DR. DERRICK HINES
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Pain & Performance Podcast

The Pain & Performance Podcast is a weekly, deep-dive

podcast focusing on maximizing health, healing and

optimal function from physical to chemical to diet and

emotional health. We've covered cheating strength

gains, losing weight, curing back pain and so much

more! The Pain & Performance Podcast is hosted by Dr.

Derrick Hines, a LSU Doctor Of Physical Therapy trained

DPT focusing on the applied science of pain, healing,

​the optimal human function and well-being.
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Recent Episodes

Why our healthcare system wants you to be unhealthy AND what we can do about it

8/17/2025

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​In this episode, I sit down with Bharon Hoag to unpack some of the biggest challenges (and opportunities) in our healthcare system today. We talk about the financial forces that shape medical decisions, how patient expectations often influence the care they get, and why more conservative approaches can sometimes lead to better results.

You’ll hear real-world stories of patients who avoided unnecessary procedures, what it really means to take control of your own health, and how practitioners working together could change the future of care.

If you’ve ever felt frustrated, confused, or unsure about the medical advice you’ve been given, this conversation will help you see the system in a new light, and give you tools to make better choices for yourself and your family.

What you’ll learn:

--  How financial incentives influence medical decisions

-- The role of patient expectations in shaping treatment

-- Why conservative care can lead to better long-term outcomes

-- Real examples of conservative treatments that worked

-- How practitioner collaboration can transform healthcare’s future


Timestamps
00:00 – Welcome & Introduction
00:37 – Why 80% of Spine Surgeries Aren’t Needed
01:18 – How Financial Incentives Shape Healthcare
03:36 – The Barriers to Choosing Conservative Care
04:49 – Lessons from Healthcare Abroad
06:44 – America’s Poor Health Outcomes Despite High Costs
08:34 – Media Influence & Patient Expectations
10:26 – Real Results from Slowing Down Care
12:10 – Why Insurance Discourages Healthy Choices
14:29 – Proof that Conservative Care Cuts Surgeries & Drugs
16:22 – Taking Control of Your Health Post-COVID
17:34 – Designing Plans That Reward Healthy Behavior
19:54 – How One Company Slashed Healthcare Costs by 600%
21:57 – Bringing This Approach to Small Businesses
22:00 – Cutting Out Insurance with Subscription-Based Care
24:25 – Tax Incentives for Conservative Care
25:00 – Why the System is Built to Sustain Problems, Not Solve Them
26:55 – Simple Fixes Overlooked in Big Hospital Systems
28:45 – Changing the Practitioner’s Role in the System
30:27 – Why Practitioners Must Take a Stand
34:59 – Finding the Right Provider as a Patient
37:51 – The Comprehensive Approach of Chiropractic Care
39:38 – Thinking Long-Term About Your Health
40:33 – The Overuse of Surgery as the “Solution”
42:40 – Regenerative Healing Success Stories
45:32 – Why Try Conservative Care First
46:10 – The Future of Conservative Care
48:57 – Protecting Practitioners Who Speak Out
50:19 – The Next 4 Years as a Turning Point
51:19 – Encouraging Change on a Larger Scale
52:11 – Final Message to Patients and Providers
53:28 – One Thing You Can Do to Improve Your Health

#HealthcareReform #ConservativeCare #PatientEmpowerment
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*The details, recommendations and content offered on this site are for information purposes only. No patient relationship is formed and this does not constitute medical advice. If you have any health issue needs please seek your medical professional.
  • Home
  • BOOK
  • Podcast
    • Podcast Topics >
      • Regenerative Therapy
      • Fasting and Nutrition
      • Healing Chronic Pain
      • Movement as Medicine
      • Supplements, Sexual Health and Research
      • Mental Health
      • Longevity
      • Cryotherapy
      • Dr. Hines Guest Appearances
  • Blogs
  • Media
  • Contact Us
  • Business