Direct Primary Care and Direct Specialty Care: Transparent and affordable concierge care

If we let the FDA’s social media campaign against Ivermectin slide, it merely emboldens them, allowing them to have a tighter grip on the doctor-patient relationship going forward. Full interview in comments. pic.twitter.com/np5uFGtEdT

— Mary Talley Bowden MD (@MdBreathe) September 24, 2023

It's called the Pay-4-Performance Program.  Catchy title, eh?  And doctors are financially ding'd if they don't follow the checklist.  And I'll bet that you chose your doctor because you thought you were getting Harvard-grade medical education, didn't you? Physicians who take Medicare are actually required to participate in the program.  Wow, thank you, LBJ.

The Physician P4P program offers performance-based incentives to qualified high-volume physicians and higher-volume Community Clinics that provide high-quality preventive and chronic care to L.A. Care members. 

Dr. Mary Talley Bowden explains that she's opted out of Medicare.  She calls herself Third-Party Free, where she does not take any Medicare patients.  She exAthains that she doesn't take any orders from the government.  Doesn't take any orders from insurance companies or any orders from hospitals.  Wow.  The only people I work for are my patients.  There's a great movement happening, called Direct Primary Care and Direct Specialty Care, which goes along with these premises.  It's cash only but it's transparent and affordable concierge care.  So you can have insurance, but save your insurance for catastrophic care . . . , but for your everyday needs, paying cash and seeing doctors NOT TIED TO THE SYSTEM is a much better way to go.  

You don't have an employee dealing with insurance companies.  You get to spend more time with your patients, so I spend 45 minutes with each patient who comes in new.  Patient satisfaction is so much higher.

Is it more economical to go to cash-only doctors?

One good example is patients who need ear tubes, ear tubes for a chronic ear infection. If you see need and the total price includes anesthesia, surgery center, and surgeon, it's $3,000. If you go to Texas Children and ask them for a cash price, $10,000.

Another example is in the clinic as an ENT we look at people's noses and sinuses with an  endoscope.  Under the insurance model, patients would oftentimes get a bill for $400 for that endoscopic examination.  For $300, the patient can see me as a new patient, a follow-up patient is less expensive than a new patient, but the endoscopic exam is included. So there's no surprise billing, and they can also shop around. The problem is no one knows . . . the doctors that take insurance, they don't display their cash prices, so . . . and I see a lot of patients that have very high deductibles, so they are functionally uninsured; they are basically paying cash unless they have catastrophic care.  And so there's a need for more transparency with outpatient care so the patient can shop around.  there's a need for more transparency so the patients can shop around.

Ginny Head adds, 

We CANNOT forget Fauci pulled this same crap in the 1980s with doxycycline in the treatment of polycystic pneumonia in AIDS patients! He said it was not researched, just as he did with Ivermectin. He had to get his AZT instead just like the COVID-19 vaccines!