Dr. Erika Bliss was in the room when the term Direct Primary Care was written into Washington state law. She co-founded Qliance in 2007, ran it as CEO through seven clinics and a Medicaid contract, and watched it close in 2017. She rebuilt as a solo doctor in Seattle with one medical assistant and about 400 patients.

In the same week, Dr. Delicia Haynes lost her biller to a hospital buyout and opened a letter cutting her reimbursement by 40 percent. She was eating ramen in her own clinic at 10pm. She talks about switching to Direct Primary Care while still depressed, taking the Beck Depression Inventory every Sunday, and sitting at her mother's hospital bedside for a year without her income changing.

Dr. Neeti Kapur opened her DPC practice with telemedicine while she searched for clinic space. Here is how she did it, step by step, plus the full episode.