Crazy Woman Health

Welcome to Crazy Woman Health Care.

Painting of Crazy Woman Canyon by Jenny Wuerker

We are honored that you have chosen to seek care with us. Crazy Woman Health Care is an innovative practice that hopes to address some of the shortcomings of traditional medical care in the 21st century. Read on and see if you don’t like the creative and thoughtful ideas our approach offers.

Crazy Woman Health Care is a “direct pay” practice. This means that your physician, Dr. Grace Gosar, is working for you directly, not an insurance company or governmental third party payer (Medicare, Medicaid). This means that “we” collectively get to decide what the priorities are for your care. What medications you need, what goals you have for your health, what care you can and want to afford will direct our decisions, not cost savings for an insurance company. Because we eliminate the third party payer as the health care middleman, time and money are saved. These savings are passed directly on to you.

An outgrowth of a “direct pay” practice is that it will be a challenging fit for some clients. Anyone (no matter their payment source or health care coverage) is welcome to receive care here. However, while Dr. Gosar can issue an ICD 9 coded invoice, filing your insurance or Medicare claim will be your responsibility. This will require your time and patience.

Many have grown accustomed to the “one sided” nature of contemporary medical care. Many have just grown frustrated. Some do not want to divulge, to the doctor’s office staff, why they need to see the doctor. “Will enough time be budgeted? How much will it cost?” are rational questions that are unknowable in today’s traditional medical system. At Crazy Woman Health Care we put these decisions in your hands. With your smart phone or computer, you will schedule the amount of time your problem will require. The website will offer suggestions as to how much time might be necessary. You will be charged directly for the time spent with the physician. If your problem is small, you will schedule for a shorter appointment and you will be charged, appropriately, a smaller amount. If you need more time, you determine this. Each twenty (20) minutes of Dr. Gosar’s time will cost fifty ($50) dollars. You can anticipate, up front, how much care you need and what you can afford. Additionally, bartering for goods or service will be entertained as a payment option.

An “innovation” of 21st century is the electronic medical record (EMR). At Crazy Woman Health Care we have a good deal of skepticism and ambivalence about computerized health records. We understand that the laptop computer may be an “unwelcome guest” at your visit. The current notion of “technology for technology sake” has not been questioned sufficiently in our view. Undeniably, the EMR has added to the cost of already pricey medical care. True, with EMR, your health records can be electronically shared with another medical consultant at light speed. The same lightning quick delivery of data about you to another physician can be effortlessly compromised and shared with individual(s) who care nothing about you and your health. For these reasons we strive to use technology in a wise and discerning manner. Should you want your office visits detailed on paper, using the computer as a word processor only, we will accommodate this. Should you want to carry your health record on a portable digital storage medium (e.g. CD, thumb drive), we will share the doctor’s notes in this format also. The computer and smart phone may assist in scheduling your appointment but will be used in such a fashion that your privacy is not compromised. We understand that chiseling medical notes on stone tablets may not be the best way to document your medical care. And “the cloud”, as ethereal as it sounds, may not be either.