241 Economics and Chiropractic

Welcome to the KC CHIROpulse Podcast.  

This week’s topic:  How does the economy affect your Chiropractic practice?

The KC CHIROpulse Podcast is designed for Chiropractic professionals ready to elevate their practice to new heights.  This week, the show is hosted by Kats Consultants’ coaches Dr Michael Perusich and Dr Troy Fox, seasoned experts in Chiropractic business management.  This podcast provides invaluable insights and actionable strategies to help you create a flourishing and sustainable Chiropractic business.

In this episode, we discuss:

• How various aspects of the economy impact your practice success
• How the economy drives patients in and out of your practice
• Why it’s important to have some basic knowledge of economics to run your business
• Why understanding the consumer mindset for value is important
• How you can use your knowledge of the economic marketplace to create opportunities for growth
• …and so much more…

In each episode of KC CHIROpulse, we delve into crucial aspects of building a successful Chiropractic practice, covering topics such as establishing a strong foundation, adopting a patient-centric approach, mastering marketing techniques, achieving financial fitness, fostering effective team building and leadership, integrating technology and innovation, and navigating common challenges in the field.

Whether you're a seasoned chiropractor or just starting your practice, the KC CHIROpulse Podcast offers a wealth of knowledge and personalized practical advice to help you navigate the intricate world of Chiropractic business. Join us on this journey as we explore proven strategies, share success stories, and connect with industry experts to empower you in your pursuit of building a thriving Chiropractic practice.

Don't miss out on the latest insights and expert guidance. Subscribe now and unlock the secrets to taking your Chiropractic practice to the next level. Your success is our priority at Kats Chiropractic Business Advisors.

DISCLAIMER:  The information presented in this broadcast is for educational purposes only and is not intended to offer legal, investment, accounting, or medical advice, and represents the opinions of the speakers.  Seek the consultation of a professional for advice in those areas. And remember…your results using this information may be different than described.

Be sure to SUBSCRIBE to the Kats Consultants CHIROPulse Podcast
When you are ready we can help.

• Free Resource: Download What's Your Practice Worth?
• Let's Chat -30-minute chat about your practice
• Attend a Virtual Seminar
• Join the new subscription program Path to Prosper

KC CHIROpulse Podcast. Helping Chiropractors keep their pulse on success. Thanks for listening.

Chapters

• 0:22 Economic Concerns in Chiropractic Practice
• 1:53 nderstanding Economic Indicators
• 4:09 Impact of Government Policies and Consumer Behavior
• 15:09 Strategies for Chiropractic Practices in 2026

Transcript

241 Economics and Chiropractic

[00:00:00] 

Introduction and Podcast Welcome

Dr. Michael Perusich: Okay.

Doctors, does your practice feel like it has economic syndrome right now? Hi everybody. Welcome to the KC ChiroPulse Podcast, brought to you by Kats Consultants and Chiro Health USA. I'm Dr. Michael Perusich and my co-host today is Dr. Troy Fox. As usual, Troy, you and I were kind of talking off camera a little bit.

Economic Concerns in Chiropractic Practice

Dr. Michael Perusich: We've, we've talked about this for a couple of weeks now and, um, it's kind of this weird environment right now that. A lot of people feel like the economy is tight, stiff, not working right too hot, too heavy. And I get it. And you had made mention the other day of something similar and I thought this would just be a great topic.

'cause I know our, our listeners out there are probably feeling some of the same stuff. 

Dr. Troy Fox: Yeah. That was when you yelled at me and called me Captain Doom and gloom. He didn't, but I did. I talked a little bit about it the other day and I was like, Hey man, I feel like the economy's tight. I feel like it's a little sluggish, and [00:01:00] I'm gauging it off of my practice. But we also just, you and I talked off camera a minute ago, that practice is trend. And right now mine's trending up like crazy. But 

Dr. Michael Perusich: yeah, 

Dr. Troy Fox: several weeks ago it wasn't. And so, you know what? I blamed it on the economy. Nobody has any money. Everybody's tight, blah, blah, blah.

So I want you, because you have a financial background, I want you to talk to us and talk us through a little bit of this. Sure. Because quite frankly, what I'm doing is I'm getting stuff off of YouTube. Some of you guys are too, guys and gals, and some of it's coming from friends and, and acquaintances. You know, you get together for dinner and we talk about the economy or whatever.

So a lot of us are getting our information from either biased sources. Or we're getting 'em from sources that, dunno what the heck they're talking about. Or we're just chit chatting with friends. So why don't you talk us through a little bit of what you're seeing right now. 'cause I am so curious about this is gonna be the best podcast of the year.

Dr. Michael Perusich: Yeah. 

Understanding Economic Indicators

Dr. Michael Perusich: Economics has this weird feel to it. And it's not. [00:02:00] It's usually not intuitive. It's economics has a very counterintuitive process to it. For example, if something's going up, what's the opposite of going up? Well, it's going down, but there's, there, there's always. Two things happening, and it just depends on kind of sometimes what are you looking at?

If you're looking at the downward slope of something you, you're, you're gonna feel like it's down. If you're looking at the upward slope, you're gonna feel like it's up, but that, that's your basic economics fuel class for the, for the show. But we have to look at really what are the things in the economy that really drive the economy.

And the number one thing that drives our economy is fuel. The cost of fuel. And we've just come through a period of time where fuel was really, really high. But. Over the last couple of years and people don't realize this, but over the last couple of years, as of the time we've recorded this podcast gasoline is [00:03:00] actually down about $2, little over $2 actually per gallon than it was just a couple of years ago.

But it takes a while for us to notice that and feel that, because what happens when gas is high, we slow down on our driving. You don't, Troy, because you gotta drive all over Kansas to see patients. Yeah, 

Dr. Troy Fox: yeah. 

Dr. Michael Perusich: But most of us start to slow down on our driving a little bit, and so we're not going to the gas station as often, so we're not, we're not really paying attention to it.

But why does gas drive the economy? Well, it's transportation. So to get. Food and supplies and, you know, basic goods and, and things. Amazon we, the most of that's shipped by truck 

Dr. Troy Fox: right? 

Dr. Michael Perusich: In the United States. And so as fuel comes down, so will consumer goods, but there's a lag time behind it and. We, we kind of have been in that lag time just a [00:04:00] little bit.

Then there's this other weird phenomenon that happens, and I don't know that really anybody understands it. 

Impact of Government Policies and Consumer Behavior

Dr. Michael Perusich: I think we could speculate behind it, but whenever there's a government shutdown in modern times, every time there's been a government shutdown coming out of the shutdown, the consumer feels like the economy is bad.

Okay. And it, it doesn't mean that it is it, there's just some weird sense that I think what personally, what I think happens is during a shutdown, everybody thinks everything shut down. And we equate that with, somehow we equate that with the economy. We did the same thing during the pandemic. Mm-hmm.

We equated the shutdown. Of the country to it being a bad economy. Now were some people feeling the economics? Sure. 'cause some people lost their jobs, but you know, they had unemployment and things that, that really took care of it, so. Mm-hmm. It was just a sense that we had. 

Dr. Troy Fox: So lemme ask a couple quick questions here.

Dr. Michael Perusich: Yeah. 

Dr. Troy Fox: So I've [00:05:00] always looked at like how much people are spending at Christmas time. So that's not always the case then because there could be a sentiment of things are tight and people pull back a little bit even though the economy doesn't suck. So what you're saying is and I like it. I love it because it sounds so simple.

Look at gas prices and if gas prices are reasonable. Mm-hmm. Then we probably have a pretty good economy if gas prices aren't reasonable. Like in the 1970s during the embargo, that threw the whole economy off. Right. And now it makes sense because like we're trucking everything all over the place.

And it even takes fuels. Even for trains. It takes fuel. 

Dr. Michael Perusich: Right. You know, 

Dr. Troy Fox: they're running diesel in a lot of cases. They're not running coal. This isn't the 18 hundreds. Right, so you're telling me. That's a big deal, but I didn't know the government shutdown deal either. See, it is like economy 1 0 1.

Like I'm listening to Jim. What's that guy that rolls his sleeves up on CNBC? I can't remember his name. You know, he's yelling all the time. You know, I'm like listening to these people for trends and they're, you know, [00:06:00] holiday shopper 10 and Q1, Q4, and I'm listening to all this stuff going, all right, now I understand it.

And I'm like, you made, you broke it down and made it really simple. So anyway, go ahead, but that's so cool. To know that and to know that after a shutdown or like a pandemic, people feel like the economy, maybe we feel unsettled or uncertain. 

Dr. Michael Perusich: And I think that's a lot of it. I think we just don't understand it enough to know how to react to it.

So you, you said a couple of things in there that I want to key in on. Uh, we need to take a, just a real quick break for a word from our sponsors, so we'll be right back. But we're talking about really basics of economics and how it affects our practices. So we'll be right back.

In today's economy, every dollar counts. Families are facing tough choices, having to reconsider what was once essential to them, but close to healthcare, no one should have to compromise on their wellbeing because of financial constraints. That's where Chiro health, USA steps in the solution for your practice.

We understand the financial pressures families are under. Whether they're [00:07:00] insured on Medicare or paying out of pocket for treatment. By offering discounts on care, you can ensure that your patients can still afford the treatment they need. At Chiro Health USA, we're committed to making sure no family has to sacrifice their health due to financial hardship.

We will work with you to create a game plan that keeps your waiting room full and your practice thriving. And here's the best part, offering affordable care not only benefits your patients, but also positively impacts your bottom line. So why wait? Join Chiro Health USA Today and join the ranks of the most successful practices because when you put your patients first, everyone wins.

Dr. Michael Perusich: Okay, everybody, welcome back to the ChiroPulse Economic Show. I just had to use the radio voice for a second. So you, you mentioned Troy about the pandemic and the government shuts down shut downs. Mm-hmm. And gasoline prices. So always watch gasoline prices. It's gonna tell you if the [00:08:00] cost of goods is gonna go up or it's gonna come down.

Now it's not immediate. There's that lag time in there. 

Dr. Troy Fox: Mm-hmm. 

Dr. Michael Perusich: But here's the other thing. You mentioned consumer spending at the holidays and things. Here's the crazy thing. If we have a bad economy, then explain to me why consumer spending is at an all time high. So if it's at an all time high, that means consumer sentiment feels like it's positive enough that they can spend money.

Now that's an interesting thing because the actual consumer sentiment numbers, it's an actual statistical economic figure that the government tracks. It has not been good lately, and yet here we've got consumer spending at this all time high. So again, I think part of it is this phenomenon of coming out of the government shutdown.

Also, a lot of people don't understand the tariffs and. [00:09:00] A lot of people were feeling like the tariffs were driving costs up. Um, Jerome Powell Federal Reserve chair just admitted in the last December meeting that yeah, tariffs have not driven inflation up like they anticipated they would.

And here's why in if, when tariffs are applied correctly. They bring money into the government and if the government uses to pay down the deficit. Okay, so what's the deficit? The deficit is the amount of money we're spending over the budget. Okay. And that, that deficit? Mm-hmm. Is there's an interest rate charge to it, and that that's what's costing the economy so much money.

And that's what a lot of times drives inflation. The government right now is using the tariffs to pay down that deficit. We've actually had a 20% reduction last time I, I heard [00:10:00] we've had a 20% reduction in the deficit already from tariffs. That takes pressure off the American economy. And ultimately, and only time will tell, could strengthen the dollar just a little bit more.

But let's go back in history a little bit with tariffs. Income tax hasn't really been around all that long in the history of, of the United States. I can't remember exactly when it started. 1905 maybe, but don't quote me on that. 

Dr. Troy Fox: You're close, you're within a couple of years. I think it was like oh three or oh five, one of the three, 

Dr. Michael Perusich: somewhere in there.

Dr. Troy Fox: Yeah. 

Dr. Michael Perusich: Somewhere in there. Um, 

Dr. Troy Fox: which is another amazing thing when we think about that. We all complain about income tax. I do for sure. And property tax. I hate all that stuff. Sure. But like, it hadn't been around that long. 

Dr. Michael Perusich: Hmm. It hasn't. So how was, how was the government funded prior to that? 

Dr. Troy Fox: Through 

Dr. Michael Perusich: tariffs.

Which is fantastic. And we had enough, our country had enough tariff money coming in that it was able to fund itself and the, the American people [00:11:00] didn't have to pay taxes at that point. 

Dr. Troy Fox: Right. 

Dr. Michael Perusich: And you've actually heard some little bitty rumblings of, if we can keep tariffs going the way we are, that may be our.

US American taxes might even go down. I mean, some people have said it could go away. I don't know about that, but 

Dr. Troy Fox: Yeah. 

Dr. Michael Perusich: Um, I mean, that'd be great if they did, but the, the reason why tariffs don't really drive prices up all the time. I'm not saying sometimes they don't, but all the time it's not just an automatic is because the producer who is taxed with the tariff rate.

Still wants to produce. 

Dr. Troy Fox: Mm-hmm. 

Dr. Michael Perusich: And so if they pass that along to the consumer too much by raising prices, guess what? Their sales drop. Okay. So this is where the curves split again. So you got one thing going up, tariffs rate's going [00:12:00] up. But if, if that money's passed along to the consumer, then consumer buying's gonna go down.

And that. That manufacturer, if you will, will then begin to lose money. So manufacturers right now don't wanna lose money. They lost enough during the pandemic, so they're absorbing a lot of the tariffs. And so this is why we're getting all this money into the country and able to pay down the deficit a little bit, which again, will take pressure off all of us.

And a lot of people say, well, my gosh, the stock market's doing great. It's just going nuts, and it's up as high as it's ever been, so the economy must be doing well. Don't fool yourself. The stock market and the economy really don't have much to do with each other. Okay. They a good stock market doesn't mean we have a good economy.

A bad stock market doesn't mean we have a bad economy and vice versa. They're very disassociated from each other. So I know there's a lot of investment pundits out there [00:13:00] trying to tie the two together and they're really not. Is 

Dr. Troy Fox: it always, has it always been that way, but like the or, or is there a time when maybe the market and the economy were more saddled together with each other and they're a little disassociated now?

Or how, I mean, what are your thoughts on that long term? Because I've heard that exact same thing, but I was always curious, was there a time when it was coupled together, like maybe back when, in the, when there was a gold standard and we followed it or something? Or is it really, is it too much manipulation now on both sides?

Um, that's a 

really 

Dr. Michael Perusich: great, that's a, yeah, that's a really great question, Troy. I don't know, maybe before the Federal Reserve was, established maybe there was some overlap between the two. I don't, that's a great question. I don't really know. We have seen stock market crashes negatively impact the economy.

Mm-hmm. Um, but ary they're really, they really don't drive each other for the most part. Maybe we [00:14:00] could argue if it crashes. It does, but yeah. 

Dr. Troy Fox: Yeah, 

Dr. Michael Perusich: and and I could probably argue the other way. If people are feeling good about the economy, they might save more. Mm-hmm. So that brings me around to my next topic is.

And I can't, I, I apologize everybody, I can't remember the exact percentage, but household incomes are actually up a fairly substantial percentage. Now, when I say substantial, I don't mean they're up like 75%, but they're up like 5% or more, or something like that. Again, don't quote me on the numbers, but they're up.

So if income's going up, what happens when income goes up? Well, a couple things. The big thing is over time, we as consumers get a little more comfortable with the money we have in our pocket, and so we wanna spend it and spending money, putting money back out into the economy drives the [00:15:00] economy in a positive direction and helps keep inflation under control.

So that's another positive in the marketplace. So. Let's bring this back. 

Strategies for Chiropractic Practices in 2026

Dr. Michael Perusich: How does all this equate to our practices? Mm-hmm. Well, if consumer spending is up, that means that consumers are willing to spend money. Okay? We just need to figure out how to attract them to our practices to spend money. I'm gonna come back to that in a second.

So consumer spending's up. If consumer incomes are up, then they have the money to spend. They're not just spending it on credit, even though we hear a lot about credit being in, in high usage right now. I think there's some other reasons for that. I think a lot of that's still us coming out of the pandemic in some ways.

Or habit in how we buy goods online, which is always by credit card. Anyway, that's another story. So what we have to learn how to do is we have to learn how to tap [00:16:00] into the consumer's mindset. In fact, we just did a video on this in our Kats library. So if you're a member of Katz it's called the, um, new consumer mindset.

Dr. Troy Fox: Mm-hmm. 

Dr. Michael Perusich: Um, it's brilliant. It's a brilliant video. Brilliant speaker. Oh wait, that was me. I'm just kidding. Um, but anyway we've gotta understand the consumer mindset right now. What's the consumer mindset? Well, it's value driven. It's completely value driven. People are still buying expensive cars.

People are still buying expensive homes. They're buying things that they find value in. So does ChiroPulse have value? Yeah, big time. We're the profession that keeps people healthy for the long term, and we do it without drugs and surgery. You are aware of that, right? Troy? 

Dr. Troy Fox: Yeah. You know, and I, and I look at it from a standpoint of we're at the right place at the right time, and, and I say this because like it or hate it, I'm gonna say this.

And you can say, [00:17:00] oh my gosh, you just, you just bastardized ChiroPulse. But we're the cockroaches that wouldn't go away. They tried to kill us. They tried to kill us so many times. And our product that we deliver to patients is of such great value that they couldn't get rid of. And so as value becomes, to me that's like standup and cheer.

I remember running through the hallways cheering back in the nineties when we won the lawsuit or the appeal that the a MA had thinking that we'd actually made it. And we didn't make it back then because they just went underground with it. What I see is, is that we provide great value and as medicine and as deductibles and copays go up and it gets more expensive and blah, blah, blah, blah, blah, and people see value in care, where are they gonna go?

Well, they're gonna go to ChiroPulse because they see a value in that. And it isn't always that the population doesn't see a value in care. I've had patients say, and we've all had 'em over time, well, my insurance covers blah, blah, blah. [00:18:00] And they end up in a service that they really maybe know isn't gonna be the best.

It's not the a plus service that you are gonna have for 'em. But their insurance paid for it, so they're gonna go with that service. Right now, those days are kind of going away. We're getting more expensive so far as deductibles, and so I agree with you. Value driven is really where it's at. And I'm, yeah, value driven about that.

And sorry for any of you that were triggered by me saying the cockroach thing, but it's like, man, we have endured a lot as chiropractors and shouldn't have, shouldn't have. Absolutely. But we have, and you know what? We've survived it. Yep. Yep. Troy always has the best analogies,

Dr. Michael Perusich: so. You mentioned insurance. So the here, the, there's a potential trap you could get into in 2026. So let's just bring it back to 2026 and what, what we think might happen. And the trap is in the [00:19:00] process of trying to explain to patients that we're value driven, we have to be careful about how we set our fees and those kind of things.

So if we look like we're just going lower and lower and lower, we're actually gonna pull our value. Our ability to show value away and that that's one of those economic counterintuitive ideas. Yeah. Because you would think, the lower I go with cost, my pricing the more patients should want to experience it.

So you have to be careful there. You also have to be careful about lowering your price to the point where you can't make a profit. 

Dr. Troy Fox: It's hard to sail a ship from the bottom of the ocean. 

Dr. Michael Perusich: There you go. 

Dr. Troy Fox: I just made that up. 

Dr. Michael Perusich: Another truism, 

Dr. Troy Fox: truism. 

Dr. Michael Perusich: Truism. So we have to be careful about that. We also have to be careful about the insurance message.

And you may be sitting out there thinking, well, I'm a cash practice. I don't have to worry about insurance. Yeah. I think we all do. I think we have to be wary of what's happening with the insurance market and people are gonna be doling out [00:20:00] big bucks this next year. Potentially in insurance premiums for insurance, that still makes them spend a lot of money when they use it.

But patients don't understand enough about insurance to really realize that that insurance plan that has a $2,000 a month. Premium mm-hmm. And a $15,000 deductible. They don't realize that that means they're gonna have to spend $39,000 before their insurance really kicks in. Yeah. And oh, by the way, they, they got a $90 copay along the way, and that that's the reality of what people are gonna be looking at.

And so I think. In their mind, in the patient's mind, even though I don't, people don't see value in health insurance, but they see value in wanting to use it, if that makes sense. The differentiation. And I think in that process, I think people are gonna be very prone to wanting to use their insurance.

So we're gonna have to really get good at a communication strategy that points [00:21:00] out the fact that. In ChiroPulse Care, you don't need insurance for it to be valuable. And I'm not gonna go into the details of that. Be a Kats member and we'll teach you how to do it. But that, that's not all lure. It's, it's going to take us four hours to teach you how to do it here on, we don't have time on the show, but, um.

We've gotta get really good at that messaging, especially on the phone, your first phone call and doc's listening out there. You're not the one probably taking the first phone call, so your staff's gonna have to be good 

Dr. Troy Fox: at this. We, we hope you're not. Anyway, but yeah, my staff and I are already working on 26 and talking about the insurance message because we know there's gonna be changes and we understand, and that was kind of the counterintuitive thing when you talked about counterintuitive with the market.

The first thing I thought of is, oh, copays and deductibles are going up. Then I said. Down and thought about it for a little while, and I thought, you know what? I remember back when copays went from 10 to $25 and everybody felt like they really needed to [00:22:00] use their insurance because insurance premiums went up at the same time.

So they went up in premium, up in copay, and everybody's like, oh, I gotta use my insurance. You're like but, and they're like, Nope, I'm gonna go use my insurance. So you really have to know that counterintuitively, like you said, there's gonna be a great desire to utilize that insurance. 'cause they're paying a boatload of money for that.

Yep. And in a lot of cases, they're not getting a hundred percent coverage from their employer that those days are gone. So a lot of people are paying outta every paycheck for that insurance. 

Dr. Michael Perusich: Yeah, they are. 

Dr. Troy Fox: Yeah. 

Dr. Michael Perusich: We gotta take another quick break, but I'm gonna give you guys a little Juul, um, when we come back about.

Copays and the ChiroPulse patient and service. So quick break. We'll be right back.

[00:23:00] 

Dr. Michael Perusich: All right everybody, welcome back. We're talking about everybody's favorite subject, the economy and economics. Actually, it's one of mine 'cause I loved economics in, uh, in college, right? And a lot of you probably don't know, I was actually in investment banking for 10 years before I went back to ChiroPulse school.

And so I learned a lot about how all this stuff works doing that in mergers and acquisitions. So anyway, beside the point, when you have a patient in front of you that has a $90 deductible, okay, here's what I want you to think or, yeah, sorry. Copay. 

Dr. Troy Fox: There you go. 

Dr. Michael Perusich: Yeah. Thank you. 

Dr. Troy Fox: I 

Dr. Michael Perusich: want a 90 deductible.

That'd be great, right? Yeah. When you have a patient with a $90 deductible, think about this. The average collection visit average at least in the Midwest and the Southeast right now and Southwest is between 55 and $65, okay? Mm-hmm. Is that 90? No. Is it far away from 90? [00:24:00] Barely. At 55 you're $45 away from, or uh, $35 away from 90.

So this is what you tell the patient. Why would you want pay your copay in my practice when my service is only 55? Why would you want to pay that $90 copay? When my service is only 55? There is a tremendous opportunity to move patients over to cash in those scenarios. 

Dr. Troy Fox: Mm-hmm. 

Dr. Michael Perusich: Um, and they have the right under HIPAA to sign a, a letter or you, or give you a letter, um, that states they don't want to use their insurance and you can put 'em on a cash plan.

Just make sure you have a qualified cash plan, like a Chio health USA. But 

Dr. Troy Fox: yeah. 

Dr. Michael Perusich: So I think there's tremendous opportunity here, and I think the practice is that learn how to drive the value communication and learn how to speak around insurance and learn how to attract the right patients. Um.

Learn how [00:25:00] to communicate to patients of the long-term value of ChiroPulse Care. So they get 'em in. You get patients to become lifetime patients. Those are the practices they're gonna win in 2026, and I'm telling you, I think they're gonna win big. I I. There's always been opportunities for ChiroPulse if you're really paying attention.

Dr. Troy Fox: Mm-hmm. 

Dr. Michael Perusich: But I really firmly believe that 2026 could be one of the best years ChiroPulse could ever see if we're just on our chops. Right. I. 

Dr. Troy Fox: Coherent messaging. The problem is, is 

Dr. Michael Perusich: yeah, true. 

Dr. Troy Fox: If you, if you wanna live in a wellness world, but yet you don't preach a wellness message in your practice, it's gonna, you're gonna falter.

And that's why when we talk about wellness and we talk about, uh, long-term care with patients and a cadence of care that a patient should be on whatever terminology you want to use, we're talking about that. We're talking about keeping a patient. Well, you know, we were talking about our mission statement in, in our office, and it's a really simple one.[00:26:00] 

Get patients better and keep them well. 

Dr. Michael Perusich: Yep. 

Dr. Troy Fox: Simple. Right? Pretty simple. But if you're gonna keep 'em, well, they gotta be in my office to stay well, right. They're not gonna be, it, it's like going to a dentist and going, Hey, I went and got my cavity pulled at the dentist and, and or ta, my tooth pulled and a couple cavities fixed.

Now I'm gonna wait for 10 years before I go back until I have another cavity. Your dentist is going, oh, please, no, don't. We don't want all that work. You don't want all that expense. Let's, and so in the long run, when you're talking about a wellness message, it's a great time to bring the conversation is that in the long run, you're actually gonna save money with a cadence of care that's gonna keep you well.

Rather than getting all crazy, having to go through big O treatment schedules to get well, it's a lot easier to go through that now. You also have to have that in that insurance conversation at the time. So what you wanna do is sit down with your staff, and here's a big caveat for you. This is a big one.

I wanna give it away for [00:27:00] free. You have to get together with your staff and you guys have to sit down. And we're not big fans of scripts at Katz, right? We're not scripting people. We like verbiage and we like to have similar verbiage. So what I recommend you guys do is sit down and you write a semis script or maybe a screenplay of how you, 

Dr. Michael Perusich: we have this too.

Dr. Troy Fox: Yeah. And then when you do that, then you guys work through it in your own language and start seeing what it sounds like. And we, you know, with our clients, we help folks with that. But if you're just doing this on your own, that's the easiest way you can do it is get together with your staff and come up with a coherent.

Message that actually makes sense to the patient. Does your staff go, oh, that makes sense. If I were gonna use my insurance, that would be a reason I wouldn't want to use it. So, 

Dr. Michael Perusich: yep, 

Dr. Troy Fox: that's a really easy one to do. 

Dr. Michael Perusich: Yep. Love it. So we're gonna wrap up here. I just, I just wanna throw out a little disclaimer.

The, these thoughts that we put out today they're just our opinions about [00:28:00] things, you know, and I, I told you, don't, don't quote me on numbers and things like that. I, you know, I'm close on some of this stuff, but, my the message here is that, chicken Little is not falling from the sky in our opinion.

There's tremendous opportunity out there for chiropractors. The economy looks like it's starting off on a really good foot in 2026. Maybe not everybody's feeling it yet, but understand that you're in a profession that is the leader in value in healthcare. Get on every mountaintop and scream that from the top of your lungs and teach people, this is your patient education.

Teach people the value of what we do, and I think you're gonna have tremendous success. So, if, uh, if you haven't done so yet, go to Kats consultants.com, check out what we're doing for clients. We're unique. We're the leader in helping doctors with the business side of practice which is most of what makes you profitable.

Other than helping you get great outcomes, which [00:29:00] we don't come to your office and see your patients. That's the only thing we don't do, I think. But seriously, go check us out. We appreciate you tuning in every week to the KC ChiroPulse podcast. We have a blast doing this and we love the feedback that we get.

So be sure to share and subscribe the show. Troy, anything to add? 

Dr. Troy Fox: Man, I appreciate you doing this today because I think we all learned a lot because quite frankly, you have that business background and that finance background that, that you just, I mean, you can't purchase that. You lived it for 10 years.

And, and I think it's fantastic to be able to hear from somebody, and like we said, don't go out and sell your kids today because you think the sky is falling and don't go out and make stock decisions based on what we told you today. We're just talking about trending and, and Dr. Peru. Put out what traditionally has been a very good indicator for the economy.

So I was excited to hear that because I've read otherwise seen Jim Cramer. That was the guy's name on Jim 

Dr. Michael Perusich: Cramer. Yeah, 

Dr. Troy Fox: so shout out to Jim Cramer. Hi Jim. Jim's always got ideas right, but. [00:30:00] He never talked about the cost of fuel because it's, the problem with that is how long would his show last on CNBC?

If we just used one indicator, Hey, gas is up today. Gas astounded. 

Dr. Michael Perusich: Yeah. Right. 

Dr. Troy Fox: So they gotta talk about, oh, this stock is great because of this and that, and so I, I like your trending stuff. So we appreciate you doing this for us today. 

Dr. Michael Perusich: It was my pleasure. It's one of my favorite topics. So appreciate all of you out there.

From all of us here at Kats Consultants, we wanna thank Chiro Health USA as well. Troy, thanks for being on here as always, and uh, you know what, we'll see you next week. 

Dr. Troy Fox: See ya.