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.

This posting will analyze the "over" questions that are rarely asked or answered.  I imagine many of my fellow DPC physicians have made some of these observations as well, and we need to find a way to share these observations in a tactful way with our patients and each other. Read on to determine if you might be over-insured, over-doctored, over-lawyered, or just overwhelmed.