The BRI Blog

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Dr. Juliette Madrigal speaks often and passionately about her cash-based Med-Peds practice in Texas. By eliminating 3rd party involvement from her practice, she is able to structure her time to allow for more 1-on-1 patient interaction, and offer better quality care at lower prices.

Third parties can be government regulations, government programs (Medicare), insurance companies, or any other entity that gets between a doctor and her patients, usually in the area of finance and payments, but often in critical decision making aspects of a patient’s healthcare.

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Jules Madrigal, MD is board certified in pediatrics and internal medicine. She completed her bachelor of science at the University of Texas at Austin while graduating Cum Laude. She received her Doctorate of Medicine at Texas A&M and finished her residency at the University of Oklahoma School of Medicine.

She currently serves on BRI’s board of directors.

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Twila Brase, RN, PHN is an energetic spokesperson for patients’ rights and citizens’ rights in general. As an RN, she observed the gradual erosion of health freedom and saw that the loss of health freedom equates to overall loss of freedom.

In this video, Ms. Brase exposes areas where our privacy and freedoms are compromised and gives recommendations on how to counteract the rise of privacy infringement.

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Twila Brase, RN, PHN is president and co-founder of the Citizens’ Council for Health Freedom (CCHF), a patient-centered national healthcare organization based in St. Paul, MN. In 2009, Modern Healthcare Magazine named her #75 on the “100 Most Powerful People in Healthcare” list of healthcare leaders in America.

Ms. Brase is a speaker, author and program host of Health Freedom Minute on VCN America, also found on her own website, Citizens’ Council for Health Freedom. Her interview on BRI’s Next Generation Medicine podcast is scheduled for release in 2018.

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A Canadian native, Dr. Sameer Lakha has first-hand experience of the much-touted Canadian healthcare system, and has a unique perspective on the realities of single-payer healthcare and how it impacts a doctor’s ability to practice medicine for the full benefit of the patient. Is single-payer all it’s cracked up to be? In this video, Dr. Lakha explores the hopes, dreams and realities of government healthcare.

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Sameer Lakha, MD is a distinguished scholar and doctor, receiving his undergraduate degree cum laude from Harvard University, and his MD with distinction in research from Icahn School of Medicine at Mt. Sinai, New York. He founded the Benjamin Rush Institute chapter at Icahn School of Medicine at Mt. Sinai.

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Dr. Graboyes illustrates how the private sector—in this case using the example of Musk’s Falcon Heavy rocket—can bring unimagined outcomes. In Falcon Heavy Health Care—What can we learn from Elon Musk and apply to healthcare?, Dr. Graboyes examines how Elon Musk’s Tesla roadster now orbits the sun, and two of the boosters that got it there performed a perfect, synchronized vertical landing straight out of 1950s sci-fi thriller.

Musk’s engineering and showmanship got world buzzing about the possibilities of space, with an excitement largely absent since the final moon landing in 1972. Importantly, Falcon Heavy demonstrated the value of competition and entrepreneurship in a field many had seen as a purely governmental endeavor. What can health care learn from this achievement?

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Dr. Robert Graboyes, PhD is Senior Research Fellow at the Mercatus Center at George Mason University. Author of “Fortress and Frontier in American Health Care,” his work asks, “How can we make health care as innovative in the next 25 years as information technology was in the past 25 years?” His work has taken him to Europe, Sub-Saharan African, and Central Asia. He has taught mid-career health care professionals in master’s and doctoral programs since 1999. and will be speaking on innovation in medical delivery.

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Robert S. Emmons, MD talks about the unintended consequences and negative effects of distributive justice and the patient-doctor relationship. Dr. Emmons’s thesis is that Distributive Justice has come to crowd out all other ethical values in everyday clinical practice, in an automatic, unconscious way, thus eroding trust between patients and physicians.

Doctors can restore that trust with patients by making Do No Harm an expression of humility and a central principle of ethical practice. Clinical experience tells us that outcomes improve in an environment of trust between patients and their doctors.

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Dr. Robert S. Emmons is a Board Certified Psychiatrist / Neurologist – Clinical Neurophysiology practicing in Burlington, VT. Dr. Emmons graduated Summa Cum Laude, Luther College and is a Diplomate of the American Board of Psychiatry and Neurology. He is affiliated with the American Association of Physicians and Surgeons (AAPS), and founder and Staff Psychiatrist of the Franciscan Free Psychiatric Clinic in Vermont.

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Many assert that government regulation is the only way to solve healthcare cost and access issues.

In her presentation, A look at the Ethics of the Patient-Doctor Relationship through the Eyes of a Direct Primary Care Physician, Dr. Heather Bartlett, a DPC doctor-pioneer, dismantles this concept, walking us through her DPC-modeled practice, actively restoring and protecting the patient-doctor relationship.

Visit her website: The Bartlett Medical Clinic & Wellness Center

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Dr. Bartlett opened Columbus’ first direct primary care clinic, The Bartlett Medical Clinic & Wellness Center in 2016 after witnessing thousands of patients’ frustrating healthcare experiences both in cost and reasonable access. She saw this throughout her various roles in healthcare settings—as emergency room physician, healthcare system employed outpatient primary care physician, pre-admission screening physician, and finally as an urgent care physician at one of the busiest centers in Central Ohio. She wanted to help change both the access and cost issues for the uninsured, under-insured, and insured for primary care in Ohio’s capital, Columbus.

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