Paul Andrews and Dr. Mark Davini on All Things Chiropractic explore what it means to be an "excellent patient." This episode covers practical guidelines for setting expectations, defining your ideal patient, aligning staff and clinical identity, and the business impact of boundaries and referrals.

Key takeaways include: defining and writing down your ideal patient profile, communicating expectations to patients and staff, refusing to compromise essential clinical recommendations, knowing when to refer out, and using clear exchange principles to build a happier, more sustainable practice. Helpful examples and advice for early-career chiropractors are provided throughout.

In this episode of All Things Chiropractic hosts Paul Andrews and Dr. Mark Davini talk with Dr. Stu Hoffman, longtime chiropractor and leader at ChiroSecure, about his family history in chiropractic, the evolution of practice models, and the role of malpractice insurance in protecting clinicians and patients.

Topics include the shift from solo to corporate and multi‑doctor practices, coaching and mentorship for new graduates, common malpractice claims (broken ribs, stroke concerns), risk‑management strategies, the importance of clear patient communication and documentation, and the value of early reporting to your insurer. Dr. Hoffman also discusses public perception, ICD‑11/coding work connected to his family, and practical advice on safe, skillful adjusting.

Hosts Paul Andrews and Dr. Mark Davini examine the Luigi Mangione case — the 2024 shooting of UnitedHealthcare CEO Brian Thompson — and explore the alleged motives tied to frustrations with the U.S. health insurance system. They discuss the case details, media reaction, and the broader question of violence, mental state, and misplaced activism.

The episode breaks down systemic healthcare issues cited in the conversation: soaring premiums (over 325% since 2000), rising deductibles and copays, restrictive medical policies, pre-authorizations and gatekeepers, and the real-world impact on providers and patients. The hosts also note insurers’ reactions and the tension between coverage on paper and actual access to care.

Turning to chiropractic practice, Paul and Dr. Davini offer practical takeaways for providers: focus on demonstrating and selling the value of chiropractic beyond insurance, consider direct-pay and supportive services, empower staff and patients, and use this tragic case as a moment to reflect on constructive ways to address systemic frustrations without resorting to violence.