Please read this eloquent post on the issues of retainer medicine -On the Transcendent Importance of Retainer Medicine
DrRich argues persuasively that the retainer movement represents an important sea change.
Finally, we should note that any innovation that can potentially spare patients from some of the harm the healthcare system has in store for them will necessarily be applicable to only some patients at first. That’s how disruptive processes work. They begin as niche products or services, attractive only to a few high-end users; too expensive or too marginal for the vast majority; ignored, ridiculed or castigated by current providers. But if at their core they’re offering something fundamentally useful, they will slowly demonstrate their worth – and eventually all the potential users will see the light, and demand for the product will become explosive. When that happens, the means are found to make the new product affordable and available to meet the demand – often by making significant “adjustments†to the original concept, that nonetheless preserve the core benefits. And when that happens, the traditional providers (who never saw it coming) are suddenly out of business.
His entire entry is well worth your time. Thanks DrRich!
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{ 2 comments… read them below or add one }
DrRich does a great job, well worth the read. I have to ask, given the vocal opposition to retainer medicine:
Are doctors truly concerned about the effects and ethics of this style of practice?
or
Are doctors trying to justify their current practice model?
The point has been made, several times, that this is not a mandated program, but will first attract those physicians wanting to leave primary care, or those who might not other wise enter primary care.
I view any system that would increase the number of primary care doctors and move the focus on medical care back to the patient, ME, as a good thing.
Steve Lucas
I agree with Dr. Rich and offer a hearty nod to Steve’s closing sentiments. I am an ethics major who is now trying to “make a difference” by enrolling the uninsured in free med programs with pharmaceutical company PAPs. My quandry comes in the fact that we must charge a $15 or $20 monthly admin. fee to pay for office staff, systems, phones, tracking software, etc. I have been attacked for charging anything at all for medicines that we repeatedly disclose are FREE. My experience is that our service can make sense of the bureaucratic red tape and, because we actually pay experienced staff, we achieve a 95% + success rate in obtaining free meds for patients who might otherwise fail or not have the ability, time or discipline to get into these programs. At the end of the day, we save families many hundreds of dollars, and yes, I sleep well at night. I appreciate the ethics of change in industries built on elitist capitalism, esp. the drug industry.
I wish you peace, health and happiness. Diana Wilson