December 8, 2021

4 thoughts on “Circa 2013: Consumer Reports Magazine CMA and Medical Editor on Concierge Medicine

  1. It’s the quality of the physician that decides wether of or not one receives good care, not wether or not the physician is concierge. To answer the question : Does a doc on retainer deliver better care, (given the quality of the doc is good) the answer is YES. Why? Because the doc’s motivation is to keep the patient healthy. If the patient is healthy, the patient is happy and requires fewer visits. In a standard practice, the more visits to the doctor results in more money to the doctor. What is the incentive for keeping the patient healthy and Not having to visit the doctor?

    As for the “double dipping”,my experience is most, concierge physicians do NOT TAKE ANY FORM OF INSURANCE. Most OPT OUT of medicare. They are not double dipping.

    As a person with a chronic, progressive, neurological condition, I have been healthier and have far fewer doctor visits since starting my relationship with my concierge physician 3 years ago. During 2012, I had 4 visits, a few emails, and a few text messages.

    Visits to specialists have been all but eliminated because my physician takes the extra time to treat more complicated issues instead of sending me to a specialist (to feed the pipeline of the larger organizations that now employee most doctors). When a specialist visit is required, the visit is more focused because my doctor has consulted with the specialist before my visit.

    Ethical? My care is greatly improved, my use of physician time is lower, putting less burden on the system, I pay my own bills putting No burden on the system (read, taxpayers). How is my care unethical or causing less care for others?

  2. “The trend toward a medical system of haves and have-nots also raises moral, legal, and ethical questions—for example, whether it’s appropriate that a concierge doctor who treats Medicare recipients essentially gets paid twice: the premium he or she collects from the patient, plus payment from Medicare, which is funded by taxpayers.”

    Sadly this comment, preloaded with pejorative terms, belies a prejudice unbecoming of an “M.D.”

    There are a number of models of concierge medicine. Ours, for instance has nothing to do with our insurance. Our Doctor’s office uses Medicare and our supplement insurance as any doctor would. The annual fee we pay is only concerned with access as it allows the practice (there are two doctors in the practice) to see patients on short notice and weekends as well as emergency contact 24/7. In addition, we discuss things via email.

    There are no ‘ethical’ questions involved here except in the minds of those trained to see them. And, as I noted above, it’s especially sad to see someone as smart as a doctor is supposed to be, using the kind of malformed logic displayed there.

  3. “adequate insurance, but no one to accept it.”

    Isn’t this the essential problem with the ACA? I think most docs are tired of the games the government plays just to be paid 20% of what private insurance pays. Doctors are smarter than congress, at least we hope we are. I’m sure they will find a way to drive out the competition there too.

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