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Hi Karen

I agree- patient and doctor both become more vulnerable. I also think funding models can play a big role to either encourage or discourage house calls. Many doctors probably want to do this-it feels like the right thing to do for patients, particularly folks with limited mobility like you describe. However, in the fee for service world the time traveling to and from make it prohibitive to do house calls regularly (as they cut down on "productivity"-measured by people seen/hour). Conversely we are fortunate that with the SEAMO alternative funding plan we have a little more latitude to practice medicine the way we would like to, rather than based on financial drivers.

Name
Stephen Archer
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