Someone who is uncomfortable paying an annual fee may not wish to join. If this is you, please consider other services that require a monthly payment, such as your phone, cable or satellite television service, and health club memberships. All of these businesses require a fee to support their ability to provide you with their service regardless of whether you actually make a phone call, turn on the TV, or attend your daily workout. This is Meliora’s business concept also. You may not need the services of a doctor every day, but you are certainly happy to have access available when you need it.

Those who are thrilled with their current primary care  should also not switch!   It is important to note that most primary care doctors are good people trapped in a dysfunctional system, not bad doctors.