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"No one is big enough to be independent of others." Dr. William Worrall Mayo 

Welcome to the conversation on granular healthcare innovation!  For a primer on the 'direct practice' or recently dubbed 'flat rate' medicine phenomenon, see Garrison Bliss, MD, founder of Qliance discuss the need to eliminate the middle-man, i.e., insurance companies from the health care delivery and financing process for primary care services: