 is the lack of internists. Go find one, and you'll see just how hard it is. Many internists have moved to a concierge program, where for several thousand dollars a year, you have access to your own doctor again, something that 10, 20 years ago was unheard of in most American towns and cities. But doctors have been individually overwhelmed with the administrative headaches of managing their own practices, and they recognize there is a great demand.