There is a healthcare court case unfolding right now that could have massive implications for patients, employers, and how hospital consent is interpreted across the entire system.

In this critical episode of Broken Healthcare, host Ray Kober sits down with healthcare outcomes expert and Validation Institute founder Al Lewis to break down a real case involving OhioHealth, a 29-hospital system in Ohio, that is now testing how consent and payment agreements actually work in practice.

In this case, treatment was provided and accepted without objection. Payment was then sent via check clearly marked as payment in full for the agreed-upon amount. The check was cashed.

But the story didn’t end there.

After accepting and cashing the payment, additional demands for thousands more followed — raising serious questions about how consent, financial responsibility, and patient agreements are enforced in healthcare.

This case is now becoming a powerful test of how consent is used — and why patients and employers need to understand exactly what they are agreeing to.

One of the most important takeaways Al shares is simple but critical:

Always ask for a printed copy of anything you sign in a healthcare setting.

Because consent forms often contain language that can have long-term legal and financial consequences most people never fully realize.

• The OhioHealth court case and why it could impact healthcare nationwide

• How hospital consent forms actually work in practice

• Why accepting treatment can sometimes be interpreted as accepting consent

• Why requesting printed copies of consent forms is essential

• How employers may unknowingly expose themselves to significant financial risk

• The mission behind Quizzify and how it helps people make smarter healthcare decisions

• How the Validation Institute independently verifies healthcare solutions

Most people assume healthcare is straightforward.

But the reality is far more complex.

This conversation exposes how the system actually works — and why awareness is one of the most important protections you have.

• Employers and benefits leaders

• Healthcare executives and advisors

• HR professionals

• Anyone who has signed hospital paperwork

• Anyone who wants to understand their rights and risks in healthcare

Because what you sign — and what you don’t question — can matter more than you think.

Al Lewis is founder of the Validation Institute and Quizzify, and one of the most respected and outspoken healthcare outcomes experts in the country. His work focuses on bringing transparency, accountability, and evidence-based validation to healthcare.

Hosted by Ray Kober, Broken Healthcare explores the real drivers of healthcare costs, consent, incentives, and accountability — and brings clarity to leaders navigating one of the most complex systems in the world.

No spin. Just reality.

If you want to understand how healthcare really works — and how to protect yourself and your organization — subscribe and turn on notifications.

Have you ever signed healthcare paperwork without fully understanding it?

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What happens when Sir Winston Churchill walks into a modern podcast studio… and then steps out of character?

In this unforgettable episode of Broken Healthcare, host Ray Kober sits down with Randy Otto — a financial advisor, historian, and the only man ever endorsed by the Churchill family to portray Sir Winston Churchill.

For over 54 years, Randy has embodied Churchill on stages around the world. In this conversation, he does something extraordinary:

🎩 Part one: He is Winston Churchill — recounting war, leadership, failure, resilience, and the legendary “black dog” in Churchill’s own voice.

🧠 Part two: He steps out of character as Randy Otto, revealing what decades of studying Churchill taught him about creativity, mental health, destiny, money, and leadership.

You’ll hear:

- How Churchill survived his greatest failure (Gallipoli)

- Why painting saved his life — and his mind

- The real story behind the “black dog” of depression

- Leadership lessons forged in war that still apply today

- What it means to believe in destiny — and fight for it

This isn’t history class.

This is living history, performed by the man who knows Churchill better than anyone alive.

🎙️ Sit back, listen closely — and decide for yourself when the character ends and the wisdom begins.

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America doesn’t have a healthcare problem.

It has a healthcare business problem — and we’re all trapped inside it.

In this powerful episode of Broken Healthcare, host Ray Kober sits down with Chris Deacon — attorney, healthcare policy expert, former Director of State Health Benefits for New Jersey, and author of The Great American Healthcare Heist — to expose how America’s healthcare system became a $5 trillion machine that patients, employers, and taxpayers can’t escape.

Chris isn’t a theorist.

She ran healthcare for nearly 800,000 lives and managed a $6–7 billion annual healthcare budget inside government.

What she discovered changed everything.

In this episode, you’ll learn:

- Why Americans are paying $17,000–$50,000 per family per year and still can’t afford care

- How insurers, PBMs, and hospitals operate as vertically integrated monopolies

- Why “nonprofit” hospitals behave like Wall Street corporations — without paying taxes

- How consolidation destroyed community hospitals and accountability

- Why politicians of both parties are trapped by lobbying and reelection incentives

- How young government staffers are “educated” by industry lobbyists

- Why $1.5 BILLION in savings was realistically achievable — without cutting benefits

- How employers blindly write healthcare checks they’d never approve anywhere else

- Why Americans are handed a $50,000 system with no instruction manual

- How the healthcare system itself can become dangerous if navigated incorrectly

Chris delivers one of the most important analogies in healthcare today:

“We hand people a $50,000 Volvo and say ‘good luck’ — no driving lessons, no instruction manual — and then blame them when it goes wrong.”

This conversation isn’t partisan.

It’s not theoretical.

And it’s not about selling you anything.

It’s about education, accountability, and taking control of a system that quietly drains families, employers, and communities.

If you’ve ever:

1- Been afraid to seek care because of cost

2- Opened a medical bill and thought “this can’t be real”

3- Managed employee benefits and felt completely boxed in

4 - Wondered why healthcare feels impossible to fix

This episode will change how you see everything.

Watch. Share. And start asking better questions.

ABOUT CHRIS DEACON

Chris Deacon is an attorney, healthcare policy expert, former Director of State Health Benefits for New Jersey, national speaker, whistleblower, and featured voice in the documentary It’s Not Personal, It’s Just Healthcare. She oversaw healthcare for nearly 800,000 public employees and dependents and managed one of the largest state healthcare budgets in the country.

She now focuses on education, policy consulting, and public advocacy to help employers, policymakers, and the public understand how the system actually works — and how it can be improved.

PURCHASE HER BOOK

The Great American Healthcare Heist by Chris Deacon

Available at:

Amazon

Major online book retailers

Independent bookstores (by request)

(Search: The Great American Healthcare Heist – Chris Deacon)

HOW TO CONTACT CHRIS DEACON

LinkedIn: https://www.linkedin.com/in/cdeaconc/

Active on LinkedIn with regular healthcare insights and commentary

Long-form writing available via Substack: https://substack.com/@chrisdeaconahealthcareheist

Open to messages, dialogue, and education-focused engagement

SUPPORT THE SHOW

If this episode resonated:

Like the video

Subscribe to Broken Healthcare

Share with someone who’s tired of the status quo

Healthcare doesn’t change without informed pressure — and that starts here.

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Broken healthcare is failing millions of Americans — especially hourly and frontline workers.

In this episode of the Broken Healthcare Podcast, host Ray Kober sits down in-studio with Lexie Leitner, PA-C, Vice President of Clinical Operations at River Health, to unpack why the traditional U.S. healthcare system no longer works — and what it will take to fix it.

Lexie shares her journey from family medicine to healthcare innovation, and explains how River Health is rethinking access, affordability, and care delivery for workers who are often left behind by employer-sponsored insurance.

One of the most powerful parts of River Health’s model? Mental health is treated as essential care — not an add-on. Members receive unlimited virtual therapy plus free access to the Calm app, helping address anxiety, burnout, depression, and everyday stress without barriers, copays, or long wait times.

• Why high-deductible health plans leave Americans functionally uninsured
• How hourly workers fall through the cracks of traditional healthcare
• The real reason healthcare costs keep rising (and who actually pays)
• How River Health delivers unlimited virtual primary care, labs, prescriptions, imaging, and urgent care access for a flat monthly cost
• Why unlimited teletherapy and Calm access are critical in today’s mental health crisis
• How employers can support workforce health without $40,000 insurance plans
• The difference between insurance and actual access to care
• How healthcare became so complex — and what simplicity looks like again

If you’re an employer, HR leader, healthcare professional, or someone frustrated with the cost and confusion of U.S. healthcare, this conversation will challenge how you think about coverage, value, and care.

🎧 Subscribe to Broken Healthcare for real conversations about what’s broken — and what can actually fix it.

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The U.S. healthcare system is broken — and doctors are burning out just as fast as patients.

In this powerful in-studio episode of the Broken Healthcare Podcast, host Ray Kober sits down with Dr. Dana Mincer, a board-certified osteopathic physician and Direct Primary Care (DPC) doctor, to expose what’s really happening behind the scenes of American healthcare.

Dr. Mincer shares her raw, unfiltered journey — from medical training and provider burnout to mental health struggles, patient advocacy, and ultimately walking away from the insurance-driven system to build a direct primary care practice centered on time, transparency, and human connection.

In this episode, we cover:

- Why traditional insurance-based healthcare is failing both patients and doctors

- What Direct Primary Care (DPC) actually is — and why it works

- The healthcare insurance cartel, price opacity, and hospital consolidation

- Doctor burnout, moral injury, and why so many physicians want out

- Mental health, ADHD, anxiety, and the limits of medication-only care

- Why relationship-based medicine leads to better outcomes and lower costs

- How free-market healthcare models are restoring trust and autonomy

This conversation is a must-watch for patients, employers, physicians, and anyone who knows the system feels wrong but hasn’t been able to put it into words.

🎙️ If you care about:

✔ Broken healthcare

✔ Direct primary care

✔ Medical burnout

✔ Mental health reform

✔ Free-market healthcare solutions

— this episode is for you.

👉 Subscribe for more conversations on fixing the U.S. healthcare system from the inside out.

👉 Like & comment to help this message reach more people who need to hear it.

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America doesn’t have a healthcare system — it has a sick care system.

In this powerful episode of the Broken Healthcare Podcast, host Ray Kober sits down with Dr. Kyle Rickner, a pioneer of the Direct Primary Care (DPC) movement and co-founder of Primary Health Partners, to expose why U.S. healthcare is failing patients and doctors — and what it will take to fix it.

Dr. Rickner shares his journey from being an employed physician inside a hospital system to breaking free and helping build a multi-state Direct Primary Care network that puts doctors and patients back in control.

If you’ve ever wondered:

• Why healthcare costs keep exploding
• Why doctors are burned out and leaving medicine
• Why insurance dominates every medical decision
• How Direct Primary Care actually works
• How employers can slash healthcare costs without sacrificing care

This episode will change how you think about healthcare forever.

• Why insurance and hospital systems broke healthcare
• How Direct Primary Care eliminates middlemen
• Why doctors have lost autonomy — and how DPC restores it
• The truth about cash-pay healthcare and transparent pricing
• How employers are quietly escaping traditional insurance
• Why prevention actually works when doctors have time
• What it takes to scale DPC nationally
• Why this fight is about saving doctors’ lives, not just money

Direct Primary Care (DPC) is a membership-based healthcare model where patients pay a flat monthly fee for unlimited access to their doctor — no insurance billing, no copays, no rushed visits.

Patients get:

✔ Longer appointments

✔ Same-day or next-day access

✔ Direct communication with their doctor

✔ Transparent pricing

✔ Better outcomes at lower cost

Doctors get:

✔ Autonomy

✔ Time with patients

✔ Freedom from insurance bureaucracy

✔ A sustainable career

If you’re tired of confusing bills, rushed visits, and a system that puts profits over people — subscribe to Broken Healthcare for real conversations with doctors, employers, and innovators rebuilding healthcare from the ground up.

👍 Like

💬 Comment

🔔 Subscribe

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On this episode of Broken Healthcare, host Ray Kober sits down with Karen Van Caulil, President & CEO of the Florida Alliance for Healthcare Value — one of the nation’s most respected employer coalitions driving real healthcare reform.

Karen shares insider-level insights from 14+ years of working with public and private employers to reduce costs, improve quality, and fight back against the entrenched interests that keep U.S. healthcare expensive, confusing, and opaque.

What We Cover in This Episode:

- Why U.S. healthcare remains broken — and what employers can realistically do about it

- The truth about PBMs, 340B, and the lack of price transparency

- Why employers still struggle to obtain their own claims data (despite the law)

- How the Consolidated Appropriations Act (CAA) changes employer fiduciary responsibility

- How business coalitions (like the Florida Alliance) are reshaping healthcare markets

- Real-world examples: Rosen Hotels, MarineMax, and employers who cracked the code

- The role of brokers — and how misaligned incentives block meaningful change

- What policymakers get wrong — and why employer voices matter more than ever

- Practical steps employers can take right now to protect their plan, members, and dollars

If you’ve ever wondered how employers can fight back against waste, fraud, and abuse in a $5 trillion system — this is the episode you need.

About Karen Van Caulil:

Karen leads the Florida Alliance for Healthcare Value, representing 80+ employers across the state and nationally. With a deep background in health policy, administration, and clinical planning, she is one of the leading voices advocating for employer-led healthcare reform, transparency, and accountability.

Connect with Karen:

https://flhealthvalue.org/

https://www.linkedin.com/in/karenvancaulilphd/

Subscribe for more conversations with the leaders fixing U.S. healthcare from the inside out.

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Tiffany Ryder walked into the studio like she walks through life — calm, confident, and not here for anybody’s nonsense. A former NFL cheerleader turned physician assistant, Tiffany has seen the best and worst of America’s healthcare system, and this episode hits on everything people wish they could ask their doctors but never do.

Tiffany grew up in rural Louisiana with almost no access to care. Later she found herself working with wounded veterans at Walter Reed, studying medicine in Germany, and eventually serving on the front lines of emergency medicine — right through COVID.

In this conversation, we get into:

• why so many patients get bad advice

• the stuff you’re not told about vaccines, Tylenol, metabolic health & chronic disease

• what really happens behind the scenes in emergency rooms

• how she reversed prediabetes and PCOS with lifestyle changes her doctor never mentioned

• why she believes you are the only true advocate for your health

• how politics has hijacked medicine — and the cost of staying silent

• what she learned treating wounded service members

• the culture of “diagnose & prescribe” that keeps people sick

• her transition from NFL cheerleader to PA

• and what she’s working on through her Substack, Signal and Noise

Tiffany keeps it real. She doesn’t sugar-coat and she’s doing something incredibly rare in this space:

She’s using her press access to cover FDA and HHS to actually ask the questions most people are afraid to touch.

This episode is packed with perspective, data, lived experience, and a level of honesty that’s rare in healthcare conversations. If you care about your health, your kids, or the future of medical transparency, this one’s worth every minute.

Subscribe to Signal and Noise on Substack: https://signalandnoise.online/p/welcome-to-signal-and-noise-c79

Connect with Tiffany on LinkedIn: https://www.linkedin.com/in/tiffanyryder/

If you want Tiffany to cover a topic, she’s an open book — just send her a message.

Drop a comment with your thoughts, your story, or your biggest takeaway from Tiffany’s journey.

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