SWVA Direct Primary Care

07/18/2026

Had a great conversation with Trey the Pharmacist

Welcome to Direct w/ Dr. Couch.Have you ever wondered why prescri...

06/03/2026

05/06/2026

Health insurance is not just how you pay for your medical expenses; health insurance is the cog in the middle of healthcare and is the rock on which the entire practice of medicine has been propped up on. It’s ruined medicine and very soon will make portions of the medicine and healing you deserve go extinct.

04/29/2026

We had a great chat with Bess from Inertia Physio and Pelvic Health about HRV, vagal nerve stimulation, wearables, and much more!

1 like. "What is HRV? Physical Therapist Shares Simple Ways to Improve it Fast"

04/14/2026

In healthcare, nobody likes a mystery bill. I’m here to tell you the mystery bill is a feature of the system not a bug. Health insurance has ruined primary care

04/13/2026

This is a pretty good explanation about the medical loss ratio, which is a carve out of the affordable care act. The government and the health insurance companies are actively conspiring against you to make your healthcare worse and make it more expensive, because it’s not about making your care affordable, it’s about increasing the shareholder value on Wall Street that hold these insurance company stocks

04/13/2026

I have personally had to deal with getting a large mystery bill from a lab company. When you don’t have any choice (or knowledge) as to where the doctor is going to send your labs, you’re immediately not a consumer and a marketplace anymore. It’s time to stop paying these bills to the lab companies that you didn’t agree to do business with. The doctor should not be deciding who you do business with. That’s not a marketplace, it drives up cost, and it confirms the system that is ripping people off