6 Comments

I like the analogy to airline travel.

I have a neighbor who is on the Board (or some kind of thing) at Mt. Sinai. One time she wanted to go to the ER due to a potential neurological issue. She called ahead - no waiting.

I met Allen Ginsberg at a book signing long time ago - he was cranky....šŸ˜±

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Jan 8, 2023Ā·edited Jan 8, 2023

Seems to me that concierge medicine is similar to the VIP medicine you describe in hospitals, permitting patients who can afford and are willing to pay an extra fee better access to the most experienced physician in the practice. Iā€™d like to read your take on that.

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Fair point - briefly, in our hybrid concierge model, enhanced access and better administrative support costs more but the medical care is the same. I realise that nutshell answers raise as many questions as they answer, and there are many business, medical, and practical reasons why we chose to take that road - totally agree that deserves a full blog! Thank you GT.

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I would very much appreciate your (full) take on this. My personal experience has been that both access and the quality of care (post-concierge) deteriorated significantly for those of us unable or unwilling to pay for concierge access. My (uninformed) conclusion is that reimbursement rates are so bad that family medicine practices in high-priced cities like NYC canā€™t really make it financially. Still, wouldnā€™t it be better to admit that instead of pretending that the level of care will be the same?

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Love this one, Bertie. As usual, bravo!

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Thanks Deb!

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