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Direct primary care (DPC) is a style of practicing medicine we have discussed many times. The way DPC works is that instead of using insurance to cover the cost of doctor visits with copays, patients contract directly with the doctor – usually on a monthly basis. What happens when care has to be episodic like with a pregnancy? And if you’re that doctor covering all the patients in your panel for 24/7/365 how do you ever take time off if one becomes pregnant and needs to be delivered?