Finding freedom as a physician through entrepreneurship (American Medical Association)

As administrative burden and payer friction push more physicians toward burnout, a growing number are choosing a fundamentally different path — one that removes insurers from the equation entirely. Direct primary care, long associated with family medicine, is gaining traction as a model that specialists are increasingly watching and adapting. Dr. Vasanth Kainkaryam’s practice in Connecticut offers a concrete example: a subscription-based model where patients pay a flat monthly fee for comprehensive access, and the physician controls the pace, scope, and philosophy of care.