Not Otherwise Specified Episode 3.9 — Autonomy vs. Equity

In this episode of Not Otherwise Specified, Dr. Lisa Rosenbaum explores the growth of concierge medicine and direct primary care as clinicians seek relief from the constraints of traditional practice. Through conversations with physicians who have left large health systems, the episode examines how autonomy, time, and continuity are restored in these models — often at the cost of smaller patient panels and membership fees that limit access. The discussion grapples with the ethical tension between physician burnout and societal equity, asking whether these practices represent innovation, retreat, or both. The podcast is available here.

— The Editors