DPC May Be a Leg


A recent piece in the Wall St. Journal, by Jame Capretta and Scott Gottlieb, spoke about how Rep. Tom Price (R., Ga.), the next secretary of Health and Human Services, “offers a generational opportunity to pursue a new direction for American health care.”  What direction is that?  Well, the authors feel it “should be fully consumer driven, empowering individuals to be the surveyors and purchasers of their care.”  I like that already.  Skin in the game.  Americans are great shoppers. What else?  They feel the plan should be comprised of  four legs that will:

  1. Provide a path to catastrophic health insurance for all Americans.
  2. Accommodate people with pre-existing health conditions.
  3. Allow broad access to health-savings accounts
  4. Deregulate the market for medical services

I like all these and have written about them individually and extensively over the past 15 years here at the Authentic Medicine Gazette.  But what intrigues me the most was in section #4.   Here is a quote from the linked article:

For example, those consumers who maintain HSA balances should be allowed to use their resources to purchase direct care—basic services that keep people healthy and treat illnesses and chronic conditions—from physician groups. This might take the form of a monthly fee, a practice sometimes referred to as direct primary care. Today, this could be considered an insurance premium that’s barred by law.

Finally, these guys get it!  We are validated.   Direct primary care is a critical piece or leg in fixing our broken healthcare system.

The next part, in my opinion, is truly defining DPC so the same idiots (administrators) don’t try to co-opt it as their own and ruin.  That time is coming.  We need to be prepared.  Real DPC clinics are physician owned with each patient having their own doctor and NOT a “team”.  More to come on this.

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]