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One of the major issues raised by concierge medicine involves access to medical care for those who do not participate in such programs. Obviously, concierge physicians displace patients to other providers by limiting the size of their practice. In the process, the problems of excessive demand that the retainer practices seek to eliminate are amplified for those patients and physicians who do not participate. Of course, this problem would be exaggerated if those patients in concierge practices were generally healthier and required less intensive care than those cared for in other settings.