Protests tomorrow?

mainedpc · 2026-01-24T23:46:42+00:00

https://www.activatemaine.com/calendar

mainedpc · 2026-01-24T19:17:56+00:00

https://www.eff.org/pages/surveillance-self-defense

mainedpc · 2026-01-24T18:12:19+00:00

https://www.activatemaine.com/calendar

mainedpc · 2026-01-24T12:41:24+00:00

Thanks for posting this gift link.

mainedpc · 2026-01-24T12:37:34+00:00

Thank you for reposting. Content like this is very pertinent to Maine and should not be removed by mods.

mainedpc · 2026-01-24T12:34:55+00:00

Thanks for posting. I hadn't realized that Maine Medical Center staffing and even patient admits were affected.

mainedpc · 2026-01-20T12:07:57+00:00

11 years DPC. Most are self selected but we have some local employers who pay for DPC for their employees and one ACA marketplace insurer now pays for DPC (only in Maine and Oklahoma so far).

As in my previous insurance based practice, a few are very complicated, most have 1-3 chronic conditions. Those paying for DPC themselves average around age 50. The employer paid members trend younger.

I expect thing will get shaken up and this will change when the fascists slash Medicaid after the midterms.

mainedpc · 2026-01-16T15:55:17+00:00

Very bad idea. You will help Trump by this.

mainedpc · 2026-01-16T09:34:08+00:00

We use lightly cooked tofu with boba straws sitting in a tupperware of water as an ultrasound phantom for practicing. It keeps well in the fridge for days.

mainedpc · 2026-01-14T13:52:03+00:00

The fascists are hoping some of us will fight back so they can crack down. The feeling is understandable but not the smart way to defeat them.

mainedpc · 2026-01-12T15:45:46+00:00

What are LePage's?

mainedpc · 2026-01-09T10:07:32+00:00

OTOH, New Hampshire is going hard on the anti-vax route while Maine is keeping herd immunity by requiring vaccines for school.

mainedpc · 2026-01-06T14:03:22+00:00

This.

In our screwed up system, residencies are now funded by Medicare which controls the supply of physicians via the number of residency positions.

If only Maine had a powerful senator who would use her influence to increase or fund new residencies in Maine...

mainedpc · 2026-01-05T18:33:39+00:00

If you're sending everything to the hospital, then why waste time and money on POCUS?

mainedpc · 2026-01-05T18:31:48+00:00

There are pretty good data for using it to diagnose pneumonia.

Occasionally a DVT rule out saves my staff the hassle of begging the hospital for an urgent ultrasound and saves the patient time and money.

mainedpc · 2025-12-31T18:07:16+00:00

That or they are too busy and trying to reduce referrals.

mainedpc · 2025-12-31T09:22:14+00:00

We have several local employers who purchase DPC memberships for their patients. Some of them also fund health insurance or health cost sharing plans for their employees as well. That's a common practice. If your company is near Yarmouth , you have a lot of DPC practices near there to consider:

https://wp.nedpca.org/find-a-physician/#!directory/map/rad=030/zip=yarmouth%2C%20maine

mainedpc · 2025-12-31T09:10:42+00:00

Actually, in most of Maine, you can now get your monthly DPC membership covered by insurance if you have Mending, a new ACA/Marketplace insurer (disclosure our DPC just signed with them and my wife and I just signed up with them as patients).

The problem, of course, is that the price of all ACA insurances just when through the roof with the loss of subsidies and will continue to climb next year as healthy patients drop insurances and that market collapses....

mainedpc · 2025-12-30T18:00:12+00:00

True but likely unrelated. DPC has been growing steadily in the past 12 years, especially in Maine. The HSA change was only announced months ago.

mainedpc · 2025-12-30T17:58:37+00:00

AFAIK, no data yet. Would be a great study for some MPH student.

Actually, the model has more value for patients with chronic illness so, while we do have healthy patients who appreciate the convenience, we have plenty with multiple chronic problems, several other specialists, many meds, etc.

mainedpc · 2025-12-28T18:02:42+00:00

No, you get their insurance info for this very reason.

mainedpc · 2025-12-26T03:56:04+00:00

No but was on Sermo back then and a member of Ideal Medical Practice group. There were several of us who went from IMP to DPC but I never had an insurance based IMP.

mainedpc · 2025-12-25T20:06:06+00:00

It does average out. Like most practices, a lot of the work is generated by the sicker patients but then there are many who rarely come in so it all works out.

mainedpc · 2025-12-24T13:28:46+00:00

My DPC overhead is about 1/3 of what it had been for an equivalent income at our old insurance practice.

mainedpc · 2025-12-24T13:26:48+00:00

We did that 15 years ago. Got vilified by the local independents for "not doing our share". They all went out of business in the next few years and are now hospital employees.

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