Kevin, M.D. - Medical Weblog

It can be saved if primary care docs will stop glorying in being martyrs and assert their own value and take control of their practices dictating their own business models. It may be that third parties don't want to pay for that much training for primary care and people who will not pay for their own care will only being seeing nurses and assorted other pseudodoctors.

It may be that physician provided primary care will live as a luxury for those with sense and will to pay for it.

I would love to find someone here who got off the insurance treadmill, charged me by the hour for unrushed care, and kept it private between me and him (no insurance)--preferable with in office dispensing.

I wonder if part of the reason this isn't available in my community is that primary care attacts a more conservative, less entrepreneurial type than some other specialites, where I see people making major investments in new models of practice all the time.