Dr. April Soto's new-patient visits for mast cell activation syndrome run up to four hours, something a fifteen-minute insurance slot could never allow. She spent three intentional years exiting corporate medicine, and now compares her pricing philosophy to the Ritz Carlton: no two-for-one specials.

When a hospital system replaced Dr. Jeremiah Fillo with a nurse practitioner after his salary shifted to RVUs and an evergreen contract demanded he sign or be terminated, he found his footing again inside Direct Primary Care.

After her century-old Duluth clinic was closed with only 36 days notice, Dr. Nyasha Spears sued her hospital system over her non-compete, and won a judge's ruling that physician non-competes are against the public interest.