This post will focus on three topics: 1) DPC data accumulation efforts, 2) the new HHS (Trump) policy proposal favoring DPC, and 3) my thoughts about a recent news story covering the Qliance closure.  Thanks to Governor Ivey's signature today Alabama is now the 22nd state to pass DPC legislation (it will likely be mentioned here in the next few days).  Maine is the only state with active legislation remaining in the 2017 session.

But like any paradise, it is hard to find.  Too few family physicians are clinically capable of offering it.  Too few patients understand that this is the level of care they need to seek out.  Too few third party payors understand that they have built a system that minimizes and punishes the delivery of broad scope primary care.

The photo above is of Mount Etna (still smoking after a recent eruption) in Italy.  In the US we are familiar with a different kind of massive Aetna, and I expect that the price transparency movement that is occurring across the health care system will result in more eruptions as the back room negotiators (large hospital systems on one side) and insurance carriers (Blue Cross, United, Cigna, Aetna) realize that their technique of hiding & inflating prices is coming to a close.