Education

Detroit Doctor Lowers the Cost of Prescription Medications

Medication prices are unsustainably high, putting a huge financial burden on every day Americans. In a recent survey, 8% of adult Americans don’t take their medicines as prescribed because they can’t afford them.

In addition, the cost of insulin for an average patient with Type 1 Diabetes doubled from 2012 to 2016. In fact, the cost of medications like insulin are inflating at higher rates than college tuition, college textbooks, and hospital services.

The cost of insulin is increasing at rates far above overall inflation, even outpacing the cost of college tuition and college textbooks.

The cost of insulin is increasing at rates far above overall inflation, even outpacing the cost of college tuition and college textbooks.

All of this data is presented to make the point: health care and specifically prescription medications have become more and more unaffordable for average Americans.

Fortunately, there is a better way to get prescription medications. One way is to develop a relationship with a Direct Primary Care physician, who focuses on improving access to affordable health care services, medications, and lab work.

The medications provided by Direct Primary Care doctors are typically given to patients at-cost or at a small markup to cover shipping, bottles, and labels. Direct Primary Care doctors do this because they believe that health care should be affordable and accessible for everyone.

Our Direct Primary Care practice here in Detroit is called Plum Health DPC and we pride ourselves on lowering the cost of medications for our patients. A partial list of these medications and their prices can be found on our Pricing Page as well as by following this link to our PDF of medication prices.

For example, we had a young lady come in to our clinic with an outbreak of HSV or Herpes Simplex Virus that was affecting her genitals. She went to the local pharmacy and requested a course of Valtrex, and she was told that the medication would cost $100. She heard about our clinic, signed up for our services and now is able to get a course of treatment with Valtrex for $1.49.

As another example, we had a diabetic patient who was not actively managing his diabetes because he was scared about how much the medication might cost. He was not seeking medical attention and was not taking any medication at all for his diabetes. Unfortunately, he developed a severe skin infection that required hospitalization. The nursing staff directed him to our clinic and we were able to get his diabetic medication for free through a pharmaceutical program. Additionally, we are able to manage his high blood pressure and high cholesterol for under $5/month.

Because of this type of work that we do for our patients everyday, we have the privilege of being interviewed on WDET’s Detroit Today. This segment will air at 9:00 am on Wednesday May 22nd. Please tune in or share the podcast link to spread the word about how we’re actively lowering the cost of health care and prescription medications in Detroit and beyond.

Thank you for reading and listening,

Dr. Paul Thomas with Plum Health DPC

For more information on this topic, read our previous blog post, titled: How to Find the Best Prescription Drug Prices in Detroit

Detroit doctor, Paul Thomas MD, is using the Direct Primary Care model to the lower the cost of prescription medications in Detroit and beyond

Detroit doctor, Paul Thomas MD, is using the Direct Primary Care model to the lower the cost of prescription medications in Detroit and beyond

What is a Plum Health Membership?

What does it mean to be a member of Plum Health dpc?

What’s involved in being a member of Plum Health DPC? We hear this question often. So, it’s worth taking some time to address it head on. Plum Health is a family medicine service run by Dr. Paul Thomas. Our mission is to deliver affordable, accessible healthcare. We are unlike other offices in several ways. We highly value the doctor-patient relationship and we routinely spend thirty minutes to one hour with each of our patients per visit.

This time together is essential because it allows us to build a trusting relationship. When you’re a member of our practice, when you’re a member of Plum Health DPC, you have the opportunity to build this trusting and healing relationship with Dr. Paul Thomas over time.

In contrast, at a typical family medicine office in the fee-for-service or insurance-based system, doctors prioritize seeing as many patients as possible to increase their payments from insurance companies. This is why you may only have five to twelve minutes with a primary care doctor in the insurance-based system.

Committed to a long-term relationship between doctor and patient

Being a member of Plum Health means that you’re committed to being a part of the membership model. If you’re looking for a one-off visit or one-time services, Plum Health probably is not the right fit for you. However, if you’re looking for a dependable physician who is responsive to your calls, texts, and emails at anytime of day, who cares about you as an individual and not as another number, then Plum Health DPC will be a great fit for you.

Furthermore, we love taking care of people who believe what we believe - that health care should be individualized, that the doctor-patient relationship should be strong and seamless, that health care should be affordable and accessible. If you value these tenets like we do, then we’d love to have you as a part of the Plum Health DPC membership.

How much does a plum Health DPC membership cost?

A membership with Plum Health DPC costs $10/month for children, and starts at $49/month for adults. We have our full pricing structure here. With that membership, you can visit the office anytime without a copay. You also can call, text, or email the doctor anytime. Additionally, members of Plum Health DPC are able to get wholesale medications, at-cost labs, and at-cost imaging services at a fraction of the typical cost.

How do I sign up for a Plum Health DPC membership?

The signup process for Plum Health DPC is an easy one. Our online form takes about 5 minutes to complete. The form will ask for a credit card to complete the registration. Your card will not be billed until your account is confirmed by our staff and an appointment is made. We want to make sure you’re a good fit for our practice before we start billing you for the service.

Thanks for reading and for watching, and have a wonderful day.

Dr. Paul Thomas with Plum Health DPC

Is Direct Primary Care the Cure for Our Broken Healthcare System?

Is Direct Primary Care (DPC) the Cure for our Broken Healthcare System? That's the question that Caitlin Morse, PMP posed to me after reading my book with the same title (link to the book).

Direct Primary Care (DPC) is a growing model of health care across the Nation, but does it live up to the hype? This is the question from Caitlin Morse PMP in her article on LinkedIn, among other questions, below.

During this conversation between myself, Paul Thomas MD, and Caitlin Morse PMP, we discuss the following:

What happens when your DPC doctor is sick or goes on vacation?

What does Plum Health use for EMR/EHR if not a system designed to optimize billing?

Would this model break if all of the patients currently on Medicaid were switched to this model?

The difference between Direct Primary Care and Concierge Medicine.

What about childhood vaccinations? Public health facilities won’t vaccinate people with any insurance, even if self-pay. I was quoted thousands of dollars for out-of-network vaccines. These are included with every insurance plan at the PCP - are they included with DPC?

How does this model handle malpractice insurance/liability? Does more of a focus on preventative care expose primary care doctors to greater liability?

Could DPC provide follow-up for cancer patients in remission, stroke patients post-rehab, post-acute care, etc?

The claim is made that 80-90% of what the average patient needs could be addressed by a family physician at a DPC facility, but it would be helpful to understand what that number really represents and how it compares to the current use of PCPs. Is that 80-90% of a patient’s lifetime health needs or 80-90% of what the average patient goes to the doctor for in a single year? Or everything that 80-90% of the population need from a doctor? What percentage of healthcare costs does this represent?

Who are the people who use Direct Primary Care Services? What are their income levels? Why should a family sign up for Direct Primary Care?

These are questions that folks have about Direct Primary Care and how they can use these DPC services and benefit from them, so I’m happy to take the time and answer them. Thanks for reading and watching, and have a wonderful day.

-Dr. Paul Thomas with Plum Health DPC

Paul Thomas MD and Caitlin Morse PMP discuss Direct Primary Care.jpg

Plum Health featured in Excelerate America's Tenacity Tales

2018.12.27 Tenacity Tales Plum Health DPC Excelerate America.png

This week we were featured in Excelerate America’s Tenacity Tales! Here’s what they said about us:

Imagine being able to access your doctor anytime by phone, text or email. And knowing that you can get in to see him or her that very day, or within 24 hours at the longest.

Well Dr. Paul Thomas and Plum Health DPC is making this revolutionary possibility a reality for hundreds of Metro Detroit, Michigan-based patients.

The concept is specifically called Direct Primary Care. It's a completely new healthcare movement, one that's so different than the system most people are used to that Dr. Paul was compelled to write a book about it.

He's also constantly invited to speak about it at large conferences and galas, and was even invited to the White House earlier this month as a guest of Health and Human Services Secretary Alex Azar.

Read more about Dr. Paul's incredible entrepreneurial journey in an all-new healthcare space.


What’s the obstacle that you’ve overcome that you’re most proud of?

This has been a big year!

drpaul-v4-print-cover_Page_01.jpg

Publishing the book, "Direct Primary Care: The Cure for Our Broken Healthcare System", has been a big accomplishment for me.

It was not difficult to write the book, but having the intentionality to move the book from a completed word document on my desktop computer to a physical product that you can buy on Amazon has been challenging, with several small obstacles to overcome week by week and month by month.

I guess it's a good metaphor for being in business—It's not hard to have a great idea, but it is difficult to have the consistency, grit, and intentionality to advance that idea every day and every week towards your stated goals. 

Additionally, I'm proud of signing a lease to grow into a larger space. Our practice has grown from zero patients two years ago to over 425 patients today, so we will need a larger office to accommodate the diverse needs of our patients.

The process of signing a lease, designing an office space, and working with several different professionals to get the job done has been challenging. 

What do you know now that you wish you’d known then?

Experience is the greatest teacher, and I've made several mistakes along the way.

My biggest mistake by far has been undervaluing my time and talents. I recently finished reading "Entrepreneurial You" by Dorie Clark and it talks about having the courage to charge for your services, including during speaking engagements.

I'm glad to have asked for payments for past speaking gigs, and I need to be better at valuing my time and talents with future consulting gigs and speaking engagements. 


What’s your best advice to other small business owners?

If you're waiting for the perfect time to start, that moment when you feel ready, you'll never start. 

One quote to reinforce this is from Hugh Laurie, the actor who played “House MD”. His nugget of wisdom is as follows: “It’s a terrible thing, I think, in life to wait until you’re ready. I have this feeling now that actually no one is ever ready to do anything. There is almost no such thing as ready. There is only now. And you may as well do it now. Generally speaking, now is as good a time as any." 

Fortunately I had a really compelling reason to start my business, otherwise I may still be dragging my feet about the perfect time to launch. Anyways, a community member signed up online, before I was ready to start. He called me on a Tuesday saying "I just took my last antidepressant, so I need you to be my doctor now." That day, I ordered $100-worth of medications, including the antidepressant that he needed. The next day, I received the medications and made the house call to his rental. 

All I had was my doctor's bag, my stethoscope, a blood pressure cuff, oximeter, my laptop, and the medications he needed, but I was able to meet a previously unmet need at an affordable price for this person.

So, my advice is to stop waiting and do the thing. Done is better than perfect. 

What’s a typical day like for you?

I typically wake up and go for a run to get my mind and my body ready for the day. Then I make coffee and have breakfast.

2018 Paul Thomas MD Detroit Young Professionals Vanguard Award.jpg

Most days, I work in the office 9am - 5pm, sometimes 8am to 6pm or later depending on what needs to be done for which patients. A lot of my patients are working class folks, so they will need appointments outside of their typical eight hour shift and I do my best to accommodate them and deliver an excellent level of service.

I typically see 5-10 patients each day, and use my downtime to write blog posts, work on big projects, follow up on lab results or imaging results, order more medications, and leverage my social media channels to reach more customers.

For a solo entrepreneur, I catch myself spending too much time working on the minutia of the business rather than setting big goals for the business, i.e. working in the business rather than working on the business. Anyways, I'm looking forward to scaling up and adding another doctor so that I can focus more time on the big goals.

What’s next for Plum Health DPC? 

Great segue  (can we use bad jokes?).

I've mentioned before, but I just signed a lease for a 1,700 square foot space because we're reaching capacity in our small, one room office and I'm looking to grow both in space and in personnel.

My mission is to serve more of the Detroit community and Southeast Michigan with affordable and accessible health care services, so I am leveraging the tools I have available to meet these needs.

Look out for big things in 2019 from Plum Health DPC! 

Family Doctor on Flashpoint with Devin Scillian

Today, we were featured on Flashpoint on WDIV with Devin Scillian. The conversation focused on Direct Primary Care, and our clinic in Southwest Detroit called Plum Health DPC, which is making healthcare affordable and accessible in Detroit and beyond.

Devin Scillian is the host of Flashpoint, and a highly respected journalist in Detroit, so it was a tremendous honor to be invited onto the program to discuss this important issue. Flanking Devin Scillian was Frank McGeorge, MD, an emergency room physician and the Good Health reporter for WDIV. Dr. McGeorge was brought in to provide an additional layer of insight into health care and ask questions about Direct Primary Care from the lens of a physician/health care insider.

We also discussed our book, Direct Primary Care: The Cure for Our Broken Healthcare System.

Below I will paraphrase parts of the show:

Direct primary care introduction

Devin Scillian: Should your doctor be subscription-based? A new model allows as many visits as needed, for one monthly rate.  There was a discussion about new concepts in health care… For some time I’ve been wanting to talk about a new idea in Health Care, it’s called Direct Primary Care. It doesn’t come from your employer, or the government. It’s basically an agreement between you and your doctor - you pay a monthly fee to subscribe to your physician. All the visits that you might need that month are covered. You need medications? Well, they cut a deal on prescriptions, which you would pay out of pocket.

We’ve had a lot of debates about what to do with American Health care - there’s talk about single payer health care and a universal system. Getting less conversation, and we’ll correct that this morning, is the idea of Direct Primary Care, and the Author of a new book Direct Primary Care: The Cure for Our Broken Healthcare System, is with us this morning, Dr. Paul Thomas of Plum Health DPC. And we have Dr. Frank McGeorge, our medical reporter from WDIV Local 4, who will ask better questions than I would.

So you can get rid of health insurance?

Devin Scillian: The first thing I want to get to, is to get rid of insurance and the government?

Paul Thomas, MD: I unequivocally recommend that folks have health insurance, but for your routine primary care services, the costs are much less if you purchase them directly through your doctor. You want to maintain a health insurance plan that you’re comfortable with, and use the free market or Direct Primary Care services to the lower the costs of your meds, labs, imaging services, and doctor visits.

So this is a club, basically? and what is your Pricing like?

Devin Scillian: So, I would kind of use you and your partners like I belong to a club, basically?

Paul Thomas, MD: Yes, it’s a membership model for health care, so you can come in and see us any time you need to. Visits are included in our pricing structure:

The 2018 pricing for Plum Health DPC, as shown during an interview between Paul Thomas MD, Devin Scillian, and Frank McGeorge MD on Flashpoint on WDIV, Local 4 News.

The 2018 pricing for Plum Health DPC, as shown during an interview between Paul Thomas MD, Devin Scillian, and Frank McGeorge MD on Flashpoint on WDIV, Local 4 News.

Devin Scillian: Unless your in a health plan that I’ve never heard of, this looks really reasonable, much less than you and I are paying, doc (Dr. Frank McGeorge).

Dr. Frank McGeorge: This is a very different way of doing things, clearly, and it does make sense. I have to say, I really applaud what you’re doing, because I think it’s wonderful that you are getting back to the most basic form of providing health care, that is directly to the patient, cutting out all of the bureaucratic nonsense as much as possible. You don’t need a biller and coder in your office, you save that money right off the top, and you pass that savings directly onto the patient.

Biggest concerns about the direct primary care model?

Devin Scillian: So your biggest concerns with it are what?

Dr. Frank McGeorge: Well what’s interesting to me, is that you’re doing what we used to do in Family Practice one hundred years ago, you were the small town doc. Everyone would come to you with all of their problems. But the problem now is that back then you could know all of medicine, but now, medicine is so much more complex. I guess, how do you deal with specialty referrals? The things that are out of your family practice domain.

Paul Thomas MD of Plum Health DPC on Flashpoint with Devin Scillian and Dr. Frank McGeorge of WDIV Channel 4 in Detroit, Michigan, discussing Direct Primary Care.

Paul Thomas MD of Plum Health DPC on Flashpoint with Devin Scillian and Dr. Frank McGeorge of WDIV Channel 4 in Detroit, Michigan, discussing Direct Primary Care.

Paul Thomas MD: The typical scope of a family medicine doctor is 70 - 80% of anything that you might walk into the doctor’s office with. So I can handle 70 - 80% of your concerns, the rest you would typically refer to specialists. Now in my model, we use an e-consult platform called Rubicon, where we can write up your case history and send it to a Board Certified Ophthalmologist or Dermatologist or Cardiologist with a photo or a copy of your EKG, and get a second opinion at no charge to you the patient.

Devin Scillian: No charge to me, because you’ve developed a relationship with these specialists.

Paul Thomas MD: Exactly, it’s an e-consult platform called Rubicon that any primary care physician can use, and I use it because I actually have the time to listen to you fully, to take down copious notes about your condition, and send those over to the specialist and get a second opinion within about 12 hours.

How many patients can a direct primary care doctor handle?

Devin Scillian: Have you figured out where the sweet spot is for how many patients you can handle?

Paul Thomas MD on Flashpoint with Devin Scillian and Dr. Frank McGeorge of WDIV Channel 4 in Detroit, Michigan, discussing Direct Primary Care.

Paul Thomas MD on Flashpoint with Devin Scillian and Dr. Frank McGeorge of WDIV Channel 4 in Detroit, Michigan, discussing Direct Primary Care.

Paul Thomas MD: The typical number of patients per physician in the Direct Primary Care model is 500 - 600 patients. Now, contrast that with the typical family doctor who has to have 2,400 patients, so they’re seeing 1% of their panel each day or 24 patients each day. In our model, when we see 1% of our panel, we see 5 - 6 patients each day. And, that gives me an hour per patient to really sit down with you and understand what you’re going through, and help you through that situation.

What is the pricing like for medications and lab work?

Devin Scillian: You and I have been looking at these price lists (to Dr. McGeorge), because they cut deals on prescriptions and on lab tests. With your trained eye, and the time you spend in the Emergency Room, how does everything look?

Those forms for your reference: List of our laboratory pricesList of our medication prices.

Dr. Frank McGeorge: This is clearly the way it should be. One of the things I’ve always rallied against is the opaqueness of how billing and charging is done in the medical care system. Frankly, if you go into hospital A versus hospital B, you don’t know how much you’re going to be charged for any given test because it’s different in each hospital. This (pricing) is great because it’s all laid out in advance and it looks like it’s done, basically, at cost.

Paul Thomas MD: Exactly, because you’re already paying the membership, I want to give you as much value for your healthcare dollar as possible. So, we make all of our prices transparent, and we only charge the cost of the medication, or the lab, or the imaging service so you get the most value out of the service as possible.

Can Direct Primary Care Doctors make money in this system?

Devin Scillian: I don’t know how to ask this delicately, but is this lucrative for you? Do you make a fair amount - enough money? Or are you just messing with the system?

Paul Thomas MD: As the membership grows, as the doctor gets to full capacity, you earn about what you would make as an employed physician, maybe a little bit less. But, we have a saying in the Direct Primary Care movement that nothing pays like autonomy. I can be the physician I was meant to be. And, in this model, it’s really inspiring for other doctors who want to join this movement because you have the ability to practice medicine on your own terms, and not at the dictates of insurance companies or government heath care systems.

The full video can be seen above, and on the Flashpoint website.

Thank you so much for reading and watching,

-Dr. Paul Thomas with Plum Health DPC

Paul Thomas, MD with Devin Scillian and Dr. Frank McGeorge of WDIV Detroit on the set of Flashpoint. The discussion on Flashpoint this week centered around Direct Primary Care, a new model for health care that aims to improve the quality of healthcare while decreasing overall costs.

Paul Thomas, MD with Devin Scillian and Dr. Frank McGeorge of WDIV Detroit on the set of Flashpoint. The discussion on Flashpoint this week centered around Direct Primary Care, a new model for health care that aims to improve the quality of healthcare while decreasing overall costs.

Paul Thomas, MD of Plum Health DPC, Devin Scillian of WDIV Channel 4 News in Detroit, and Dr. Frank McGeorge, an Emergency Medicine Physician and broadcaster with the Good Health segment on WDIV local 4. During Flashpoint this week, we discussed Direct Primary Care and the opportunity that it provides to change our healthcare system from the ground up. Devin Scillian was also kind enough to mention our book,  Direct Primary Care: The Cure for Our Broken Healthcare System .

Paul Thomas, MD of Plum Health DPC, Devin Scillian of WDIV Channel 4 News in Detroit, and Dr. Frank McGeorge, an Emergency Medicine Physician and broadcaster with the Good Health segment on WDIV local 4. During Flashpoint this week, we discussed Direct Primary Care and the opportunity that it provides to change our healthcare system from the ground up. Devin Scillian was also kind enough to mention our book, Direct Primary Care: The Cure for Our Broken Healthcare System.

Paul Thomas MD on the DocPreneur Podcast

This week, we were featured on the DocPreneur Podcast, which is created and distributed by Michael Tetreault, Editor-in-Chief of the Direct Primary Care Journal. After publishing the book, Direct Primary Care: The Cure for Our Broken Healthcare System, Michael reached out about having me on the podcast.

I’m sincerely happy to share my experiences in Direct Primary Care, to teach and inspire other doctors to take this journey to an authentic, fulfilling practice of medicine, to become the doctors they were meant to be. This is one of the biggest reasons why I continue to get the word out about Direct Primary Care - I believe in this model and its ability to transform our healthcare system in the United States.

I want to personally thank Michael Tetreault for being on the vanguard of Direct Primary Care by creating educational materials for DPC doctors. Enjoy the podcast, and let me know what you think!

Thank you for reading, watching, and listening,

-Dr. Paul Thomas with Plum Health DPC

Family Doctor Speaks at the Detroit Public Library

In October, I had a great opportunity to speak at the Detroit Public Library about health care. The focus of my talk was our Family Medicine practice in Southwest Detroit called Plum Health DPC. The DPC stands for Direct Primary Care and our mission is to make healthcare more affordable and accessible for everyone.

This talk was well attended by Detroiters and Library Patrons who wanted to learn more about lowering the cost of their health care. Folks in Detroit and across America are facing ever-rising costs for health insurance premiums and prescription drugs, ER visits and lab work.

One such Detroiter showed me the bill from a recent ER visit, which illustrates the inflated cost of medical care, especially the medical care delivered in emergency departments.

A Detroiter shows me their medical bill, showing the inflated costs of a chest x-ray, breathing treatments, blood work, and an EKG. Shared with permission.

A Detroiter shows me their medical bill, showing the inflated costs of a chest x-ray, breathing treatments, blood work, and an EKG. Shared with permission.

So let’s run through this bill and demonstrate the inflated costs of health care services when you receive them through the emergency department.

This person was charged $120 for a Basic Metabolic Panel, a test that costs $6 in our office.

This person was charged $47 to check their Magnesium level, and it’s $10 in our office.

This person was charged $57 for an EKG in the emergency department, and it’s $2 in our office.

A 2 view x-ray in the Emergency Department cost this person $107, but it can be obtained for $38 in the community.

Worst of all, this Emergency Department visit was billed out at a Level 5, or the highest level of severity for any emergency department visit. This would be on par with a stroke, heart attack, or gun shot wound. Because of this high level coding, this person was charged $1,204.00 for this visit, which was an asthma attack.

At Plum Health, we value price transparency, and we want to make sure that folks understand the costs of their medical care before those services are rendered. This prevents people from being sent to medical bankruptcy, the leading cause of bankruptcy in the United States.

“A study done at Harvard University indicates that this is the biggest cause of bankruptcy, representing 62% of all personal bankruptcies. One of the interesting caveats of this study shows that 78% of filers had some form of health insurance, thus bucking the myth that medical bills affect only the uninsured.” - Investopedia article

This is why I get out into the community and speak at different events - I want to educate folks about how they can live healthier lives and prevent financial calamity in the process.

Thanks for reading, and have a wonderful day,

-Dr. Paul Thomas with Plum Health DPC

Want to take a deeper dive? Read our book, published on Amazon.

Paul Thomas MD at the Detroit Public Library speaking about Direct Primary Care.

Paul Thomas MD at the Detroit Public Library speaking about Direct Primary Care.

Paul Thomas MD of Plum Health DPC speaks at the Detroit Public Library about Direct Primary Care and making health care more affordable and accessible.

Paul Thomas MD of Plum Health DPC speaks at the Detroit Public Library about Direct Primary Care and making health care more affordable and accessible.

Paul Thomas MD Speaking at Michigan State University

This week, I was invited to speak at Michigan State University College of Osteopathic Medicine regarding Direct Primary Care. It was a neat experience because the school has three campuses and my lecture was simulcast to the other two campuses. I spoke at the Detroit location (did you know that Michigan State University has a medical school campus in Detroit?) and the talk was broadcast to the East Lansing and Macomb campuses.

The lecture was an hour, and in the first 45 minutes I discuss the current crisis in primary care, I define Direct Primary Care, and then I give real-world examples of how Direct Primary Care is working in our clinic in Southwest Detroit. During the last 20 minutes, I answered as many questions as I possibly can.

I love speaking with students about our healthcare system and about Direct Primary Care because I see the lightbulb go off - I see them ‘get it’ and understand the model and why it works well. I love witnessing that moment - the “aha” moment.

A few students bought my book about Direct Primary Care after the event and the pictures below are of me signing the book. Thanks for reading and have a wonderful day.

-Dr. Paul Thomas with Plum Health DPC

Get your copy of the book, Direct Primary Care: The Cure for Our Broken Healthcare System

Signing a book  for one of the Michigan State University College of Osteopathic Medicine Students.

Signing a book for one of the Michigan State University College of Osteopathic Medicine Students.

Dr. Paul Thomas MD of Plum Health DPC signing the book,  Direct Primary Care: The Cure for Our Broken Healthcare System  after a speaking engagement at Michigan State University College of Osteopathic Medicine in Detroit, Michigan.

Dr. Paul Thomas MD of Plum Health DPC signing the book, Direct Primary Care: The Cure for Our Broken Healthcare System after a speaking engagement at Michigan State University College of Osteopathic Medicine in Detroit, Michigan.

Dr. Paul Thomas at the Future of Family Medicine Conference

Last month, I had the opportunity to speak with over 100 students and residents interested in the specialty of Family Medicine. This was at the aptly named “Michigan Future of Family medicine Conference” hosted by the Michigan Academy of Family Physicians. The event was held at Michigan State University and hundreds of students were able to attend on a Saturday morning in October.

The invitation for the fifth annual Michigan Future of Family Medicine Conference, hosted by Michigan State University and the Michigan Academy of Family Physicians (MAFP).

The invitation for the fifth annual Michigan Future of Family Medicine Conference, hosted by Michigan State University and the Michigan Academy of Family Physicians (MAFP).

For students, it can be hard to get excited about the future of Family Medicine. Family Physicians work long hours, have to deal with tons of insurance bureaucracy and red tape, and earn less than their colleagues in other specialties. It can leave students deflated.

Dr. Paul Thomas of Plum Health DPC speaks at the Michigan Future of Family Medicine Conference 2018 Panel on Career Options, taken from the Michigan Academy of Family Physicians’ (MAFP) twitter account, here: https://twitter.com/MIFamilyDocs/status/1051106817705725953

Dr. Paul Thomas of Plum Health DPC speaks at the Michigan Future of Family Medicine Conference 2018 Panel on Career Options, taken from the Michigan Academy of Family Physicians’ (MAFP) twitter account, here: https://twitter.com/MIFamilyDocs/status/1051106817705725953

However, I find that when I speak about Direct Primary Care and the opportunities that a DPC model of care can provide, students are energized and excited about the future of family medicine. You see, Family Medicine Doctors have the most tools in their tool set and can have the biggest impact on the community level - we lower admission rates to hospitals and decrease the cost of care for our patients. We also lower the rates of disease and death rates from disease.

But, as mentioned previously, Family Medicine is less desirable from the student’s perspective as it pays less and is a difficult job because of insurance hassles.

I think our profession, Family Medicine, is at a real moment of crisis, but also at a crossroads for opportunity. We can continue to be a part of the healthcare industrial complex, billing and coding, racking up charges on our patients, or we can adopt the Direct Primary Care model and serve our patients and our community with affordable and accessible health care services that are more just and compassionate in their delivery.

That’s my message, I’m glad to have had the opportunity to share it, and I’m very happy to have seen it resonate with so many energetic and eager medical students and residents.

Thanks for reading, and have a wonderful day,

-Dr. Paul Thomas, MD with Plum Health DPC, a Direct Primary Care service in Southwest Detroit

Dr. Paul Thomas of Plum Health DPC speaks at the Michigan Future of Family Medicine Conference 2018 Panel on Career Options, taken from the Michigan Academy of Family Physicians’ (MAFP) twitter account, here: https://twitter.com/MIFamilyDocs/status/1051097050086035456

Dr. Paul Thomas of Plum Health DPC speaks at the Michigan Future of Family Medicine Conference 2018 Panel on Career Options, taken from the Michigan Academy of Family Physicians’ (MAFP) twitter account, here: https://twitter.com/MIFamilyDocs/status/1051097050086035456

I had the pleasure of speaking to an audience of over 100 + Medical Students and Medical Residents at the Michigan Future of Family Medicine Conference in October 2018. I shared the stage with Dr. Sheala Jafry, Dr. Fatin Sahhar, and Dr. Amy Keenum. The event was held at Michigan State University and hosted by the Michigan Academy of Family Physicians (MAFP).

I had the pleasure of speaking to an audience of over 100 + Medical Students and Medical Residents at the Michigan Future of Family Medicine Conference in October 2018. I shared the stage with Dr. Sheala Jafry, Dr. Fatin Sahhar, and Dr. Amy Keenum. The event was held at Michigan State University and hosted by the Michigan Academy of Family Physicians (MAFP).

Plum Health serves a Health Professional Shortage Area

Plum Health serves a Health Professional Shortage Area, and we’re proud to do this. Part of our mission is to deliver affordable, accessible health care services in Detroit and beyond. This is important because we are passionate about making health care available to communities that have been traditionally neglected by the existing medical system.

Unfortunately, doctors and hospital systems choose to locate their practices in neighborhoods and communities that have higher income levels and higher rates of private insurance coverage. You see, doctors in the current fee-for-service system only receive what they are paid by third party payers, like Medicare, Medicaid, and private insurance companies.

And some of these payers pay more for services than others. For example, Medicaid reimbursement is much lower than Medicare reimbursement or Private Insurance reimbursement. This really hurts Detroit as a greater proportion of Detroiters rely on Medicaid for health insurance relatives to other counties in our region.

Therefore, the current fee-for-service system incentivizes doctors to locate their practices in higher-income communities, and thus leaves lower-income communities medically underserved. As an example, the ratio of primary care physicians to general population in Detroit is roughly 1 primary care physician for every 6,300 residents. In Oakland county, there’s about 1 primary care physician for every 683 residents.

Below are the medically underserved areas in Detroit as of 2017. We are proud to be practicing in the Southwest Detroit/Corktown neighborhoods and serving our neighbors, community members, and small businesses with high-quality medical services.

2018 Plum Health DPC serves a medically underserved neighborhood in Detroit.png

Thank you for reading and understanding this important issue,

-Dr. Paul Thomas, MD with Plum Health DPC in Detroit, Michigan

More on the above map: Health Resources and Services Administration (HRSA), a Federal Agency, develops shortage designation criteria to determine whether a geographic area, population group or facility is a Health Professional Shortage Area (HPSA) or a Medically Underserved Area/Population (MUA/P). HPSAs may be designated as having a shortage of primary medical care, dental or mental health providers. They may be urban or rural areas, population groups, or medical or other public facilities. MUAs may be a whole county or a group of contiguous counties, a group of counties or civil divisions, or a group of urban census tracts in which residents have a shortage of health services. MUPs may include groups of persons who face economic, cultural or linguistic barriers to health care.

Additional information on Medicaid rates in Wayne county, take from MLive:

Medicaid Rates in Wayne County.png
Michigan Medicaid Map.png

Plum Health DPC on WDET

This week, we ran an advertisement on WDET with the Corktown Business Association. I have been a long-time fan, listener and supporter of WDET and it’s one of the best places to advertise for our business because the people who listen to WDET are those who think and care deeply about Detroit and the issues facing the city.

Also, WDET does an excellent job of informing the public about important issues of the day and it’s a great platform for community-level information and journalism.

At Plum Health, we are addressing the lack of health care and primary care resources in the City of Detroit, and we know that this mission resonates with people who care about the city and its future.

As a part of the Corktown Business Association, we work with other business owners in the neighborhood to make it a better place to live, work, shop, eat, play, and be healthy. I’m proud to be in the Corktown Business Association and I’m glad we had the opportunity to tell the story about a wonderful place to be with vibrant businesses, Corktown Detroit.

Here’s the spot that we sponsored on WDET, with some images added from our archive:

Thanks for reading, and have a wonderful day,

Dr. Paul Thomas, Physician with Plum Health DPC

Paul Thomas, MD Speaks at Oakland University William Beaumont School of Medicine

This week, I was able to speak at the Oakland University William Beaumont School of Medicine to a group of about 50 enthusiastic first and second year medical students on September 24th, 2018. This presentation focuses on the philosophy and practice of Direct Primary Care and the main points of a DPC practice.

I believe in Family Medicine and I believe in Family Medicine doctors and their ability to fix our broken healthcare system, to remake it into a compassionate, intuitive system that delivers comprehensive care.

Because of this belief, I speak as often as I can to medical students, residents, doctors, and allied health professionals about Direct Primary Care and its transformative power in our healthcare ecosystem.

Thanks for reading and watching,

-Dr. Paul Thomas, family medicine physician practicing at Plum Health DPC in Southwest Detroit

I had a blast speaking at the AAFP Direct Primary Care Conference

I cannot tell you how much fun I had speaking at the AAFP DPC Conference, I loved it this much:

Dr. Paul Thomas speaking about Branding and Marketing your Direct Primary Care practice at the American Academy of Family Physicians Direct Primary Care Conference in Indianapolis, Indiana.

Dr. Paul Thomas speaking about Branding and Marketing your Direct Primary Care practice at the American Academy of Family Physicians Direct Primary Care Conference in Indianapolis, Indiana.

Seriously, I had an amazing opportunity to speak directly with my Direct Primary Care colleagues about Branding and Marketing your Direct Primary Care practice at the American Academy of Family Physicians Direct Primary Care Conference in Indianapolis, Indiana. 

I believe that our family physicians are the backbone of the health care system in America, and I am encouraged and enthused by their willingness to step into their own power and create ideal practices that optimally serve their individual patients and their greater communities.

I'm all in on helping my colleagues create their best practices and to become the doctors they were meant to be. One of the biggest challenges that doctors face is in the realms of branding and marketing as most family physicians have little or no training in these areas. 

What I conveyed in my lecture was how to create a brand, engage in branding your practice, and actively market your practice. I'm posting about this again because I'm that amped up and because the lecture is now live on the AAFP website, here

Thanks for reading and for watching! Below are some bonus screenshots from the talk. If you're an individual looking for this type of care for yourself, your family, or your employees, please call me at 313.444.5630 or send me an email at paul@plumhealthdpc.org. If you're a DPC doctor and you need help branding and marketing your practice, reach out to me because I'm happy to help.

Sincerely,

- Dr. Paul Thomas, MD, physician with Plum Health DPC in Southwest Detroit 

How to Find the Best Prescription Drug Prices in Detroit

As many of us are aware, the price of prescription drugs can be astronomical. People are paying for a retail markup at pharmacies, often paying 10 - 20 times as much as the drug actually costs at wholesale. Even worse, insurance companies often charge more for medications purchased via your insurance plan than the medication would cost if you bought it at the cash price. 

Why is this important to me? I'm a Family Doctor in Southwest Detroit and I took an oath to do no harm, and for me that oath also includes doing no financial harm. So, I am focused on lowering the cost of health care for my patients and the greater community. 

How to find the best prescription drug prices in Detroit

If you're like many people, you probably go to the pharmacy with your Rx card or prescription card from your health insurance company. You then have the pharmacist 'run the card' to find out if you get a discount when you purchase medication. 

What you should do instead is ask the pharmacist, "what is your cash price for this medication?" Also, you can ask for any coupons that the pharmacist might have. If you are dissatisfied with the price, then pull out your insurance card and ask for them to 'run the card'. This will ensure that you have a fair price point to start from. 

In addition, you can shop around for the best prescription drug prices in Detroit or in your local community by comparing prices online. Using tools like GoodRx.com can help you find the exact price for the medication you need. 

Using Direct Primary Care to Lower Drug Prices

There is another option to find even lower prescription drug prices. That option is called Direct Primary Care. In the Direct Primary Care model, doctors aim to provide as much value as possible for patients' health care dollars. In simple terms, we DPC doctors try to lower the cost of health care. 

What does this look like? It looks like 70% - 90% savings on prescription drug prices in Detroit and the Metro Detroit Area. Just check out this chart and see for yourself the actual, wholesale cost of the medication compared to the price you would pay at the pharmacy with the retail pharmacy mark up, or the inflated price. 

Original image taken from  Consumer Reports .

Original image taken from Consumer Reports.

 

How do we do this? At Plum Health DPC, we buy the medications at a wholesale price and then we sell them to our patients at-cost. This means if we buy a bottle of 1000 blood pressure medications at $10, each pill costs 1 cent. Then your monthly prescription cost for that blood pressure medication is 30 cents.

In the above example, we are able to get Pioglitazone (Actos) for $4.30 per month, Celecoxib (Celebrex) for $6.47 per month, Duloxetine (Cymbalta) for $7.04 per month, Atorvastatin or Lipitor for $2.09 per month, and Clopidogrel or Plavix for $4.28 per month. The total monthly cost would be $24.18 for our patient, and that is a huge cost savings compared to the nearest retail pharmacy.

By lowering the cost of medications, we can improve access to primary care services, better control blood pressure and diabetes, and therefore decrease the risks of heart attacks, strokes, and complications of diabetes in our community. This will lead to lower rates of disability and death, or a healthier society. 

We are proud to make a difference in this way. Thank you for reading and learning about the cost of prescription drugs, and let me know if I can help you or a family member lower the cost of health care.

Sincerely,

- Dr. Paul Thomas, MD with Plum Health DPC

Speaking at the AAFP DPC Summit 2018

Speaking at the AAFP DPC Summit

This weekend, I had the privilege of speaking at the American Academy of Family Physicians' (AAFP) Direct Primary Care Summit 2018. The DPC Summit 2018 took place in Indianapolis, Indiana from July 13th - 15th and we shared best practices about Direct Primary Care.

Several of the founding members of the Direct Primary Care Alliance, an organization advocating for the needs of the independent DPC doctors, including Dr. Paul Thomas, MD, Dr. Ryan Neuhoffel, Dr. Julie Gunther, Dr. Phil Eskew, Dr. Nicholas Tomsen, Dr. Landon Roussel, Dr. Amy Walsh, Dr. Delicia Haynes, Dr. Jeff Gold, Dr. Luke Van Kirk, Dr. James Gaor, Dr. Staci Benson, et al.

Several of the founding members of the Direct Primary Care Alliance, an organization advocating for the needs of the independent DPC doctors, including Dr. Paul Thomas, MD, Dr. Ryan Neuhoffel, Dr. Julie Gunther, Dr. Phil Eskew, Dr. Nicholas Tomsen, Dr. Landon Roussel, Dr. Amy Walsh, Dr. Delicia Haynes, Dr. Jeff Gold, Dr. Luke Van Kirk, Dr. James Gaor, Dr. Staci Benson, et al.

The name of my talk was "DPC Hustles Harder", an homage to the entrepreneurial spirit and can-do attitude of my home town summed up in the phrase "Detroit Hustles Harder." I also see several parallels between Detroit and the DPC movement - embattled, not fully understood, at a crossroads, with the potential to grow rapidly. 

I named my talk DPC Hustles Harder because as a DPC doctor, your name is not on the back of your patients' insurance card and you will not get referrals from large health care systems or their doctors or administrators. In fact, as a DPC doctor, you have to go out, pound the payment, write for local papers, write blog posts, send emails, and leverage social media platforms to reach your target audience.

All of this can be a ton of work and it can feel overwhelming, especially for physicians who haven't had any formal communications or digital marketing training. So I set out to simplify the tools and processes for doctors to reach more patients. 

I did this because I believe in the Direct Primary Care model and the DPC movement, it's ability to lower the cost of care and deliver a higher quality of service for patients, families, and communities across our nation. I sincerely believe in the abilities of my DPC colleagues, and I want to help and uplift their efforts. 

I don't have the full video version of my presentation, but I will post it as soon as it's available. For now, I have several pictures taken by my colleagues (see below), some great memories from connecting with my colleagues, and a deep sense of gratitude for the ability to teach others about how to overcome challenges when it comes to branding and marketing their Direct Primary Care practices. 

Thanks for reading and have a wonderful day,

- Dr. Paul Thomas with Plum Health DPC

Speaking at the American Academy of Family Physicians Direct Primary Care Summit 2018, my lecture was called DPC Hustles Harder and it focused on Branding and Marketing your Direct Primary Care Practice. 

Speaking at the American Academy of Family Physicians Direct Primary Care Summit 2018, my lecture was called DPC Hustles Harder and it focused on Branding and Marketing your Direct Primary Care Practice. 

Wayne State University School of Medicine History Presentation

Our video has been posted online! I had the opportunity to present the history of Wayne State University School of Medicine, and it is now available as a YouTube video. Check it out, below.

Thanks for reading and watching!

- Dr. Paul Thomas with Plum Health DPC

 

How is Plum Health Making an Impact?

Family Medicine Doctor Reaching Out in Detroit

Dr. Paul Thomas speaking to elementary school students at Munger Elementary/Middle School on Detroit's West Side during Career Day.

Dr. Paul Thomas speaking to elementary school students at Munger Elementary/Middle School on Detroit's West Side during Career Day.

This week, I engaged in two outreach events, one at Munger Middle Elementary/Middle School on Detroit's West Side and one at the Northwest Activities Center in NW Detroit. The first event had me speaking to a group of about 30 elementary school students, sitting cross-legged on a gym floor. We talked about what it takes to become a doctor, the dreams that they had for their futures, and the steps that it would take to achieve those dreams. They even made me a nice gift for coming out - a small paper doctor. 

Dr. Paul Thomas at Munger Elementary/Middle School on the West Side of Detroit.

Dr. Paul Thomas at Munger Elementary/Middle School on the West Side of Detroit.

The event at the Northwest Activities center had me speaking to about 100 senior citizens who had innumerable questions about health and wellness. They asked me about everything from high blood pressure, to diabetes, to nutrition, exercise, arthritis, and declining cognitive function. Also at this event, the community had organized fresh food distribution.

Dr. Paul Thomas at the Northwest Activities Center in NW Detroit after speaking to a group of senior citizens about health and wellness.

Dr. Paul Thomas at the Northwest Activities Center in NW Detroit after speaking to a group of senior citizens about health and wellness.

Both were inspiring in different ways, and also showed how we can make a big impact by reaching out to the community and educating people from elementary age to senior citizens. I think a lot about impact, and how we're making a positive impact in the community, and I wanted to share an essay I wrote earlier this month:

How a Family Doctor Makes an Impact

The problem that I am solving is access to affordable medical care, not just for individuals, but also for small businesses and communities. On the individual level, I cannot count the number of people who have presented to our clinic to establish care with a family doc for the first time in years, sometimes even decades. They feel comfortable because the price point is understandable, services and charges are transparent, and we've created a welcoming environment for all people.

I’ll give the example of the lifelong Detroit resident who had a uncontrolled blood pressure, who avoided medical care because the cost was simply too high. She signed up for a membership with us, and we are managing her blood pressure with medication that costs under $2/month. She is now at goal, and cried in our office after reaching this critical threshold.

Next, we’re solving a big problem for small businesses. Small business owners want to provide services and benefits that will help them attract and retain employees, and often times traditional health insurance products are financially out of reach. Rather, they choose to provide Plum Health and our health care services for their employees: an affordable product that’s understandable and easy to access for their workers. We are now seeing small businesses that are proud to offer our service as a benefit to their employees as a mean of attracting and retaining talent.

Finally, we’re solving the problem of neighborhood-based primary care services in Detroit, a city that is critically underserved from a primary care perspective. There are fewer than 100 primary care doctors in the City of Detroit, equating to roughly 1 doctor for every 6,300 residents. We are meeting a significant need in our Southwest Detroit location by serving a community that otherwise would not have access.

Thanks for reading, and have a wonderful day,

- Dr. Paul Thomas with Plum Health DPC in Detroit, Michigan

The History of Wayne State University School of Medicine

This week, I was invited to give a presentation on the history of Wayne State University School of Medicine during its Sesquicentennial Celebration. Yes! The WSU SOM is 150 years old, and it has a rich history of diversity, inclusion, and innovation that should be celebrated. Interestingly, the history of the Medical School is the history of the University, as the University grew out of the Medical School. While I can't cover the entire history in a single blog post, I will give some highlights from the early years of the college below. When the full presentation is released later this year, I will post it to the blog as well. 

Theodore A. McGraw, MD, founder of the Detroit Medical College, which would later become Wayne State University School of Medicine.

Theodore A. McGraw, MD, founder of the Detroit Medical College, which would later become Wayne State University School of Medicine.

The Detroit Medical College was founded in 1868 by five returning Civil War Veterans. One can only imagine the horrors that they saw on the battlefield and you can also imagine the inadequacy that they felt in treating wounded soldiers. In the 1860's, aseptic surgical techniques were only beginning to be used and anesthesia was not fully understood. 

Can you imagine what it might have felt like to be a battlefield clinician, and not having the proper tools or training? Dr. Theodore McGraw, founder of the Detroit Medical College is quoted as saying: "I had discovered in my two years of army activity that I was deficient in that exact knowledge of anatomy that was essential to good surgery.  The advent of antiseptic and aseptic surgery, besides, had opened a new field for operative work, that of the abdomen, which demanded a study of anatomical relations which had never been taught in the schools."

Dr. Theodore McGraw was focused on both teaching and learning, and that desire is summed up in this quote "We entered into the matter with unbounded enthusiasm – enthusiasm for teaching and developing ourselves."

To this end, the charter of the Detroit Medical College elucidated how this would be achieved. In the charter (pictured below), it is written that "Pains will be taken to instruct each Student in PRACTICAL DIAGNOSIS. For this purpose the advanced Students will be called upon in turn to examine patients. After pronouncing a Diagnosis, questions will be asked in relation to differential symptoms... ...Little benefit can result to the Student from seeing cases diagnosticated and treated by the Professor of Practical Surgery and Medicine, unless he is first allowed to exert his own powers, and test his own knowledge, by personal examination of the patients."

The Detroit College of Medicine charter from 1868, signed by founding physician Thodore A. McGraw, MD. The charter puts forth the founding principles of the institution. 

The Detroit College of Medicine charter from 1868, signed by founding physician Thodore A. McGraw, MD. The charter puts forth the founding principles of the institution. 

This ethos of having students practice medicine, to serve the community, and to learn by doing, echoes throughout the history of the School of Medicine. This is the very foundation of the University and the key to its enduring greatness. It is also the reason that I chose to attend WSU SOM - I wanted to immerse myself in the diversity of the city and the breadth of clinical opportunities available in Detroit, from serving homeless and uninsured patients in community clinics to learning from some of the leading minds and researchers in the country at the University clinics. 

At its inception, the Detroit Medical College set up a relationship with Harper Hospital and St. Mary's Hospital, which allowed students to learn from and serve the people of Detroit. The focus is, and has always been, learning by doing. The early photos below illustrate these tenets. 

 

 

The above photo series include the following images: first is the Detroit Medical College, which housed the medical school after 1868, the second image shows students during anatomy lab sometime around 1900, which is not very different than anatomy lab at the School of Medicine today. The third image is St. Mary's Hospital, one of the two clinical training sites after 1868. The fourth image is the operating theater at St. Mary's Hospital in 1898. The Operator is Dr. Henry O. Walker. At his left, hands behind his back, is Dr. Theodore McGraw, the founder of the Detroit Medical College who emphasized teaching by doing. The final image is Harper Hospital, the primary clinical training site for students at the Detroit Medical College. 

It was an honor to be able to relay the history of Wayne State University School of Medicine to my physician colleagues this weekend, and it is a great reminder of what makes doctors from Wayne State unique and so  skilled - the focus on hands-on clinical training and the diversity of the people we have the privilege of serving. 

Thanks for reading,

- Dr. Paul Thomas, Physician with Plum Health DPC

 

Plum Health at TechTown Detroit

This week, I was invited to speak at TechTown Detroit's Retail Boot Camp, and as a proud alum of the program, of course I said "yes!"

If you're unfamiliar, Retail Boot Camp is about training young entrepreneurs and equipping them with the skills to start or grow a small business in Detroit. Some successful graduates of the program include House of Pure VinParamita SoundTribalfare, Mama Coo’s BoutiqueThird Wave Music and 2015 Hatch Detroit winner Live Cycle Delight.

The students had 45 minutes to ask me anything about my business and about what it takes to be a successful business in Detroit. I participate in events like this because small businesses are the backbone of a successful economy. I'm a life long resident of Southeast Michigan and I want to see Detroit and its surrounding communities thrive. Part of having thriving communities and growing economies is having a robust start-up/entrepreneurial ecosystem. 

Below are some photos from the session! Thanks for reading,

- Dr. Paul Thomas, MD with Plum Health DPC

Plum Health on Bonfires of Social Enterprise

Last month, I had the pleasure of being interviewed by Romy Kochan on her podcast, Bonfires of Social Enterprise. Bonfires of Social Enterprise is focused on highlighting social entrepreneurs and we were happy to be featured on this podcast!

I believe that Plum Health DPC is a social enterprise because we not only focus on growing the business in a traditional sense (revenue, profit & loss, etc...), but we also focus on making a positive impact in the community by providing a medical service that is much needed the SW Detroit community. 

Romy was a great interviewer and made me think differently about my own practice, prompting me to say something I've never said before. She asked if I could dream big, and envision a future for what I'm doing, what could this look like?

I responded by saying, "I think this could look like a nation where we get rid of these old notions of what 'good health care' looks like, and starting to realize that it doesn't look like a piece of plastic in our wallet. It looks like a relationship with someone in our community that is a healer, that can listen, and has time to address your concerns".

2018 Plum Health on Bonfires of Social Enterprise.jpg

The conversation had a broad scope from how we got started, to the impact we're having, to the reaction to our service from the community. Here's how Romy describes it:

We’re back with another episode here on social enterprise. We have a doctor on this show who has been making a big impact in Detroit. It is Dr. Paul Thomas of Plum Health Care DPC. He has a dream of changing the notion of health care from a plastic card in your wallet to true healing from a healing doctor!  What a concept!

This was a wonderful interview and I am so grateful to Romy Kochan for having me on her podcast. Check out the full episode here, and have a healthy week!

- Dr. Paul with Plum Health DPC

PS: you can find this episode on the podcasting platform of your choice:

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