Doctor Paul, MD

A small-town doctor working to preserve the art of old-fashioned primary care.

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This week in Medicine, December 4, 2014

December 5, 2014 by Paul Williams Leave a Comment

Two items came by my desk this week. 1. More medications are going to be excluded next year from formularies because of price, Bloomberg News (1/26, Langreth), Express scripts will exclude 66 brand name drugs and CVS health 95 drugs from the 2015 formularies. (prices of pharmaceuticals are rising to unconscionable levels even in the generic realm). 2. Health insurance premiums will rise by 10% on average, though in some areas will rise 59%, AP (11/26).

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About Doctor Paul

Dr. Paul Williams, MD is a small-town family practice doctor working in Centralia, Washington. He works from the same office where his primary care practice was established by his father over 38 years ago. He believes strongly that the art of the old-fashioned primary care doctor is an important feature of our medical system that should be preserved and protected from excess interference from insurance companies and government regulation alike.

Due to changes in the health care industry and regulations affecting it, and in an effort to preserve the art of old-fashioned primary care, Dr. Paul has shifted his practice to a Direct Care model, meaning that patients pay an affordable monthly fee to purchase primary care health care services directly, rather than having their services billed through an insurance company.

This blog is intended to help Dr. Paul's patients (and anyone else!) understand the changes the medical industry is going through, and to provide information about the Direct Care model of primary care.

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