Beginning in the 1970s, the house call began a slow death. As the medical-industrial complex (MIC) burgeoned, with bigger hospitals and a surfeit of technology, it became incumbent on patients to come see us rather than us going to see you.

Yet there are pockets of house calls still left in the U.S.

For the geriatric age group, there has been growth in the care-at-home sector, especially for homebound elders. They can get not only doctor visits, but nurse visits, wound care, physical therapy, intravenous medications and nutrition, all kinds of medical equipment, and even x-rays at home. To meet the needs of our growing geriatric population, many doctors have chosen to work for agencies that provide in-home care to elderly patients, avoiding the sterility of the office environment.

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