Why I didn't open a DPC practice, direct primary care

The number one question that I get asked is why I decided not to open a DPC practice, direct primary care.

[Nerdy_Aomeba]

Great video! Can you make another explaining ALL the different types and their benefits. That would be great!

[xitroxide]

First off - awesome videos. I'm an incoming MS1 and I'm interested in private practice. Your videos are literal GOLD (I've watched over half). I think that you answered what was burning in my head. I don't love your the insurance model because it forces you to scale, grow (and potentially grow so big that quality starts to fall..) and at that point you are playing business way more than doctor. On the contrast DPC membership doesn't sit well with me, and you're right - doesn't scale. Even worse, I was looking into a cash only fee for service micropractice/urgent care type PP (cost still very low, and overhead is VERY low - 1 provider, 700 sq ft exam room, etc), and it's viable, but way less lucrative and literally does not scale at all (see 0 patients get 0$, without even a subscription to subsidize you).
I just wish there was something in the middle, where you didn't have to become a 8 location cash cow playing against insurance, but also didn't have to be undervaluing your services as a physician.
Anyways, again, huge thank you!

[erikkkkkkk]

Doesnt matter DPC or not, you can scale a business and go to Hawaii. DPC does not mean you are the only provider and patients must see you. Concierge and DPC are not the same.

[WsWeWillWin]

Even if you have many locations, your exit will be a multiple of x2 or x3. So, why not add a research arm to your practice and exit at 10x ? It is very low overhead and same infrastructure just maximizing your ROI on your assets. Can you make a video with your take on this business decision? Thank you!

[Doggtyred]

When you sign up for medicare/elect to take medicare, can you restrict yourself to traditional medicare only or are you required to see Medicare HMO/Advantage patients as well? The medicare HMO/advantage plans strike me as not much better than traditional insurance in their dealings.

[zonefive]

You could have started a DPC practice in which MDs collectively share the patients. It would have been the same as taking insurance, just a different revenue model.