One of the questions I am most often asked is, “Can’t I just pay you for visits when I need you?” A very fair question, but one that is rooted in our current sick care paradigm — and one that perpetuates the situation. What do I mean by that? 1. If I (Dr.) am getting paid by having you (patient) to come in, then for financial security I need to start my day with a full schedule. Unused visits are profit loss. A full schedule for me means that I will be able to see you i