Thu. May 9th, 2024

Sometimes defensive backs get suckered into a fake by the wide receiver and then blow the coverage. I did the same thing when reading the article on Vermont’s primary care problem. My apologies. Somehow I got distracted by an ad or something and didn’t go down far enough (insert your favorite Michael Scott line here).

Anyway, here are some highlights:

But what if there were a way to have both a consistent revenue stream and the freedom to spend more time with each patient? 

That’s the driving question behind what’s known as “direct primary care,” a relatively new model of medicine that allows physicians to avoid the more frustrating aspects of traditional health care — insurance paperwork and overloaded schedules — and instead focus on patients.

And this:

Dr. Marian Bouchard runs Fiddlehead Family Health Care in Bristol, a direct primary care office. It’s her second stint in private practice after spending the last eight years at a Federally Qualified Health Center, a model of primary care championed by Sen. Bernie Sanders (I-Vt.), and subsidized by the federal government, to care for underserved populations. 

Bouchard also argues that the model might actually keep some doctors in private practice, because it gives burned-out doctors a chance to find joy in their work again. “People are retiring because they have had it,” she said. “If you’re a family doctor and you’ve devoted your life to training to do this, there’s a lot of you that’s in this … You don’t stop painting if you’re a painter, right?”

So, I do want to give the journalist credit for mentioning DPC. I also want to shake all the family docs who are resistant to making the move because of some oath they never took. “Thou shall always work within the insurance model.” It’s time to move on from it.

44520cookie-checkI Blew The Coverage on Vermont
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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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