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Comment by floren | Hacker News Reader

> So I'm going to try to start a medical practice that provides great health care to uninsured people for 4x less than what anyone else charges.

Interesting note buried way down in the article. I'm looking forward to hearing more about this in future.

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Details are on the site: https://lorienpsych.com/schedule-payment/

Let's be honest. It's still going to be unaffordable for those without insurance.

Nope - he's charging $35/month.

For how many hours?

20 minutes / month + unlimited emergency phone calls and emails. It’s mainly intended either as a way for people with long term psychiatric needs to be able to get medications and be monitored without having to also have an expensive health insurance plan, or in conjunction with a separate therapist.

Is the first appointment an hour?

Yes

You know the details are on the site, right?

This is such a defeatist attitude. Single payer healthcare is a pragmatic way forward, but we should also aspire to have services available at functioning market prices outside of insurance rules. Private pay will always be more patient defined and nimble.

It's a realistic attitude. Doctors want to make SWE salaries too.

There's a trend of cutting out the middleman insurance company specifically because physicians want to continue to make competitive salaries and provide medicine.

> Doctors want to make SWE salaries too.

SWEs make extremely high salaries in the US because there are too few of them and there is way too much "dumb cash" waiting to be invested.

The problem with doctors is that unlike many in the general IT field, they are saddled with absolutely enormous student loans which they only ever can pay back if they make enough money.

Isn't Scott too old to have experienced enormous loans?

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