Ah, doctors. The only type of profession where we climb all over each other as opposed to actually sticking up for one another.
Actually, its about sticking up for the patient.
This fellow would like to have 1000 patients, which at $500 a pop gives an income of a cool half-mil per year. This is America-- if he wants to get rich, thats his perogative.
The objection however is that that the $500 buys the patient very little. He doesnt treat any real medical conditions, describing his focus as things like acne and allergies. So anything that requires referral, or god forbid hospitalization, will require major medical expense. So that money would be much better spent toward something with better health return, like an insurance policy.
Due to his practice model he obviously cannot do paps or other sensitive exams, hence 80% of his patients (Im assuming most will be female) will either skip recommended screening, or will have to have another doctor as well.
He has also demonstrated in his examples that he lacks fundamental knowledge of evaluation and treatment of basic issues. His wrist example, for instance, where he would send someone for an x-ray without examining them, doesnt meet any standard of care and is flat out malpractice. Certain fractures require presumptive treatment that cant be provided without examination.
You also only get 2 actual visits per year, the rest are just IM chat.
I first read about this fellow with a lot of interest but its hard not to see the gaping flaws. If he just wanted to identify inexpensive specialists or cheap pharmacies to people, as a sort of cost-saving resource for the uninsured, I would be all for it. Course that doesnt require an M.D., but neither does what hes doing now.
