Why Insurance, Not Medicine, Drives Pain Care

Описание: Most people believe pain care decisions are based on medicine.
In reality, many are driven by insurance reimbursement.

In this episode, Dr. Dustin Leek explains how insurance—not clinical judgment—often determines what pain treatments are offered, delayed, or denied. From imaging and procedures to therapy referrals and medications, financial incentives quietly shape care.

You’ll learn:

How reimbursement actually works in pain care

Why patients are often given limited options

The impossible position many clinicians are placed in

How to better advocate for yourself inside the system

This is an honest look at why pain care so often feels fragmented—and what patients deserve to understand about it.

References:
"Estimated 9 million epidural steroid injections done per year..."
Cohen SP, Greuber E, Vought K, Lissin D. Safety of epidural steroid injections for lumbosacral radicular pain: Unmet medical need. Clin J Pain 2021; 37:707-717.

"36,000 spinal cord stimulator trials in 2018..."
Hussain, Z. A., Manchikanti, L., Kaye, A. D., et al. (2021). Spinal cord stimulation trends of utilization and expenditures in fee-for-service Medicare population from 2009 to 2018. Pain Physician, 24(3), 293–308. 🇺🇸 Utilization patterns showed spinal cord stimulation trials increased from 12,680 in 2009 to 36,280 in 2018 (186% increase) and pulse generator implants increased from 7,640 to 22,960 (201% increase) from 2009 to 2018.

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👉The content on this channel is for informational purposes only and should not be considered medical advice. Always consult a healthcare professional before starting or changing your treatment plan.

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