have interactions with a lot
need from their clinic or from
So as I started Direct Med
to employers.
And what I found was that
people really struggle to find
health care benefit.
And sometimes they just go
such a financial burden on them.
So I, I tell them how we can
with them.
Like you, here's what a
You buy these memberships for
the benefits they get and I, I
on their healthcare spend on that.
And so these employers will
of the memberships for their employees.
It works really well.
And yeah, I really, it just
People have affordable access.
And then another thing that we
them access to 1100 generic
Wow.
So people love that.
In Texas, unfortunately,
medication out of the office.
So this is in Texas for us,
So one thing I always like to
since optimally, doctors are
what's happening in the
Since we have you, and I know
I'm curious to know your
First of all, what's something
there or strange that in the
common sense?
And then the next thing is,
today that in the future we're
I can't believe we did that.
All right, so a couple of
in.
I've been amazed at what is
some practices.
One of them is PRP or platelet
This is some amazing science.
And the, the, the community,
a little bit unsure about it,
I think it's just a matter of
it to.
We need to have the right indications.
In other words, we just have
good outcomes with it.
We've started to do that and
not traditionally reimbursed
it, it works and it, it
So another one that I've come
who started a practice
So he told me some, some cases
me away.
So that's something that is,
that I, I hope that we will
and it'll, it'll be developed
And then the other question
and, and say, I can't believe
I I think that I hope that
I can't believe we were eating
There's some foods out there
Are there some things that you
the foods?
Obviously, there's maybe a
shouldn't be eating that are
for you.
But are there certain things
from at this point in time,
eat these things.
In general, the more whole
foods, the better.
There was another thing that I
To mention is that one of the
think why it resonates with me
In my model of direct primary
in.
In our, in our centralized
Right.
It's.
There are these third parties
system, like with, with the
rates there.
All of that is controlled by a.
Right.
So there's kind of a parallel
I think that Bitcoin is to our
direct pay and direct primary
There's this.
Healthcare has become very
input from the government and
The government has always
but what they were mandating
And there's a big difference
and health insurance.
By mandating that, they.
They put in place this thing
is part of the Affordable Care
And it says that in small
pay.
They have to Pay, by law, 80%
back to doctors and hospitals.
In larger markets, they pay
So if you are the insurance
You make it on that 20% or on
So if you want to make more
low or high?
You want it high.
Right.
So that's just an example of
can kind of backfire and cause
experience with the high cost
So in the direct pay model, we
See, it's.
You are a patient.
I'M a doctor.
You have a sickness.
I know how to treat that.
And so there's this direct
relationship.
Okay.
So I think that's part of the
Bitcoin and the whole bitcoin
Dr.
Roger, I appreciate you
are a lot of connections
to peer payments with bitcoin.
So I appreciate you
Are there any final thoughts
up today's interview?
Yeah.
I hope everybody will look
own benefit.
It's a wonderful way to
with your doctor.
And I want to thank you for
and visit and share and where can.
People go if they want to keep
are doing?
That's.
Thank you for asking that.
The name of the clinic is
We're@directmedclinic.com and
we do and direct primary care there.
I'm also on LinkedIn, so you
Feel free to reach out and
Great.
Dr.
Roger, thank you so much for
It's been a pleasure.
Thank you, Josh.
Well, friends, it's a wrap.
Thanks so much for listening
Show.
If you want to reach out to
Roger, you can find those
And if the DPC model is
if there's one in your area.
As always, keep building, keep
living and leading.
Well.