12/27/2025
🤷♂️ Feeling conflicted? Hey, look, I get it.
👨⚕️Dr. Libby, here 👋
I spent over a decade in community health centers, caring for people in need and working to fix the system. It was always challenging, and often rewarding.
But it was also a game of two steps forward, three steps back. Eventually I reached the point of "moral injury" referenced in the response.
So, instead of leaving the profession🚶♂️or becoming a full-time healthcare administrator 📝, I chose to rise up from the mud and blossom - like the lotus. 🪷
🪷 Now, I can provide care in a way that I feel good about every day.
⌛ I have plenty of time to understand and explain things to patients.
🩺 I can see people when they need to be seen.
📱 If something can safely be managed over the phone or text, I don't have to drag them into the office just to bill their insurance.
🏠 Or, if someone needs to be seen in person but can't travel, I can do a house call.
No more insurance billing games.
Just simple, transparent, direct patient care. 🙌
Working in a Direct Primary Care model is what will allow me (and many others) to keep practicing as a primary care doctor - which is something fewer and fewer people can continue to do in the "system".
I can afford the membership fee, but I’m torn about the ethics of being part of this growing trend.
