Podcasts about Goldfarb

Derrière le micro, le franc-parler et les millions d'écoutes, qui est vraiment Julia Layani quand on enlève l'armure ?Dans ce nouvel épisode de Failles, Julia accepte de baisser la garde. Celle qui confie vouloir devenir la "N°1 des podcasts en France" se livre sur la vulnérabilité qui se cache derrière cette énergie inépuisable.Dans cette conversation intime et sans filtre, on aborde :

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire.- Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Frédéric Hermel, journaliste RMC. Élise Goldfarb, entrepreneure. Et Jean-Philippe Doux, journaliste et libraire. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Gregg Goldfarb is a veteran mass tort and PI attorney with over 30 years of experience, host of the Cut to the Chase podcast, and a master of building a lean practice that thrives in today's competitive legal landscape. In this episode, Gregg shares the lessons of running a lean and highly adaptable practice. By outsourcing nearly everything, focusing on targeted case acquisition, and diversifying his portfolio, he's found a smarter way to fight corporate giants—and win. Listen to the full episode with Gregg Goldfarb on Personal Injury Mastermind, powered by Rankings.io, below: Spotify Apple Podcasts Watch the Episodes On YouTube Gregg Goldfarb, LLP Website | LinkedIn If you like what you hear, hit subscribe. We do this every week. Get Social! Personal Injury Mastermind (PIM) powered by Rankings.io is on Instagram | YouTube | TikTok

Wildfire smoke is no longer a rare emergency, it's a predictable, climate-driven public health threat. In this episode, Gabriella Goldfarb, Environmental Public Health Section Manager, for the Oregon Health Authority, Public Health Division tells us why health agencies must begin outreach and coordination long before wildfire season starts. Goldfarb walks through Oregon's collaborative wildfire smoke response protocol, explaining how state, federal, tribal, and local partners translate complex data into timely public health advisories. The conversation explores the growing health risks of repeated smoke exposure, the added challenges of prescribed fires, and how transparent, empathetic communication builds trust. Listeners also learn how Oregon is investing in long-term resilience—through preparedness calls, harm reduction strategies like air filtration support, and broader climate adaptation efforts—to protect communities as smoke, heat, and other climate hazards accelerate.Partnering to Address Health Risks and Expand Communication Before and During Prescribed Fires | ASTHOCommunicating the Health Risks of Wildland Fire Smoke | ASTHO

AI is getting smarter, but now it needs better  judgment. In this episode of the Eye on AI Podcast, we speak with Robbie Goldfarb, former Meta product leader and co-founder of Forum AI, about why treating AI as a truth engine is one of the most dangerous assumptions in modern artificial intelligence. Robbie brings first-hand experience from Meta's trust and safety and AI teams, where he worked on misinformation, elections, youth safety, and AI governance. He explains why large language models shouldn't be treated as arbiters of truth, why subjective domains like politics, health, and mental health pose serious risks, and why more data does not solve the alignment problem. The conversation breaks down how AI systems are evaluated today, how engagement incentives create sycophantic and biased models, and why trust is becoming the biggest barrier to real AI adoption. Robbie also shares how Forum AI is building expert-driven AI evaluation systems that scale human judgment instead of crowd labels, and why transparency about who trains AI matters more than ever. This episode explores AI safety, AI trust, model evaluation, expert judgment, mental health risks, misinformation, and the future of responsible AI deployment. If you are building, deploying, regulating, or relying on AI systems, this conversation will fundamentally change how you think about intelligence, truth, and responsibility. Want to know more about Forum AI? Website: https://www.byforum.com/ X: https://x.com/TheForumAI LinkedIn: https://www.linkedin.com/company/byforum/ Stay Updated: Craig Smith on X: https://x.com/craigss Eye on A.I. on X: https://x.com/EyeOn_AI (00:00) Why Treating AI as a "Truth Engine" Is Dangerous (02:47) What Forum AI Does and Why Expert Judgment Matters (06:32) How Expert Thinking Is Extracted and Structured (09:40) Bias, Training Data, and the Myth of Objectivity in AI (14:04) Evaluating AI Through Consequences, Not Just Accuracy (18:48) Who Decides "Ground Truth" in Subjective Domains (24:27) How AI Models Are Actually Evaluated in Practice (28:24) Why Quality of Experts Beats Scale in AI Evaluation (36:33) Trust as the Biggest Bottleneck to AI Adoption (45:01) What "Good Judgment" Means for AI Systems (49:58) The Risks of Engagement-Driven AI Incentives (54:51) Transparency, Accountability, and the Future of AI

Can Therapists Start a Union? The Antitrust Trap, the Shadow Committee, and the Economic Strangulation of American Psychotherapy Analyzing America's Healthcare Regulations and Their Effect on Us: Why the Law Prevents Therapists from Organizing While Allowing a Private Committee to Fix Prices for the Entire Medical System https://gettherapybirmingham.com/can-therapists-start-a-union-spoiler-alert-they-cant/ The Monthly Rage Thread If you hang around therapist forums long enough, you will see it happen. It operates with the regularity of the tides. Someone posts a thread, usually after receiving a contract from an insurance company offering 1998 rates for 2025 work, and asks the obvious question: “We are the ones providing the care. The system collapses without us. Why don't we just all go on strike? Why don't we form a union and demand fair pay?” It is a logical question. In almost every other sector of the economy, workers who feel exploited band together to negotiate better terms. Screenwriters shut down Hollywood to get paid for streaming residuals. Auto workers walk off the line. Teachers fill the state capitol. Nurses at major hospital systems have successfully unionized and won significant concessions. So why, in the midst of a national mental health crisis, does the mental health workforce remain so politically impotent? The answer is not that we lack will. It is not that we lack organization. The answer is that for private practice therapists, forming a union is a federal crime. This is not a political manifesto. It is an analysis of the bizarre regulatory environment that governs American healthcare, a system of antitrust laws, shadow committees, and bureaucratic classifications that effectively strips clinicians of their bargaining power while empowering the corporations that pay them. If you want to understand why corporate tech monopolies are ruining therapy, or why the corporatization of healthcare feels so suffocating, you have to understand the legal straitjacket we are all wearing. And you have to understand the one group that is allowed to set prices, the one group exempt from the rules that bind the rest of us. Part I: You Are Not a Worker, You Are a Standard Oil Tycoon The primary reason therapists cannot unionize dates back to the era of oil barons and railroad tycoons. The Sherman Antitrust Act of 1890 was designed to prevent massive corporations like Standard Oil from colluding to fix prices and destroy the free market. It prohibits “every contract, combination… or conspiracy, in restraint of trade.” The law was a response to genuine abuses: companies buying up competitors, dividing territories, and coordinating prices to gouge consumers who had no alternatives. Here is the catch: In the eyes of the federal government, a private practice therapist is not a “worker.” You are a business entity. Even if you are a solo practitioner struggling to pay rent in a subleased office, seeing clients between crying in your car and eating lunch at your desk, the law views you as the CEO of a micro-corporation. You are classified as a 1099 independent contractor, not a W-2 employee, and that distinction makes all the difference in the world. If two workers at Starbucks talk about their wages and agree to ask for a raise, that is “collective bargaining,” which is protected by the National Labor Relations Act. But if two private practice therapists talk about their reimbursement rates and agree to ask Blue Cross for a raise, that is “price-fixing.” It is legally indistinguishable, in the eyes of the Federal Trade Commission, from gas stations conspiring to raise the price of unleaded. It sounds absurd, but the FTC takes it deadly seriously. When independent contractors organize to demand higher rates, when they share information about what they are being paid and coordinate their responses, they are engaging in horizontal price-fixing, one of the most serious violations of antitrust law. The Sherman Act provides for criminal penalties, including fines and imprisonment. The law that was meant to break up monopolies is now used to prevent social workers from asking for a cost-of-living adjustment. The irony is crushing. The same regulatory framework that prevents two therapists from discussing their rates allows massive insurance conglomerates to merge repeatedly, concentrating buyer power in fewer and fewer hands. UnitedHealth Group, for example, has acquired dozens of companies over the past two decades, becoming the largest healthcare company in the United States. When they offer a “take it or leave it” contract to providers, they do so with the full knowledge that fragmented, legally prohibited from organizing therapists have no counter-leverage. The antitrust laws, designed to prevent monopoly power, have created a system where sellers are atomized and buyers are consolidated. Economists call this “monopsony,” and it is precisely the market distortion the Sherman Act was supposed to prevent. Part II: The Day the “Learned Profession” Died For a long time, doctors and lawyers thought they were exempt from these laws. They argued that they were “learned professions,” not mere tradespeople, and therefore above the grubby laws of commerce. They believed that their ethical obligations to patients and clients set them apart from the rules that governed steel mills and meatpacking plants. Medicine was a calling, not a business, and surely the government would not regulate the sacred doctor-patient relationship as if it were a commercial transaction. That illusion was shattered in 1975 by the Supreme Court case Goldfarb v. Virginia State Bar. The case involved lawyers, not doctors, but its implications cascaded through every licensed profession in America. The Goldfarbs were purchasing a home and needed a title examination. The Virginia State Bar had established a minimum fee schedule for such services, and every lawyer they contacted quoted the exact same price. They sued, arguing that this fee schedule was illegal price-fixing. The Supreme Court agreed. In a unanimous decision, the Court ruled that professional services, including legal and medical advice, are “trade or commerce” subject to antitrust laws. The “learned profession” exemption, which had been assumed but never explicitly established in law, was declared a myth. “The nature of an occupation, standing alone,” the Court wrote, “does not provide sanctuary from the Sherman Act.” This ruling was intended to lower prices for consumers by preventing lawyers from setting minimum fees, and in that narrow sense it was a good thing. But in healthcare, it had a catastrophic side effect: it made it illegal for doctors and therapists to band together to resist the pricing power of insurance companies. The “learned profession” exemption is dead. We are now just businesses, and businesses are not allowed to hold hands. This creates the illusion of progress: we have “free market” competition among providers, but monopsony power among payers. It is a market where the sellers are forbidden from organizing, but the buyers are allowed to merge until they are too big to fail. The result is not a free market at all. It is a market designed to transfer wealth from one class (providers) to another (insurers and administrators), with the law itself serving as the enforcement mechanism. Part III: The Cartel in the Basement If therapists cannot collude to set prices, surely nobody else can, right? Wrong. There is one group in American healthcare that is allowed to meet in a room, decide what every doctor's time is worth, and set prices for the entire industry. It is called the RUC, the AMA/Specialty Society Relative Value Scale Update Committee. And understanding the RUC is the key to understanding why talk therapy is dying in the medical model, why psychiatrists abandoned the couch for the prescription pad, and why your insurance company offers you a ghost network of providers who never answer the phone. The Birth of a Shadow Government To comprehend the current crisis in mental health economics, one must excavate the foundations of the physician payment system. Prior to 1992, Medicare reimbursed physicians based on a system known as “Customary, Prevailing, and Reasonable” charges. Under this system, physicians were paid based on their historical billing charges. It was inherently inflationary; it rewarded those who raised their fees most aggressively and created wide geographic disparities for identical services. In response to spiraling costs, Congress passed the Omnibus Budget Reconciliation Act of 1989, mandating a transition to a fee schedule based on the resources required to provide a service. This birthed the Resource-Based Relative Value Scale. The intellectual architecture for this system was developed by a team of economists at Harvard University, led by William Hsiao. Hsiao's team sought to create a “unified theory” of medical value, attempting to quantify the “work” involved in disparate medical acts, comparing the cognitive intensity of a psychiatric evaluation with the technical skill of a hernia repair. The Harvard study was revolutionary. It promised to level the playing field, suggesting that cognitive services, the thinking and talking that comprises primary care and mental health, were vastly undervalued relative to surgical procedures. Had Hsiao's original recommendations been implemented purely, the income gap between generalists and specialists might have narrowed significantly. But the administrative complexity of assigning values to over 7,000 Current Procedural Terminology codes overwhelmed the Health Care Financing Administration. Into this administrative vacuum stepped the American Medical Association. The AMA, fearing that the government would unilaterally set prices, proposed a “partnership.” They would convene a committee of experts to maintain and update the relative values, providing this labor-intensive service to the government at no cost. The government accepted. Thus, in 1991, the RUC was born, not as a government agency, but as a private advisory body with unparalleled influence over public funds. The Architecture of Control The RUC's claim to legitimacy rests on its status as an “expert panel.” But a structural analysis of its composition reveals a profound bias that mimics the governance of a cartel designed to protect incumbent interests. The committee consists of 32 members, but power is concentrated in the 29 voting seats. Of these, 21 seats are appointed by major national medical specialty societies. The distribution is not proportional to the volume of services provided to Medicare beneficiaries, nor is it proportional to the physician workforce. Instead, it is frozen in a historical moment that favored high-technology specialties. Primary care physicians, who perform roughly 45 to 50 percent of Medicare work, hold approximately 4 to 5 seats, giving them about 17 percent of the vote. Procedural and surgical specialties, including surgery, radiology, and anesthesiology, hold 15 to 18 seats, giving them roughly 60 percent of the vote despite performing only 35 to 40 percent of Medicare work. The American Psychiatric Association holds a single seat. One seat. This lone representative must negotiate with a supermajority of specialists, neurosurgeons, cardiothoracic surgeons, radiologists, and ophthalmologists, whose financial interests are often diametrically opposed to the valuation of cognitive work. The cartel dynamic is enforced by a statutory requirement of budget neutrality. The Medicare Physician Fee Schedule is a zero-sum game. If the total relative value units projected for a given year exceed the budget, a “scaler” is applied to reduce the conversion factor, effectively cutting everyone's pay. Therefore, any proposal to increase the value of psychotherapy, which would increase the total RVU spend, effectively asks every surgeon in the room to take a pay cut to fund the raise for psychiatrists. Given that a two-thirds majority is required to pass a recommendation, the procedural bloc holds absolute veto power over any redistribution of wealth. The Secret Chamber A hallmark of cartel behavior is the restriction of information. For nearly two decades, the RUC operated in near-total secrecy. While recent years have seen minor concessions to transparency, such as the publication of vote totals, the core deliberative process remains opaque. RUC meetings are private. The public, the press, and even non-RUC physicians are largely barred from attending the deliberations where billions of tax dollars are allocated. Participants, including the specialty advisors who present data, must sign strict non-disclosure agreements. These agreements prevent them from discussing the specific tradeoffs, deals, or arguments made within the chamber. A former RUC participant described these agreements as “draconian,” designed to insulate the committee from public accountability. The Government Accountability Office and the Center for American Progress have noted the inherent conflict of interest. The individuals setting the prices are the same individuals who receive the payments. Unlike a regulatory agency, where officials are salaried and divested of industry assets, RUC members are practicing physicians whose personal incomes are directly tied to the decisions they make. This secrecy serves a functional purpose: it allows for “logrolling.” A representative from Orthopedics might support an inflated value for a Cardiology code in exchange for Cardiology's support on a Knee Replacement code. This “I'll scratch your back” dynamic creates an upward pressure on procedural values that excludes those outside the dominant coalition, specifically primary care and mental health. The Antitrust Shield Why has the Department of Justice not broken up this cartel? The legal shield is the Noerr-Pennington Doctrine. This Supreme Court doctrine establishes that private entities are immune from antitrust liability when they are petitioning the government. Because the RUC technically only “recommends” values to CMS (that is petitioning), and CMS “decides” (that is government action), the RUC is protected by the First Amendment right to petition. This legal loophole allows the RUC to operate with monopolistic characteristics without fear of prosecution, provided CMS continues to go through the motions of “reviewing” the recommendations. And CMS accepts those recommendations over 90 percent of the time. Because private insurance companies generally base their rates on Medicare, this private committee effectively sets the price of healthcare for the entire country. If independent therapists did this, if they gathered in a room and agreed on what their services should cost, they would face criminal prosecution. But because the RUC operates under the fiction of “advising” the government, it is protected. The same regulatory framework that criminalizes therapist solidarity provides cover for industry-wide price coordination by the most powerful medical specialties. Part IV: The Mechanics of Suppression To control a market, one must control its currency. In American medicine, that currency is the Relative Value Unit. Every medical service, from a 15-minute therapy session to a heart transplant, is assigned a total RVU value. This value is the sum of three components: the Work RVU, which accounts for physician time, technical skill, mental effort, and judgment; the Practice Expense RVU, which covers overhead costs like rent, staff, and equipment; and the Malpractice RVU, which reflects professional liability insurance costs. The Work RVU, which comprises roughly 50 to 55 percent of the total value, is determined by RUC surveys. When a code is flagged for review, the relevant specialty society distributes a survey to a sample of its members. These respondents are asked to estimate the time and intensity of the service compared to a “reference service.” This methodology violates several principles of statistical validity. The surveys are voluntary and distributed by the specialty societies themselves. The respondents are typically those most active in the society and most invested in maximizing reimbursement, advocates rather than neutral observers. The sample sizes are often shockingly small; RUC surveys frequently rely on fewer than 50 or 70 respondents to set the price for services performed millions of times annually. A sample of 30 orthopedic surgeons might determine the value of a procedure costing Medicare billions. The Time Arbitrage The most critical variable in the RUC equation is time. The Work RVU is conceptually derived from the formula: Work equals Time multiplied by Intensity. Therefore, inflating the time estimate is the most direct route to inflating the price. Independent studies by RAND and the Urban Institute, often using objective data like Operating Room logs, have consistently shown that the RUC overestimates the time required for surgical procedures. A procedure valued by the RUC as taking 60 minutes may, in reality, take 30 minutes. This creates an arbitrage opportunity. If a gastroenterologist can perform a “60-minute” colonoscopy in 20 minutes, they can effectively perform three procedures in the time allotted for one. They bill for three hours of work in one hour of real time. This “efficiency gain” is captured entirely by the physician as profit. Psychotherapy cannot utilize this arbitrage. CPT codes for psychotherapy are explicitly time-based in their definition. Code 90832 requires 16 to 37 minutes. Code 90834 requires 38 to 52 minutes. Code 90837 requires 53 minutes or more. A psychiatrist cannot perform a 60-minute therapy session in 20 minutes; doing so constitutes fraud. Therefore, the revenue of a psychotherapist is capped by the linear passage of time. They can sell, at maximum, roughly 8 to 10 units of labor per day. A proceduralist, aided by RUC-inflated time assumptions, can sell 20 or 30 units of “RUC time” in the same day. This structural discrepancy creates a widening income gap that no amount of “hard work” by the therapist can close. It is not a market failure. It is market design. The “Thinking” Penalty The RUC's bias is not merely structural; it is philosophical. The committee, dominated by surgeons and proceduralists, consistently values “doing things to people,” cutting, scanning, injecting, far more highly than “talking to people,” diagnosing, counseling, managing complex chronic conditions. This creates a regulatory environment that functions as a de facto wealth transfer from cognitive care to procedural care. In 2013, a major revision of psychiatry codes exposed this bias in stark relief. Previously, psychiatrists used codes that bundled the medical evaluation with the psychotherapy. The new system required psychiatrists to bill an E/M code for the medical management plus an “add-on” code for psychotherapy. While intended to improve transparency, this change exposed psychotherapy to the raw mechanics of the RUC's valuation bias. By isolating the “therapy” component, the committee could subject it to rigorous cross-specialty comparison. And the committee, dominated by surgeons, views “talking to a patient” as low-intensity work compared to “operating on a patient.” The economic signal was clear. This created the 15-minute med check culture not because psychiatrists stopped caring, but because the regulatory environment made relational care financial suicide. It effectively “illegalized” the practice of deep, slow psychiatry for anyone who wanted to take insurance. Part V: The “Messenger Model” and Other Legal Fictions When therapists ask about collective bargaining, lawyers will often point them to the only legal loophole available: the “Messenger Model.” In this model, a third party (the messenger) acts as an intermediary between a group of providers and an insurance company. The messenger takes the insurance company's offer and conveys it to each therapist individually. Each therapist must then make a unilateral, independent decision to accept or reject it. The messenger is strictly forbidden from negotiating. They cannot say, “The group rejects this.” They cannot say, “We want 10% more.” They cannot advise the therapists on what to do. They can only carry messages. This is why “Independent Practice Associations” are often toothless. In the 2008 case North Texas Specialty Physicians v. FTC, the Fifth Circuit Court of Appeals made clear that if an IPA actually tries to leverage its numbers to demand better rates, it violates antitrust laws. If it follows the messenger model, it has no leverage. It is a “heads I win, tails you lose” regulatory structure designed to protect payers, not providers. The only exception is “clinical integration,” where providers genuinely merge their practices, share infrastructure, and accept joint financial risk. But this requires substantial capital investment and essentially means ceasing to be an independent practitioner. It is a legal pathway available mainly to large physician groups and hospital systems, not to solo therapists working out of rented offices. Part VI: Market Distortions and the Flight to Cash When a cartel sets a price below the market equilibrium, suppliers exit the formal market. This is precisely what has happened in psychotherapy. Mental health providers generally have lower overhead than surgeons. They do not need MRI machines or sterile surgical suites. And they face high consumer demand; the national mental health crisis ensures a steady stream of people seeking services. This gives them an “exit option” that proceduralists do not have. They can refuse to accept insurance and operate as cash-only businesses. The statistics are stark. Nearly 50 percent of psychiatrists do not accept commercial insurance, compared to less than 10 percent of other specialists. A 2023 survey indicated that 64 percent of private practice therapists planned to increase their cash-pay rates. Research published in Health Affairs Scholar found that patients are 10.6 times more likely to go out-of-network for mental health care than for medical/surgical care. This mass exodus is a rational economic response to RUC-suppressed rates. If the RUC says an hour of therapy is worth $100 via the RVU-to-dollar conversion, but the market demand is willing to pay $250, the provider will leave the RUC-controlled sector. They are not abandoning their profession; they are abandoning a pricing regime that values their work at less than half its market rate. Ghost Networks The RUC's pricing failure creates “Ghost Networks,” directories filled with providers who are ostensibly “in-network” but are functionally inaccessible. They are either full, not accepting new patients, retired, have moved, or simply do not respond to inquiries from insurance-based patients because the administrative burden of prior authorizations and clawbacks outweighs the suppressed fee. This is not a “shortage” of providers in the absolute sense. There is no shortage of therapists in private practice. There is a shortage of therapists willing to work at the RUC-determined price point. The insurance directories are graveyards of phantom availability, creating the illusion of access where none exists. The Cost Paradox The central thesis of the RUC's defenders is that they “control costs.” By strictly managing RVUs, they claim to save taxpayer money. In psychotherapy, this logic backfires catastrophically. By suppressing reimbursement rates to a level that drives providers out of the network, the RUC forces patients into the cash market. The theoretical in-network cost might be a $20 copay with the insurer paying $100. The actual out-of-network cost is $250 cash out-of-pocket, paid in full by the patient. Thus, the “cost of therapy” for the consumer skyrockets. Therapy becomes a luxury good, accessible only to those with disposable income. For the poor and middle class, the “cost” is effectively infinite, because the service becomes inaccessible. The RUC's cost-control measure for the system becomes a cost-multiplier for the patient. It shifts the financial burden from the risk pool, where it belongs, to the individual, where it causes maximum harm. The Signal to Students The RUC sends powerful economic signals to medical students making career decisions. When a student observes that a dermatologist or radiologist can earn $500,000 working regular hours, while a psychiatrist earns $240,000 handling emotional trauma and on-call emergencies, while a primary care doctor earns even less, the choice is clear for those motivated by financial security. The undervaluation of cognitive codes discourages the best and brightest from entering mental health and primary care. The cartel's pricing structure creates a perpetual labor shortage in the fields most needed for public health, while creating a surplus in high-margin procedural specialties. We then wonder why there are not enough psychiatrists, why primary care is in crisis, why mental health access is collapsing. The answer is in the price signal, and the price signal is set by a committee of proceduralists meeting behind closed doors. The Hands Are Tied The question “Why can't therapists start a union?” is not just a labor question. It is a window into the broken soul of American healthcare. We have built a system where a secret committee of proceduralists can legally fix prices to favor surgery over therapy, but a group of social workers cannot band together to ask for a living wage. We have utilized laws meant to break up Standard Oil to break up the solidarity of caregivers. The same regulatory framework that criminalizes therapist coordination provides legal cover for industry-wide price coordination by the most powerful medical specialties. The result is a regulatory environment that drives doctors crazy, burns out therapists, and leaves patients navigating a fragmented, assembly-line system that was never designed to heal them. It was designed to process them. Until we confront the legal architecture of this system, the RUC, the Sherman Act, the 1099 trap, we will remain powerless to change it. And the reality of therapy is that quick fixes, whether in treatment or in policy, usually end up costing us more in the end. Some states are beginning to push back. New York and California have implemented strict network adequacy standards requiring mental health appointments within 10 business days. These regulations force insurers to expand their networks, which means they must attract providers, which means they must raise reimbursement rates above the RUC/Medicare floor. It is effectively a state-level override of the RUC cartel, forcing capital back into the mental health labor market. The Medicare Payment Advisory Commission has long advocated for stripping the RUC of its power, proposing the use of empirical data, tax returns, payroll records, practice invoices, to set values automatically. But these are patchwork solutions to a systemic problem. The fundamental issue remains: we have created a healthcare system that knows the price of everything and the value of nothing. We have engineered a system where the only way to survive is to stop acting like a healer and start acting like a factory. And we have wrapped this system in a legal framework that criminalizes resistance while protecting the status quo. The hands are tied. But at least now we can see the ropes. Bibliography For those interested in the primary sources and legal texts that underpin this analysis, the following external resources provide high-trust verification of the claims made above: Goldfarb v. Virginia State Bar, 421 U.S. 773 (1975): The Supreme Court decision that ended the “learned profession” exemption from antitrust laws. Read the Oyez Summary. The Sherman Antitrust Act (15 U.S.C. §§ 1–7): The foundational text of US antitrust law prohibiting restraint of trade. Read the Document at the National Archives. North Texas Specialty Physicians v. Federal Trade Commission (5th Cir. 2008): A key ruling establishing that independent physicians cannot collectively bargain on fees without financial integration. Read the Court Opinion. FTC/DOJ Statements of Antitrust Enforcement Policy in Health Care (1996): The federal guidelines explaining the “Messenger Model” and the narrow exceptions for clinical integration. Read the Guidelines (PDF). The RUC (AMA/Specialty Society RVS Update Committee): The AMA's own description of the committee structure and its role in valuing physician work. Visit the AMA RUC Page. “Special Deal” by Haley Sweetland Edwards (Washington Monthly, 2013): An investigative deep-dive into how the RUC operates and its impact on primary care vs. specialty pay. Read the Investigation. The National Labor Relations Act (NLRA): The law governing the right to unionize, which specifically excludes independent contractors. Read the NLRA. Laugesen, Miriam J. Fixing Medical Prices: How Physicians Are Paid. Harvard University Press, 2016. The definitive scholarly analysis of the RUC's history, structure, and influence on American healthcare pricing. Government Accountability Office. “Medicare Physician Payment Rates: Better Data and Greater Transparency Could Improve Accuracy.” 2015. GAO's critical analysis of RUC methodology and conflicts of interest. Center for American Progress. “Rethinking the RUC.” 2015. Policy analysis of the RUC's structural bias against primary care and cognitive services. Health Affairs Scholar. “Insurance Acceptance and Cash Pay Rates for Psychotherapy in the US.” 2023. Empirical research on out-of-network utilization in mental health care. Medicare Payment Advisory Commission (MedPAC). “Report to the Congress: Medicare and the Health Care Delivery System.” 2024. Annual policy recommendations including proposals for reforming physician fee schedule methodology. Joel Blackstock, LICSW-S, is the Clinical Director of Taproot Therapy Collective in Hoover, Alabama. He specializes in complex trauma treatment and writes at GetTherapyBirmingham.com.  

20 minutes about Mike Goldfarb! and The crew plays a game of “reflex noodle sticks reaction catcher thingie” for “Tomfoolery Tuesday.” Who has the best hand-eye reflex? Kap's Dealer's Choice presented by Sellers Advantage is about Berg denying Rams linebacker Nate Landman an interview on the show! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Summary In this episode, Cultivating Curiosity host Jeff Ikler reflects on his love of year-end "Best Books" lists and why reading sits at the heart of his podcast and personal life. He welcomes lists from institutions like The New York Times and the New York Public Library, seeing them as both a defense against book banning and a source of discovery, connection, and generosity. For Ikler, books spark curiosity, deepen empathy, and create bonds—whether through gifting or thoughtful conversation with authors. He also underscores podcast hosts' responsibility to read their guests' work in full, arguing that preparation honors both listeners and writers. Ultimately, Ikler finds himself drawn to books that slow him down through careful observation and reflection, or expand his understanding through deeply researched history, reinforcing reading as both nourishment and refuge. Three Major Takeaways Reading lists are acts of resistance, curiosity, and connection—not just recommendations. Thoughtful reading is essential to meaningful conversation, especially in podcasting. The most rewarding books either sharpen our attention to the present or deepen our understanding of the past. Jeff's favorite books in 2025 Crossings – How Road Ecology is Shaping the Future of Our Planet by Ben Goldfarb. Quoting from the book jacket, "Creatures from antelope to salmon are losing their ability to migrate in search of food and mates; invasive plants hitch rides in tire treads, road salt contaminates lakes and rivers; and the very, very noise of traffic chases songbirds from vast swaths of habitat." In this beautifully crafted book, Goldfarb makes the case that overpasses and underpasses are essential for reducing the deaths of animals and humans who inevitably come into brutal contact with one another. One of the chief takeaways in our era of divisiveness is that road ecologists and other scientists, insurance companies, and government officials are working collaboratively to solve problems. They have different goals for doing so, but they're working effectively at the intersection. You can access my two-part podcast interview on Getting Unstuck–Cultivating Curiosity with Ben in episodes 347 and 348. The Comfort of Crows – A Backyard Year by Margaret Renkl. This title came from one of last year's best books, and it did not disappoint. Quoting from the book jacket, "Margaret Renkl presents a literary devotional: fifty-two chapters that follow the creatures and plants in her backyard over the course of a year." How often do you read a chapter or passage because the writing is so moving? If you're interested in slowing down and seeing more of your immediate world, this is a great place to start. This small volume is a course in observation and reflection. Challenger – A True Story of Heroism and Disaster on the Edge of Space by Adam Higginbotham. Like many Americans who watched the Space Shuttle Challenger break apart just seventy-three seconds into its mission, I thought I knew the story, but I was so wrong. As the book jacket explains, "…the Challenger disaster was a defining moment in twentieth-century history–one that forever changed the way America thought of itself and its optimistic view of the future. Yet the full story of what happened, and why, has never been told." I was moved to head-shaking anger after reading how decisions were made and bungled. Higginbotham's explanation of a highly complicated topic is beautifully presented. The book is a primer on the dangers of overly complex and competing bureaucracies and ego. Remember Us – American Sacrifice, Dutch Freedom, and a Forever Promise Forged in World War II by Robert M. Edsel with Bret Witter. Remember Us documents twelve lives connected to the American Military Cemetery near the small village of Margraten, Netherlands. Approximately 8,300 Americans who helped liberate the Netherlands from the Nazis and the grip of fascism during World War II are buried there. One of these was a Black American soldier who, along with a company of other Black Americans, dug the graves under the harshest weather conditions. The cruel irony is that Black soldiers worked in segregated and mostly non-combat roles in a war fought to eliminate tyranny and oppression. The cemetery is remarkable because local Dutch citizens have taken it upon themselves to adopt each grave and visit it weekly. This practice reflects the citizens' ongoing gratitude, and their visits ensure that the soldiers are always remembered for their sacrifice. There is a waiting list of citizens who wish to adopt a grave. Raising Hare—a Memoir by Chloe Dalton. This title has made almost every list I've come across. From the jacket cover, "…Dalton stumbles upon a newborn hare—a leveret—that had been chased by a dog. Fearing for its life, she brings it home, only to discover how difficult it is to rear a wild hare." Dalton deftly and wisely navigates caring for the hare as a house guest versus a pet, a choice that lets the hare move between the wild of the nearby woods and the security of her home. Like Renkl, Dalton has a keen eye for observation, one that put me in her home and garden as a witness to their interactions. Origin — A Genetic History of the Americas by Jennifer Raff. When I was growing up, I watched or read with almost religious fervor anything National Geographic produced featuring Louis Leakey, a paleoanthropologist and archaeologist. I was in awe of how he dug through the layers of time to find bones and artifacts from our earliest ancestors. Leakey's work was critical in demonstrating our human origins in Africa. So, when my friend Annette Taylor, a researcher of evolutionary psychology and biology, shared an article featuring Professor Jennifer Raff, an anthropologist and geneticist trying to rewrite the history of human origins in the Americas, I knew I had to invite her on my podcast. As a history enthusiast, I found it especially rewarding to co-host, along with Annette, a discussion with Professor Raff on podcast episode 358 about how and why early peoples migrated to and within North America. Raff has a talent for simplifying complex topics and making listeners comfortable with uncertainty. Scientists have theories and are constantly testing and revising them. We don't yet know for sure how early peoples arrived here or why they migrated, but that's the beauty of science and history. There is always more to discover. If You Lived Here, I'd Know Your Name by Heather Lende. I read this book decades ago and was as captivated then as I was this year by Heather Lende's storytelling ability. Adapted from the back cover, "As both the obituary writer and social columnist for the local newspaper (in Haines, Alaska, population about 2,500), Heather Lende knows better than anyone the goings-on in this breathtakingly beautiful place. Her offbeat chronicle brings us inside her — and the town's — busy life." Why read about a small town in Alaska? Maybe because it helps us look critically at our own lives. Like Renkl and Dalton, Heather Lende has an eye for detail, but also the humanity beneath the detail. She has graciously agreed to be my guest in podcast episode 400 this coming February. The most interesting books read in 2025 by his friends and colleagues Steve Ehrlich – The Inner Work of Age: Shifting from Role to Soul by Connie Zweig.  Zweig writes from a Jungian perspective that is accessible to anyone who thinks about old and new agendas, internal and external, as we transition to later life, and reflect on what we want to hold on to, and what we're prepared to let go of to live an authentic life.   Cindy House – What Just Happened by Charles Finch. It's one person's experience of the terrible year that was the pandemic lockdown, with all the fear, uncertainty, and strangeness I had forgotten. I loved his cultural observations and witty take on one of the weirdest years of our lives. I am so glad this particular record exists.  By Edgington – The Untethered Soul by Michael A. Singer. I first read the book in 2013, then again in '24, and now I read and refer to it every year. Singer's book is what propelled me to join his Temple of the Universe, where Mariah and I now live on the grounds. It's filled with inspiration and simple, almost homely wisdom: "The moment in front of you is not bothering you; you're bothering yourself about the moment in front of you!" Spencer Seim – To Possess the Land by Frank Waters. It follows the life of Arthur Manby, who came to the New Mexico territory in 1885 from England. He quickly tried to cash in by calling parcels of land his own. He quickly ran into resistance, often by force, and had to learn the hard way that the land of New Mexico in those days was a bit more complicated. Charlotte Wittenkamp – Shift by Ethan Kross. Kross examines Viktor Frankl's Man's Search for Meaning and the notion that we always have the freedom to choose how we respond - even to the atrocities Frankl had to put up with in a WWII concentration camp. Kross examines and supports, with scientific findings, various ways we can shift our perspectives to gain easier access to that freedom of choice. Paul McNichols – E-Boat Alert by James F. Tent. The book offers a nearly forensic yet highly readable analysis of the threat posed by the E-Boats of the German Kriegsmarine to the Allied invasion of Europe in 1944. It covers the development, use, strengths, and limitations of these fast, maneuverable craft, as well as their impact on the Normandy landings on D-Day and the weeks thereafter. The most interesting part is the chain of events that ultimately led to their neutralization. Annette Taylor – My Name is Chellis, and I'm in Recovery from Western Civilization by Chellis Glendinning. Chellis writes affectionately and respectfully about eco-psychology and nature-based peoples from whom members of Western Civilization could learn a lot. Sue Inches – The Light Eaters – How the unseen world of plant intelligence offers a new understanding of life on earth by Zoe Schlanger. A thrilling journey that leads the reader from an old paradigm of plants as separate inanimate objects, to the true nature of plants as sensing, alive beings who communicate with the world around them. An inspiring example of how human understanding of the world around us is making progress! Rich Gassen – The Art of Gathering by Priya Parker. Priya teaches us how to have better parties, events, and relationships through her writing. I used this book's information (along with her podcasts) to plan a better 10-year anniversary party for the Campus Supervisors Network community of practice I lead at UW-Madison — making it exclusive, inviting, and tailored to those who attended. Mac Bogert – Renegades by Robert Ward. After some time as a college professor, Bob decided to try journalism. He spent twenty years interviewing folks from Waylon Jennings to Larry Flynt, and, damn, he's good at it! Hunter Seim – Catch-22 by Joseph Heller. The novel is set during World War II, from 1942 to 1944. It mainly follows the life of antihero Captain Yossarian, a U.S. Air Force B-25 bombardier. The term "Catch-22" itself refers to a paradoxical situation in which contradictory rules or circumstances trap a person. In the novel, Yossarian discovers that he can be declared insane and relieved from duty if he requests it, but by requesting it, he demonstrates his sanity. Remarkably accurate in describing organizational dysfunction and bureaucratic absurdity. It was the perfect book to read in 2025. Bill Whiteside – I Regret Almost Everything by Keith McNally. I wondered whether this memoir by a New York restaurateur (who hates the word "restaurateur" and much else), who suffered two strokes and survived a suicide attempt, would live up to its social media hype. It does.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économistea. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économiste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économistea. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économiste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économiste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économistea. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économistea. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économistea. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économiste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économiste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économiste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économiste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économiste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économiste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Avec : Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économiste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

We want our doctors to treat us as individuals, not members of an identity group, and we would hope that our medical establishments would resist today's fixation on identity politics. But unfortunately, that's not the case . We have seen identity politics creep into doctors' offices and medical schools, and we've seen its negative effects, particularly in the fight over gender-affirming care. In this episode of Giving Ventures, Dr. Stanley Goldfarb joins Peter to discuss these issues and describe the good work his organization, Do No Harm, is doing to combat progressive ideas in the medical field. Dr. Goldfarb has a long history as a teacher, researcher, and practitioner of medicine. He's also been a keen observer of the shift that the medical profession has taken over the last couple of decades. He is the author ofTake Two Aspirin and Call Me By My Pronouns and Doing Great Harm: How DEI and Identity Politics Are Infecting American Healthcare and How We Are Fighting Back.

Welcome to season 2 episode 19 of the Timist Podcast Series - check out the show notes below:In this episode...Steven walks us through his early memories of growing up in the family business and discovering his calling while also reflecting on working with luxury brands and attending major industry events over his many years in the industry.Steven also takes us behind-the-scenes providing us with insights into how he navigated the modern luxury landscape taking us on a deep dive into his experiences with Rolex which include dinners with multiple Rolex presidents, managing AD expectations, and the brand's overall demeanor and vibe.To close things out Steven walks us through his decision to retire and shares stories of unforgettable moments experienced with generations of customers over the years. He also reveals what retirement holds for him and leaves us with lessons, wisdom, and guidance for the next generation!Check out the Alvin Goldfarb webpage which contains contact details:https://agjeweler.com INSTAGRAM:Follow me:https://www.instagram.com/the_timist_IGSupport the showSUBSCRIBE TO MY YOUTUBE:https://www.youtube.com/channel/UCBeDf0c0V70qISfpu_mHchw?sub_confirmation=1CONTINUE THE CONVERSATION ON INSTAGRAM:Instagram: https://www.instagram.com/the_timist_IG

How do you create a relationship with the divine? Cathy shares a piece from her event about how to start each morning by returning to the essence of your soul and reconnecting to the truth of who you are. Then you'll hear a conversation with Jenny Goldfarb and Rona Lalezary, who share profound mystical Kabbalistic wisdom on how to find your power through free will, why resistance is part of your expansion, and how to be open to receiving your divine download and turning it into your reality.- Get the replay of our 11.11 event at cathyheller.com/manifestingactivation- Join Cathy's membership This Abundant Life to elevate your sacred morning practice and become a master manifestor of divine abundance and synchronicity cathyheller.com/life Use code "ART" for 20% off your first month!- Get the full Morning Sanctuary Practice Masterclass at cathyheller.com/masterclass- Join Cathy's high tier mastermind and learn how to scale your income, expand your leadership, and become the woman who makes wealth inevitable cathyheller.com/mastery- Get Cathy's book (now available in paperback!) cathyheller.com/book - Follow Rona Lalezary on Instagram @ronalalezary - Follow Jenny Goldfarb on Instagram @mrs.goldfarb and @unrealdeli Learn more about your ad choices. Visit podcastchoices.com/adchoices

Avec : Carine Galli, journaliste. Élise Goldfarb, entrepreneure. Et Jérôme Lavrilleux, propriétaire de gîtes en Dordogne. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

This week on Cut to the Chase: Podcast, we're sharing Gregg Goldfarb's appearance on Chris Dreyer's Personal Injury Mastermind podcast. In the show, Gregg talks about how small, nimble law firms can take on massive cases—and win. With over 30 years of experience in personal injury, insurance claims, and mass tort litigation, Gregg shares how he built a lean, modern practice capable of competing with the biggest players in the legal world. From police brutality cases in the Rodney King era to today's major mass torts like Camp Lejeune, Gregg breaks down how to stay adaptable, avoid wasteful ad spending, and master the art of outsourcing. He and Chris dig into the realities of case acquisition, the pitfalls of marketing fraud, and how smart partnerships can make or break your firm. Whether you're a solo practitioner, managing partner, or curious about the business of law, this episode is full of practical strategies and candid lessons for thriving in a high-stakes, fast-changing industry. What to expect in this episode: How Gregg built a thriving personal injury practice with a lean, outsourced model Why adaptability and curiosity are key to long-term success in law The truth about case marketing, referral pitfalls, and due diligence How to stop wasting money on old-school ad strategies and focus on ROI The power of building relationships and showing up at legal conferences Lessons from landmark cases—police brutality, mass torts, and more How podcasting has helped Gregg grow his brand, network, and firm Stay tuned for more updates, and don't miss our next deep dive on Cut to the Chase: Podcast with Gregg Goldfarb! Subscribe, rate, review, and share this episode of the Cut to the Chase: Podcast! Resources: Listen to more Personal Injury Mastermind episodes: https://rankings.io/pim Subscribe to PIM podcast on YouTube: https://www.youtube.com/@personalinjurymastermind Connect with Chris Dreyer on LinkedIn: https://www.linkedin.com/in/chrisdreyerco This episode was produced and brought to you by Reignite Media.

In this special live episode of the SHE MD Podcast, Olivia Munn joins Dr. Thaïs Aliabadi, Mary Alice Haney, Dr. Shari Goldfarb, and Kristen Dahlgren, for a powerful Breast Cancer Awareness Month panel in New York City. The event coincided with NBC's Today Show coverage and the lighting of the Empire State Building in pink — marking the launch of a national conversation around early detection, AI, and prevention.Together, they explore how lifetime risk assessments, dense breast screening, and AI mammogram prediction tools like Clarity Breast are transforming breast health. The panel also discusses cancer vaccine research, genetic testing, and the importance of women knowing their individual risk scores.Listeners will hear Olivia's personal story of early detection after a high-risk score prompted further imaging, leading to her diagnosis and recovery. This episode offers clarity, action, and hope — empowering every listener to become their own health advocate and partner with their medical team.Subscribe to SHE MD Podcast for expert tips on PCOS, Endometriosis, fertility, and hormonal balance. Share with friends and visit the SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.What You'll LearnHow lifetime risk assessment tools can identify breast cancer risk before symptoms appearWhy dense breast tissue requires supplemental screening beyond mammogramsHow AI predictive tools like Clarity Breast are revolutionizing early detectionThe promise of vaccine research and genetic testing in future breast cancer preventionKey Timestamps(00:00) Live event intro and Breast Cancer Awareness Month context(03:30) Olivia's story: risk score, MRI findings, and early diagnosis(13:00) Dr. Aliabadi and Dr. Goldfarb on dense breast screening and AI tools(16:00) Cancer vaccine and immunotherapy discussion with Kristen Dahlgren(27:00) Genetic testing and family history: understanding your risk(34:00) Audience Q&A: emotional recovery and advocacy(42:00) Is there support for young women being diagnosed with breast cancer?(51:30) Clarifying the term Risk AssessmentKey TakeawaysEvery woman should know her lifetime breast cancer risk scoreDense breasts may obscure cancers — MRI and ultrasound can save livesAI mammogram tools are changing detection from reactive to predictiveResearch into cancer vaccines offers hope for prevention and recurrence reductionAdvocacy and awareness remain key — early action leads to better outcomesGuest BiosOlivia MunnOlivia Munn is an actress, health advocate, and breast cancer survivor. After receiving a high lifetime risk assessment score, she underwent further imaging that revealed cancer across multiple quadrants, leading to a bilateral mastectomy. Since publicly sharing her diagnosis in 2024, she has dedicated her platform toward raising awareness about early detection, risk assessment, and empowering women with knowledge about their breast health.Dr. Shari Goldfarb, MDDr. Shari Goldfarb is a breast medical oncologist at Memorial Sloan Kettering, with a clinical focus on early and advanced breast cancer. Her research centers on survivorship, symptom management, fertility, sexual health, and quality of life for breast cancer patients. She participates in clinical trials aimed at improving outcomes for women during and after treatment.Kristen DahlgrenKristen Dahlgren is a former NBC correspondent who, after her own stage 2 breast cancer diagnosis, left journalism to found the Cancer Vaccine Coalition. She collaborates with top cancer centers to accelerate immunotherapy and vaccine development in breast cancer and advocates for preventive strategies beyond current standards.LinksOlivia Munn – https://www.instagram.com/oliviamunnDr. Shari Goldfarb – https://www.mskcc.org/profile/shari-goldfarbKristen Dahlgren – https://www.linkedin.com/in/kristen-dahlgren-886519292/Donna McKay – https://www.bcrf.org/teamResources MentionedBreast Cancer Research Foundation (BCRF) – Funding for innovative breast cancer research and prevention programs

If you're an avid listener to Saturday to Shabbos, then you've heard nearly 200 ways people decide to take a closer look at the role of Judaism in their lives. Leibel Chaim Goldbarb epitomizes the title of this podcast, as his epiphany actually happened on a Saturday. This is his story. Saturday to Shabbos is […]

What if you could run a thriving PI firm with a skeleton crew—and still take on Fortune 500 giants? Gregg Goldfarb has spent three decades adapting to the ever-changing world of personal injury law. From police brutality cases in the Rodney King era to today's mass tort battles, Gregg has learned how to stay lean, minimize risk, and seize opportunities others miss. In this episode, Gregg breaks down how PI owners can thrive in high-stakes litigation without bloated teams or wasted ad budgets. You'll learn: Why case acquisition beats rolling the dice on $50,000 ad buys How diversification keeps your portfolio (and cash flow) safe The power of spotting emerging torts—before they explode Why outsourcing might be your biggest growth lever How to choose referral partners that actually deliver If you like what you hear, hit subscribe. We do this every week. VIP PIMCON Tickets:  Pimcon.org Get Social! Personal Injury Mastermind (PIM) is on Instagram | YouTube | TikTok