By Ramón Diez-Barroso, MD
When I chose to become a family physician, it was because I wanted to practice medicine the way it was meant to be: personal, thoughtful, and centered on the patient—not paperwork. But in today’s traditional healthcare system, even the most dedicated doctor is often limited to 10–15 minutes per patient. I knew there had to be a better way.
That’s what led me to Direct Primary Care (DPC).
If you’ve never heard of it, you’re not alone. Many people describe DPC as “like concierge medicine,” and while that’s mostly true, there’s one key difference: it’s meant to be accessible. For one simple annual membership fee, my patients get unlimited visits, longer appointments, same-day or next-day access, and the ability to reach me directly by phone or text. No co-pays, no surprise bills, no rushing.
Why Patients Love DPC
If you’re a busy professional, a parent juggling schedules, or just someone who values their time and peace of mind, DPC can feel like a breath of fresh air. Imagine having a doctor you can text when your child has a fever, who can often see you the same day, and who knows your medical history without flipping through a chart in a hurry.
My practice also includes services that would traditionally require multiple visits or separate bills: office procedures, routine labs, and preventive care are all covered by membership. For families with high-deductible insurance or those who rarely need major hospital care, DPC often saves money—while delivering a level of service that feels premium.
Common Concerns
One question I hear often is, “Do I still need insurance?” The answer is yes—for major medical events like hospitalizations or surgeries—but DPC is your frontline care. Think of it as having a doctor on speed dial for the 90% of healthcare needs that don’t involve a hospital.
Another concern is whether DPC is “worth it” if you’re healthy. My younger patients often join for the convenience and preventive approach: we catch issues early, we keep you well, and you have access to care without the hassle.
Why I Chose DPC—and Why You Might, Too
For me, DPC isn’t just a practice model; it’s a philosophy. I became a doctor to serve people, not a system. By eliminating the insurance middleman, I get to spend real time with my patients, focus on their goals, and build lasting relationships.
In San Antonio, where many of us lead busy lives balancing family, work, and community, healthcare should feel like a partnership, not an obstacle. Direct Primary Care makes that possible.
If you’ve ever wished for a doctor who knows you, is easy to reach, and genuinely has time for you and your family, I invite you to explore Direct Primary Care. For me, it’s not just the future of medicine—it’s medicine the way it should be.


