12/27/2025
Healthcare Revolution in the United States — with a Side of Holiday Magic! 🎄🇺🇸
I hope everyone had a fantastic Christmas! Mine? One of the best ever. Why? Because I witnessed two miracles on Christmas Day right here in sunny Naples, Florida.
I have to say it again: I love the United States. This country has helped me—and my students—make millions of dollars. Many of the business principles I teach were learned simply by watching how things are done here.
Take Functional Abilities Evaluation (FAE) for example. It was introduced in the U.S. over 30 years ago. I brought that concept to Canada, and boom 💥—it generated millions in revenue for my medical assessment clinics in Toronto. Lesson learned: If the U.S. does something well, copy it (ethically), export it, and enjoy the results.
Marketing? Oh, Americans are Olympic-level marketers. I have never seen another country come close. If you simply replicate U.S. marketing strategies elsewhere, you’ll often be years ahead of the competition—and your bank account will notice.
Healthcare followed the same pattern. Once upon a time, healthcare professionals made incredible money from insurance companies. Then insurers said, “Nice income you’ve got there… let’s cut it.” Fees dropped, clinics struggled, and some practitioners went from charging close to $1,000 per visit to $20 per session. Ouch.
And then U.S. healthcare professionals had a realization:
👉 You don’t build wealth through insurance.
👉 You build wealth through cash patients.
So they did the unthinkable (at least in other countries):
They stopped accepting insurance.
Today, in some areas, up to 87% of healthcare providers are cash-only. Patients have insurance… but can’t use it unless it’s an emergency. Some insurers have even been sued—one settled for $40 million because only 13% of providers in certain regions accepted insurance& patients cannot use their insurance, basically paid insurers for useless coverage.
Even insured patients now pay cash just to get care. Why? Because practitioners finally understood a universal business truth:
💡 Cash patients allow you to charge what you’re worth.
While many insurers do cover osteopathic and naprapathic treatments provided by my students, I always teach this rule:
👉 At least 50% of your patients should be cash-paying.
Better yet, you can build a 100% cash-based practice if you follow basic, proven business principles for attracting cash patients.
So yes—healthcare in the U.S. is evolving, business-savvy, and (believe it or not) full of opportunity. If you wish to create wealth working as an osteopathic manual practitioner or naprapath is a sure way to do that as here they are geared to create wealth like no other location in the world!
Wishing you all a joyful, prosperous festive season filled with health, wealth, and plenty of cash-paying clients! ❤️😀
Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD
Osteopath, Naprapath, Chiropractor & Founder of:
National Academy of Osteopathy (Canada, USA)
National University of Medical Sciences (USA, Spain, Panama)
Osteopathy Chronic Pain Clinics of Canada (380 clinics in 34 countries)
Florida Naprapathic Association
World Osteopathy Day