Samantha Fields

And that it's harder for patients who can't afford the fees or don't want to pay them to find a new doctor.

When Katie Wang got an email a few years ago that her longtime primary care doctor in New York City was going concierge, she was disappointed.

When Katie Wang got an email a few years ago that her longtime primary care doctor in New York City was going concierge, she was disappointed.

But she didn't really want to shell out $2,000 a year to stay either.

But she didn't really want to shell out $2,000 a year to stay either.

Then she found a lump in her breast.

Then she found a lump in her breast.

Wang had breast cancer.

Wang had breast cancer.

So she paid the $2,000 and stuck with her doctor.

So she paid the $2,000 and stuck with her doctor.

And she says she's actually seen a big difference since the practice went concierge.

And she says she's actually seen a big difference since the practice went concierge.

That's possible with concierge practices because doctors have many fewer patients.

That's possible with concierge practices because doctors have many fewer patients.

Before Dr. John Sidlecki switched his practice over, he had 3,800 people on his roster.

Before Dr. John Sidlecki switched his practice over, he had 3,800 people on his roster.

Now he's down to 600.

Now he's down to 600.

He also worries about how many doctors are going concierge near him in Richmond and the pressure that puts on an already strained health care system.