Concierge practices are popping up everywhere, especially in big cities where there are wealthy, busy people. I just came from Washington, DC and worked in the health care industry. We consider this the beginning of a formalized two-tiered system based on the ability to pay. (There has always been a tiered system based on the ability to pay -- those who could not pay just went to the hospital ER or to Federally Qualified Health Clinics). None of my colleagues welcome this change. We have a lot of skewed access to advantages in America, and this is another one.
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