I really feel we are headed toward a two-tier system, so well-explained here:
To find a concierge doctor or locate a direct primary care medical practice in your area, see and .
I think Obamacare played some part in the emergence of concierge medicine. I usually think of a concierge as a hotel grunt who assists guests by arranging tours, etc. In the medical field, patients get special treatment from concierge doctors.
Those who can afford to pay the annual fees are flipping to concierge medicine for their health care. Annual fees range from $200 a year to $1,500 or more. Concierge doctors limit their patient loads to
400-600 people, give them better service like same-day and longer face time and 24/7 access!
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--- In ibmpensionissues@..., dan finn <dfinn1@...> wrote:
But if everyone were covered under a single payer, then practices go out of business if they refuse to accept payment from single payers, correct? Or, the prices would be so low that they cannot continue to pay for their liabilities such as homes, cars and expenses. This is the part where very good doctors with lower financial expectations from places like the Philippines and India set up shop in the usa...ACA (regrettably not single payer) will probably necessitate this anyway due to high demand. They would be here now except for the arbitrarily protective visa limitations that could be liberalized, probably by executive order.
