Jeffrey Gold MD

Very sad. Entirely predictable.

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 boston25news.com/news/local/mas…

@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

@rshawnm My main man Dr Gold @GoldDirectCare been saying this for years. Seems no one in power in MA cares. Until the people rise up and demand more they'll suffer.

What is happening in Massachusetts is of course a result of policy decisions made at the federal/state level. However, the real blame lies at the feet of medical school and residency leaders who have chosen to ignore the communities they are charged with helping in favor of the profit margins of the hospitals they partner with. These choices have consequences: “While Massachusetts has the highest number of physicians per capita in the country, the vast majority are specialists. Among just primary care physicians, Massachusetts has the fifth lowest share of primary care physicians.” pressreader.com/usa/the-boston…

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!!!

My email is drgold@golddirectcare.com. 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

@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

@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

@GoldDirectCare @BostonGlobe An excellent question. Really just a question of space - I didn't have enough space to devote to explaining DPC. But it's also a super interesting topic.

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

@GoldDirectCare @drsarahsam 💯 I’m exhausted by it and know you are my friend. And people in Massachusetts wonder why no PCP docs. It’s the insurance people. It’s the system. Get out.

Today I saw a BC survivor who moved to Boston. She can’t find a PCP for 8 months after calling > 6 places. I ordered mammo, DEXA, labs, colonoscopy for + cologuard. I refilled thyroid meds, BP meds which were out and causing symptoms. This is 🇺🇸

@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

@drsarahsam My buddy is #directprimarycare doc near Boston. @GoldDirectCare high access and more time. Totally outside of insurance. It’s the only way forward for primary care—Cut out the “middleman” and BS

@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?

@johnrossheim See @dpcnews1 and @dpcalliance @GoldDirectCare #directprimarycare @aafp supports #DPC it’s the only way to save primary care at this point.

Is it even possible to provide concierge primary care to some patients without reducing care access for thousands of others? medpagetoday.com/opinion/prescr… #conciergemedicine #physicianshortage #primarycare #healthcareprivatization

@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

@GoldDirectCare @MichaelAlbertMD I’m more referring to the venture-backed membership models, than independent practice DPC model. I am grateful that physicians like you are out there 🙏🏽

DPC and membership-based healthcare only work because clinic operators expect underutilization of services. This pattern is evident in existing membership models like gyms, where 1,000 people sign up, but only a few maximally utilize the services. It's a tale as old as time.

@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

@GoldDirectCare @MichaelAlbertMD Touché

@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

@MichaelAlbertMD It also, generally, has the benefit of catering to the most affluent and least unhealthy patients.

@DutchRojas We need each other lol

@GoldDirectCare Hahaha! Anytime!

Which entity is most responsible for consolidation in healthcare? #healthcare 101

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

@GoldDirectCare I understood 🤣😂🤣

@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

@GoldDirectCare There is a government option.

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

@readinglight Evans Rd is out

Area outage-Lynnfield-Lowell St-Main St-Crew responding-ETR-TBD-Z

@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

@rshawnm I know a hard working #DPC family doc in Massachusetts that could help these folks see the light. @GoldDirectCare but no one cares or listens. They all want their specialist and marble floor hospitals.

A clear and concise call to action from #HughTaylorMD - a great family medicine leader in Massachusetts. Opinion | Investing in primary care has returns on public health bostonglobe.com/2024/06/14/opi…