Why I Decided to Start a Direct Primary Care Practice
- perrinomed
- Nov 14, 2025
- 2 min read

For as long as I’ve been practicing medicine, I’ve come to the conclusion that people deserve more than 7-minute appointments, endless phone trees, rushed explanations, and surprise bills. They deserve a strong relationship with their doctor—someone who has the time to listen, the availability to help, and the freedom to care without checking boxes for insurance companies.
But for years, the system made that nearly impossible.
The more I tried to give to my patients, the more the traditional model pushed back. I found myself spending more time behind a computer screen and less time being face-to-face with the people who trusted me with their health. At the end of each day, I felt fueled by the medical work, but drained from all of the non-clinical work wrapped around it.
And that’s when the idea of Direct Primary Care began to stand out.
What I Wanted for My Patients
I wanted a medical career where:
I could spend time with my patients and not feel rushed.
My patients could reach me without jumping through a million hoops.
Transparency around navigating the system replaced confusion.
Costs were simple, predictable, and fair.
Preventive care wasn’t squeezed into whatever minutes were left over.
Care could be proactive—not reactive, rushed, or delayed.
Most of all, I wanted to practice medicine the way it was meant to be practiced: rooted in trust, access, and genuine relationships.
What I Wanted for Myself as a Physician
I became a doctor to help people and not to argue with insurance companies or squeeze meaningful care into unrealistic time slots.
I wanted:
Time to think deeply about the unique situations of my patients and better understand their stories
Flexibility to practice evidence-based medicine without non-stop administrative interference
A schedule that allowed me to be present, intentional, and thorough
A career model that didn’t lead to burnout and would support my plans to work as long as I physically am able to work
Direct Primary Care offered exactly that.
Why DPC Made Sense
DPC removes insurance from the day-to-day operations of primary care. Instead, patients pay a predictable monthly fee for ongoing access.
That means I get to:
✔ Answer messages directly
✔ Offer virtual and in-person visits without billing hassles
✔ Spend more time with my patients
✔ Reduce overhead (and pass savings on to patients)
✔ Focus on prevention instead of paperwork
In DPC, my loyalty is to my patients, not to insurance metrics or corporate targets.
A New Chapter I’m Excited About
Launching a DPC practice has been one of the most meaningful and daunting decisions of my professional career. It has allowed me to reconnect with the heart of why I became a doctor: to build relationships, walk alongside people through their health journeys, and provide care that is safe, accessible, and grounded in trust.
I didn’t choose DPC because it’s easier.
I chose it because it’s better for patients and for me as a physician.
And I can’t wait to welcome more people into this newer way of experiencing healthcare.



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