The Metro podcast

America’s health care crisis, and the Detroit doctor rethinking our current system

10/11/2025
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Health care costs are rising again as federal subsidies that kept insurance premiums affordable under the Affordable Care Act near their end. In Detroit, one doctor is testing a different approach — a monthly subscription that connects patients directly with their physicians and removes insurance from primary care.

The Metro host Robyn Vincent speaks with Dr. Paul Thomas about the direct primary care model and what he noticed after bringing it into his pratice.

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