Thirty-six times.
Same brain MRI. Same CPT code.
$406 at Henry County Memorial in New Castle, Indiana.
$14,681 at Sky Ridge in Lone Tree, Colorado.
Five years of price transparency. The gap did not shrink. It just got public.
A posted price without a shopper is still a sticker.
Direct care posts the fee before you walk in. The number on the door is the number you pay.
medicalpricecheck.com/resear…
Up to $6M over 3 years. Up to 90 more family doctors in Manitoba by 2028-29, mostly for rural and northern towns.
Good. Bringing in internationally trained doctors faster is a real win.
Now the harder part: keeping them. Doctors in Canada spend about 9 hours a week on admin. They say nearly half of it is unnecessary.
Recruit doctors, then bury them in forms? That's a leaky bucket.
Direct primary care is one model that cuts the paperwork, not the doctor.
Sources:
Manitoba PRA expansion, $6M / up to 90 family doctors by 2028-29 (Health Canada, Oct 14): canada.ca/en/health-canada/n…
~9 hrs/week admin, 47% unnecessary (CMA + CFIB survey, 2025): cma.ca/physician-wellness-hu…
$93,000.
That's the stroke bill a 45-year-old travel nurse in Florida got. He'd been uninsured because his agency's plan would have cost $3,600 a month for him and his wife.
Then it gets worse. In March, his vision and balance started going wrong. He went to urgent care instead of the ER.
"I was so afraid of dealing with the billing issues again that I did not want to go to the emergency room."
A nurse. Who knew exactly what those symptoms could mean.
He landed in the ER anyway, with a second stroke. He can't work as a nurse anymore.
Fear of the bill is now a symptom. It shows up in the history before the stroke does.
(Doctor note: face droop, slurred speech, sudden vision or balance loss? Call 911. Fight about the bill later.)
The front door doesn't have to be scary. A flat monthly fee. Your doctor's cell. Labs and meds at posted prices. No surprise bill 6 weeks later in codes nobody can read.
Keep insurance for the stroke. But nobody should be afraid to find out if they're having one.
What's the longest you've put off care because you were scared of the bill?
Source: KFF Health News, Renuka Rayasam and Sam Whitehead, "The Cost of Healthcare Is Hitting America Where It Hurts: The Wallet" (Oct 26, 2026). h/t @KFFHealthNews
kffhealthnews.org/health-car…
We're in the middle of the health insurance bubble popping.
As the old model stops working for doctors and patients, people lose affordable preventive care and land in expensive urgent and emergency care. Premiums climb. More people drop. The cycle speeds up.
Direct care is how you step out from under it.
Dr. Clifford Porter at the Texas Public Policy Foundation on middlemen, kickbacks, and why direct primary care is the better option: texaspolicy.com/how-middleme…
AtlasMD retweeted
Grok Bot can now save logins, cards and contact info once and remember them.
Imagine a direct primary care desk where the bot handles supply reorders, vendor checkouts and portal sign-ins, and the doctor never pastes a password again.
Less admin. More doctoring.
10 years after The Daily Stoic came out, its authors reread it page by page and found more in it.
Direct care is that reread applied to medicine. The old family doctor, read again with texting, wholesale meds, and a posted price.
Not nostalgia. New things from an old book.
What's one thing your doctor did 20 years ago that you wish they still did?
Double-digit premium increases for 2027.
Same renewal. Same broker. Same late notice so you can't shop.
We've called this "unsustainable" for 20 years. If it's still rising every year, it wasn't a warning. It was a skyscraper under construction.
Dr. Clifford Porter at the Texas Public Policy Foundation on middlemen, kickbacks, and why direct primary care is the better option: texaspolicy.com/how-middleme…
1% higher health premiums. About 0.76% fewer Americans starting businesses.
Economists call it entrepreneurship lock.
Small businesses have created about 6 of every 10 net new US jobs since 1995.
Make most care too cheap to insure, and you unlock the people who'd build them.
The study (Small Business Economics, 2025): ideas.repec.org/a/kap/sbusec…
Jobs data from the SBA: advocacy.sba.gov/2024/07/23/…
h/t Christopher Jin in Forbes.
"Just let us build." h/t @DrDiGiorgio: xitter.cf/DrDiGiorgio/status/211…
Two CMS moves that actually matter:
Expanding site-neutral payments, so a hospital outpatient department isn't paid more for the same care as an independent practice.
And requiring hospitals to post actual prices, not estimates.
A fair market needs a level field and a price tag.
Becker's rundown of CMS actions: beckershospitalreview.com/fi…
Day #10 since flying cars were created before healthcare was fixed.
Teslas get better overnight with an update, no dealer visit. Direct care fixes a lot by text, no copay, no appointment. @elonmusk can #DirectCare be next?
Day #9 since flying cars were created before healthcare was fixed.
Tesla opened its patents so everyone could build better cars. Direct care opens its prices so everyone can see them before they buy. @elonmusk can you add #DirectCare to your list?
$10 million a minute.
That's what the US spent on healthcare in 2024. $5.3 trillion total. $15,474 per person.
And Americans get about half as many in-person doctor visits per person as people in peer countries.
Highest bill on earth. Half the visits.
The money isn't buying more care. It's buying plumbing: claims, codes, denials, and the people paid to argue about them.
Direct care skips the plumbing. Flat monthly fee. No claim. No code. No denial. More time with your doctor, for less.
Keep insurance for the wreck. Stop running the blood pressure pill through the most expensive pipes in the world.
Numbers via KFF Health News (Lydia Zuraw and Renuka Rayasam, Oct 23), h/t @KFFHealthNews: kffhealthnews.org/health-car…
Day #9 since flying cars were created before healthcare was fixed.
Tesla opened its patents so everyone could build better cars. Direct care opens its prices so everyone can see them before they buy. @elonmusk can you add #DirectCare to your list?
Day #8 since flying cars were created before healthcare was fixed.
Elon says a feedback loop is the key to getting better. In direct care your doctor actually hears back from you, not from a claims department. @elonmusk add #DirectCare to the list?





