Sanjay Thinks Primary Care Docs Matter


Sanjay Gupta MD thinks we family doctors are still needed.  Good for him and hooray for us.  I guess.   Here he writes a column about the shortage issue and expresses some worry about the overuse of urgent care centers.  It’s a typical non confrontational cheesy piece that doesn’t hurt anyone’s feelings in trying to get his point across.  It turns out that having a primary care doctor is crucial.  That relationship is important for better care.  Urgent care centers run the risk of fragmenting that care.   I live in that world now and it’s disturbing.   Almost as disturbing as the blandness of Sanjay’s article.  It would be nice for one of these media docs to nut up and take a real stand on the primary care shortage problem instead of ignoring the pay issue, ripping on the insurers or placating the NPs.  Kind of like I do here every other freaking day.  Now I know why I didn’t get a TV show.

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] 

  5 comments for “Sanjay Thinks Primary Care Docs Matter

  1. ninguem
    June 19, 2013 at 3:23 pm

    Everybody says primary care docs are so important, but no one wants to pay them.

    Everybody says primary care docs are so important, then they turn around and expand scope of practice for nurses. If the docs were so important, they couldn’t be replaced with nonphysicians.

  2. Norispop
    June 19, 2013 at 2:31 pm

    I am afraid all of this pseudo primary care shortage is just another made up crisis to allow the government to step in further and mandate primary care docs to end private practice and become a govt employer.

    I’d rather quit and find another profession.

  3. Pat
    June 17, 2013 at 10:11 pm

    As Bert Cooper on “Mad Men” observed, “And there they are, the crocodile tears.”

  4. Ray
    June 17, 2013 at 7:11 pm

    A pathetic vanilla take on primary care. Give me a break. The “team approach” is a copout. If you want qualified, skilled, dedicated primary care PHYSICIANS then treat them with respect they deserve. That means paying them, pay their loans, and give them incentives to choose this dying specialty. Selling out to midlevels as “the solution” to primary care shortages is simply downgrading the quality of care. Do you want a Mercedes or a Yugo? If midlevels are the solution to the primary care PHYSICIAN shortage, then primary care as we know it is truly dead. No medical student will go in debt $300-400,000 dollars, do 4 years of premed, then 4 years of Med school , then 3-4 years residency to be paid $150,000 dollars to work 70 hours a week the rest of their lives. It’s all about RESPECT!

    • Kurt
      June 19, 2013 at 6:59 pm

      How anyone in good conscience can recommend primary care to a student is beyond me.
      As long as patient responsibility is ignored and primary docs are blamed for the problems we have, I tell students to get a billable set of skills and stay away.
      Until patients are held accountable for their sh**y habits not a d**n thing is going to change in this country. Period.

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