US “boutique medicine” could threaten care for the majority

BMJ 2002; 324 doi: (Published 26 January 2002) Cite this as: BMJ 2002;324:187
  1. Fred Charatan
  1. Florida

    Faced with shrinking incomes (BMJ 2000;321:1309) and rising overheads, especially malpractice premiums, American doctors are turning to what has been called “boutique medicine”—a luxury service offering patients fast track appointments and annual check ups.

    In south Florida last June Dr Robert Colton, an internist with more than 20 years' experience, started a company called MDVIP with four other doctors. In return for a yearly membership fee of $1500 (£1050; €1700), the doctors contracted to provide patients with annual physical …

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