Christian, Tomás and Rosny discuss the pros and cons of concierge medicine. They outline the practice as a broad set of models where patients pay a membership fee or a retainer for perks like direct messaging, same-day visits, and longer appointments. They recognise that concierge medicine reflects unmet needs in American healthcare but may further tier an already segregated system by drawing clinicians away from the broader public, worsening access for marginalized patients and increasing reliance on emergency departments. The episode also explores why physicians might want to switch to concierge models and features a discussion about possible regulation and a rethink of care delivery.
This episode was recorded remotely in July 2026. Presented by Christian, Tomás and Rosny. Music by Nylonia. Production support by Ilia Rogatchevski.
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