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Hey, it’s Paul Gough here — and this episode might just be my favorite rant yet. I’ve gone full throttle on everything from why insurance is the slow death of your clinic, to what’s actually keeping you broke and burned out. If you’ve been feeling stuck, frustrated, or just done with being overworked and underpaid
 this one’s for you.

Inside this Paul on Fire episode:

- Why the insurance system is a sinking ship (and how to escape without jumping overboard overnight)

- How to build a lucrative hybrid clinic with cash-pay services that patients actually want

- The real reason you feel so drained by your staff (hint: it’s not just the work)

- Why marketing isn’t about you — it’s about who your patient wants to become

- And why most clinic owners think they’re marketing
 but are really just advertising out of desperation

Plus: the emotional freedom you’ll finally get when you stop being “just” a clinician and start thinking like a real business owner

If you’ve ever caught yourself thinking, “There has to be another way
” — this is it.

đŸ’„ You’re either going to keep playing by someone else’s rules
 or you’ll set fire to the old system and start creating a business on your terms.

🎁 FREE BOOK OFFER:‹ When you subscribe, I’ll send you a real, physical book—your choice from my bestselling lineup—to help you grow your practice and escape the treatment room. Just tell me where to send it:‹👉 www.paulgough.com/free

đŸ”„ Paul Gough. Unfiltered. Unapologetic. On Fire.