It was so refreshing to go to a medical professional to whom I did not have to explain that I was paying my own bill. Besides that, the whole deal was very well run, the cost was reasonable, and her mind wasn't filled with insurance company guidelines.
I think this is going to become the major characteristic of the two tiered system we are headed into. Doctors outside the system will be more focused on their patients and under less pressure to see a high volume of patients. They will be able to order tests when they aren't sure about something and won't have to wait for approval from someone who has no sense of the immediacy of the issue.
In the end the best doctors will want to work in that environment.