This is very good. I used to have a doctor who worked "cash-only" with her patients. Eventually she had to change over to billing insurance, and then had to hire people just to manage insurance billing.

She quit general practice, and became a cosmetic surgeon, with a cool-ass laser. Insurance doesn't cover cosmetic procedures, so she doesn't have to deal with them any more.

The world lost a fantastic Family Doctor because of how insurance handles billing and payment.

Worth reiterating - because I've seen this conversation here before - that 1,000 patients @ $38/ month != "earns $38,000/ month".

There are still salaries (well, singular in this example - the receptionist) plus overheads, training, insurance etc. Sure, the margins are much better in medicine, but buying a $10 book off Amazon != $10 income to Jeff Bezos, and the same principle applies.

I'd rather let my doctor make the money.

It is also worth noting that is some states, doctors who switch to a monthly fee billing have been sued for illegally operating an unlicensed insurance company.

It is worth noting, it that even if your Family Doctor works this way, most people want insurance against medical catastrophes, not just well care.

When we were looking for a new doctor, we asked two friends, both MDs, who they used. Both used doctors who don't take insurance.

When a market becomes untenable the market will move. The American Insurance cartels are stepping over the line and finally patients AND doctors are realizing it's detrimental to their health.