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Concierge practices skim the cream.

I am a good, popular internist who has been approached by multiple concierge entities to go their way. I could, no doubt.

Obviously most anybody would like more money to do less. That's a business decision that's a "no brainer."

But many of us physicians are professionals who could not live with ourselves saying goodbye to over 90% of our patients because they cannot afford our care under the "new deal." Some of my most needy and fulfilling patients to care for are the poorest, but most are struggling to meet their health care expenses already.

My colleagues who are going "concierge" are the ones who are most "business-minded." They are skimming the cream and leaving the rest for us in the trenches. I choose to stay a traditional professional physician, albeit poorer and more tired, but I will sleep better knowing I didn't turn my back on most of my patients.

J. Gary Grant, M.D.

Pacific Grove, Calif.

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Title Annotation:LETTERS
Author:Grant, J. Gary
Publication:Internal Medicine News
Article Type:Letter to the editor
Date:Aug 1, 2010
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