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	<title>Comments on: Primary care sacrifice</title>
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	<link>http://www.kevinmd.com/blog/2008/10/primary-care-sacrifice.html</link>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/10/primary-care-sacrifice.html/comment-page-1#comment-88093</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 13 Nov 2008 08:01:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/10/primary-care-sacrifice.html#comment-88093</guid>
		<description>I&#039;m a graduating primary care resident next summer that is also going into concierge medicine. Maybe I will work a few years in a traditional system just to get my hands more wet, but most likely, I will start up from scratch.&lt;br/&gt;&lt;br/&gt; No way I am going to work for the government for peanuts and take crap all day. I would rather not practice medicine than having to even think about &quot;ICD&quot;-codes.&lt;br/&gt;And Kevin is right. There are more coming. I don&#039;t know any of my fellow residents that haven&#039;t considered concierge in one or the other way.</description>
		<content:encoded><![CDATA[<p>I&#8217;m a graduating primary care resident next summer that is also going into concierge medicine. Maybe I will work a few years in a traditional system just to get my hands more wet, but most likely, I will start up from scratch.</p>
<p> No way I am going to work for the government for peanuts and take crap all day. I would rather not practice medicine than having to even think about &#8220;ICD&#8221;-codes.<br />And Kevin is right. There are more coming. I don&#8217;t know any of my fellow residents that haven&#8217;t considered concierge in one or the other way.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/10/primary-care-sacrifice.html/comment-page-1#comment-87514</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sun, 05 Oct 2008 15:08:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/10/primary-care-sacrifice.html#comment-87514</guid>
		<description>ha!  the mid levels won&#039;t want to do primary care either.  what is going to happen then?</description>
		<content:encoded><![CDATA[<p>ha!  the mid levels won&#8217;t want to do primary care either.  what is going to happen then?</p>
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		<title>By: Steven D. Knope, M.D.</title>
		<link>http://www.kevinmd.com/blog/2008/10/primary-care-sacrifice.html/comment-page-1#comment-87512</link>
		<dc:creator>Steven D. Knope, M.D.</dc:creator>
		<pubDate>Sun, 05 Oct 2008 15:02:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/10/primary-care-sacrifice.html#comment-87512</guid>
		<description>As our politicians have been pontificating about the &quot;morality&quot; of nationalized health insurance,  there has been a silent, mass exodus from primary care medicine.  No bright young medical student in his/her right mind would opt for a career as an internist in our current system, or even worse, opt for a career in some nationalized health care system run by Washington bureaucrats.  &lt;br/&gt;&lt;br/&gt;Concierge medicine, which is nothing more than private practice with a twist, is the only rational response for young doctors who want to practice internal medicine.  Good for them!  &lt;br/&gt;&lt;br/&gt;Steven D. Knope, M.D.&lt;br/&gt;Author, Concierge Medicine, A New System to Get the Best Healthlcare.&quot;  (Praeger, 2008)&lt;br/&gt;www.conciergemedicinemd.com</description>
		<content:encoded><![CDATA[<p>As our politicians have been pontificating about the &#8220;morality&#8221; of nationalized health insurance,  there has been a silent, mass exodus from primary care medicine.  No bright young medical student in his/her right mind would opt for a career as an internist in our current system, or even worse, opt for a career in some nationalized health care system run by Washington bureaucrats.  </p>
<p>Concierge medicine, which is nothing more than private practice with a twist, is the only rational response for young doctors who want to practice internal medicine.  Good for them!  </p>
<p>Steven D. Knope, M.D.<br />Author, Concierge Medicine, A New System to Get the Best Healthlcare.&#8221;  (Praeger, 2008)<br /><a href="http://www.conciergemedicinemd.com" rel="nofollow">http://www.conciergemedicinemd.com</a></p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/10/primary-care-sacrifice.html/comment-page-1#comment-87508</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 04 Oct 2008 16:39:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/10/primary-care-sacrifice.html#comment-87508</guid>
		<description>Kevin,&lt;br/&gt;&lt;br/&gt;You&#039;re mixing &quot;cash based&quot; and &quot;boutique&quot; practices as if they&#039;re synonymous, they&#039;re not.  &lt;br/&gt;&lt;br/&gt;Cash based practices reject third party payers but aren&#039;t necessarily for the affluent nor always require an annual fee.  Boutique practices often take insurance payments but, of course, get that annual fee from their affluent patients.</description>
		<content:encoded><![CDATA[<p>Kevin,</p>
<p>You&#8217;re mixing &#8220;cash based&#8221; and &#8220;boutique&#8221; practices as if they&#8217;re synonymous, they&#8217;re not.  </p>
<p>Cash based practices reject third party payers but aren&#8217;t necessarily for the affluent nor always require an annual fee.  Boutique practices often take insurance payments but, of course, get that annual fee from their affluent patients.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/10/primary-care-sacrifice.html/comment-page-1#comment-87506</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 04 Oct 2008 14:04:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/10/primary-care-sacrifice.html#comment-87506</guid>
		<description>These &quot;boutique&quot; opportunities will no doubt come laden with contractual restrictive covenants that will place the new graduate in the subordinate position to his employer for some time to come, perhaps indefinitely. If he gets dissatisfied covering the call of his and his employer&#039;s practice, there will always be another new graduate to take his place.</description>
		<content:encoded><![CDATA[<p>These &#8220;boutique&#8221; opportunities will no doubt come laden with contractual restrictive covenants that will place the new graduate in the subordinate position to his employer for some time to come, perhaps indefinitely. If he gets dissatisfied covering the call of his and his employer&#8217;s practice, there will always be another new graduate to take his place.</p>
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