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Healthcare was supposed to protect families and small businesses—not bankrupt them. On this episode of Main Street Matters, Elaine Parker sits down with Dr. Firouz Daneshgari, a former surgeon-scientist and hospital board member at major health systems including Cleveland Clinic and University Hospitals, who became a whistleblower after witnessing firsthand how financial incentives began outweighing patient outcomes. With U.S. healthcare spending topping $5.6 trillion annually, Dr. Daneshgari explains: Why over half of healthcare spending may be waste How hospitals evolved into revenue-driven “sick care” systems Why employer-sponsored insurance distorted the doctor-patient relationship The hidden cost drivers behind rising premiums and medical debt How direct primary care and health “guardianship” models restore transparency and trust Why cash-pay pricing dramatically lowers specialty and surgical costs How small businesses can cut healthcare expenses without sacrificing quality What President Trump’s HSA subsidy proposal could mean for consumers Dr. Daneshgari shares how his BowTie Health Guardianship model combines subscription-based primary care, proactive chronic disease prevention, and upfront pricing to deliver affordable, high-quality care nationwide—without waiting for Congress to act. For small business owners struggling with rising premiums and unpredictable costs, this episode offers a real-world alternative that puts patients—not hospital systems—back in control. 🎧 Subscribe to Main Street Matters for practical solutions that protect small businesses and strengthen America’s economic engine. Chapters 00:00 Introduction to Healthcare Challenges 02:21 Understanding the Cost Drivers in Healthcare 10:52 The Role of Patients in Healthcare 12:44 Proposed Solutions for Healthcare Reform 19:51 The Concept of Health Guardianship 23:07 Integrating Direct Primary Care with Insurance 31:35 The Need for Systemic Change in Healthcare 38:53 Vision for the Future of Healthcare