Book excerpt: At a time when Americans are debating the pros and cons of recent health care reforms, Concierge Medicine offers an alternative to save primary care medicine. Here, the author outlines an increasingly popular, though controversial, system that offers a high level of care to patients who still need and value a relationship with their personal physician. Dr. Knope introduces concierge medicine, which encourages patients to contract directly with physicians for personalized care that is not determined by insurance coverage but rather by the patient and doctor together. For those considering an individualized health care model that can be more affordable, cost effective and straightforward, Dr. Knope offers practical advice for finding, interviewing, and contracting with a concierge doctor.