I know what you mean!!!! I lived in Florida for ten years and many doctors were going "concierge". One has to "subscribe" and pay an annual fee to be part of their patient base. Fortunately, here in Minnesota I have not encountered the problem. But primary doctors belong to big organizations, and it takes months to get an appointment. Otherwise, they send you to Urgent Care. I have found my way around that. I self-refer to whatever specialist I need ...why ask my primary care doctor about something he/she has limited knowledge in?