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Post being replied to

OT: You are rural medicine. Are you seeing internists by Raoul

flocking into concierge? My brother works in Chicago and his group is losing internists to concierge medicine left and right. Some work in groups, others on their own. No insurance. Basically rich cash paying clientele where they act as basically doctor and patient advocate. One guy he knows on his own only has 150 patients and charges $30K a year (one of his clients is a very famous old British rock star living now in LA). My brother thinks the urban centers will be devoid of GPs and internists in 10+ years as they all go concierge. Thinks transition will take longer in suburbs because life better for doctors in suburbs. But sees cities as devolving into rich (concierge) and poor (hospital affiliated internist groups - basically cattle calls with long wait times).

Said he's even seeing concierge enter specialists. He would go concierge but within 5 years of retirement and feels conflicted about it morally. He may become a concierge vacation fill-in doc PT as a way to stay in the game.