Concierge medicine officially began in 1996, with the first concierge practice

Amazon's One Medical, MDVIP, and SignatureMD are examples of concierge practices

Annual fees for concierge practices can range widely. At the lower end, Amazon's One Medical costs $199 (which can drop to $99 if you're a Prime member) and four figures for MDVIP and SignatureMD. Annual fees jump to $10,000 or more for options like Massachusetts General Hospital's concierge practice.

US concierge and direct primary care practices surged 83.1% between 2018 and 2023

Research published in December 2025 in the journal Health Affairs indicates that these retainer-fee care models are expanding across the country. Concierge medicine charges monthly or annual fees, as does direct primary care (which doesn't take insurance).

Concierge medicine practices typically have hundreds of patients, instead of thousands

A clinician describes how he's "one call away" from his patients in the concierge medicine system. His patients pay about $150 per month to be members in his practice on top of normal care visit costs. Doctors like him may only have hundreds of patients in their practice—instead of thousands.

Doctors report wanting more time to plan, provide care for patients

Many physicians experience aspects of burnout, and concierge medicine provides a slower, more relational approach to medicine, including consistent follow-up care for a smaller pool of patients. A concierge medicine clinician may talk with each patient frequently, perhaps every few weeks, instead of just once a year.

Critics of concierge medicine argue it's worsening physician shortages and expanding inequity

Some research suggests that the average wait time for a primary care visit in major US cities can be 21 days. Subscription-based medical practices offer faster in-person and virtual appointment options, but the price barrier to this type of service may worsen inequity in healthcare access. (Some users may experience a paywall.)

Concierge medicine offerings are growing on college campuses, catering to students

Parents are interested in concierge and direct primary care services for their kids, including offerings with dorm visits, guaranteed same-day appointments, and medication access, so new practices have sprung up catering to college settings. (Some users may encounter a paywall.)

Older, medically complex patients are a high proportion of concierge practices

These concierge medicine practices tend to have a high proportion of people ages 50 and older and are particularly concentrated in states with older populations, especially California and Florida.

The Government Accountability Office in 2005 concluded concierge medicine didn't threaten Medicare

This congressionally mandated analysis concluded that the number of concierge physicians nationwide was too small for concierge practices to undermine Medicare patients' access to affordable health care and it was "unlikely that the approach has contributed to widespread access problems." Medicare is the federal health insurance program for the aged and some disabled individuals.

USA Television Network fictional series Royal Pains spotlights concierge medicine

This fictional television series, that aired from 2009-16, chronicles the adventures of a doctor who transitioned into offering concierge medicine for a big-spender clientele. As a private physician-for-hire he is on call to provide care 24/7.

In the 1960s, Virginia became home to the first emergency department in the US

It was a 450-square-foot basement room with four stretchers staffed by four doctors inside Alexandria Hospital, in Alexandria, Virginia. Patients there were charged $5 per visit. The first emergency medicine residency followed in 1970, in Cincinnati.

To ward off competition from Revlon, Estée Lauder launched Clinique—the first dermatologist-approved skincare line—in 1968

Clinique launched in 1968 as an entire product line, as opposed to just a single product, which was rare for cosmetics brands at the time. Clinique marked Estée Lauder's first venture into a younger, less luxury-oriented retail market.

In 2013, American Express became the first credit card company to open an airport lounge

American Express opened its first airport lounge, the Centurion, in Las Vegas more than a decade ago. Since then, not only has American Express increased the number of lounges it has in airports across the country, but other credit card companies have also opened lounges.

Modern consulting traces its roots to 1886

Arthur D. Little Inc. was the first management consulting firm. Starting as a chemical analysis lab, the firm evolved to play pivotal roles in projects like developing the NASDAQ system and supporting Apollo 11.

Hotels around the world now offer packages focused especially on sleep

A Belmond Hotel in London, for example, has partnered with a meditation and holistic coach to create a service called the Sleep Concierge, which includes meditation recordings, a pillow menu, and the option of a weighted blanket, among other customized options. Medical experts believe that hotel experiences such as this one can be beneficial to those lacking sleep, provided certain provisions (such as an on-call medical professional) are also provided.

The story of hospice and its founder, Dame Cicely Saunders

Dame Cicely Saunders founded St. Christopher's in 1967, the first modern hospice. Hospice is a healthcare movement focused on providing compassionate, holistic end-of-life services on the dying and their loved ones. A colleague of Saunders, Mary Baines, was interviewed in 2005 to discuss her experience alongside the founder and the growth of the movement.

How the placebo effect became mainstream

Contemporary patients and medical students take the placebo effect for granted, as its a standard element in most drug trials. But the concept was only first debated and standardized in the 1950s after a ground-breaking 1955 paper by medical...

The first glasshouse was constructed in 1931

The Maison de Verre in Paris was built to house a doctor's office on the ground level and an apartment upstairs. Unlike the typical model that would follow, this glass house exposed very little of the home's interior.

The origins of modern family offices date back to the 1500s

Wealth management for families with massive fortunes has evolved over the centuries, with the Rockefellers establishing the first single-family office in 1882.

Washington, DC's Restaurant Nora was the first certified organic restaurant in the US

The owner, Nora Pouillon, opened the restaurant in 1979, branding its menu as "additive-free food" to avoid the negative associations people had with "health food." In 1999, it was certified as an organic restaurant, a standard achieved by using at least 95% organic ingredients.

'Mental hygiene' was the 1843 term for mental health

It was coined by American psychiatrist William Sweetzer to reference the same idea as personal hygiene. Mental hygiene, in Sweetzer's view, needed to be maintained in the same way people attend to their personal cleanliness, an idea that was supplanted by better understanding of the complexities of mental health disorder causes in the decades that followed.

A 'holoported' medical team has been beamed into the International Space Station

In 2021, using the Microsoft HoloLens Kinect camera and custom Aexa Aerospace software, NASA's flight surgeon led a team of hologram doctors on a pioneering visit to the space station, marking a significant advancement in communication and telemedicine technologies that will be crucial for future deep-space missions.

San Diego Comic-Con eclipsed 100,000 attendees for the first time in 2005

Step back into July 2005 at San Diego Comic‑Con—when over 100,000 fans roamed crowded halls filled with cosplay, classic sci‑fi exhibits, and early Marvel and Star Wars booths—and witness the electric energy of one of the first major attendance years for the conference.

Dogs' disease-sniffing skills were first identified in 1989

This capability, reported in the medical journal The Lancet, was discovered when a dog reportedly detected cancer in its handler. The dog repeatedly focused on a spot on the owner's leg where a malignant melanoma lesion was later found, helping lead to an early diagnosis.

In 1994, Amazon was founded as an online bookseller

Books were just the start, as founder Jeff Bezos' ultimate goal was to create an "everything store," using the internet to transcend the physical limitations of brick-and-mortar retail. The Seattle-based Amazon gradually added CDs and consumer electronics, becoming a dominant e-commerce player in the late 1990s, and one of the few dot-com companies to make it through the bust.

Conveyor belt sushi was invented in 1958

Yoshiakai Shiraishi had trouble staffing his sushi restaurant with waiters. When he saw a conveyor belt moving beer bottles at a brewery, he realized the technology could solve his problem. He unveiled his innovation at his Osaka restaurant in 1958, introducing a style, kaitenzushi, that would be replicated by others—and contribute to sushi’s growing popularity.

Telehealth demand for GLP-1s for weight loss is booming as consumers seek easier access.

The hormonal disorder PCOS was renamed PMOS in 2026, a move designed to improve care and research by shifting the focus to the hormonal causes of this condition that affects 1 in 8 women.

Legendary architect Frank Lloyd Wright designed the SC Johnson headquarters in Wisconsin, aiming to make a cathedral-like workplace

Domino's Pizza's 30-minute delivery guarantee was responsible for the chain's 1980s surge, but it was discontinued after the company was found liable for delivery driver accidents.

A Yale student wrote a profound essay about the consulting industry's influence on elite college students that was published in a book of her writing after she died in a post-graduation car accident.

'Shogun,' a 1980s TV series, helped popularize sushi in the US by stimulating an American interest in Japanese culture.

The first line of 'immortal' human cells, which can divide indefinitely and are used in scientific research, was nonconsensually taken from a Black woman.

The concept of phantom limbs, the perception that amputated limbs are still present, dates back to a French military surgeon in the 16th century.

Sears sold DIY house kits starting at $600 in its famous catalog from 1908 through the 1940s, resulting in roughly 10,000 'Sears and Roebuck houses' being built.

While the first exchange-traded fund (a 'basket' of different assets that can be bought and sold on a stock exchange) in the US only launched in 1993, the global ETF market has grown to more than $10T in the short time since.

This real-time tracking of the hantavirus cruise ship outbreak in May 2026 offers a unique glimpse into the global reach of the outbreak and whether the virus sickened passengers and their communities around the world.

Poison ivy was sent to Europe in the 1600s as an exotic, ornamental oddity, where it was purposefully grown in the English royal gardens at Kew, the Faculty of Medicine in Paris, and a few other locations.

Watch the cumbersome, but necessary, precautions healthcare workers must take to care for and protect themselves while caring for Ebola patients.

Jimmy Carter signed a 1978 bill that legalized home brewing, a move credited with kick-starting the craft beer industry.

For centuries, it was common to sleep in two shifts: a few hours at the beginning of the night, and a longer period beginning around midnight

The US first hosted the World Cup in 1994, a tournament that lives in soccer infamy for its poor planning and the murder of Colombian player Andres Escobar, who'd accidentally scored on his own net.

In recent years a child anxiety expert has created and tested a novel phobia and anxiety treatment approach for children, focused on changing how parents respond to the fears.

A century of Billboard issues documenting the evolution of popular music.

This site reaches millions of visitors who are tired of AI chatbots and seeking human connection. Pretend to be an AI chatbot and ask questions, provide answers, and draw for people in real time.

NBA superstar Victor Wembanyama spent the 2025 summer training with monks in central China to enhance his body and mind.

The most expensive ad of all time was for Chanel No. 5 perfume and cost roughly $33M to produce in 2004—about $57M in today's dollars.

Objects can be 3D printed with light by projecting 2D computerized tomography (CT) scans onto rotating cylinders of resin, which solidify upon exposure.

In 1945, Surrealist artist Salvador Dalí and legendary animator Walt Disney began collaborating on a short film that was not completed until 2003, years after both men had died.

Meet the 56 signers of the Declaration of Independence—most of whom didn't put pen to paper until August 2, 1776—and see their original signatures.