Interesting article describing how one US doctor has removed huge amounts of expensive ‘process’ from his service to patients by introducing a pay-as-you-go cash system. He has a nice life and helps people get better, at far cheaper total cost:

We lower costs for primary care by around 85%.  Getting rid of the overhead associated with billing and filing claims is a big part of that.  Also, getting buy in from specialists and ancillary service providers to give patients “cash up front” discounts for paying directly can reduce many of these costs by a similar margin…

… in this era of rapidly changing health care policies and budgets, the status quo is just no longer acceptable.  Once physicians fear of the new and unknown is less than their fear of what is getting ready to happen to the practice of medicine, then you will see a sweeping movement of physicians moving to new models like direct pay. 

Not bad. Wider lessons?