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Letters.
Concierge Care? No Thank You.
"Concierge" care isn't unethical, but I doubt it is money well spent ("Pro & Con: Is concierge' care an ethical alternative?" March 15, 2002, p. 5).
The well to do "worried well" have more money than sense. No healthy person needs 24-hour cell phone access to a personal physician, or four 4-hour "executive physicals" a year. Smart and dedicated physicians, especially those working for themselves, always have same-day appointment for truly ill patients and patients don't pay extra.
Dr. Ira Mandel's suggestion that physicians are obligated to care for the underserved because the public pays for their education is unconvincing. The same case could be made for lawyers, who aren't known for being charitable, and who would laugh at the suggestion. Physicians can treat whomever they please!
Further, alternative "strategies for scheduling, arranging office visits" will not make up for declining reimbursement. High-end, cash-up-front procedures will for some; witness the growth of cosmetic laser surgery.
Some of us went into medicine for the sheer joy of treating patients, not to maximize our incomes. My patients have always been low to middle income, with a healthy dose of Medicaid. You can keep your concierge" care populations.
David A. Rivera, M.D.
- Cul de Sac made right move when it tapped John Fahey.
- Newspaper article from: The Boston Herald Pekar, Harvey October 13, 1997 700+ words
...represents quite an accomplishment for Cul de Sac, Boston's distinctive, highly...paramount importance to the CD. Cul de Sac guitarist Jones and Fahey perform...musical interests. Jones co-founded Cul de Sac as a showcase for his electric finger...
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- Newspaper article from: Vindicator (Youngstown, OH) September 22, 2005 700+ words
...housing development, calls for a cul-de-sac to be built at the end of the street...Land Corp., wants to finish the cul-de-sac, but wants to do so without also...add sidewalks and curbs to the cul-de-sac. The developer said as more land...
- Cul-de-sac properties promote privacy, sell at a premium.
- Newspaper article from: Detroit Free Press (Detroit, Michigan) (via Knight-Ridder/Tribune Business News) February 13, 2005 700+ words
...parents of two young children, home is where the cul-de-sac is. They lived on a cul-de-sac in Waterford Township. The couple then had...Cleveland next month, it will make its home on a cul-de-sac again. Come to think of it, the McGivneys...
- cul-de-sac
- Reference information from: Webster's NewWorld Dictionary January 1, 1988 700+ words
Webster's NewWorld Dictionary 01-01-1988 cul-de-sac (kul|d sak; also kool-; Fr kd sak) n., cul-de-sacs or culs-de-sac (kd sak) 1. a passage or position with only...
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- Newspaper article from: Huddersfield Daily Examiner (Huddersfield, England) August 31, 2009 700+ words
...Council refused to fix a turning circle at the end of their cul-de-sac. The turning circle at the end of the cul-de-sac, which has deep potholes, has damaged vehicles, forcing...
- End of the road for the iconic cul-de-sac: Why do city planners despise this...
- Newspaper article from: Saint Paul Pioneer Press (St. Paul, MN) October 30, 2006 700+ words
...of street that is her Woodbury cul-de-sac. "You'd have to be crazy not to want to live on a cul-de-sac." Families love them and officials...Institute, said New Urbanism compares cul-de-sac kids to prisoners in a safe but...
- Cul-de-sac: Suburban dream or planning nightmare?
- Newspaper article from: Frederick News-Post (Frederick, MD) July 22, 2006 700+ words
...real estate sales, however, a cul-de-sac is a selling point. Families with...children to play in an area of the cul-de-sac." On Hunting Horn Court in Hillcrest...in the first house built on his cul-de-sac. He and his family bought the...
- Residents ask for cul-de-sac.
- Newspaper article from: Orlando Sentinel (Orlando, FL) June 2, 2006 700+ words
...with Grassy Lake Road, creating a cul-de-sac that would help minimize traffic...said the proposal would create a cul-de-sac nearly a mile east of where Sullivan...give up some land to build the cul-de-sac. "We need to get that right of...
Source: HighBeam Research, Letters.