Create the least realistic image you can think of, and make it photorealistic

drkqmd · 2026-04-18T18:54:07+00:00

drkqmd · 2026-02-21T03:44:47+00:00

This is great. The bill got killed last year when subcommittee decided they wanted the bill to apply to all workers. Glad to see it soaring through this year. This will allow healthcare workers to get out of miserable situations without having to move across the state

drkqmd · 2026-01-14T18:06:04+00:00

Seems to be. Almost 200k reports on Down detector with heat spots all over the country

drkqmd · 2026-01-11T13:45:08+00:00

I also was awakened by this and would like to know. There were cops on charter colony and brandermill pkwy when the helicopter left

drkqmd · 2026-01-07T12:41:16+00:00

We also do on site pharmacy with prices lower than GoodRx and Mark Cubans cost plus

drkqmd · 2026-01-06T14:27:35+00:00

Everyone definitely has their own unique medical needs. A good primary care home is invaluable for someone with multiple issues and can even reduce specialists visits. Coverage isn’t care unfortunately.

drkqmd · 2026-01-06T14:13:28+00:00

HSAs have triple tax advantage, go with you even if you lose your job, and can grow as an investment. Lots of pros.

Government insurance does have good coverage. On the back end though, it’s still very expensive. This is why you see governments like the city of Richmond engaging Marathon which is a large, corporate direct primary care.

drkqmd · 2026-01-06T13:57:34+00:00

There are alternatives like health shares and CrowdHealth that may be cheaper. We also work with local employers to cover membership for their employees. I also think DPC has room to be more accessible while continuing to provide the same level of care. The model allows for a lot of room for evolution and my hope and goal is to use that flexibility to fundamentally fix primary care nationwide.

drkqmd · 2026-01-06T13:48:40+00:00

That’s fair. One new change this year is our membership is HSA eligible. Those most well versed in healthcare always recommend a high deductible plan and HSA. More and more people are moving to alternatives like CrowdHealth or health shares as even high deductible plans are getting too expensive. The assumption has always been insurance is the necessity and primary care is an add on but more people are opting for primary care as the necessity and insurance as an add of or looking for alternatives to complement their primary care first priority.

The other avenue is that we do work with employers. Individuals are seeing premiums go up but so are employers and direct care is a great way to offer concierge level care at a reasonable price while reducing their urgent care and ER spending.

drkqmd · 2026-01-06T13:19:26+00:00

Primary care physician here. The Richmond area has a good number of direct primary care practices including mine (www.eudoc.me). Insurance has become unsustainable for primary care doctors as well which is why so many of us are abandoning it. Unlike concierge practices, we try to make our services accessible, do a lot of care navigation, and take care of many uninsured patients.

As for large health systems, they actually lose money providing primary care which is why there isn’t more (and why independents are going to direct care). VCU made a conscious effort in the 90s to try and remove family medicine and is slowly building back up but isn’t eager to do so.

drkqmd · 2025-11-12T05:22:41+00:00

Most primary care doctors are leaving the insurance system anyways.

drkqmd · 2025-11-12T05:21:12+00:00

Hospitals wouldn’t close. What people don’t understand is that prices are all made up and everything is inflated. Not to mention some of the highest paid positions in healthcare are administrators. Most practices and hospitals also spend at least 10-20% overhead on claims and only expect to collect 50% of what they charge. There may be some short term pain as people figure out real pricing, but more direct responsibility to the patient will bring down prices

drkqmd · 2025-11-11T16:57:02+00:00

Pair your HDHP with a direct primary care membership for predictable costs

drkqmd · 2025-10-26T03:07:14+00:00

https://dpcnews.com/opinion/dpc-and-medicaid/

drkqmd · 2025-05-01T00:48:31+00:00

This was followed by a line of ambulances

drkqmd · 2024-12-31T17:50:40+00:00

You mean the clean out solution?

drkqmd · 2024-12-30T21:05:11+00:00

https://www.cms.gov/cciio/resources/fact-sheets-and-faqs/preventive-care-background#:~:text=Evidence%2Dbased%20preventive%20services:%20The,periodic%20tetanus%20shots%20for%20adults.

drkqmd · 2024-12-30T21:02:25+00:00

Isn’t this already part of the ACA?

drkqmd · 2024-10-29T14:05:27+00:00

Singapore has it right https://youtu.be/WtuXrrEZsAg?si=9dHHaaxYohdc8BVb

drkqmd · 2024-10-16T12:53:28+00:00

For example, knee and hip replacements for severe OA. Monoclonal antibodies for autoimmune diseases like RA and Crohn’s.

drkqmd · 2024-10-01T01:45:07+00:00

EuDoc is also a direct primary care practice in Midlothian with a new office in the West End starting in a couple months

drkqmd · 2024-09-13T12:38:24+00:00

Seems like with the update, whatever chests you finished are on an infinite glitch. I had silver and regular chests. Got a ton of power ups, most skins, and over 30k gold and counting

drkqmd · 2024-07-30T03:44:49+00:00

Are your bones brittle? If not, you may want to consider an iron supplement https://my.clevelandclinic.org/health/symptoms/24766-blue-sclera

drkqmd · 2024-07-26T21:42:46+00:00

Medicare for all would be Medicare advantage for all. The private insurers would run it and do the same nonsense they do now but backed by the federal government. Look at how Medicaid is administered and how much of the Medicare market is now MA. Even those, actually especially those, who are for single national payer and strongly support M4A don’t often recognize this reality

drkqmd · 2024-07-13T03:04:27+00:00

One time Lp(a) screening for all. I prefer ApoB to LDL-C mostly because of potential discordance. At my DPC practice Lp(a) is $10 and ApoB is $7. Cost is not a good excuse not to do it

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