AlignedMD × 2026 DPC Summit
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Spot the Ick Cheatsheet

the 5 lessons from the game

Five patterns that show up in DPC marketing all the time. One of each pair builds trust. The other quietly hurts it. Here's how to tell them apart, plus the why behind each one.

Round 01 of 5

Make your bio specific to your practice

Instagram bios, website headers, anywhere you describe what you do.

The ick

Board-certified family physician. Direct Primary Care. Personalized, compassionate care. Accepting new patients.

The gem

Primary care for busy families in Austin. Longer visits, same-week access, and a doctor who knows your story. Now accepting new members.

Why

The ick isn't terrible. It's just generic. It could belong to almost any practice. The gem says where the practice is, who it serves, and what makes the experience different. Same length, completely different signal.

Round 02 of 5

Even with permission, you can't confirm care details

Responding to public reviews on Google, Yelp, or anywhere else.

Setup: A patient leaves a 5★ review naming her doctor and mentioning her back pain.
The ick reply

Thank you so much, Sarah! I'm so glad we were able to help with your back pain and get you feeling better. It was great seeing you in the clinic, and we're always here if it flares up again.

The gem reply

Thank you so much for your kind words. We're grateful you took the time to share your experience. For privacy, we don't discuss care details online, but we're always happy to help if you need anything. Please call the office anytime.

Why

The patient revealed her own information in the review, which is her choice. The practice's job is to respond without confirming any of it. The ick confirms she's a patient, names the condition, and references the in-clinic visit. All PHI, even though Sarah herself made it public. The gem stays warm but redirects care details offline.

Round 03 of 5

Name what the patient feels, not what's wrong with the system

Social posts about insurance, wait times, or systemic frustration.

The ick

Another week, another patient who waited 4 months for an appointment. Another patient who got a surprise bill for a "preventive" visit. Another patient who did everything right and still felt lost in the system. The system is failing patients and physicians alike. There's a better way.

The gem

If you've been putting off finding a new doctor because the thought of paperwork, in-network searches, and waiting months feels exhausting, you're not alone. Bluebonnet works differently. One form, a longer first visit, direct access when questions come up. $99/month, no copays. Keep your insurance for the big stuff.

Why

The ick names a real frustration, but it still puts the patient in the middle of a system fight. The gem names what the patient actually feels: tired, delayed, overwhelmed, unsure where to start. It frames DPC as relief, not rebellion.

Round 04 of 5

Describe the experience, not the model

Explaining DPC to patients who've never heard of it.

The ick

Direct Primary Care is a healthcare model where you pay a flat monthly membership fee directly to your doctor. By bypassing insurance, the physician-patient relationship becomes the focal point, allowing for unrushed 30-60 minute appointments, same-day access, and direct communication by text, call, or email without co-pays.

The gem

What if going to the doctor felt simpler? You know the monthly cost. You have more time during visits. You can reach your doctor when questions come up. No surprise bills afterward. That's Bluebonnet: $99/month, no copays for routine care.

Why

The ick explains DPC like a brochure, with insider language: "healthcare model," "bypassing insurance," "physician-patient relationship becomes the focal point." The gem turns the same information into the patient's actual experience. Patients don't need to understand the model to want what it gives them.

Round 05 of 5

Tell your switch story without making it about the old one

Why-I-left-fee-for-service posts, founder stories, "About me" pages.

The ick

Why I left fee-for-service medicine: 15-minute appointments. Prior auths. Insurance denials. Documentation burnout. I couldn't take care of my patients the way they deserved.

The gem

People ask me why I switched to DPC. The honest answer is about time. I wanted to be a doctor who remembers details about your family between visits. That requires fewer patients and longer appointments. That's the whole model.

Why

Same backstory, different posture. The ick is a list of what was broken in the old system. Even without naming anyone, it still frames the switch as getting away from something. The gem reframes the same story as a choice toward something specific: time, memory, fewer patients. Quiet confidence wears better.

that's all five

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