The problem is getting enough business, I have one friend and one acquaintance that have tried and gone bust. I looked into it myself about 7 years ago, capital costs were outrageous and recurrent cost were very high, I decided to continue working for the man for the time being.
I live in a semi-rural area that is within spitting distance of two large cities, so I think because of the density of population, it may be easier here.
Also, our state “reformed” health insurance some years ago, and we've been living with Deathcare-like rates for a long time. I took my company to a high-deductible plan with an HSA a long time ago, so we've had over a decade for the health economy in our region to “mature” to a point where concierge medicine is more on par with regular health insurance, cost-wise.
I suspect that if Deathcare isn't repealed or dramatically altered, this model will become increasingly appealing, because the costs for Deathcare will exceed the costs of this model. Alternatively, if folks were to wake up, we'd find that it'd be a good idea to replace Deathcare with a legal infrastructure that supported and encouraged this model.
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