Fri. Apr 19th, 2024

The article is called My doctor wants me to pay a yearly subscription fee—and that’s increasingly common and does a so-so job in explaining DPC. Unfortunately, it conflates DPC and Concierge Medicine. So what is the difference? For the life of me, I don’t know. Why? Well, obviously if you still bill insurance then you are not DPC. The next difference between DPC and Concierge is cost and there is no true line of delineation. Sometimes things cost much more if you live in NYC so I understand while monthly fees would be higher. But this is a story for another day. Now back to the article. At least it gets some information out there about DPC and that is good news for us. Sort of. It does mention Phil Eskew’s site: “There are 1,450 direct primary care practices in the U.S., up by a little over 200 in the last year, according to data from industry tracker Direct Primary Care Frontier“. Let’s hope patients check that out.

Then it mentions some horsh$t information:

“The primary care physician may ‘cherry-pick,’ inviting the most healthy to join their concierge practice. Some studies have shown that concierge practices include fewer patients with diabetes or hypertension,” wrote two doctors and professors from the University of Arizona College of Medicine at Tucson on the rising phenomenon in the American Journal of Medicine.

And

Critics say that the growth in direct primary care and concierge health effectively creates a two-tiered health system. Since both concierge and direct primary care practices see fewer patients, it means there are even fewer doctors available for Americans who can’t afford such elite care. 

Both of these myths I dispelled in my first book.

So, there you go. We take the good and the bad but I hope some organizations (DPC Alliance, for example) reply to Fast Company and correct their misinformation.

8490cookie-checkDPC Highlighted in the magazine Fast Company
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By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

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