Plastic Surgeon Talks Future of Healthcare w/ Dr. Joshua Goldman | OON Ep. 23

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 outcomesTimestamps 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” Connect with Out of Network: 🌐 Website: https://www.outofnetworkpod.com/ 📱 Instagram: https://www.instagram.com/outofnetworkpodcast/ ▶️ YouTube: https://www.youtube.com/@OutofNetworkPodcast 🎵 TikTok: https://www.tiktok.com/@outofnetworkpodcastConnect with the Hosts:Dr. Ryon Parker → https://www.instagram.com/dr.ryonparker/Parker Medical: https://parkermedical.org/Dr. Rishi Seth → https://www.instagram.com/drrishiseth/Seth Premiere Medical: https://sethmedical.com/Dr. Goldman → https://vegaspsi.com/meet-dr-joshua-goldman/https://www.instagram.com/goldstandardplasticsurgery/Enjoyed the Episode?If this conversation resonated with you, please like, comment, and subscribe. Share it with someone who cares about the future of healthcare.🎙 About Out of Network Out of Network is a bold, physician-led podcast hosted by Dr. Ryon Parker and Dr. Rishi Seth. Each week, they challenge the broken healthcare system and explore how medicine can be reimagined—through patient-first care, prevention, and real human stories.Enjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.#OutOfNetwork #Healthcare #PlasticSurgery #MedicalBurnout #ConciergeMedicine #ReconstructiveSurgery #MedicalCare #PhysicianBurnout #HealthcareSystemEnjoyed the Episode?If you liked this conversation, please subscribe, leave us a review, and share this podcast with a friend—it helps more people discover a new vision for healthcare.