So my doctor's office is transitioning to a "concierge" model, where you pay an annual membership fee for the privilege of being a patient of theirs. They still take insurance money (and presumably Medicare/Medicaid), but you have to be on their list before you can get an appointment. Oh, and they limit the number of patients that they'll service, so you have to sign up early so you don't get shut out.
Such a scam.