The rich only!!! Once again the rich get to b healthy and kill off the poor!!! Just a way around president Obamas healthcare. What happened to compassion? What happened to saving peoples lives? What ever happened to the hypocritical oath? All about the money!!!
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I just need to be well!!! Obamacare has been an unmitigated disaster. Yes, ten times more. Of course, only the gullible truly believed that. If you ask me, anybody who thinks that is somehow fair are the real greedy ones. My primary doctor is in the process of moving to the DPC model.
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I would pay a yearly fee that is based on my age. As mentioned, insurance is not accepted. I am still evaluating. But, he has been my primary doctor for the past 18 years. He knows me and I like him. I for one have never heard of concierge MDs. How about membership fees? Do they vary by clinics? It was discussed here that concierge doctors do extensive care and take time knowing the patient compared to those under insurance. Your email address will not be published.
This site uses Akismet to reduce spam. Learn how your comment data is processed. Many people are taking advantage of its benefits. What are concierge doctors?
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How do concierge doctors work? Patients join the practice as members and pay a membership fee. At the group's national meeting in New York City in March, several legal aspects and issues regarding concierge care were discussed. Supporters of concierge care expect that it will result in a number of measurable outcomes as this patient model continues to spread. These anticipated outcomes include improvements in services provided and in continuity of patient care; increases in the amount of time that physicians have available for community and humanitarian work, as well as increases in the amount of personal and family time; and the generation of desperately needed income to support affiliated hospitals and clinics.
The anticipated continuity of patient-physician relationships in concierge care contrasts with traditional primary care practices, which may be fraught with uneven or intermittent coverage delivered by physicians or nonphysician providers who may not be familiar with all the patients cared for within the practice. One might expect future outcome studies to evaluate the amount of preventive healthcare services occurring in concierge practices. With fewer patients to see and less paperwork—related to such issues as insurance, billing, and managed care—to fill out on any given day, concierge care has the potential to provide physicians with more time to engage in altruistic activities beneficial to public health, say proponents.
Such activities might include volunteering services to community clinics and increasing humanitarian or charity care. Proponents of concierge care believe that this model of care may help salvage the careers of those physicians who have become increasingly frustrated with overbooked schedules, managed care restraints, lack of personal and family time, and other problems associated with traditional medical practices.
According to these proponents, the option of concierge care might cause such physicians to defer considering early retirement or seeking employment opportunities in other fields. Future surveys of physician attitudes and career satisfaction are likely to shed additional light on this subject.
Concierge care continues to trigger various philosophical, emotional, ethical, and legal responses. Nevertheless, it is clear to us that concierge care represents an economic alternative that is viable in the current healthcare environment.
We suggest, however, that concierge care will have a limited influence on medicine and healthcare in the United States—mainly because of the small number of physicians likely to pursue this option. Normative judgment regarding improved consumer ie, patient and supplier ie, physician satisfaction in concierge practices can be favorably argued. The effects of concierge care on public health measures, prevention goals, and health outcomes remain uncertain.
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Nevertheless, evidence suggests that concierge care satisfies consumer criteria for value, based on an individual patient's willingness to pay extra for some measure of healthcare and status. Some people might object to the ability of wealthy individuals to purchase additional healthcare benefits beyond those available to less fortunate individuals on the grounds that it would be inequitable.
However, one needs to ask whether such an approach would be any more inequitable than our current system of healthcare. As long as different methods of supplier reimbursement exist, the role of payment will influence provider behavior and, thus, exert an impact on the quality and quantity of healthcare provided. We suggest that a reasonable compromise to concerns about inequities in today's healthcare system might be to offer society a standardized amount of health benefits as part of a universal healthcare program.
Affluent consumers who choose concierge care do not represent a large portion of the overall healthcare consumer population. Thus, they should not be expected to disrupt society's economic equilibrium as it relates to providing healthcare services. The open-market economy of the United States provides choices for consumers and promotes competition among providers of goods and services. A competitive economy ensures the existence of a mechanism for people willing to pay for unique goods and services. First-class airline tickets versus standard coach seating, luxury versus economy automobiles, sky boxes versus general seating at sporting events, and private versus public schools are all accepted options that are compatible with our market-based society.
Often, the availability of these options provides an incentive for increased or improved output by producers. Similarly, concierge care should remain a viable option for consumers as long as it does not drain resources devoted to the mainstream healthcare system. Many people would probably agree that healthcare and medicine fall into a much different economic paradigm than the airline industry or baseball tickets. After all, healthcare and medicine incorporate humanistic factors and values that are far removed from materialistic, competitive decision making.
Nevertheless, in healthcare, there does exist a dichotomy involving patients' essential needs and nonessential demands. Fuchs 44 also points out the importance of selection at individual and societal levels, asserting that people cannot have all the health or all the medical care that they would like to have, so they inevitably must make choices. Ethics and value judgments must guide individuals as they make decisions and choices about using available healthcare resources. Many people believe that healthcare is a basic right, rather than a privilege. Yet, not all of these people may be willing to increase their personal out-of-pocket expenses or to approve tax increases for improved healthcare services.
Concierge care allows individuals to devote more of their personal resources to their own healthcare. An argument can be made that concierge care is an attempt to permit discretionary space for a small, consumer-driven market niche, while not interfering with the rights of all persons to have access to basic healthcare. Concierge care programs have shown success in providing needed financial support for some primary care services, such as those at Tufts-New England Medical Center and the Virginia Mason Medical Center.
Until more complete evaluative analyses of several critical issues are examined, we conclude that normative judgment supports the creation and use of concierge practices within a small, consumer-driven market niche.
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Quantitative as well as qualitative results, including local health surveillance data recently released by the CDC, 45 may contribute to these important analyses. Additional investigations should also help determine whether improvements in overall quality of care and heath outcomes will actually occur for those individuals able to afford the services of concierge care.
Hoffman W. October Accessed September 29, Silver JK.
New Book Released, The Patient Guide To Concierge Medicine
High-end health care. Unique Opportunities: The Physician's Resource. Entrepreneur Web site. Accessed April 14, Darves B. Access fees have physicians moving cautiously. April Reinhardt UE. Doctors are more interested on having high incomes than providing better health care [letter]. Newman L. Doctor's groups must rally to preserve the US public's health [letter].
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Bulletin Novello AC. April 16, Arevalo JD. Retainer medicine: better care or unethical [letter]. Today Cardiol. June Goldstein SM. July Campion EW. A symptom of discontent [editorial]. N Engl J Med.
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Kolata G. Sick and scared, and waiting, waiting, waiting. New York Times. August 20, A1. Washington HB. If patients speak, will doctors listen [letter]? August 25, A Kassirer JP.
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