The desire for this attribute is amplified markedly for health care. I believe that concierge medicine is evidence that patients feel that standard practice often lacks convenience, and often is rushed and delivered by physicians whose attention is being drawn in multiple directions. Such dissatisfaction was responsible for modulating the growth of managed care. Although physicians cautioned loudly of the limitations often present in managed care, it was the dissatisfaction of patients with the system that ultimately brought about change. I see similarities in the growth of concierge medicine.