Jeffrey Gold MD

Family medicine focused solely on patients and families

[Vinay Prasad MD MPH @VPrasadMDMPH]

Very sad. Entirely predictable.

[Jeffrey Gold MD @GoldDirectCare]

Funny that the people that are saying it’s “unaffordable” are the exact people making a majority of care which is highly affordable ….you guessed it “unaffordable”. Until these middles are no longer in control of the $, nothing will change @AtlasMD #dpc
https://t.co/HtzH0QiFIz

[Jeffrey Gold MD @GoldDirectCare]

@docshanep @rshawnm They do not care one bit. There are very simple policies that could be changed that would kickstart solving this self created issue but they would rather just continue to report the same problems. We need more govt to fix it

[Jeffrey Gold MD @GoldDirectCare]

Many of my colleagues last month: “this is absurd! How am I supposed to run a practice when #medicare continues to cut physician reimbursement?!”
Many of my colleagues this month after #UnitedHealthcare CEO killed: “we need #medicareforall now!”
Please help me understand!!!

[Jeffrey Gold MD @GoldDirectCare]

My email is [email protected]. Thank you again for writing about how critical primary care is in general and how bad the state of things is right now for patients and doctors alike

[Jeffrey Gold MD @GoldDirectCare]

@karaemiller thank you for the great piece in todays @BostonGlobe on #conciergemedicine and #primarycare in general. Just wondering why #directprimarycare was not even mentioned or explored as an option? Since I opened in 2015 there are now over 15 practices in the Commonwealth

[Jeffrey Gold MD @GoldDirectCare]

@karaemiller @BostonGlobe Thank you for replying! I would be happy to chat at any point if you’re interested. Obviously I’m biased, and nothing against #conciergemedicine but I think #dpc can be more accessible and actually save patients and employers money if allowed to do so

[Jeffrey Gold MD @GoldDirectCare]

@docshanep @drsarahsam Addiction is hard disease to break especially when denial is a huge part of it

[Jeffrey Gold MD @GoldDirectCare]

@docshanep @drsarahsam But the response will highly likely be “but he doesn’t take my insurance”. And I’ll say “but I can see you next week and get all those labs meds etc taken care of for you cheaply.” And the response will likely again be “but you don’t take my insurance.” Every. Damn. Day

[Jeffrey Gold MD @GoldDirectCare]

@docshanep @johnrossheim @dpcnews1 @dpcalliance @aafp Primary care as it is now ie “non concierge” is actually what reduces access by its inherent suckiness which thereby results in no one wanting to do it all. So how does that result in access, quality and equity?

[Jeffrey Gold MD @GoldDirectCare]

@WoodyBaum @MichaelAlbertMD Oh woody don’t even get me started on that mess lol. And thank you. It’s been a very long and hard journey but making a dent to make medicine about patients and doctors again is truly rewarding

[Jeffrey Gold MD @GoldDirectCare]

@WoodyBaum @MichaelAlbertMD It’s not perfect but #DPC is a hell of a lot better than the “referallist “ crap I practiced when I was in the machine

[Jeffrey Gold MD @GoldDirectCare]

@WoodyBaum @MichaelAlbertMD Many of my patients are the medically complicated patients that the insurance-based system has chewed up and spit out after they have been referred to umpteen specialists that accomplished nothing except to drive costs and testing up. I’m not sure where people get this idea from

[Jeffrey Gold MD @GoldDirectCare]

@DutchRojas We need each other lol

[Jeffrey Gold MD @GoldDirectCare]

@DutchRojas I know I just felt like getting off my chest in the daily fashion that I need for my sanity

[Jeffrey Gold MD @GoldDirectCare]

@DutchRojas My point is that they are the real wizard behind the curtain that allows all the shit things that have happened in our system to happen. It’s all crony capitalism instead of a real free market for care and real insurance. And it will be that way until we stop feeding the beast

[Jeffrey Gold MD @GoldDirectCare]

But yet they always seem to cover five dollars worth of routine care or meds. Does anyone ever ask why they do that but won’t cover the stuff they should cover? Hmmmmm

[AtlasMD @AtlasMD]

A great listen about the horrible games that insurers are playing to avoid paying for care - #LetsFixThat with #DirectCare https://t.co/4voUobOHfc via @kffhealthnews

[Jeffrey Gold MD @GoldDirectCare]

@readinglight Evans Rd is out

[Jeffrey Gold MD @GoldDirectCare]

@docshanep @rshawnm I’ll just continue to do my thing while they continue to try to patch up the Titanic. Until they realize insurance has zero business paying for primary care nothing will change as the wrong people will continue to determine the value ie not the patient