This is the reason for the boom in micropractices and cash-only practices. Jim Blaine has an on-site clinic that operates on these principles and I believe he plans to talk on this topic at the Users' Conference.

The insurance companies and the government are not going to reform themselves, and we don't have the power to reform them. We can OPT OUT, however, and leave them talking to each other.

We give them power over us when we agree to take their money.


Brian Cotner, M.D.
Family Practice