Healthcare vs Medical Care: Knowing the Difference is Powerful

refuses to go to the doctor

We seem to hear a lot in the news about “Healthcare”.
When I hear the news say “Health Care for everyone”, I cringe because we really don’t want Healthcare, we want Medical Care.

Let’s look at the differences between the two.

Medical Care has never been better.

Getting MEDICAL CARE means everything to you. Medical Care brings us new procedures, new remedies, new medications, and surgeries we never dreamed possible. Not to mention the vaccinations that are constantly coming out to protect us from disease and cancer in the first place. And on top of that, we also have the incredible ability to prevent diseases like cancer when we never thought we could.  It used to be that your doctor knew everything about you. We could talk to our doctors about anything for as long as we wanted. They found the solutions to what ailed us. This was the foundation of Medical Care. Medical Care is a profession, an actual service and the trust lies between patient and doctor.

Healthcare has never been worse.

Healthcare is not a profession. It is a FOR-PROFIT business. Healthcare is about administration costs, CEO salaries, insurance denials, and insurance premiums. It is a business which hires doctors, nurses, billing clerks, hospitalists, medical assistants, etc. The one person who actually brings in the revenue for this company is the doctor, PA, NP. Their visits and orders bring in the revenue. All others, from CEO salaries to nurses, maintenance, billing clerks, and ads are at the mercy of what these few people can bring in.

Look at these real-life examples:

Example 1: Medical Care

Dr. A has her own practice.  This is called a “solo” practice. Her patient, Mary, sees her. She knows all of Mary’s medical conditions. Mary always gets “same-day visits” or a phone call back from Dr. A. Office visits are 45-60 minutes on each visit with Mary. She knows Mary’s family caregivers, too. This doctor has a receptionist.

Here’s the KEY: she does not accept insurance.

Dr. A takes a monthly fee of $125/month. This monthly fee is paid automatically, like a gym membership.  Mary can see, call, or text Dr. A as often as she wants. The fee is dependent on age, from $18 to $150 a month. Dr. A will call in prescriptions and take phone calls because she does not need Mary to come in the office to be paid. Those are insurance rules and she does not take insurance. Mary still keeps her insurance in case she needs specialists or hospitalizations.

NOTE: This is not “concierge” medicine but a practice modeled after pre-insurance days called “direct primary care”.  Concierge medicine is classified as a “direct” practice that also takes insurance.  Those fees are $500 – $5000 a month.

Take a look at these differences.

Example 2: Healthcare

Dr. B works for a large healthcare company. He gets a salary (plus a “bonus” commission) for his production.  If he orders more tests, more procedures, sees more patients, he gets a bigger “bonus commission”, but this is a “carrot” to get the doctor to produce more.

The office has a staff of 3-4 receptionists, 1-2 billing and insurance clerks, 5-6 nurses or medical assistants, one office manager, the boss who reviews everyone’s evaluations, salaries and the people above the boss who make policy and profit for the company, the CEOs.

Therefore, he must work harder and longer to support all these employees in the company. Robert is a patient of Dr. B’s. He waits 3-4 months to get in to see him because Dr. B must be booked to see 20-50 patients a day. Robert will see him for 6 minutes. Dr. B may order more tests, and ask Robert to come back. Robert will still pay a his deductible or co-pays and his insurance premiums.

These “healthcare” doctors are burning out at an alarming rate. They didn’t get into medicine to “chase the bonus carrot”, but to help you.  Most of them have medical school debt, leaving them no choice.

Here are the resources: Why physicians burn out.  I find it ironic that the studies to prevent burnout are suggesting the exact thing direct primary care physicians already do.
To find a direct primary care physician in your area: Direct Primary Care doctors in your area. Go with “Pure” first.  Hybrid means concierge and may charge too much but check their prices if you have no choice.


MEMBERS ONLY. Call me, if you are interested in finding a direct primary care physician in your area. I can screen them for you. There are 7 questions I like to ask about the practice.

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Suzanne FiscelIa, PA-C, BCPA

I know exactly what it's like to feel like you just can't keep up. Working a full-time job, raising 3 children as a single mom, and taking care of her aging mother. But after feeling lost, overwhelmed, and guilty for spreading herself too thin, I saw all her patients and their caregivers going through the same thing. I learned how to put simple systems in place to keep my life free from distractions, find free time to do the things I wanted, and enjoy my family along the way. These simple step-by-step solutions have been shared with my patients, friends, and family. They too have found organization, confidence, peace, and freedom. Now we all live the life we love while caregiving! Come join us!

Hi I'm Suzanne

And my mission is to find you practical easy-to-follow solutions for everyday caregiving. Find out more HERE.

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