Abstract
Ienjoyed the “Concierge Medicine Revisited” column. Coincidentally I had my annual check-up with my internist soon after reading it. He is the head of a three-MD group and is typical of the overloaded family practice physician who has time for only minimal conversation, a cursory “PE,” and a quick review of the latest lab results on blood and urine. I asked him about concierge medicine, and he, as expected, is very familiar with the concept and said he has even considered it with his partners. They all thought it is attractive in concept but they did not think they could muster the necessary number of enrollees, even with a more modest entry fee of $1,000. Here in South Carolina, Beaufort County has the highest per capita income in the state, but that statistic reflects the inclusion of an affluent minority (particularly on Hilton Head). My internist's real-world patients are largely on more shaky financial grounds, including many on Medicare. So the internist mentioned in the column fortunately is blessed with an economically more advantaged population there in suburban Atlanta. Costan W. Berard, MD Hilton Head, SC Former Chair of Pathology, St. Jude Children's Research Hospital
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