This Authentic Medicine blog is biased for Direct Primary Care (DPC) and the free market. I am very open about that. This, and the fact that I have been doing this daily for sixteen years, makes me more critical of other articles, studies, opinions, programs, initiatives, etc. that get traction in the media. So when I saw this crappy article by the Commonwealth Fund I knew it couldn’t be good. They are a socialized medicine proponent who cherry picks their data points. This article was no different except they have no data points and now they are attacking DPC! Nothing gets my ire up more than that. Read the whole article if you can but here are some highlights with my thoughts in parenthesis:
Direct Primary Care Arrangements Raise Questions for State Insurance Regulators
- These consumers might be caught unaware by the limited scope of services available to them; when they get sick, medical services such as hospitalization, prescription drugs, or rehabilitation may not be covered. (Hence why we never say we are insurance because, ummm, we are not. And every DPC doc tells their patients this.)
- While some practices accepting direct primary care contracts serve vulnerable populations including the chronically ill and undocumented immigrants, others might have an economic incentive to enroll healthier members who are least likely to use services. (The word “might” is a pretty big matzo ball hanging out here. My aunt might have testicles and therefore might be my uncle or she might not. The truth is that DPC docs take all comers because our monthly fee is affordable).
- Without state regulatory oversight, there might be a greater risk of DPCA insolvency when demand for promised services unexpectedly exceeds the practice’s ability to provide them. (Did I mention my aunt’s testicles? There is no evidence found ever that demand has exceeded a DPC doc’s services. NONE. Why? Because we only have 600 patients. There has been instances of more patients wanting to join then we can handle and then you know what happens? We hire another doctor to take them on. It’s called the free-market. Look it up.)
- With the rise in popularity of DCPAs, states might have to consider, or reconsider, their regulatory stance toward these arrangements. (And there it is. Without any evidence these three authors claim we need more government oversight because that hasn’t destroyed our system enough).
Let me just say a few more things. DPC = Direct Primary Care. DPCA is the Direct Primary Care Alliance, which is the only official organization that can speak on behalf of Direct Primary Care. Maybe these authors could have spent a few minutes calling the DPCA to get their facts straight? Nah, why let facts get in the way of a good story.