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Can Patients Actually Win?

I sat down with Troy Reichert & Dr. Jonathan Bushman to discuss what the health care system doesn't want you to know, how I found my way out, and what happens when a clinician finally tells the truth.

Tiffany Ryder's avatar
Tiffany Ryder
Mar 13, 2026
∙ Paid

At 21, a doctor told me I had PCOS and pre-diabetes and then handed me a Metformin prescription.

“This is just what you’ll have to live with,” she said.

So I did. Until I didn’t.

(Turns out eating real food and moving your body is a treatment plan. Who knew?)

But that was the first time a strange thought crossed my mind. Maybe the people who say they know how this works… don’t actually know anything about how this works.

Hmm.

Years later — after the NFL, foreign medical school, PA school, the ER, and COVID — I read The Price We Pay by Dr. Marty Makary and suddenly understood things I hadn’t been able to articulate before.

  • Why I’d been handed a pill instead of a lifestyle prescription.

  • Why my employment contract said I wasn’t allowed to tell patients that a cash-pay clinic existed across the street.

  • And 1000 other horrific, uncomfortably true things about medicine, and the system we call ‘health care’.

(I’m still looking for a word to describe it that doesn’t start with an F-, but haven’t foun…

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