I have, many times in my life, maintained direct primary care and insurance at the same time. The difference in the quality of care has been well worth the pri

I have, many times in my life, maintained direct primary care and insurance at the same time. The difference in the quality of care has been well worth the price for me, and your situation sounds worse than mine. It is not a requirement of medical care that it be effectively free. You can choose to pay for it! Direct primary is generally quite affordable and worth it, particularly if the regular system is not working for you. The services I have subscribed to over the last fifteen years have generally been in the neighborhood of $60/mo for an adult, and they tend to pay for themselves quite quickly -- once or twice a year, I have some sort of debilitating problem, and a doctor who knows me and cares about me resolves the issue in a matter of hours. Compared to waiting weeks for a non-solution, that's a bargain! Some people make up the fee just in the money they save on prescriptions. Seriously look into it.