My musings on bass fishing, writing, healthcare and life. <br/><br/><a href="https://gottwals.substack.com?utm_medium=podcast">gottwals.substack.com</a>
Gott's Gulch - Craig’s Substack Podcast
Claim This Podcastby Craig Gottwals
5.0(1 reviews)
16 episodes
Updated Weekly
Accepts GuestsHas SponsorsLocation 🇺🇸
10
Podcast Authority
BetaPoorBased on show quality, social media presence, reviews, charts, and more
Quality21
Social0
YouTube0
Engagement0
Podcast Overview
My musings on bass fishing, writing, healthcare and life. <br/><br/><a href="https://gottwals.substack.com?utm_medium=podcast">gottwals.substack.com</a>
Language
🇺🇲
Publishing Since
5/9/2023
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10
Podcast Authority
BetaPoorBased on show quality, social media presence, reviews, charts, and more
Quality21
Social0
YouTube0
Engagement0
6
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2
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11
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excellent
Episode Length
1h 27m
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Show Experience
14 episodes over 2.3 years
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Every 61 days
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Recent Episodes
April 13, 2026
Why does healthcare cost so much in America? More importantly, what exactly can we do to fix it?
<p>It is the single most common question I receive as a healthcare attorney and large group benefits consultant. On one hand, answer is frustratingly simple. The entire system is designed to extract maximum profit from your business. Every major player in the game makes more money when your healthcare claims go up. That includes the major insurance companies, massive hospital systems, Pharmacy Benefit Managers, and even your traditional broker. It is a rigged game. It is fueled by deeply misaligned incentives and the Iron Law of Bureaucracy. When the entities managing your plan get paid a percentage of the total spend, they have absolutely zero motivation to actually lower your costs.In this video, I break down the American healthcare machine. We pull back the curtain on the government agencies and Wall Street giants that dominate the current landscape. We examine how they intentionally keep you in the dark to maintain their profit margins. However, we certainly do not stop at simply admiring the problem. I provide concrete and actionable solutions that employers can implement right now to take control of their plans.</p><p></p> <br/><br/>This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit <a href="https://gottwals.substack.com?utm_medium=podcast&utm_campaign=CTA_1">gottwals.substack.com</a>
January 12, 2026
When to Use High Deductible Plans & 2 Surprisingly Dark Downsides
<p>I've always been a proponent of high-deductible health plans for individuals, families, and smaller employers who cannot safely self-insure or partially self-insure. However, once an employer self-funds, there are a couple of surprising ways in which installing a high-deductible plan can have a very negative impact on your employees and their families.The referenced podcast from <a target="_blank" href="https://www.linkedin.com/in/stacey-richter-14b3234/">Stacey Richter</a> referenced: <a target="_blank" href="https://relentlesshealthvalue.com/blog/transcript-for-ep486-with-stan-schwartz-md">Episode 486 of Relentless Health Value</a>. </p> <br/><br/>This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit <a href="https://gottwals.substack.com?utm_medium=podcast&utm_campaign=CTA_1">gottwals.substack.com</a>
September 6, 2025
Overworked, Overtreated & Over It. A Doctor Speaks
<p>Handcuffed by the standard of care. Twelve minutes or less with each of her 2,500 patients. Pushed to prescribe drugs she knows aren’t the answer.</p><p>This is the reality of primary care today.</p><p>Dr. J, as we’ll call her, is a two-decade veteran of primary care, a good friend, and an amazing doctor. In this episode of Gott’s Gulch, she tells us what so many of her peers whisper about between exam rooms or keep bottled up until burnout incinerates them.</p><p>She describes the difficult choices primary care docs face today: spending twelve minutes or less with each patient, frantically typing every CPT Code they can into electronic medical record systems, feeling pressured to prescribe medications that may not be the best option, and facing the harsh reality that homogenized protocols often lead to deadly overtreatment. She discusses what it’s like to be restricted by the so-called “standard of care,” overworked, sleep-deprived, and constantly forced to make difficult decisions between her conscience and the system.</p><p>This is a raw, honest account from a physician who still loves medicine and her patients. But nonetheless, a doctor who’s had enough of pretending everything is fine. If you want to understand why primary care is collapsing, and why good doctors are leaving, you’ll want to hear this one.</p><p>In This Podcast</p><p>Medical errors are the <a target="_blank" href="https://www.bmj.com/content/353/bmj.i2139">3</a><a target="_blank" href="https://www.bmj.com/content/353/bmj.i2139">rd</a><a target="_blank" href="https://www.bmj.com/content/353/bmj.i2139"> leading cause of death</a> in the U.S. </p><p>In the United States, three in 10 people report having difficulty accessing primary care. <a target="_blank" href="https://keck.usc.edu/news/primary-care-doctors-are-in-short-supply-usc-family-medicine-is-doing-something-about-it">A shortfall of more than 13,000 U.S. primary care clinicians today is expected to worsen in years ahead</a>, with the Association of American Medical Colleges predicting it could grow to as much as 40,400 by 2036. </p><p>A <a target="_blank" href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2765780">2008 study</a> estimated that imaging services accounted for 14% of healthcare spending in 2005. </p><p><a target="_blank" href="https://open.spotify.com/episode/6bm6SZNWEEsHytI6D92shs?si=Q89KsMUYRSS-QEHiZI0PBQ">Think Fast</a>. The 252nd Evolutionary Lens: DarkHorse Podcast Episode 252, released November 20, 2024. In that one, Bret and Heather describe completing a seven-day dry fast and discuss the biology and traditions around dry fasting.</p><p>Timestamps</p><p>02:20 - Most patients don’t get to keep one doc anymore</p><p>05:32 – Dr. J still has a few primary care patients</p><p>06:45 – Primary Care docs in the system work more than 100 hours a week</p><p>08:30 – Primary Care docs are responsible for 2,500 patients/year</p><p>15:00 – The worst part of her job when a patient has an HMO</p><p>19:44 – Capitation vs. Fee for Service</p><p>24:00 – How I met Dr. J</p><p>26:50 – How much does the Standard of Care suppress creative medicine?</p><p>28:00 – Overtreatment kills</p><p>34:00 – Medical errors are the 3rd leading cause of death in America</p><p>36:52 – Did you ever feel pressure to overprescribe?</p><p>46:45 – How is/will AI impact primary care?</p><p>56:15 – Average doctor pay</p><p>01:07:00 – The Obamacare “free” annual physical</p><p>01:18:15 – How referrals work in modern medicine</p><p>01:21:30 – Compelled imaging</p><p>01:26:30 – Cost of malpractice insurance by specialty</p><p>01:27:45 – Vax schedules, how about those ingredients?</p><p>01:36:45 – The Iron Law of Bureaucracy</p><p>01:42:05 - Fasting and Dry Fasting</p> <br/><br/>This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit <a href="https://gottwals.substack.com?utm_medium=podcast&utm_campaign=CTA_1">gottwals.substack.com</a>
16 total episodes available
Deep-dive analytics for Gott's Gulch - Craig’s Substack Podcast
Frequently asked questions
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- What is Gott's Gulch - Craig’s Substack Podcast?
- How often does this podcast release new episodes?
This podcast updates weekly.
- Where can I listen to this podcast?
This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
No, this podcast does not typically feature guests.
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