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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I want my medical care to be provided by someone who completed medical school and a residency, preferably who is board certified.
 There is no comparison between that and a nurse, even one with an advanced practice degree

Unfortunately the MDs around here who are highly regarded all seem to be going the concierge route. It is not right. [/quote]

Why is it not right? After all that training, don’t you think they should be able to choose how and where they practice? Do you hold all jobs to that standard? For example, a world class architect MUST design public housing complexes for Pennies on the dollar or else it’s “not right”? [/quote]

NP. It's "not right" because people -- and especially people with insurance -- should be able to get basic, competent primary care from a medical doctor. That shouldn't be just for people who can afford concierge. We're not talking about "world class" primary care docs or even high-level speciality care (although one could make a separate case that that shouldn't just be for the rich either). We're talking about average to above-average doctors.

The truth is primary care docs, and many specialists, in this area can go concierge because there is a lot of disposable income in certain portions of the MD-DC-VA Metropolitan area. In short, there is too much money chasing too few resources. Docs know they will get paid regardless, and they can charge more and discard the hassles of dealing with insurance companies. In some cases patients do benefit, through, for example, longer appointments and more personal attention for the doctor. But, as someone whose family members have experience with three different concierge docs, I can tell you that even the concierge experience can vary widely. Some doctors are smart, helpful and available, with good networks of specialists to refer patients to, while others are just interested in a guaranteeed revenue stream and a lighter workload.

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