I think it’s a double‑edged sword. On the one hand, patients get quick access, tailored care, and the kind of attention that can genuinely improve outcomes. That’s great. But when care is paid for on a premium basis, we risk creating a tiered system where the wealthy get better treatment, while others are left with the standard. It also puts pressure on clinicians to prioritize profit over need, which can blur the doctor‑patient relationship. If we keep a strict focus on equity, transparency, and evidence‑based practice, concierge medicine can add value without compromising our ethical standards. If not, it risks turning healthcare into a status symbol rather than a universal right.