Is Healthcare About Patients Or Doctors?

Wal-Mart health clinics divide US medics

By Christopher Bowe in New York

Published: May 23 2007 16:18 | Last updated: May 23 2007 16:18

Can a retail store deliver healthcare? Wal-Mart, the largest US retailer, thinks so, together with CVS, Walgreens and Rite Aid, the leading US drug store chains. But as all four move ahead with plans to expand “walk-in clinics” in their stores, the doctors of Illinois are fighting back.

The state could be the first to impose stricter regulation on the new generation of walk-in clinics, where nurse-practitioners can examine patients, conduct basic procedures such as inoculation, and prescribe for minor illnesses, while charging less than a doctor’s practice.

Massachusetts is also considering whether and how to license the state’s first retail clinics, proposed by drugstore group CVS and its MinuteClinics unit. And the industry expects more challenges ahead.

Walk-in clinics represent one of the most advanced and aggressive attempts by US business and entrepreneurs to drive reform of the healthcare system.

This year hundreds will be opened in some of the US’s largest drugstore and retail groups, and thousands of clinics could be running in the next decade.

Advocates say the clinics will improve access to healthcare and reduce costs; that they will reduce more expensive visits to hospital emergency rooms; and that they will catch some illnesses before they become serious and costly. As a result, physicians will have more time for complex cases.

But the clinics also have a direct impact on doctors, who see themselves as the gatekeepers of common, everyday healthcare.