My interpretation is he feels medication is pushed too much and rarely solves the problem. He mentioned how people wanted to taper off and eventually stop taking prescription medication. He didn't like how he isn't allowed to help with that area.

Also he voiced how the cost difference for someone staying in the hospital as an impatient is very high compared to seeing him. Insurance will try to prevent patients from seeing him 3 days per week and only want once a week (even if 3 days is helpful). Insurance companies have every detail about a patient and demand it without respecting privacy.