A fourth highly regarded doctor in our town of about 12,000 and has left one of the large practices run by the only healthcare corporation in our area to start a subscription based private practice. Peggy: Are you seeing this in other parts of the country and what are the implications for US healthcare writ large? Scott: I suppose subscription services are going to get wider and wider, especially if companies like Amazon move into all kinds of areas of healthcare. The issue is that America spends more money on healthcare for worse outcomes.