The Biological Hedge: Concierge Medicine & Longevity
The Biological Hedge: Concierge Medicine & Longevity
You can’t spend it if you’re dead. Why UHNW families treat health like an asset class: From private ERs to whole-genome sequencing.
Executive Summary
- Access Arbitrage: In standard healthcare, you wait weeks for an appointment. In Concierge Medicine, you pay a retainer ($10k-$50k/yr) for 24/7 cell phone access to a top physician and same-day visits.
- Proactive vs. Reactive: Standard medicine treats you when you are sick (Sick Care). Longevity medicine uses Full-Body MRIs (Prenuvo) and genomic sequencing to detect cancer/disease at Stage 0, years before symptoms appear.
- Medical Evacuation: For global families, having a subscription to services like Global Rescue or MedJet is mandatory. It ensures private jet air ambulance extraction from anywhere in the world to a center of excellence.
The “Executive Physical” Upgrade
A standard corporate physical is insufficient. You need a “Deep Phenotyping” protocol: VO2 Max testing, Calcium Scoring, Hormone Panel Optimization, and Grail Galleri tests (liquid biopsy for 50+ cancers).
Mechanic: The Medical Family Office
24/7 Access
Doctor on Speed Dial
Zero Wait
No ER Queues
Bio-Data
DNA & MRI Screening
Global Air
Medevac Coverage
Simulation: Healthspan Extension (Reactive vs. Proactive)
Quality of Life Curve (The “Squaring” Effect)
| Feature | Standard Primary Care | Concierge / Private Health |
|---|---|---|
| Patient Load | 2,500+ Patients per Doctor | < 500 Patients (Focus) |
| Appointment Length | 15 Minutes (Rushed) | 60-90 Minutes (Deep Dive) |
| Navigation | You manage referrals | They manage specialists |
“Wealth is a multiplier of options, but health is the denominator. If health goes to zero, the value of the entire equation becomes zero.”
Essential Resources
INTERNAL
BMT Playbooks
EXTERNAL
Primary Sources