We need another monthly subscription like we need a hole in the head. But today’s column (gift link) is about the intriguing possibility that a new subscription might save money for certain people.
Direct primary care is when you pay a monthly fee to a doctor for medical visits whenever you need them. It’s not insurance. And it doesn’t cover things beyond basic doctor visits or minor treatments. But for those without insurance, or who are underinsured in plans with huge deductibles, it’s an intriguing option. It also fosters a more personal relationship with a doctor who can spend time with you and answer multiple medical questions in one visit.
Dr. Nyasha Spears of Duluth made the leap from practicing in a health care system to providing direct care. It wasn’t easy, and she’s paying a price. Her former employer is fighting to uphold a non-compete clause in her previous contract, even though they closed her clinic on short notice. She’s spent $300,000 in legal fees to launch a practice that has just over 200 patients. (Friends and colleagues have started a fundraiser). But she’s loving the change, and my conversation with her was eye-opening.
Read “Could a subscription model for health care cure our broken system?” in the Wednesday, Sept. 16, 2026 edition of the Minnesota Star Tribune.
Aaron J. Brown is a columnist and member of the editorial board for the Minnesota Star Tribune. His new book about Hibbing Mayor Victor Power and his momentous fight against the world’s largest corporation will be out soon.
