Plastic Surgeon Talks Future of Healthcare with Dr. Joshua Goldman

In this episode of Out of Network, Dr. Ryon Parker sits down with Dr. Joshua Goldman (Board-Certified Plastic & Reconstructive Surgeon, co-founder of Vegas Plastic Surgery Institute) to discuss the challenges of modern healthcare, physician burnout, and why so many are moving away from traditional insurance models.

You’ll learn:

• How burnout is caused by the administrative burdens of insurance
• The broken system that limits time doctors can spend with patients
• Why concierge medicine is growing as a solution to care delivery issues
• The surgery outcomes that set realistic expectations and prevent patient frustration
• Why volume-based models are hurting both physicians and patients
• The shift in expectations when it comes to patient care
• How healthcare is often about balancing time with quality outcomes

Timestamps

00:00 – Intro: Dr. Joshua Goldman + Vegas Plastic Surgery Institute
03:33 – What craniofacial + microsurgery means
10:47 – What elite surgical training selects for
19:10 – Leaving academia to build a new model
21:33 – Why insurance-based care breaks (admin + overhead)
25:10 – Denials and recoupments: getting paid, then losing it
27:21 – The “third model” (concierge feel without cash-only)
33:30 – Concierge-level experience standards
35:10 – Expectation-setting and why volume kills quality
40:08 – Patient selection: when to say no
01:01:37 – Closing takeaways: access and “time to care”