¶ Medical School Graduates and Legislation Debate
I'm nervous now you should be nervous . It's almost like this is like the canary in the coal mine . Is someone working on legislation ?
Of course they are .
So that if you graduate from medical school and you go through residency , you don't finish working for 10 or 15 years , that you'll end up paying some type of penalty .
Listen , this is what people , I think , need to understand . You are at the whim of whatever administration leader comes about . Whatever administration leader comes about , we can't fool ourselves into thinking that you will protest , boycott , get enough names on a piece of paper to change people's minds who essentially want to see something done .
What you have to be able to demonstrate to that person is the risk-benefit ratio , because that's how these people work . If you do this , it will be worse for you because and usually that because has a dollar sign in front of it .
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Protect your income , secure your future . Check out setforlifeinsurancecom . Setforlifeinsurancecom . What's up everybody Late night live from Docs Outside the Box , because I wanted to talk about this , renee wanted to talk about this . So there's a congressman , congressman Greg Murphy .
He put out a tweet yesterday , the 28th , and he says the number one reason for MD shortage is med schools admitting students who aren't going to practice . Only 60 percent of med students today plan on practicing clinical medicine . Med schools need to focus on admitting students who want to take care of patients , not just get their MD .
How the hell are you going to do that ? But anyway , right .
So he got 60% plan on practicing .
Yeah , so 40 , he's no . So he says that 40% , basically saying 40% don't plan on practicing , and that's the number one reason why there's so much .
At what point are they not planning on practicing ? Are they not planning on practicing when they're pre-med ? Are they not planning on practicing once they get into med school ? Are they not planning on practicing once they get into med school ? Like are medical schools asking pre-med students do you plan to practice ?
And 40% are like no , and they're admitting them anyway . Where is he getting this statistic ? Dr Murphy , tell us where you're getting your statistic from .
I'd love to hear it . The thing that's really interesting is the next thing . He doubled down on it and said it should be mandated that , unless disabled , each medical school graduate should have to practice medicine full time for 15 years minimum to refund the federal government for the cost of tuition .
You mean pay their student loans back . I don't get it .
I think that's the one that got people most like yeah .
Somebody got a free ride to school because maybe mommy and daddy paid . I don't know . Maybe that's the only reason that I can explain Like that's the only way I can explain that you don't that he doesn't understand how federal funds might work . You sure he doesn't understand . You'd be surprised .
But for the record , I looked him up . He was at I think it was medical school , I think East , I don't know Brody School , whatever it is East . Carolina . He's a urologist up until like 2017 and I think he started doing like some nonprofit work or for-profit work and then obviously now he's a congressman .
But yo , some of this stuff has got me like- he's part of the shortage problem .
He's not . He should get to work . There you go what you're doing in Congress , dr Murphy . Get to work .
Unless he's trying to say that he's already done his 15 years .
I don't care because listen . So 15 years is an arbitrary number , right ? What if we actually need all doctors to continue working for 25 years ? I'm proposing 25 years . Dr Murphy , what you got on that , I think you should go back , leave Congress and go back to work . We need a lot of urologists . We got urology shortage .
So this obviously is problematic . I don't know where he's getting his statistics from . I don't know where he's getting his statistics from . I don't know where he's getting his statistics from Because if you check Medscape , these numbers don't correlate with Medscape .
No , not at all Surveys , Not at all Satisfaction surveys , or med school , what you plan on doing afterwards type surveys . So that's really interesting , Right ? The second part for me , that's the one where I'm just like okay , this is either he's just saying this just to piss people off .
There's no way he can believe that he's not saying it to piss people off .
I don't think . I think he has his own agenda right Like listen . So I do think it's been nine days .
Technically , he's not part of the what do you call it ?
I'm just saying it don't gotta be part of the cabinet , it just has to be administration driven . It has been nine days Nine , nine days , guys , of what ? Since inauguration ? It's been nine days since inauguration Since this administration has taken nine days . It's been nine days since inauguration , since this administration has taken nine days .
It's been the longest year of my life , I would say this I think someone who is someone who is as educated as he is someone who's a urologist I just have a hard time believing that he truly believes this .
Just because he went to school doesn't mean he's educated .
I don't think he knows . How can you ? How can you ?
Just because you went to school don't mean you're educated .
But if you went to medical school in the united states , what thought process would you ever like ? What part of going to medical school , applying to medical school , paying your loans or even someone paying your school tuition would you think that some , like the federal government , is paying your just ?
because you went to medical school doesn't mean that you're actually educated , but this is what I'm saying that you were exposed to education it doesn't mean that you're actually educated , but this is what I'm saying . It means that you were exposed to education . It doesn't mean that you were actually educated .
Okay , because in order to be educated , then you have to say things that really warrant some merit of education behind it . I just wonder where he gets that .
I think he's being punitive on purpose . Of course he is . Yeah , I think he's like well , listen , if you don't practice for 15 years , then you have to . You know , the , the , the . The penalty will be you have to pay back all these years in tuition , like . I think he's saying that on purpose , because there's no way .
But how many people are getting a free ride on the federal government to medical school , like let's really talk about that a lot or a little ?
I don't know , I don't know the federal government , like outside of military folks I don't think there are that many more people , maybe national health service corps , which those people already have a mechanism by which they pay back that .
You can't just jump ship .
They make it real expensive for you to jump ship , because then you have to pay three times the amount ?
The second thing that I was thinking was is he talking about residency ?
No , but that's not tuition .
But then he specifically said tuition . So I'm like , well , what the hell is he talking about ? And that's when I was like , ah , he's just being punitive on purpose , right . That's part of this administration , like we're going to be as punitive as possible , we're going to say things , we're going to force you . You won't even get down .
You either go along or you're going to get down , right . And I think that that's because I can't see how this could be .
So it's disinformation on purpose , Right ? Because if you confuse people , if you say things that aren't true , right ? Like here's the thing If you say things that aren't true , even if you come back and retract it , it's too late , the cat's out of the bag .
So many people are going to be like yeah , yeah , yeah , Not realizing potentially that what he said doesn't actually make sense , but it doesn't matter , because what he needs is to rile people up so that the next thing that he says becomes the thing that he actually wants people to do , right ?
So this is disinformation on purpose , because you can't tell me a physician a doctor is that stupid that he would actually think that what he said made any sense about . You know , you have to repay the government for your tuition . That's called repaying your student loans . I don't get it . I don't get it . I'm like who's getting a free ride on the government ?
Actually , the government is getting a free ride on you . Essentially , the government gets a free ride on you Exactly , you put down all the sweat equity . All they do is just guarantee the student loan With interest and then you pay back that student loan in full With interest . So the federal government makes mad money off of this .
Exactly , it's a money maker for them , right ?
federal government makes mad money off of this , exactly for them , right ? Like I said , the only thing that I can think of is that you know , when it comes down to residency training , the whole medicare system pays like half , and then the med school pays the other half for your , for your education as a resident .
But the way how you explained it , explain how residency works like in terms of because you work , yes so , right , it is illegal in the United States to be employed by somebody and not get paid for the work that you actually are doing . Residents are considered employees . They're not considered students . They're not getting money just for education , right ?
Otherwise what would be the point of resident unions , which we know that there are several resident unions around the country ? So they are employees . They're actually working when they are seeing patients . They generate dollars by seeing patients . So they are actually employees .
So you can't say that they would even pay the Medicaid or Medicare dollars that pay for residency salaries . You can't even say that they would pay those back because it's like , well , but then I worked , so therefore you have to pay me .
I'm nervous , though I'm real nervous . You should be nervous , because folks like this . When they start to put up , it's almost like this is like the canary in the coal mine , like is someone working on legislation Of course they are so that , like this , something like this happens ? I don , of course they are Some type of penalty .
I mean , listen , this is what people I think need to understand . Like you are at the whim of , whatever administration , whatever leader comes about Right , and so the notion of you know . Well , you know we just got to , we just got to .
It's like listen , you can fight , you can do all the things you want , but at the end of the day , if an administration wants to see something , there is nothing that you are going to do in order to change a person's mind .
Their value may not be the same values that you have , and so we can't fool ourselves into thinking that you will protest or boycott or I don't know what else people are planning to do . Get enough names on a piece of paper for a petition or whatever to change people's minds who essentially want to see something done .
Very specifically , what you have to be able to demonstrate to that person is the risk benefit ratio , because that's how these people work . You have to show them that , listen , if you do this , it will be worse for you because and usually that because has a dollar sign in front of it .
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¶ Physician Burnout and Career Duration
So if you look at the current , if you look at most surveys realistically , the two major issues that cause people to leave medicine is burnout , right . So you're either not happy with your job , you're tired , you're not getting a chance to see your family , you have a mental breakdown , or the other reason . Other category is usually money .
Like , for whatever reason , money is an issue and you're like I can either make money better doing something else or I can spend more time with my money doing something that's less stressful . But those are usually the two main issues , which is the person is burnt out , or money is a major issue , and usually it's student loan related and so forth .
So at least student loan as a contributor . Those are usually the systemic issue .
Well , part of the systemic issues , what will cause someone to say you know what , either while in medical school they're like yo , I'm out because I see my attendings , or I see residents , or I just see greener pastures doing something else , or you're in residency or you're a young attending and you're like , yeah , this has an expiration date , before 15 years .
Is that you kind of just see the writing on the wall that listen like for the next 30 years ? I just definitely don't want to be doing this . That's where the focus should be on is like yo , why is medicine , why is the whole practice of health care ? Why is it very stressful at the people who make the most decisions all the time ?
So I always look at it as a trauma surgeon . I'm leading a team and I have a team of other docs . I have a team of nurses , there's a team of allied health professionals , but I'm the one who has to make all the decisions and I'm the one who's responsible for documenting . I'm the one who's responsible for billing .
I'm the one who's responsible for a lot of times , a lot of the menial things that occur in a patient's care , but I have to make the most critical decisions . That's fucking stressful . Of course it's stressful .
It's fucking stressful , like if I'm you know , one minute I'm doing a peer-to-peer and then the next minute I'm cracking someone's chest Right , and that peer-to-peer is based off of someone being able to leave a hospital and go to rehab and then administration is coming down on me because you're not doing a peer-to-peer .
But then the next minute I got to crack someone's chest Right and then talk to families .
It's just likeinformation . Cooper says disinformation , distraction for sure , exactly . And Foothill , we waved .
And is it Chowmurita , 9-10 , we waved , but yeah , so do you see yourself practicing past 15 years ?
I don't know . I mean right now you're a year 12 .
Yeah , I mean years , I don't know . I mean right now you're a year 12 though . Yeah , I mean .
I mean I don't know , but I what I do know is that if I'm paying , you know how about this ?
actually , you work with . You work with students . You've worked with some who are residents . Have you heard any residents , or do you know of a bunch of residents who are saying , yeah , you know , no , 15 years , no no , no , Actually most .
I would argue that at least most people that I encounter tend to look at medicine the traditional way , in that they will , you know , they will get out of residency and they will practice in very traditional ways , you know there's no expiration date , they're just like .
I'm just going to practice .
They're just going to practice . Most students , most residents that I encounter are not necessarily talking about . You know well , I'm going to leave medicine after such and such a time , that I have an expiration date or whatever , so I'm not quite sure who he's encountering , especially he's a congressman .
So I'm like how many premeds and residents are you actually encountering to say that you are even ? You know that this statistic even exists . I would just like to know where he got this statistic . Do you think ?
this would have caused as much outrage . If it's just that first tweet , I don't know .
Of course I think so . I mean 60% , that's a listen . 60% is right . That's a that's Of people who are going to practice , of people who are going to practice Right , who are going to practice . 60% is a small percentage . When you think about how many people are getting into medical school and you know to say that 40% of them are not going to practice .
It's just kind of like are you serious ? Where's that number coming ?
from . I just want to know .
I wish he shared his sources on that one , because then we'd be be able well , typically , typically right as physicians , as doctors we know , is that a survey ? No , we know , I will . I will tell you , any doctor worth their weight in salt , gold and stethoscopes knows that whenever they pull a statistic out of their head , I made that up .
Okay , when they pull a statistic out of their head , what do we do ? We cite it . We cite where we got the statistic , otherwise it doesn't count . So , congressman Murphy , it doesn't count until you tell us where you got that statistic from it . Just it doesn't count . What you said doesn't make any sense until you can tell us .
Give us a study , give us some sort of something . Go to PubMed , go to Medscape , go anywhere , go to I don't know , go to Ebony Magazine . Figure it out . Where did you get that statistic ? Is Ebony still in circulation ? Yes , it is . But tell us where you got that statistic .
Is Ebony still write it down . Is Ebony still in ?
Ebony still write it down , is Ebony still in publication . So Dr Cooper says I agree , we give up our youth to study and become doctors . While many residents want better work-life balance , folks aren't talking about not practicing medicine and that's the whole point . That's exactly on point . As much as we talk about well , we want work-life balance .
We want work-life balance . There is the literal work-life balance . People still want to work I think I just— but they want that balance with their lives .
I'm not saying we're not working , I think for my perspective is—because I think , well , we see , the majority of people who go to medical school don't need student loans , right ? No , is that what they say ? I don't know . Because school don't need student loans , right ? No , is that what they say ? I don't know .
Because the majority of students who go to , majority of people who go to medical school are come from an affluent background , right , and I don't know if that means that they take student loans .
I don't know . We did that , um , we did that . Uh , what's the name ? Well , we , well , we did the nrmp right . But yeah , there was some study , I can't remember , um , that talked about the number of students needing , I think , student loans versus those who didn't , and it was . It was broken down by race . Are there any doctors who are like ?
on the left at all . What do you mean In Congress ? Yeah , in Congress , I don't know I mean interesting to know .
It just seems like most doctors who are in office aren't that bright Dr Cooper said you know he ain't got no studies . I know he ain't got no studies ?
Yeah , because he would just cite that .
Right , he would cite it .
He would absolutely cite it . This is crazy . But y'all , I'll just say this Don't believe the hype . I'm very suspicious of this and I'm very suspicious about the rationale behind putting in the second part , because I'm like yo . Are they trying to say , basically , if you don't practice past 15 years , is a law coming ? Is there some type of resolution ? But how ?
I don't know .
But how Are they going to call the loan ? No , no , what I'm saying is Is that what he's saying ? That they're going to call the loan .
Is that what he's saying , that they're going to call the loan ? Either call the loan or they can do something with residency If you go through residency .
But you're working , they would literally have to change the labor laws , because at that point , if you change the labor laws in residency , you open up a can of worms .
But then this is what I'm saying . They're pulling this out the ass just to confuse people . But it's always to confuse people . But , yeah , I feel like there is some sense , that there's a um , this doesn't make sense to me .
It doesn't make sense to me , but the only other thing that I can think of is that they would call the loan right to basically say , okay , now we're gonna call the loan .
But here's my question that means that you don't change any labor laws for residency . I'm about to start . He says yo don't change any labor laws for residency . I'm about to start Gen Surge residency , but you won't regret it . Gen Surge is the best decision that you could ever make .
I'm telling you right now OK , here's a poster child for Gen Surge residency .
Yeah , so it's OK , it's me , didn't mean'all . You're all good , it's all good man .
So that means that . So calling the loan would , if those of you I'm saying calling the loan , assuming everybody knows what that means , but calling the loan basically means that at some point in time somebody- .
So Charlie Mays says yo , we want our money now . We want all the money now , Not in 30 years or 20 years . We want the money now , Not in 30 years or 20 years .
We wouldn't want all the money now , but here's the question . So are we saying that essentially , that doctors would have to report how they are working ?
through the government . You already have to do that . How ? When you do your , for example , in Pennsylvania , when you get your student or when you do your license , you have to do a survey .
You don't remember that ? No , I understand .
And in that survey I'm saying in that survey it does ask you how many years do you plan on practicing ? How do you practice now ? Are you happy with how you're practicing ? Things like that , so that that precedent is already there .
I get that , but that's if you're licensed , right , and that's if you continue to be licensed . You don't have to be licensed , you don't ?
I bet you Governor what do you mean you ?
don't have to be licensed .
You don't have to be licensed as a physician . You can decide you don't . You're just not going to license anywhere . I'm not going to renew my license . Well , if you don't , congressman Murphy license if you don't renew your license , then you can look that up . Is he licensed anywhere ?
If you don't renew your license , then so then , who are you reporting that to ?
I don't know .
That's what that . But that's what I'm asking , right , because if you're not working now , that would mean you would have to report that you are not working as a physician , you are not practicing clinically .
Or something goes out that says prove to us that you are working .
Right , basically , you would have to report that you're not . Something goes out . That's what I'm saying .
But they can find out easily , right ? They can do this based off of MPI information . They can do this based off of license information . They could check , double check , all that stuff .
I understand . But now ? So we're saying that we're going to put government funds yes , they will do it and look to see if the doctor is working .
Yes .
So that , so that's what I want to know . It's like so you're going to take money , so go figure out who's working and how they're working so currently .
So I would just say that , based off of how things have been going over the past nine days of immigration , yeah , so they normally have flights that are chartered that are like eight grand and now they're using , like these , military planes that are like $200,000 just to do the same thing that they're doing charter , like they ain't playing .
So , whatever amount of money they're going to use just to make a big deal , I can't see them sparing an expense to do that . So , girl , what words did she take right out of your mouth ? Emily , there's a lag .
There's a lag . Dr Emily's always on your side . Of course she is , that's my girl , but no , I mean so that that that essentially means that , essentially , doctors would be policed as if we were military workers . Right , because a military worker has to report where they are , what they're doing .
Right , potentially , if they're going to be on active duty Clocking doctors , so I'll be . I don't know if you guys have listened to my previous episodes , but I've said it already that doctors are blue collar workers . I think that the notion that we were white collar workers that doesn't exist anymore .
White collar workers in health care are people in the C-suite right . So your CEOs , your COOs , your CFOs , the people with the . BAs in Spanish . Those type of people are the white collar workers . They got a BA in Spanish . Doctors and other people who provide , you know , clinical care Como se dice Blue collar workers .
And they're people who provide you know clinical care , como se dice Blue collar workers . And , as a result , you're starting to see more doctors strike . And what do blue collar workers do ? They strike . And that's no play on what we do . I love what I do as a surgeon , but I think we have to come to grips with this is what we are .
We're blue collar workers and blue collar workers . What they do is they strike , plain and simple , right . I'm not always on their side , usually , just usually .
Yeah .
We know how far back that goes .
Hey , hey , hey yeah .
Yeah , but Dr Cooper , Dr Cooper , have you ? You've been practicing now . She's been practicing the same amount of years as me and you and stuff . So , have you ever thought about , like when you were started , when you started residency or when you finished residency ?
Did you ever think about having an expiration date , like maybe like 15 years , 20 years or you know , retiring at , you know in your 50s or something like that ?
And I'm very interested because I just think that more and more people are thinking about that , but I don't know if that's a majority , I don't know if they're saying yo , because that's crazy , then Right , that's like going to like buying something off of Amazon and it's saying , you know , this is returned a lot , right , right . And it's like for what reason ?
Because that is a very expensive endeavor not to have a means by which you're going to make that back and we know that the at least most .
Emily Cooper says 15 years , 15 years , I think we know that the surest way to make that money back is to work clinically , because anything else is a roll of the dice .
So Dr Cooper says I figured I would practice at least until I retired or moved into the C-suite , Then she'd become a white collar worker .
Then we'd be complaining about her .
Yeah , you'd be telling us what to do , mm . You'd be telling us what to do MM , absolutely , absolutely . I just think that things change . It's not like how it was when . This is not the 70s , this is not the 80s , not the 90s . A , not the 80s , yeah , not the 90s
¶ Physician Shortage and Training Challenges
. A couple of things . One , you know , corporatization of health care , it all it does . For the most part it squeezes the practitioner like crazy do more with less . And then also , on the other hand , now with the internet , you just got a lot more things that you can do with your MD or DO , yeah Right .
So people want experts on TV , people want experts on YouTube , podcasts , pharmaceutical companies want the expertise of what you can do . So there's just the pasture . Like it's not the pasture , but like the grass is green on a lot of different aspects of healthcare .
So people realize that , look , I just don't want to just practice clinically , yeah , and it's like you're trying to fit like a square peg , you know , in a round hole and stuff . It just doesn't work for everybody . But I think part of it , the big issue and the physician shortage , really doesn't have anything to do with physician satisfaction .
I think most people would say the physician shortage is yo . First of all , med schools don't admit as many people as they should be Exactly . And I'll just say this hot take I think it should be harder to get out of medical school than it is to get into medical school , right , right . So what .
I mean by that is you don't necessarily have to be so hard to get into medical school . It should be hard to get into medical school , but I think they should increase the amount of people that they're letting in .
Where it becomes super difficult , or where it should be really difficult , is for you to get out of medical school because you have to show all these different things , these different rigors to get out .
But I think that if you have these situations where one it's very hard to get in , you have these medical school classes that are putting out small amounts of people , then you have residencies that just there's not many residencies out there outside of primary care , for example , pediatric surgery .
For decades , you know , the numbers have just increased just the smidgen , you know , and it doesn't keep up with how we are in society .
Considering he's in Congress . I mean , one of the things that he doesn't necessarily tweet about at least that I haven't seen is that there isn't quite , you know , the number of residency spots as there should be , in comparison to the number of medical schools that are opening up and producing more and more medical graduates . That's the bottleneck .
That's the bottleneck . You have a lot more medical schools that are opening up Exactly so . Therefore , these people cannot be trained .
The residency spots have stayed the same .
Exactly . These people cannot be trained . You have all these medical schools either increasing their class sizes the ones that you know , medical schools that have already existed for you know 50 , 100 years are increasing their sizes of classes .
Or you have all of these medical schools that have essentially been greenlit , you know , by all the powers that be , including the federal government .
Who gives these , you know who gives loans to these students and essentially , the medical schools are ensuring that there are plenty of graduates , but the residency programs are not ensuring that there are plenty of trainees , and that's a Congress problem .
I can't even get down with him saying that yo we're going to try to minimize , we're going to try to make sure that med schools can't increase their tuition crazily every year . If he said something like that , I'd be like all right .
That makes no sense to me . Anyway , good luck with that .
But we should wrap this up , though . We need to wrap this up , yo , guys , we're going to be talking about this on the episode of Docs Outside the Box . You can find us on YouTube at Docs Outside the Box Podcast . We're also on all DSPs .
Any place where you listen to your favorite music and album , any place where you listen to your favorite podcast , just type in Docs Outside the Box . That's where you'll find us . And someone says perhaps their agenda to utilize APPs beyond their scope because they're cheaper Absolutely , absolutely , 100% . But here's where I think that backfires , right .
So I think , yes , you know , apps and nurse practitioners end up being cheaper than a physician , right ? Apps don't follow a Hiocratic road , right ?
I mean , does it , does the old really matter at this point ? And I don't have any doctors .
I'm not saying like , I'm not talking about degradation or anything like that , but like , if you really want , if you're worried about doctors like striking , like app's , and nurse practitioners that , for the most part , have no problem being employed , the likelihood of them striking , the likelihood of them oh , it's very high , it's extremely high , right , it's extremely
high because , think about it , their ability to walk away is a lot easier than a physician's ability to walk . Yeah , think about it . Right , that's the part that I'm like y'all don't think about that .
A lot of the APPs right A lot of the app's used to be rns .
What do we know about rns ? Rns , yes , because nurse practitioners , at least the app's used to be . You said a lot of ap . Oh so , and first and right advance , you talk about app's and crmps no it .
When he says ap , when or he or she says APPs , we're talking about advanced practice partners or advanced , basically advanced people . So you're talking about PAs and nurses . Yeah , pas , nurse practitioners , crnas right .
They used to be nurses .
Many of them used to be nurses , right , especially the CRNAs and the MPs . They used to be nurses , right . And what we know about nurses is they be striking . They have unions . Nurses be striking all that . Nurses will not hesitate to strike . They'll be like I don't care who going into the pictures is not gonna be me today , okay .
I don't know who gonna be calling the doctor and telling them about this patient coding is not going to be me today , okay . So nurses are very used to striking . So when they become NPs or CRNAs listen , that feeling or that you know tendency might not go away . It might not go away , yeah , even though technically they may not .
Well , actually I don't even know if they're not considered people who can unionize , who CRNAs and nurse practitioners , why not ? I said I don't know because there's like some fine line between management and not management and blah , blah , blah . Right , yeah , advanced practice providers that's what it is , that word providers always throws me off .
I think it's easier . I think it'd be easier for APPs to unionize than doctors . Oh , of course , I think that it'd be the level .
But I wonder how many APP .
Although the barriers there are the barriers to unionize for doctors has been lowering , yeah , you know . Considerably Year by year
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You know why I don't really be using that word providers like that .
So on the podcast we get an opportunity to talk about this stuff more , flush it out . We ask more questions , we just . It's a lot easier for us to have these discussions on the podcast . So if you want to know more about us and our thoughts on things specific like this , check out our podcast .
That's outside the .
Box . I appreciate everybody jumping in on us . We might do this again very soon actually , so stay tuned . All right , peace y'all All right , and I'm new to this , so should I hit X right now ?
You go hit the X button , bye .