Hey there, we've talked on this show about how private equity investors have been aggressively

moving into American healthcare. They are credited with, among other things,

pioneering surprise billing as a business model. And a lot of doctors do not like working for

private equity. Here's Dr. Lisa Moreno. She's an ER doc, a professor of emergency medicine,

an immediate past president of the American Academy of Emergency Medicine.

A doctor takes a hypocriticals and our duty is to do the right thing for every patient,

every time. That is what we swear to do. Corporations, on the other hand, have a fiduciary

duty to make money for their shareholders and, of course, to make big salaries for the people

that run the corporations. You can see how there could be a conflict there. The doctor thinks

you need to be seen for longer. The corporation wants the doc to move on to the next person.

And you might think, shouldn't there be laws against corporations having the last word in

those kinds of conflicts? And in a lot of states, there are laws against non-doctors telling

doctors what to do for profit. They are called laws against the corporate practice of medicine.

But who exactly is supposed to enforce those laws? And how?

Dr. Lisa Moreno and her colleagues at the American Academy of Emergency Medicine have decided

they're going to take a stab at it. They are suing a private equity back company called

Envision and they're asking a judge to kick Envision out of the business of telling emergency

room doctors what to do, at least in California. And the judge says, they may have a case.

This is an arm in the leg. The show about why healthcare costs so freaking much and what we can maybe

do about it. I'm Dan Weissman. I'm a reporter and I like to challenge. So my job on this show

is to take one of the most enraging, terrifying, depressing parts of American life and bring you

to show entertaining, empowering, and useful. And along with our producer Emily Pisa Kretta,

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