From: Ivar E. Roth, DPM, MPH
I “think” based on knowing how Dr. Jacobs has articulated himself in prior posts that his statement “for profit first” means the “greedy” direct care docs out there refers to Dr. Kornfeld and myself. I have a very good perspective concerning direct care practices as I was the first podiatrist to adopt this philosophy in the current insurance driven practice environment.
To explain the direct care concept correctly one must understand that we accept no insurance coverage at all, no Medicare, medical or any private PPOs, etc. To me it is the purest form of medicine as you must do a great job or else the patient is not going to be coming back. Why would a patient pay for services out-of-pocket when they can get the same or similar by using their free insurance coverage. The answer is that....
Editor's note: Dr. Roth's extended-length letter can be read here.
From: Kenneth Jacoby, DPM
I have read the recent posts by Dr. Jacobs regarding the future of podiatry and agree with him 100%. His conclusions were very well thought out, insightful, and well communicated. As a retired podiatrist who practiced for 37 years, I loved what I did for a living and would not have changed anything. I am also proud to have had the opportunity to practice with my son Cory for 6 years and pleased he took over my practice.
Incidentally, I took over the practice from Roger Hess, DPM who practiced for 50 years who took it over from a DPM who practiced for 12 years, making the practice over 100 years old. What a wonderful profession.
Kenneth Jacoby, DPM (retired)