You Don't Get To Talk About That" — What Your Insurance Doesn't Want Your Doctor To Say
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About this listen
Dr. Amy Tiffany sits down with family medicine physician Dr. Anne Gonzalez to expose why heart disease kills more women than all cancers combined, what Direct Primary Care actually is, and why women are being gaslit by the system that's supposed to protect them.Dr. Anne Gonzalez is a family medicine physician and Direct Primary Care doctor who left fee-for-service insurance medicine to build a practice where women are actually heard. She also runs an esthetics practice, mentors new DPC doctors, and is building education around how independent physicians can grow their practices in a system that's not built for them. This conversation is for women who've felt rushed through 15-minute appointments, anyone curious about Direct Primary Care or concierge medicine, and patients searching for a doctor who will actually listen.After watching, you'll understand why heart disease kills 1 in 2 women while breast cancer kills 1 in 8, the real difference between fee-for-service, Direct Primary Care, and concierge medicine, why perimenopause is "reverse adolescence" and what that means for women in their late 30s, and how to find a DPC doctor in your area.Chapters0:00 – How is fee-for-service different from Direct Primary Care and concierge medicine?4:40 – What is Direct Primary Care and how does the membership model work?5:51 – What is concierge medicine and how is it different from DPC?7:13 – How many patients does a typical primary care doctor have?10:01 – Who is Dr. Anne Gonzalez outside of medicine?16:30 – What is one belief about women's health you refuse to compromise on?17:25 – Why do doctors gaslight women about their symptoms?18:10 – Why is perimenopause called "reverse adolescence"?19:39 – What is the number one killer of women?20:42 – Heart disease vs. breast cancer — the numbers women aren't told21:10 – Why doesn't medicine act on early warning signs in women?23:24 – What is the "trust recession" in healthcare?26:34 – Why are women turning to functional and integrative medicine?30:18 – What is evidence-based medicine and where does it fall short for women?31:33 – How do you find a Direct Primary Care doctor near you?32:46 – What is the DPC Alliance and where can physicians learn DPC?37:05 – How did Obamacare change the doctor-patient relationship?41:23 – What is the most important preventative health message for midlife women?43:48 – Closing thoughts and where to find Dr. Anne GonzalezAbout Dr. Amy Loden Tiffany: Triple board-certified physician in Internal Medicine, Lifestyle Medicine, and Obesity Medicine. Founder of Vitality Medical and Wellness Consulting in St. Louis, MO. Certified Menopause Practitioner since 2014. Host of The Authentic Physician.About Dr. Anne Gonzalez: Family medicine physician and Direct Primary Care doctor. Mentor to new DPC physicians and educator on practice growth for independent doctors.Heart disease is the number one cause of death for women in the United States, killing approximately 1 in 2 women while breast cancer kills approximately 1 in 8. Direct Primary Care is a membership-based primary care model where patients pay a monthly fee directly to their physician instead of using insurance, allowing smaller patient panels, longer visits, and same-day access. Perimenopause is often described as "reverse adolescence" because it produces mood swings, sleep changes, and hormonal shifts that mirror puberty but in reverse — and symptoms can begin in a woman's late 30s, ten to fifteen years before menopause. Women searching for a Direct Primary Care physician can find one through the DPC Mapper at DPC Frontier, and women searching for a certified menopause practitioner can find one through The Menopause Society.