AAFP Deletes My Post


I was very excited when Josh Umbehr MD at Atlas.MD told me that the AAFP had interviewed him and was doing a piece called Get the Inside Scoop on Running a Direct Primary Care Practice.  As you can see from the link it is a webinar where he will be:

  • discussing the evolution of the direct primary care model,
  • sharing personal stories about improved patient care and physician satisfaction, and
  • providing insight into how the model can revive a practice and increase its revenue.

That is when I noticed the comments.  It seems Michael Oppenheim decided to put his two cents in by saying:

Concierge medicine is sleazy. It aims to maximize income and personal convenience. I’m comfortable labeling doctors who claim otherwise as hypocrites, and that includes several I know personally.

Really?  There wasn’t even a story to comment on and yet this idiot has to give his personal opinion.   And we wonder why family docs gets no where in this profession of medicine.  Is maximizing income and personal convenience bad?

I decided to leave this comment on the AAFP New Now site:

Well, Michael, I am very pro “concierge” care as per the way Atlas MD does it.  Now if you think his system is sleazy then that is your prerogative.  Just as it is my prerogative to call you a royal douche.

Unfortunately, I received the following email:

Your forum post was deleted by a moderator.

Reason: Dr. Farrago, Please be advised that we are removing your comment because of the use of an offensive term, which is prohibited by AAFP commenting guidelines. Please keep this in mind when you make future comments. Thank you. Nancy Kuehl, Executive Editor AAFP News Now

ForumAAFP News NowSubject: Get the Inside Scoop on Running a Direct Primary Care Practice — AAFP News Now — AAFP

Of course the person sending me this email, Nancy Kuehl, did not attach her own email address so I could respond…….but I found it with a little digging.  I sent her this:

Was it the word “royal”?  I will refrain from using that from now on.   I promise.  –  Doug

 No response from Nancy yet.
By all means, if anyone wants to leave a message hammering the royal douche, go right ahead and do so on the link I provided above.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  6 comments for “AAFP Deletes My Post

  1. mamadoc
    May 15, 2013 at 10:17 pm

    Maybe it would have been OK if you’d called him a royal maroon?

  2. Vance
    May 15, 2013 at 10:08 am

    How is “douche” worse than “sleazy”? Really, if the hypocrites at AAFP are allowing some name-calling, they should allow it all. Hmm…maybe it’s just the terminology. Needs some word-smithing. I think I’ll try to find time to locate this story and post. I’ll call the guy a “Royal Vinegar and Water Feminine Rinse Solution”

  3. FedUp
    May 11, 2013 at 2:29 pm

    I couldn’t agree more with Pat and Doug. If I could figure out a way to transition to this concierge type of medicine, I would do it in a heartbeat. Unfortunately because I still owe hundreds of thousands of dollars of medical school loan debt, I doubt it will ever happen. I saw a bumper sticker the other day that said “Healthcare For The PEOPLE, Not PROFIT” I was ROTFLMAO laughing wondering how many doctors out there would be willing to provide that Healthcare For The People without getting paid.

  4. Ken
    May 11, 2013 at 12:40 pm

    Agree with Pat. I work to make money to support my family. I never trust those who say otherwise. As for the AAFP, I stopped paying dues years ago–all I got for my money was throw-away journals (which I still receive) and requests for more money.

  5. Pat Conrad
    May 11, 2013 at 11:19 am

    I read this juvenile’s reply and as per usual for supporters of a collective, he substitutes emotion for reasoned argument. In defining hypocrites, he only attacks profit and convenience.

    What about the hypocrisy of subordinating the patient’s interests to per-authorizations, billing codes to to improve payment rather than precision, cost-shifting from government dependents to the working poor, the AMA, AAFP, et al promoting government control of their members, the necessities of defensive medicine, and on, and on…

    For my money (ahem), I think medicine as now produced in this country is fundamentally dishonest. I’ll trust the doctor who states his profit motive forthrightly over the AMA/AAFP drone trying to wrap himself in the values of medical homes, meaningful use, and phantom “equal access”…this guy is no less concerned about his own profits than the concierge doc, but he’s not willing to admit it even as he attempts to appear more virtuous by damning those more honest than he.

    • Mark C
      May 21, 2013 at 12:55 pm

      Pat- you’ve hit it right on the head! I’ll second that.

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