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Pursuing Health

Innovative Primary Care: Conversations with Physicians PH328

Pursuing Health

Julie Foucher Brown MD, MS.

Health & Fitness

4.81.3K Ratings

🗓️ 10 February 2026

⏱️ 15 minutes

🧾️ Download transcript

Summary

In this episode of Pursuing Health, Dr. Julie Foucher Brown explores direct primary care as a model that restores time, trust, and relationship to medicine. Through conversations with physicians practicing DPC, Julie examines what becomes possible when care is no longer driven by insurance—but by people. Related Episodes: Ep 111 - A New Model for Primary Care with Dr. Kenneth Rictor Ep 128 - Dr. Jeffrey Geller on Loneliness and the Power of Groups Ep 308 - Dr. Lilian White on Providing Empowered Care If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating or share your feedback on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health. Disclaimer: This podcast is for general information only, and does not provide medical advice.  I recommend that you seek assistance from your personal physician for any health conditions or concerns.

Transcript

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0:00.0

Hello and welcome to pursuing health.

0:05.7

I'm Dr. Julie Foucher Brown, family physician and former CrossFit Games athlete.

0:11.0

Here I bring you information and inspiration to help bridge the gap between fitness and medicine

0:16.3

and support your journey toward your healthiest self.

0:19.8

Thank you so much for joining me. Now let's get

0:22.2

started with this week's episode. In this episode, I explore direct primary care as a model

0:32.9

that prioritizes time, relationships, and whole-person care. These conversations highlight what becomes

0:39.6

possible when medicine is practiced in alignment with both patient and physician values. Dr. Ken Richter

0:45.9

shares how direct primary care allows physicians to step outside the insurance-driven system and

0:51.0

return to relationship-based medicine. He explains why time itself becomes a powerful

0:56.3

form of treatment and how deeper connection leads to better outcomes. Can you just explain for people

1:01.4

listening what direct primary care is? Sure. Direct primary care originated from a concierge's model,

1:08.3

and that's a lot of confusion sometimes because people hear concierge's

1:11.2

medicine. And concierge medicine is still around, but it's really for the 1% of the 1%. It's a very

1:16.9

expensive program. And for certain individuals, that's great for them. But we need, and it's been

1:22.6

called a concierge for the masses. And the idea is good. It's a monthly membership model that you would pay a

1:28.7

monthly membership fee and not involve the insurance companies in your outpatient care. By doing that,

1:35.0

we find that it actually becomes less expensive for outpatient care, more accessible, more complete,

1:42.0

and actually the quality goes up because you have more time to

1:44.4

spend with people. It's not that you're a better doctor. It's just that you spend more time with

1:48.7

it. I mean, it would be like any craftsman. Any craftsman, if you have more time to do your craft,

1:53.0

you tender to put out a better product. And so this originated probably about 15 years ago

...

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