Concierge medicine is where you pay your doctor a retainer fee so that you may see then with very short notice. The avg fee is around $1,500 but can be as high as $5,000. This type of services is all so called boutique medical, retainer-based medicine, and innovative medical practice design.

There are some real Medicare worries about this type of program. If a medicare doctor is willing to put this type of program in place this could be a crushing blow to health care reform.

With health care reform we will see a huge increase in insured people who know utilize  medical services. If Doctors go with this type of Concierge Medicine then the people that can pay will not see a rationing of care.  This could have a major impact on health care reform and rationed care.  If a doctor has 500 patients willing to pay that might be in the ball park of $750,000 a year.