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South Portland doctor stops accepting insurance; chooses voluntary free market solution to Obamacare

SOUTH PORTLAND, Maine — Dr. Michael Ciampi took a step this spring that many of his fellow physicians would describe as radical.

The family physician stopped accepting all forms of health insurance. In early 2013, Ciampi sent a letter to his patients informing them that he would no longer accept any kind of health coverage, both private and government-sponsored. Given that he was now asking patients to pay for his services out of pocket, he posted his prices on the practice’s website.

The change took effect April 1.

“It’s been almost unanimous that patients have expressed understanding at why I’m doing what I’m doing, although I’ve had many people leave the practice because they want to be covered by insurance, which is understandable,” Ciampi said.


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chipper medical

My wife she was always sick
I work for a company that include the insurance as part of my pay
The cost for the insurance was approximately $650 monthly and still have to pay on top of doctor visit, medisen that would cost me $5 and $ 250 for doctor visit, now we don't have any kid insurance and we pay $35 for doctor visit and for the same medisen $1.75
Man I'm saving some money! !!! This is In CALI


There could be an opportunity

There could be an opportunity here for someone to create a database of such doctors.

So is it illegal now for insurance companies to provide a low premium, high deductible emergency care plan?

Thats what i was thinking.

Thats what i was thinking. This is a $MM website idea.

This is good for doctors..but

This is good for doctors..but it's crap for patients who are still stuck in the system. Case in point: the best pediatricians in my area are all no-insurance practices. They're tolerate, holistic, alternative-minded physicians who actually believe in treating the tiny humans as whole beings, instead of symptoms. I recently looked into switching from our PPO/HMO pediatrician (who's been with us for 7 years) to a non-insurance practice. $300+ for the first consult. Roughly $150/hr after that just for consults. $900 ddct PPO with covered annual check ups are around $150/kid/month. In CA all health plans (even the so-called high deductible catastrophic coverage ones) have to cover things like birth control, abortion, maternity services and now, sex change surgeries too. Thanks to Obamacare, the whole notion of a plan to keep "just in case of emergency" is going the way of the horse and carriage. I am FORCED to pay higher premiums than ever before for a plan that covers services I would rather not have...
(only in the universe of a statist would a parent before forced to pay for abortion service coverage for their 7 year old daughter)
There is no such thing as a family plan any more...at least not in individual plans.
So all that to say...if my family is going to be fined for not keeping health coverage, and we're going to be charged up the ass for buying said coverage then we're less likely to be in the market for a peditrician who doesn't even take that insurance. And it sucks, because the insurance taking doctors are only getting worse. And they're more and more going to be state-sponsored narcson parents who homeschool, delay vaccines or practice other non-statist friendly habits.

This is cool as hell

This is awesome. Wonder if it works with High Deductible plans (yes I know they don't take insurance).

If you look at studies that address health care costs the biggest drivers are salaries to primary car physician's and specialist; NOT hospitals (which is what I thought). Second is compliance.

I think this is the way to go for cheaper health costs. Compliance with federal and state laws has always been a huge overhead burden on every industry. Change it up so we can have more guys like this and make it illegal for drug companies to charge US customers a different price than foreign customers and we are back in business.


Ron Paul supporter Tim Ryan has been doing this since 2007. If you're in the Cartersville, GA area, keep him in mind.



http://www.youtube.com/watch?v=F5o0MCS1PuQ also i like this better than obamacare or any government health care.

Albert Camus — 'The only way to deal with an unfree world is to become so absolutely free that your very existence is an act of rebellion.'

My Neurologist Doesn't Take Insurance

except one day a month at a hospital, where it's understandably difficult to get an appointment with him.

He is the best (or one of the best) myofascial pain specialists in the country, and has enough demand to support his practice without insurance.

And no, he doesn't practice defensive medicine.

"Bipartisan: both parties acting in concert to put both of their hands in your pocket."-Rothbard

Another Hospital

There's a hospital in Oklahoma that has a "menu price" for all procedures. I'm sure there were many not aware that there was a tangible cost associated with medicine, maybe all hospitals should list their prices, with & without insurance!

www.standardexcellence.net - Bringing you Oklahoma, Texas and national news & opinion that matters for liberty.

Insurance free medicine was brought to my attention last year

I have not been able to find the speeches since then.

The first speech was by a male anesthesiologist. The second was by a female family practitioner. Both speeches are excellent.

*Found one.


This and high deductible

This and high deductible catastrophic insurance is the way it should be.

I must be willing to give up what I am in order to become what I will be. Albert Einstein

OPT OUT!!!!!

Of everything!!!!! College, licensing. Everything!!!!! Yahoooooo!!!! Buck the system! Eventually its all coming down anyway!!! Might as well get a head start!


Hopefully he doesn't still practice

Defensive medicine and actually bills for what he believes is needed.

I love it!

What a brave doctor. I wish I had one like that in my neighborhood.

Great news and good find go123mph.

That's pretty cool, could go

That's pretty cool, could go viral.

The prices look reasonable and profitable to me, if he just has a few employees.

I commend him for this. It is

I commend him for this. It is going back to what doctors were and what they should be. A doctor that deals with patients, not an industry of 50 employees to every doctor. I also like that prices are posted up front for people to know what they have to pay. I recently went to the doctor for something simple and they couldn't tell me what it would cost beforehand, they could only tell me afterwards. Have you every gone to the store where you are only told the price of something once you've bought it and not before?

It would be nice to have one of these doctors here in my area


See if you can get a group together to run ads or social network or Meetup Group the issue. A doctor who knows what's up will manifest.

Speak to the universe...It's always listening...

TwelveOhOne's picture

"Speak to the universe...It's always listening..."

Thank you for saying this and I believe it to be true as well.

I love you. I'm sorry. Please forgive me. Thank you.
http://fija.org - Fully Informed Jury Association
http://jsjinc.net - Jin Shin Jyutsu (energy healing)

Free market always wins

It just takes so long for the money printing, government rigged, corporatocracy complex to collapse.

But they always collapse...

Funny how the government always calls the free market system the "black market"


Next step

Abolish the AMA/Med school monopolies that restrict the number of students to keep the number of physicians low to keep prices high. What's lacking in the medical field is competition.


The medical profession has been extremely aggressive during the last century to stifle out competition and get the government involved in order to make complications for potential competition.
Most doctors I have been to will systematically milk your insurance with a degree of skill that far surpasses their medical knowledge and abilities. They pack so many people in that they have to rush you through like a dog at a free county clinic for rabies shots, and then you look at your insurance details and that sucker squeezed it for 200-500 buck for 20 minutes.
Cut it all loose. Free the meds, free the weed, free the labs, and free the people! It's hard to have sympathy for the devil, especially when he's got his fork up your @$$

And with him doing this, his

And with him doing this, his prices fall to the range they should actually be. What he now charges still allows him to run his office and make good money, without needing to bludgeon people with a huge bill.
Depending on materials used and the various staff needing to be paid, a typical doctor visit raw price should be less than $100, but this isnt the case today, except of course with this guy. Heck, even taking into account profit, it will still be less than $100.
Try looking at doctors and nurse salaries, the number of patient visits a day, etc etc, breaking it down you will get a cost per visit that is much lower than what most people pay now. In fact, it is actually in the exact range he is now charging. This is the REAL cost of health care. I think once more people discover this, things might start actually changing.

To climb the mountain, you must believe you can.

I thought that this was going to be illegal

once Obamacare came into play?????

I hope I was wrong. Going the cash route will be the competition that the medical industry needs to bring prices down.

Thomas Jefferson: “Indeed, I tremble for my country when I reflect that God is just, that His justice cannot sleep forever."

Viva La Revolucion!

I'm strongly considering doing this with my dental practice

Doing so is very difficult because of the stupid, parasitic dental HMOs that were formed after The HMO Act of 1973 (AKA Nixoncare). Employer based health care is probably the only concept that is even dumber than government managed health care. Employer-based health care failed miserably in the market, and before Nixoncare, there were less than 40 businesses in the entire United States who offered health insurance.

Dental insurance companies have dentists by the balls in Ohio. There is a ridiculous law that violates our contract right's that forces dentists to abide by a fee schedule set BY THE INSURANCE COMPANY FOR PROCEDURES THEY DON'T EVEN COVER. It is also illegal for dentists to "unionize," so to speak, in order to ban together to set our own prices and tell the insurance companies to screw off. Also, it is difficult to seperate from the insurance parasites as the public has been conditioned to think that Health Insurance = Health Care. Because of Nixoncare many of them, even if they understand the absurdity of dental insurance, are still forced into a plan, essentially forcing the dentist to accept it.

The ADA, fortunately, is mostly right on this issue in Ohio, though in my opinion they have not fought hard enough against Obamacare.

I wish dentists could. I dont

I wish dentists could. I dont have dental coverage currently and if I could just stop by the dentist and pay something like the range of $50-75, I would do so, but that isnt the case.
Before the last time I went to the dentist, I hadnt been in 7 or so years. Finally went and they were amazed at how nice my teeth were. They found a single cavity starting to form and of course at the time when I had insurence for this, it wouldnt pay for the tooth colored filling(I want tooth colored darnit, not silver). They told me $300 to pay out of pocket, but I was kinda amazed when I came back that it had then changed to like $60 or something.

Oh, you might look into this and see about ditching the drill:

and this:
A Synthetic Enamel for Rapid Tooth Repair
published in NATURE on February 24, 2005
The below link leads directly to a pdf file that explains everything out. Its possible that you could perform this experiment at home if you really wanted to.

To climb the mountain, you must believe you can.

Yeah that "magic fluid" P-11-4 is bull crap.

Every few years this story pops up again and it never goes anywhere.

The media is either wildly speculating way prematurely or is years behind when it comes to innovations in the field of dentistry. If this "magic fluid" worked dentists would already be using it, and a a few years from now the media would finally catch up and report on it, or more, likely try to demonize it.

Whenever the media declares something to be "magic" you can place a bet safely on it being bullcrap.

Enamel can remineralize, and incipient caries lesions can remineralize and reverse, but once enough damage is done the process is irreversible. The cells that produce enamel, ameloblasts, die naturally during tooth development. We aren't any where figuring out how to regenerate these cells clinically.

No profession seeks to eliminate itself as relentlessly as dentistry, and for the sake of my career it is relieving that tooth development is so damn complicated. Dentistry lags several years behind other medical innovations, as we do not have the same man-power, funds, or priority as things like CNS or cardiac regeneration. Dentists are doing some incredible things, but don't expect any "magic" that eliminates the profession any time soon.

So just on the topic of that

So just on the topic of that fluid stuff. You are basing the thought that its crap on the fact that if it worked, you would already be using it? Have you read the paper on it(not the article)? The "magic" part is obviously just to get peoples attention for the article and I dont particularly like calling things magic to begin with.
I am plenty open to revising my thoughts on stuff but you should not be so quick to dismiss something just because "if it worked, everyone would be using it". I am under no illusion that there is some "magic" stuff that will fix your teeth no matter what conditions they are in.

To climb the mountain, you must believe you can.

Yeah I read it. It didn't really indicate much.

The research hasn't gone anywhere. I'm surprised it was published in Nature. The paper didn't mention the size of the lesion, or whether the caries arrested, or what the limitations are.

I remember this article came up in a laboratory last year and the professors just kind of shrugged.

We routinely use a similar concept for bone regeneration, with hydroxyapapite and a scaffold.

fireant's picture

Best news I've read in a while

If the gubermint takeover of health care continues, this will become a black market, where we sneak in to the doctor's office after hours. What this doc is doing, if repeated in every city, is the best medicine to prevent that takeover.

Undo what Wilson did