Direct Care Is The Blue Collar Bootstrap Solution To Our Broken Healthcare System

Yes, it’s true. More and more primary-care and family physicians are launching concierge practices for middle- and lower-income patients. It’s not an April Fools jokes. We literally saw 5 more docs enter the field just this week!

And yes, we’re limited in scope now. But we are radically reshaping how American families get their medicine.

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LISTEN: Podcast, Ep. 14

LISTEN: Podcast, Ep. 14

We’re back and a LOT has happened! Seriously, 2014 is going to be a year of paradigm shift — the status quo isn’t going to cut it if insurance premiums jump 50-60% and fee-for-service docs are being told to keep 6 months of cash on hand to protect themselves from ICD-10 payment delays. Great news, though, we’re working with large unions comprised of 10-15k employees — manufacturing unions, school district unions, others — and excited about how vital this could be in the spread of direct care. And there are more physicians cutting the red tape — A practice in Oklahoma opens April 1st; Dr. Michael in Missouri is almost ready to start operating cash-only; an office in New Mexico opens February 1st; and several more are slated for the next few months. Once this ball gets rolling, we’re convinced it’s not going to slow down.


In this episode, the docs outline best practices for direct care pricing, share a surprising story of insurance intimidation, and offer insight into the effects that insurance-free medicine will have on healthcare.

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In case you missed it, Dr. Josh was invited to speak on Fox News’ Your World. It makes a great companion to Doug’s appearance on Huckabee earlier this year.

It’s challenging to get your message across in one TV segment. However, this is a great place to start spreading the idea of direct care. Friends, family, colleagues, etc. are most likely frustrated with the current way they are receiving or administering healthcare, whether it be the pressure of paying monthly premiums, frustrations with finding docs within their network, the inevitable waits that are attached to any interaction, or traditional docs creating 3 minutes of admin work for every minute they treat patients.

If you think someone could benefit from direct care (patient or doctor) tweet this video. If they have questions, be prepared to address them.

Here are a few points that weren’t directly addressed in the video:
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