Looking for good medical care? Why not pay as you go? It doesn’t involve a lot of people but it does involve some and I expect the trend if anything will probably increase or even grow. Aubrey Serfling is President and CEO at Eisenhower Medical Center in Rancho Mirage, California. A medical center where doctors have dropped out of traditional insurance plans including Medicare and operate in a cash pay environment. So you open your wallet and in return you receive high quality medical care whenever and how often you might need it. A trend popular with both patients and doctors. I think it’s been driven by both because I think a lot of patients want that relationship where they feel that their doctor really really knows that at a highly personal level, quite frankly is available whenever they call, they don’t want to get the answering service they want to talk to the doctor. In return doctors aren’t seeing 20 to 30 a day and can slow down and give the type of care required to keep you up and running.