In this eye-opening episode, David Bernard sits down with Dr. Gretchen Badami, Doctor of Oriental Medicine, herbalist, professor, former associate dean, and host of the Elevated Practice Podcast.

Together, they explore the real reasons why acupuncture schools are closing, why 80% of practitioners fail in the first five years, and what absolutely must change for the profession to survive.

Gretchen brings nearly two decades of experience from every angle of the field — clinician, educator, administrator, philosopher — and offers a brutally honest but deeply compassionate look at the structural, financial, and cultural challenges facing new practitioners.

In this conversation, they unpack:

• The true cost of becoming an acupuncturist (and why students are buried before they start)

• Why most graduates unknowingly sign up to be entrepreneurs, not employees

• How student loans, cost of living, and long program requirements create structural barriers

• Where acupuncture schools are failing — and where their hands are tied

• Why business training is completely insufficient in most programs

• What new grads actually need to survive their first 1–3 years

• Why society needs integrative medicine more than ever

• How to create a sustainable practice without burning out

• The vital importance of marketing, mentorship, and outsourcing

• The opportunity created by school closures and rising demand

• Why the next generation of practitioners must rethink what “practice” looks like

This is one of the most important Fireside conversations yet — a candid and nuanced discussion about the evolution, challenges, and urgent opportunities facing the acupuncture profession today.

🔥 If you're a student, new practitioner, educator, or clinic owner, this episode is essential listening.