I had been with Gerald Watanabe for a number of years. I was, and currently am, in my 40's since seeing him, and have been a healthy individual for most of my entire life...with the exception of a few broken bones and very mild asthma. That said, it should be apparent that I only needed to visit him for routine check ups, a refill on my inhaler (always because the medication had expired) and for the occasional prophylactic antibiotic prescription when I traveled. (I work in healthcare, and travel to various 3rd world countries to volunteer on medical missions annually). These missions take place in remote areas of third world countries and we have to bring all of our medical supplies with us. Should I get sick, I dont want to use antibiotics that we brought with us to treat the local patients. In cases where I didn't need the antibiotics, I would give them to the local doctor to treat a local patient without charge. (In every country that I have been on a mission to, if you don't have money...you don't get treated)
I typically would try and incorporate my annual check up and getting an antibiotics prescription for an upcoming medical mission. When I had begun doing more than one medical mission a year this required that I visit him more than what would be considered medically necessary...I was not sick, and had already completed an annual examination/check up. This is wasteful, and plays a part in increasing healthcare costs for us all. Having your insurance company pay for things that are not medically necessary are major contributing factor to skyrocketing healthcare costs. In 2012 a report estimated over-treatment costs at $210 billion a year. One factor believed to lead to over-treatment is the dominant fee-for-service healthcare payment model, which provides payment for each visit, test, or procedure.
I began requesting that I get my prescription for my travels filled without having to visit him considering I was not sick, and that we had established that I travel on medical missions annually. The prescriptions were identical to every one he had ever written for me...ciprofloxacin, penicillin, and occasionally a refill on my asthma inhaler. I was told specifically that I had to come in to the office for a doctor visit in order to get the prescriptions I needed. This...after having explained that I am not sick, have already been in for an annual visit, and that this exact same prescription had been written for me multiple times. His office insisted...even after I had them talk with Dr. Watanabe while I waited on the phone. I explained that I wouldn't make an appointment to visit him simply to have a prescription written for medications that he had already prescribed to me for reasons that he was completely cognisant of. I hadn't been back to see him, or any doctor since then. That was 2016.
Fast forward to January 2018. I hadn't see a doctor for an annual examination for far too long. Like I said...I have the blessing of good health a had put it off because of that. Unfortunately, we are experiencing one of the worst flu seasons that this country has seen in at least a decade, and I got sick. I called Dr. Watanabe's office to make an appointment because the normal over the counter treatment wasn't helping. I called and spoke with the receptionist/aide and was told that Dr. Watanabe now only does Concierge medicine. She informed me that I would have to pay an annual fee outside of what HMSA pays him for doctors visits of $200+!!! So I posed a question in the simplest terms possible..."You're telling me that Dr. Watanabe won't see his sick patient, me, unless I pay him an additional fee on top of what my HMSA plan pays him"??? To which she replied yes.
I ended up having to go to an emergency room to be treated ...even though I was not emergently in need of a doctor because I had a primary care doctor. He just refused to see me, even though I was sick, because I wouldn't pay him an additional $200+ on top of what my insurance pays him...which is close $300 for an approximately 15 minute doctors visit. The emergency room visit cost HMSA almost $1000 and I had a small copay.
He keeps office hours of Mon, Tues, Wed, Fri from 8am to 5pm but closed for lunch from 12pm to 2 pm, and Thursday from 830am to 12pm. This equates to 31.5 hours of work time with 2 hour lunches every day that isn't a 3.5 hour work day. He is closed all weekends and holidays. What a schedule...31.5 hours a week, 2 hour lunches, and no weekends or holidays!!!
Just to enlighten you all..."The median annual Physician - Family Practice salary in Honolulu, HI is $204,089, as of January 30, 2018." read more