Reply to Drs office charging monthly fee for "better service"??

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[quote=Anonymous][quote=Anonymous]Better care to me means a dr spending the time with you to listen and to figure out what is actually wrong.  Better care is the opposite of what i get at my gyno, reiter hill, where i wait for an hour to spend 1.5 mins with the dr.  It's awful.  I pay privia so my internist doesnt become my gyno. So he doesnt have to take on a ton of patients and see them all for 5 mins to make money, which seems to be what my gyno has decided to do.[/quote]

Go midwife!

My (non-profit) OB has responded to increased financial pressure by shortening appointments to nothing to squeeze in as many paying patients as possible.  I pay out of pocket for my midwife, who comes to my house for appointments and stays for an hour or more.  There are GYN midwives out there, too, and I think it is worth every penny.

It is also true that primary care doctors, who have always made the least, now make even less.  My MIL is a pediatrician, and her income has steadily decreased over the years, even as her patient load increased.  She dropped Tricare in a military town, even though she came to America by joining the US military, because their reimbursement rates dropped below Medicaid.  She is well past retirement age, still working 100+ hours a week, both because she loves her work and because the value of her practice has dropped so much.  No more "selling practices" to retire...[/quote]

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