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                 Protecting your rights and welfare within a hostile health care system


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Personal Health Care Advocates - PHCAs

What are PHCAs?

Why PHCAs are inevitable

A code of ethics

Services provided by PHCAs

Where will PHCAs come from?

How to find a PHCA

Becoming a PHCA?

How to find a PHCA

It won't be easy, at least not at first. 

There are plenty of good doctors out there who are more than ready to jump to a career as something like a PHCA, but who have no sense of whether the public is ready for such a thing. 

And indeed, their hesitation is well-founded. In most HMO surveys, 70 – 80% of HMO subscribers report that they are satisfied with the services they receive.  Similarly, most patients rate their relationship with their physicians as being good or satisfactory. 

These figures reflect a fundamental fact: the performance of HMOs, and the integrity of the doctor-patient relationship, generally is perfectly adequate as long as you don’t get sick.  Since the large majority of individuals alive today have not suffered recently from major illnesses, most will not see a need, a priori, for a PHCA.  (And HMO surveys, no matter how badly HMOs may treat their sick, will always tend to look good - a fact that HMOs understand explicitly.)

At first, the clientele of PHCAs will come from the minority of health care consumers who have been enlightened through their own experiences, or through those of their loved ones.  As time goes by and as the public becomes aware of why PHCAs exist and what they do, then well-informed, health-conscious consumers will begin using PHCAs even before they personally have a bad experience with the health care system.

For now, YourDoctorintheFamily.com will act as a clearing house, as a sort of catalyst, to encourage the spread of this new profession.  We will keep a list of medical practitioners who notify us that they are establishing themselves as PHCAs, who agree with our concept of what a PHCA can do for patients, and who agree to subscribe to the code of ethics we have laid out. 

We will also keep track of the number of inquiries we receive from potential clients.  Hopefully, we will be able to use such statistics to encourage physicians who are thinking about becoming PHCAs to actually take the plunge.

Next: Becoming a PHCA?

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