Wed. May 8th, 2024

Take a look at this article in Forbes. It’s called Primary Care Is Increasingly Going Virtual. What Does This Mean For Healthcare? The answer, in my opinion, is that it depends on who is doing it. If it is a Direct Primary Care doctor, who knows his or her patients really well, then great. It is an excellent adjunct. But that is not what the article is about. Here are some highlights:

  • The latest company to work on this is CVS Health, which announced last week that it will be launching a comprehensive virtual primary care solution
  • One of the most prominent recent ventures has been Amazon’s Care platform, which aims to “help manage your primary care and preventive health concerns […and…] promote[s] health and wellness through disease prevention and help[s] manage long-term medical conditions.”
  • Traditional healthcare entities are also entering this race. Take for example Baylor Scott & White, which is one of the largest hospital systems in the country; the system will now offer virtual visits 24/7, connecting patients with a healthcare provider on demand.

So, what does the above mean for healthcare? Ummm, how about the high chance of sh$tty care. You CANNOT do everything virtually. I don’t give a crap what the brilliant Big Tech people think. They didn’t go to medical school. There is NO replacement for knowing a patient. There is NO replacement for being in the room and doing a real physical exam. Virtual Gestalt is not a thing.

Then there is this quote:

Creagh Milford, D.O., Vice President of Enterprise Virtual Care at the company, explains: “We’re meeting people where they are on their health care journey and providing care that is more convenient and easier to access […] By offering a connected care team where providers can easily exchange clinical information on behalf of their patients, and an extensive local footprint for in-person care follow-up, we’re able to provide consistent, high-quality care. This model shifts from reactive to proactive care that can ultimately improve outcomes and help lower costs.”

Have you heard a bigger load of bullsh$t in your life? I just love the buzzword terms that mean nothing like:

  • Health Care Journey (Is this like Frodo and Sam looking for some type of healthcare ring?)
  • Connected Care Team (I used to love the kid’s game Connect 4. Is this the same thing?)
  • Extensive Local Footprint (Is that a Bigfoot reference?)
  • Improve Outcomes and Lower Costs? (Where have we heard that before?)

Lastly, the term virtual is also very interesting. It basically means not the real thing. Direct Primary Care only adds the VIRTUAL piece to the REAL thing. That will work. All the other examples above are just money grabs by greedy corporations.

Prove me wrong.

96550cookie-checkPrimary Care vs. Virtual Care: Not the Same Thing.
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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.

One thought on “Primary Care vs. Virtual Care: Not the Same Thing.”
  1. Interesting to note that the author is an M.D. and J.D. He states that he relies on his medical training. I would be curious to know if he finished a residency and if he takes care of patients in a clinic. It is possible he finished medical school and then went straight to law school.
    I agree with this being a money grab by big corporations. My impression is that Amazon gets into a business for profit reasons only.

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