If Phil's one theory is correct and a single payer system was only used as a foundation for those who sort of slip through the cracks then there is a chance DPC would survive. However, I do not see any version of single payer that would allow DPC as we know it, to survive. Even in countries that have relaxed their single payer systems, only the wealthy can afford the private doctors. DPC survives because it is an option for all. And to be honest, we have forms of single-payer system out there and it is called Medicare and Medicaid. Many of us got into the DPC model to get away from those models that are government run. The are wasteful, restrictive, and prevent ingenuity and innovation. If anybody wants to see what a single payer program would look like, just look at those programs. I believe it was Bernie who actually wanted Medicare or Medicaid for all. I personally could not support that. DPC allows for innovation and true collaboration... most of us have been more than happy to share our experiences, good and bad, to better our practices. DPC allows providers to look at the market and cut costs in very creative ways. I can check labs so much cheaper than what is billed and payed for through Medicare and Medicaid simply because of bloated bureaucracy. DPC allows me to take the time to sit and create a plan with my patients and truly work together towards better health for the patient. It is me and my nurse who are hearing about the donut hole that so many of our Medicare patients suffer and then finding ways to get around it. We are the ones who are now able take the time and sometimes tell them to not use their insurance because that medicine is cheaper through other means. All these are issues that I suffered through for 15 years with private insurance but also the government run models that a single-payer system would be modeled after. No thank you!!! Viva la DPC!