To follow up, I link to a current Forbes piece by Dr. Hsieh titled, Is Concierge Medicine Right For You?, in which he discusses alternative practice models being developed to respond to the phase in of Obamacare. In the wake of an impending physician shortage due to a "silent exodus" from the profession and declining reimbursements, doctors "are establishing “concierge” or “direct pay” practices, where patients pay a monthly or annual fee for enhanced services, including same day appointments, 24/7 access to their doctor, e-mail consultations, and longer appointment times." He goes on to discuss some key considerations and points out that you will likely face a choice:
Over the next decade, we will likely see the evolution of primary care delivery into two tracks. Some patients receive high-quality care from happy, motivated concierge doctors, whereas others will have to make do with rushed “assembly line” care from overworked providers trying to get their patients in and out the door as quickly as possible.He concludes that "if you don’t choose, the choice will be made for you."