Each doctor agrees to provide unlimited treatment to a maximum of 150 patients for an annual fee of $10,000, payable in advance. The doctor would no longer file for any insurance claims, nor would they maintain the record-keeping and billing systems needed to obtain payment for either Medicare or any private insurance company. However, each patient would be free to file and personally administer such claims using information provided to him by the doctor.

Using this model, each doctor in the practice would have an annual gross income of $1.5 million. From that amount, they would pay for all necessary office space, reception, nursing, insurance, and all office operating expenses. The model would suggest that each physician would have a pre-tax "salary" of about $1 million per year.

By limiting their patient load to only 150 patients, they would have sufficient time to schedule hour-long appointments with each patient on almost a monthly basis. Patients could see their doctor as often as they wished with a guarantee that they could schedule an appointment on very short notice and not endure any more than a few minutes wait in the doctor's waiting room. The doctors could really get to know each of their patients on a personal and intensive basis, providing only the necessary testing and care based on that intimate knowledge of each patient.