Intended for healthcare professionals

Feature Concierge medicine

The rise and further rise of concierge medicine

BMJ 2013; 347 doi: (Published 28 October 2013) Cite this as: BMJ 2013;347:f6465

Re: The rise and further rise of concierge medicine

Life is a quest for love. In order to receive love, we must be dependent. In order to give love, we must be independent. The conflict between dependence and independence affects every facet of our lives.

Life and love begin with our parents. As helpless babies, we depend on their care. With the right kind of care, we learn to love them and ourselves. With the right kind of parenting, we learn dependence and independence.

Of course, there is no perfect parenting. So we all have trouble with dependence and independence. Sometimes we are dependent when we should be independent, and vice versa.

Healthcare is reminiscent of childhood. The doctor is our parent, and we are helpless babies. We feel secure in his office, and long for his concern, reassurance, and medicine. We are awed by his jargon, worship his intellect, and feel totally dependent.

Of course, healthcare is not childhood. The doctor is not our parent, and we are not helpless babies - no matter how much we wish this were true. Sometimes, the doctor's words, procedures, and medicine do not solve our health problems.

Often, our health problems are the result of dehydration, malnutrition, and addiction. These problems are self-inflicted and require changes in our attitude and lifestyle. It takes independence and courage to make these changes.

Competing interests: I have a self-published e-book called "Peace Poetry & The LOVE Diet", which promotes peace, simplifies health, and demystifies addiction.

29 October 2013
Hugh Mann
Eagle Rock, MO, USA