James Webster, MD, MS
Potential Conflicts of Interest: None disclosed.
Webster J.; Can the Practice of Retainer Medicine Improve Primary Care?. Ann Intern Med. 2012;156:400. doi: 10.7326/0003-4819-156-5-201203060-00022
Download citation file:
Published: Ann Intern Med. 2012;156(5):400.
TO THE EDITOR:
Retainer or concierge practices, as discussed by Huddle and Centor in their article (1), make a commercial contract with selected affluent patients who pay a fee, covering future services. The primary goal of this endeavor, no matter how it is presented, is revenue enhancement for the proprietors. Physicians involved with these practices breach their pact with society. They clearly violate, reject, and disregard the faith and implied contractual duties arising from the large federal and state subsidies that generously supported their undergraduate and postgraduate medical education. They should repay those dollars or, if they choose not to, at the very least they must be required by the profession to donate public service time to help resolve the problems of access and health disparities, as Lo (2) suggests. At its foundation, medicine is a calling to service, not a business. Retainer practices turn this principle upside down.
to gain full access to the content and tools.
Learn more about subscription options.
Register Now for a free account.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only