Medicare Cuts Are Destroying Physical Therapy — Here's Why You Should Care

Physical therapy payment is shrinking while tuition keeps rising. In this episode, Steve Smith, private practice owner and President of APTA Massachusetts, explains why advocacy isn’t optional anymore — it’s survival.

We talk Medicare cuts, scope of practice reform, prescriptive authority, diagnostic imaging, and why every PT and PTA needs to know their legislators. If you’re a clinic owner, rehab director, or staff clinician wondering why reimbursement feels harder every year — this episode connects the dots.

Advocacy → Payment → Access → The Future of PT.

⏱️ Chapters

00:00 – Live From CSM
02:10 – Why He Bought A Clinic
05:30 – Payment Is The Problem
08:15 – The Soft First Step
11:05 – The Big Advocacy Goal
13:45 – State Wins And Risks
15:20 – Never Assume. Always Ask.