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When it comes to bitcoin, it

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of what we call in the

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You know, we know what we do.

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We know bitcoin is sound and

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to a point now that it works

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scale.

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And I really feel like that's

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It's proven.

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It's proven to the point that

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and all we're doing now is

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So if somebody feels like

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not.

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You know, we're right where I

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ready for it to scale.

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And I'm so happy now that

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for payment for services.

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Welcome to the Business

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The show dedicated to helping

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business with bitcoin, the

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I'm your host, Josh Friedman,

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Roger Mochegemba, who heads up

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Antonio.

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Today we're going to be

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the DPC model and accepting

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We're also going to be talking

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something.

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He was the first physician at Teladoc.

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He was also an early adopter

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to bitcoin.

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We're going to get to our

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Roger right after this.

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Dr.

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Roger, welcome to the podcast.

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I'm glad to be here.

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Thanks for inviting me.

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So I'd like to start off every

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that help us to get to know

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us some insight for our own lives.

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Are you ready for these?

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Yes.

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Question number one is this.

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When and how did you first

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Well, actually, I first heard

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living in Utah.

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My.

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My neighbor told me about it,

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there.

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And I never really got

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I just wasn't.

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It just wasn't time for me then.

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And so then last year, a

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me about stuff he was doing

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And then I, I.

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My interest peaked at that time.

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And then I got an email from

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telling me how I could

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So that's how I got started

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That's how I heard about it

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Question number two is what's

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that you wish everyone understood?

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I wish that everybody

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and it's not just something to

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And most importantly is, it's,

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and that kind of makes it

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So that's, I think we'll talk

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I really like that because it

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Now question number three is

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most recommend to other people?

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I really like the Seventh

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That was the perfect book for

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about how our monetary systems

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And then it goes, it shows

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centralized banking and how

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And there's patterns that he

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through the ages.

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And then he does a very good

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still pretty new to Bitcoin

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He goes into as much technical

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want.

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It's pretty technical.

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So that's why I really like

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Question number four is beyond Bitcoin.

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What's a resource, tool or idea?

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This has been helpful to you

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That the idea of this, this

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I'm a doctor obviously and

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for me stepping away from the

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insurance and dealing directly

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primary care or direct pay.

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So I, I talk to business

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with the high cost of health

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And I tell them how this model

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show them how this model can

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spend and provide affordable

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So that's made a great big

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also in my career, the way I practice.

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Now we have our final, what we

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question and it's this.

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As a general life principle,

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You know, I think the, the

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questions.

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So why or why not in my mind

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or that one.

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But the most important thing

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you're asking.

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I firmly Believe that things

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You know, you'll find answers.

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You know Scripture says seek

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I firmly believe that when a

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looking in their environment,

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talking to people, they'll get

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That's a great answer.

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I don't think we've ever had

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but I think it's a good word,

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Well, Dr.

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Roger, we're here today to

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recently begun accepting Bitcoin.

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You've just introduced the

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your previous answers.

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We've had one other, I think

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physician before and some

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But I love the concept and I

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a little bit about how you got

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and some of the strengths

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the business side, but also

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Great.

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Yeah.

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I was living in Utah and I

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there that was a hybrid.

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They were doing insurance, but

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care.

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And I thought, oh my gosh, how

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people that are paying me

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that with this clinic.

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And I thought, wow, this is amazing.

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And so I came across a guy

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model and I said, hey, well, I

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So I, I started working with

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And make a long story short,

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The, with working with him,

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myself in San Antonio.

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And it's called Direct Med Clinic.

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And as far as I know, it's the

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in San Antonio.

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And it's been so refreshing,

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this way.

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And it's so rewarding to get

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me like, I'm so glad you're

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I wouldn't have anything.

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And it's rewarding to see

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I know they need rather than

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or conditioned to just provide

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for, you know, working with

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And I, I saw this so much

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to treat people the way my

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were, were telling me they

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And people responded to that.

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And many people told me, like,

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For saving my life, thank you

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parents, you know, so that's.

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That was so rewarding to do that.

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And now we have other things

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people that aren't reimbursed

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So I kind of forgot the question.

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Did I answer the question?

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I got kind of on my soapbox a

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Yeah, I think you answered the

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the.

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What are some of the benefits

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model goes?

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You know, you've just talked

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practice medicine, how you

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what does the financial side

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conventional model?

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We don't have a waiting room

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We get to spend time with our

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know them.

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Doctors in primary care might

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or 4,000 patients.

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Ours is under a thousand usually.

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So we spend time and then the.

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Financially, we don't have to

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insurance companies all the

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So we don't need that expense

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And what patients pay us pays

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And it provides a nice

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us.

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So one of the interesting

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is that at least all of the

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basically a monthly retainer.

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You kind of pay a certain

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You might have some additional

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That model makes so much more

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to paying for things on a

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Now, I will admit that paying

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to just paying one time is a

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it's upfront and clear as

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companies where a lot of the

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hard to really get down to the

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So is that a pretty, pretty

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you, or are there some

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for your patients?

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That's a great, great point.

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And we try to be very, very transparent.

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All of our prices are listed

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comes in and they need labs or

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of service what it's going to cost.

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You know, a clinic can

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pricing or discount pricing.

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Because we're a clinic and my

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imaging facilities in the area.

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So we get direct cash pay

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So imagine this if you're a

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the doc and he says, well, I

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X ray.

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Go up to the front desk and

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desk our patients will pay 50

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X ray right there.

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And then they go get the, the

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So it's upfront and it's transparent.

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If someone needs labs, like

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people, the routine labs might

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Then if somebody tries to go

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set of labs might be 100 or $200.

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So how, how cool is that?

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You know, that as a patient,

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you.

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So it's, it's a wonderful

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I, I'm so passionate about the

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that a couple of years ago I

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Texas to a special committee

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need insurance for primary care.

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Because I'm proving, I'm proof

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You know, it's affordable and

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People can reach us same day

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They can text us after hours visits.

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If they need us, we'll do a

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text them.

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Our goal is to keep people out

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room so they have access to us.

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How realistic is it to have no insurance?

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Like you've just said, direct

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insurance.

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How realistic is it to have a

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primary care and maybe health

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such as crowd health, as

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a more conventional approach

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every step of the way.

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Is that realistic for an

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or are there reasons why it

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That's a great question, Josh.

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And it is realistic in order

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Right.

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I think that we need to take a

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to do.

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It's designed to take care of

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going to break the bank if, if

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You know, for example, if we

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cancer, well, we all need to

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That's insurance that will

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That's what insurance was

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Health care insurance has

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You know, we don't need it for

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need our car insurance to pay

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You know, it's, it's the same concept.

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And so there are other models

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can be used to keep the cost

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more affordable.

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One of the things that we

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is that you found yourself

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And I'd be interested to hear about.

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First of all, now that bitcoin

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It's been over and it's been

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comes out, it might be over again.

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But, you know, in the $100,000

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they're late to bitcoin.

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Could you talk about kind of

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bitcoin, and how that has been

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Yeah, I, I love finding ways

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And I think because of that,

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that I've been able to help

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One of them was a company

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I was the first doctor doing

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of the physician association

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nationwide network.

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And I, I knew what I could do.

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I knew I was competent and

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00:20:30,271 --> 00:20:32,103
take care of people that way.

289
00:20:32,175 --> 00:20:37,835
And I, I knew what, what I

290
00:20:37,891 --> 00:20:42,427
I knew if someone could have a

291
00:20:42,467 --> 00:20:47,019
wouldn't let that happen, you

292
00:20:47,043 --> 00:20:49,407
tool for a trained doctor.

293
00:20:50,147 --> 00:20:54,139
So I was, I feel really

294
00:20:54,243 --> 00:21:00,007
that and had no bad outcomes

295
00:21:01,347 --> 00:21:04,059
And then direct primary care

296
00:21:04,083 --> 00:21:06,059
I feel so fortunate to have

297
00:21:06,083 --> 00:21:11,691
I wish I would have found it

298
00:21:11,779 --> 00:21:18,955
then when it comes to bitcoin,

299
00:21:19,011 --> 00:21:21,899
concept of what we call in the

300
00:21:21,963 --> 00:21:25,127
You know, we, we know what we do.

301
00:21:25,427 --> 00:21:31,779
We know bitcoin is, is sound

302
00:21:31,923 --> 00:21:36,947
to a point now that it works

303
00:21:36,987 --> 00:21:38,019
just needs to scale.

304
00:21:38,083 --> 00:21:43,207
And I, I really feel like

305
00:21:43,867 --> 00:21:48,051
It's proven, it's proven to

306
00:21:48,099 --> 00:21:52,435
has developed and all we're

307
00:21:52,531 --> 00:21:57,861
So if, if somebody feels like

308
00:21:58,029 --> 00:21:59,205
I think not.

309
00:21:59,341 --> 00:22:03,989
You know, we're, we're, we're

310
00:22:04,013 --> 00:22:07,189
be, you know, ready for it to scale.

311
00:22:07,253 --> 00:22:12,069
And I'm so happy now that

312
00:22:12,133 --> 00:22:13,733
for payment for services.

313
00:22:13,885 --> 00:22:17,717
And what is it that you use

314
00:22:17,797 --> 00:22:21,477
I'd be interested for you to

315
00:22:21,637 --> 00:22:25,627
how your clientele have

316
00:22:26,287 --> 00:22:32,887
Yeah, so we, we switched to a

317
00:22:32,927 --> 00:22:36,743
their credit card or they can,

318
00:22:36,775 --> 00:22:37,431
It's called Zap.

319
00:22:37,479 --> 00:22:38,067
Right.

320
00:22:38,687 --> 00:22:44,599
And so from there it goes into

321
00:22:44,623 --> 00:22:53,427
there I can move it into a

322
00:22:54,007 --> 00:23:01,327
So then I've not had a lot of

323
00:23:01,447 --> 00:23:05,919
yet, but I'm still trying to

324
00:23:05,943 --> 00:23:11,039
know people and share what we

325
00:23:11,063 --> 00:23:18,067
we do and educate people about

326
00:23:19,357 --> 00:23:20,297
Excellent.

327
00:23:20,797 --> 00:23:24,821
So one of the things that I

328
00:23:24,869 --> 00:23:29,237
kind of B2B relationships on

329
00:23:29,277 --> 00:23:30,501
my understanding is correct.

330
00:23:30,549 --> 00:23:32,737
I'd be interested to learn a

331
00:23:33,037 --> 00:23:35,365
we've talked about the peer to

332
00:23:35,381 --> 00:23:40,549
also just a benefit in giving

333
00:23:40,573 --> 00:23:41,957
this through their job.

334
00:23:42,077 --> 00:23:43,285
How does that work?

335
00:23:43,421 --> 00:23:47,553
And I guess is this something

336
00:23:47,585 --> 00:23:51,409
or is it, I'm guessing it's

337
00:23:51,433 --> 00:23:52,609
or, you know, working with families.

338
00:23:52,673 --> 00:23:55,329
But how does, how has this

339
00:23:55,513 --> 00:23:57,677
Yeah, it's been working very well.

340
00:23:58,537 --> 00:24:03,997
As, as I was growing up in my

341
00:24:04,697 --> 00:24:08,753
have interactions with a lot

342
00:24:08,825 --> 00:24:12,197
need from their clinic or from

343
00:24:12,717 --> 00:24:18,741
So as I started Direct Med

344
00:24:18,789 --> 00:24:19,541
to employers.

345
00:24:19,589 --> 00:24:25,621
And what I found was that

346
00:24:25,709 --> 00:24:33,109
people really struggle to find

347
00:24:33,133 --> 00:24:34,149
health care benefit.

348
00:24:34,213 --> 00:24:38,837
And sometimes they just go

349
00:24:38,877 --> 00:24:41,189
such a financial burden on them.

350
00:24:41,293 --> 00:24:49,173
So I, I tell them how we can

351
00:24:49,205 --> 00:24:50,149
with them.

352
00:24:50,333 --> 00:24:54,469
Like you, here's what a

353
00:24:54,653 --> 00:24:57,669
You buy these memberships for

354
00:24:57,693 --> 00:25:02,693
the benefits they get and I, I

355
00:25:02,765 --> 00:25:04,565
on their healthcare spend on that.

356
00:25:04,621 --> 00:25:10,207
And so these employers will

357
00:25:10,247 --> 00:25:12,799
of the memberships for their employees.

358
00:25:12,863 --> 00:25:14,427
It works really well.

359
00:25:15,607 --> 00:25:19,887
And yeah, I really, it just

360
00:25:19,927 --> 00:25:21,311
People have affordable access.

361
00:25:21,399 --> 00:25:25,919
And then another thing that we

362
00:25:25,943 --> 00:25:31,157
them access to 1100 generic

363
00:25:31,327 --> 00:25:32,077
Wow.

364
00:25:32,417 --> 00:25:34,617
So people love that.

365
00:25:34,737 --> 00:25:40,057
In Texas, unfortunately,

366
00:25:40,137 --> 00:25:41,529
medication out of the office.

367
00:25:41,633 --> 00:25:46,025
So this is in Texas for us,

368
00:25:46,161 --> 00:25:49,993
So one thing I always like to

369
00:25:50,025 --> 00:25:54,089
since optimally, doctors are

370
00:25:54,113 --> 00:25:57,465
what's happening in the

371
00:25:57,601 --> 00:26:00,985
Since we have you, and I know

372
00:26:01,081 --> 00:26:04,469
I'm curious to know your

373
00:26:04,613 --> 00:26:09,109
First of all, what's something

374
00:26:09,133 --> 00:26:15,077
there or strange that in the

375
00:26:15,117 --> 00:26:16,057
common sense?

376
00:26:16,477 --> 00:26:20,741
And then the next thing is,

377
00:26:20,789 --> 00:26:23,477
today that in the future we're

378
00:26:23,517 --> 00:26:24,977
I can't believe we did that.

379
00:26:26,477 --> 00:26:31,723
All right, so a couple of

380
00:26:31,795 --> 00:26:31,979
in.

381
00:26:32,003 --> 00:26:36,827
I've been amazed at what is

382
00:26:36,867 --> 00:26:37,835
some practices.

383
00:26:38,011 --> 00:26:42,287
One of them is PRP or platelet

384
00:26:43,107 --> 00:26:45,579
This is some amazing science.

385
00:26:45,723 --> 00:26:51,547
And the, the, the community,

386
00:26:51,587 --> 00:26:56,133
a little bit unsure about it,

387
00:26:56,275 --> 00:27:01,073
I think it's just a matter of

388
00:27:01,105 --> 00:27:01,917
it to.

389
00:27:02,857 --> 00:27:04,673
We need to have the right indications.

390
00:27:04,785 --> 00:27:09,377
In other words, we just have

391
00:27:09,417 --> 00:27:10,877
good outcomes with it.

392
00:27:11,657 --> 00:27:14,913
We've started to do that and

393
00:27:14,945 --> 00:27:20,449
not traditionally reimbursed

394
00:27:20,473 --> 00:27:24,657
it, it works and it, it

395
00:27:25,677 --> 00:27:30,437
So another one that I've come

396
00:27:30,517 --> 00:27:35,417
who started a practice

397
00:27:36,397 --> 00:27:41,205
So he told me some, some cases

398
00:27:41,221 --> 00:27:42,017
me away.

399
00:27:42,957 --> 00:27:47,685
So that's something that is,

400
00:27:47,821 --> 00:27:55,277
that I, I hope that we will

401
00:27:55,317 --> 00:28:00,537
and it'll, it'll be developed

402
00:28:00,917 --> 00:28:06,093
And then the other question

403
00:28:06,165 --> 00:28:08,537
and, and say, I can't believe

404
00:28:09,877 --> 00:28:16,681
I I think that I hope that

405
00:28:16,729 --> 00:28:20,237
I can't believe we were eating

406
00:28:24,177 --> 00:28:29,673
There's some foods out there

407
00:28:29,825 --> 00:28:32,121
Are there some things that you

408
00:28:32,129 --> 00:28:32,793
the foods?

409
00:28:32,905 --> 00:28:35,849
Obviously, there's maybe a

410
00:28:35,873 --> 00:28:40,041
shouldn't be eating that are

411
00:28:40,089 --> 00:28:40,649
for you.

412
00:28:40,753 --> 00:28:43,257
But are there certain things

413
00:28:43,297 --> 00:28:45,863
from at this point in time,

414
00:28:45,895 --> 00:28:46,599
eat these things.

415
00:28:46,703 --> 00:28:55,575
In general, the more whole

416
00:28:55,671 --> 00:28:56,935
foods, the better.

417
00:28:57,071 --> 00:28:58,871
There was another thing that I

418
00:28:58,959 --> 00:29:04,599
To mention is that one of the

419
00:29:04,623 --> 00:29:10,935
think why it resonates with me

420
00:29:10,991 --> 00:29:18,477
In my model of direct primary

421
00:29:22,417 --> 00:29:22,777
in.

422
00:29:22,817 --> 00:29:29,705
In our, in our centralized

423
00:29:29,841 --> 00:29:30,425
Right.

424
00:29:30,561 --> 00:29:31,337
It's.

425
00:29:31,497 --> 00:29:32,105
It's.

426
00:29:32,201 --> 00:29:35,689
There are these third parties

427
00:29:35,753 --> 00:29:42,985
system, like with, with the

428
00:29:43,041 --> 00:29:43,673
rates there.

429
00:29:43,745 --> 00:29:45,877
All of that is controlled by a.

430
00:29:46,467 --> 00:29:47,207
Right.

431
00:29:47,667 --> 00:29:52,411
So there's kind of a parallel

432
00:29:52,579 --> 00:30:01,179
I think that Bitcoin is to our

433
00:30:01,283 --> 00:30:05,767
direct pay and direct primary

434
00:30:07,027 --> 00:30:08,167
There's this.

435
00:30:09,507 --> 00:30:13,497
Healthcare has become very

436
00:30:15,317 --> 00:30:19,017
input from the government and

437
00:30:20,597 --> 00:30:25,297
The government has always

438
00:30:25,637 --> 00:30:31,277
but what they were mandating

439
00:30:31,357 --> 00:30:35,197
And there's a big difference

440
00:30:35,237 --> 00:30:36,685
and health insurance.

441
00:30:36,861 --> 00:30:39,177
By mandating that, they.

442
00:30:39,787 --> 00:30:45,587
They put in place this thing

443
00:30:45,627 --> 00:30:50,259
is part of the Affordable Care

444
00:30:50,403 --> 00:30:58,627
And it says that in small

445
00:30:58,667 --> 00:30:58,963
pay.

446
00:30:59,035 --> 00:31:03,987
They have to Pay, by law, 80%

447
00:31:04,147 --> 00:31:06,343
back to doctors and hospitals.

448
00:31:06,515 --> 00:31:09,867
In larger markets, they pay

449
00:31:10,167 --> 00:31:16,975
So if you are the insurance

450
00:31:17,111 --> 00:31:20,911
You make it on that 20% or on

451
00:31:21,079 --> 00:31:24,639
So if you want to make more

452
00:31:24,703 --> 00:31:26,107
low or high?

453
00:31:26,727 --> 00:31:27,791
You want it high.

454
00:31:27,879 --> 00:31:28,507
Right.

455
00:31:29,207 --> 00:31:37,519
So that's just an example of

456
00:31:37,583 --> 00:31:42,991
can kind of backfire and cause

457
00:31:43,079 --> 00:31:46,559
experience with the high cost

458
00:31:46,663 --> 00:31:50,223
So in the direct pay model, we

459
00:31:50,295 --> 00:31:52,239
See, it's.

460
00:31:52,383 --> 00:31:53,695
You are a patient.

461
00:31:53,791 --> 00:31:55,087
I'M a doctor.

462
00:31:55,247 --> 00:31:56,815
You have a sickness.

463
00:31:56,911 --> 00:31:58,431
I know how to treat that.

464
00:31:58,519 --> 00:32:04,261
And so there's this direct

465
00:32:04,309 --> 00:32:05,237
relationship.

466
00:32:05,397 --> 00:32:06,297
Okay.

467
00:32:07,117 --> 00:32:12,981
So I think that's part of the

468
00:32:13,149 --> 00:32:17,285
Bitcoin and the whole bitcoin

469
00:32:17,461 --> 00:32:17,813
Dr.

470
00:32:17,845 --> 00:32:20,741
Roger, I appreciate you

471
00:32:20,749 --> 00:32:23,765
are a lot of connections

472
00:32:23,781 --> 00:32:25,331
to peer payments with bitcoin.

473
00:32:25,469 --> 00:32:26,999
So I appreciate you

474
00:32:27,023 --> 00:32:28,983
Are there any final thoughts

475
00:32:29,015 --> 00:32:30,427
up today's interview?

476
00:32:30,927 --> 00:32:31,687
Yeah.

477
00:32:31,847 --> 00:32:38,327
I hope everybody will look

478
00:32:38,367 --> 00:32:39,467
own benefit.

479
00:32:39,887 --> 00:32:42,743
It's a wonderful way to

480
00:32:42,775 --> 00:32:43,591
with your doctor.

481
00:32:43,639 --> 00:32:47,431
And I want to thank you for

482
00:32:47,479 --> 00:32:49,479
and visit and share and where can.

483
00:32:49,503 --> 00:32:52,695
People go if they want to keep

484
00:32:52,711 --> 00:32:53,381
are doing?

485
00:32:53,559 --> 00:32:53,961
That's.

486
00:32:54,009 --> 00:32:54,505
That's.

487
00:32:54,601 --> 00:32:56,489
Thank you for asking that.

488
00:32:56,673 --> 00:32:59,753
The name of the clinic is

489
00:32:59,785 --> 00:33:04,889
We're@directmedclinic.com and

490
00:33:04,913 --> 00:33:07,225
we do and direct primary care there.

491
00:33:07,281 --> 00:33:10,185
I'm also on LinkedIn, so you

492
00:33:10,241 --> 00:33:14,729
Feel free to reach out and

493
00:33:14,913 --> 00:33:15,305
Great.

494
00:33:15,361 --> 00:33:15,673
Dr.

495
00:33:15,705 --> 00:33:17,097
Roger, thank you so much for

496
00:33:17,137 --> 00:33:17,945
It's been a pleasure.

497
00:33:18,041 --> 00:33:19,517
Thank you, Josh.

498
00:33:19,937 --> 00:33:20,953
Well, friends, it's a wrap.

499
00:33:20,985 --> 00:33:24,585
Thanks so much for listening

500
00:33:24,681 --> 00:33:25,081
Show.

501
00:33:25,169 --> 00:33:26,761
If you want to reach out to

502
00:33:26,809 --> 00:33:29,209
Roger, you can find those

503
00:33:29,273 --> 00:33:32,489
And if the DPC model is

504
00:33:32,513 --> 00:33:34,041
if there's one in your area.

505
00:33:34,129 --> 00:33:37,497
As always, keep building, keep

506
00:33:37,537 --> 00:33:39,145
living and leading.

507
00:33:39,241 --> 00:33:39,377
Well.
