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Get Better Primary Care
In comparison, MyPreference™ is a value-packed, premium quality medical care program, serviced by Dr. Carol Rupe, a veteran family physician.
- Call Dr. Rupe day or night when a medical need arises in your family
- Receive more professional time and attention to discuss your medical concerns
- Be confident that Dr. Rupe will focus on crafting a solution to your medical condition, or improve the quality of your life without incurring extra visits
- Quickly obtain appointments, possibly the same day
- Custom craft your medical care planning with Dr. Rupe
- Have Dr. Rupe review your lab work, specialty consults, diagnostics, and hospitalization notes and call you to discuss, explain, and advise you on your medical care
- Have Dr. Rupe on your side, as your advocate, when health insurance denials arise. As a family medicine expert, she can articulate the intricacies of Medical Necessity for you and your family's behalf.
Participating in MyPreference™ and implementing healthier lifestyle changes can increase your longevity. Together, we can help reduce your risk of developing a significant number of chronic diseases. Avoiding or delaying the onset of chronic diseases like diabetes and cardiovascular disease, among others, will save you THOUSANDS of dollars in specialty medical care and hospitalization.
Invest in your health with MyPreference™
But I Have Health Insurance!
Terrific. You have a form of partial (40%, 60%, 80%) financial protection IF and WHEN you are in an accident or develop a serious medical condition that requires expensive medical care. Health insurance DOES NOT diagnose medical conditions. Your insurance card DOES NOT provide medical care.
Health insurance companies and government agencies set prices, make rules, and process claims. What you actually have is an expensive Buyer’s Club membership. Traditional medical organizations charge different prices, depending upon which insurance "Club" you belong to, with the highest price reserved for those who belong to no health insurance "Club" at all.
Health insurance driven medicine also means having to endure longer waits getting a medical appointment, and once there, having significantly long waits in a "waiting room" before you see a primary care provider. During your medical visit, your primary care provider - typically a mid-level physician assistant or nurse practitioner - will provide you with 3 to 5 minutes face time to discuss “ONE THING” and you leave with a prescription.
You may have health insurance, but do you have great primary medical care?
Extensive Use of PAs and NPs
The one and two physician primary care office, you may have had when you were younger, has succumbed to history. With the advent of managed care, and the consolidation of the health insurance industry, federal government and the health insurance industry has become The Master. Smaller medical practices ran to the local hospital, crying “Save us! Save us!”. The smaller hospitals approached the larger hospitals for safety, and larger hospital systems were formed as an antidote to the health insurance industry’s depredations.
When you combine MANAGED CARE DOMINANCE over the last thirty (30) years with a KNOWN PHYSICIAN SHORTAGE for the past thirty (30) years, you have the resulting crisis that primary care medicine has become today.
A traditional primary care office now requires a minimum of four providers in an office to cover expenses. The higher the operating expenses are, and the more expensive a geographic location is, the more providers a primary care office requires, and the more patients per day an office must see. Insurance driven medicine is paid by the visit or procedure.
ALL medical office staff people are important to the quality of your experience as a patient. The front desk, administrative staff, nurses, technicians, and providers are all important. But it is the Providers who have monthly production quotas and budgets to achieve.
Physicians, Physician Assistants, and Nurse Practitioners all have advanced degrees, and are all known as “Providers”. But they do not all have the same extensive training, responsibilities, obligations, and legal liabilities that physicians have.

You can see, a Physician Assistant (PA) graduates with 12% the clinical hours training of a primary care physician, and a Nurse Practitioner (NP) graduates with 3% to 9% of the clinical hours training that a primary care physician has.
As the population in an area grows or as a population ages, the more primary medical care will be needed. At some traditional primary care offices, PAs and NPs perform upwards to 80% of all medical visits. Many of those are without any direct physician supervision or follow up.
Ask yourself, “Are you putting yourself at risk, by NOT having an experienced family physician?”
What type of supervison of PAs and NPs are actually being done?
The regulations regarding midlevel practitioners or advanced practitioners are vague:
North Carolina statutes require mid-level providers to have physician supervision, as do the NC Medical Board and the NC Board of Nursing... BUT ...
- The supervising physician does not have to be onsite
- The mandatory Collaborative Agreement or Supervisory Agreement are typically, very loosely defined using terminology such as:
- "... must establish minimum standards of consultation ..."
- "... must be appropriate to the skills of the supervising physician as well as the mid-level practitioner's level of competence ..."
- "... physician to provide the legally required supervision of the PA or NP ..."
Based on your personal experience, do you feel like your concerns have been listened to, and that you have received the proper medical care you need?
Do you feel like you are on too many medications, or have had too many specialty consults on your medical condition without any real answers?
If so, continue reading!
Welcome To MyPreference™

There are many ways to calculate cost. The immediate expenses are those you can see and count in dollars like health insurance premiums, annual deductibles, and the cost of medical visits. Deferred expenses, attributed to the development of chronic diseases over time, can add eight to twenty thousand dollars per year in additional medical expenses.
The Value of Prevention
What value can be assigned to the loss of your strength and mobility? Your eyesight? Your pain and suffering? We don't often think about this when we are thinking about healthcare. But really, this is where we should begin. We need to place our emphasis on value. Having more time to enjoy friends and family has value. Being able to breathe more freely has value. So does, being able to enjoy activities like fishing, reading, traveling, or going to church. What value is attending your daughter's wedding or the joy of playing with your grandkids? This is where our focus needs to be - living better lives through better health. This is the value MyPreference™ brings to Dr. Carol Rupe's patients.
MyPreference™ is not health insurance. Dr. Carol Rupe does not participate in any health insurance network or government program. But, having Dr. Rupe as your personal family physician and participating in her MyPreference™ program, along with making progress on your custom health objectives, can significantly reduce your risk of developing most, non-age dependent chronic diseases. Participating in MyPreference™ now, can significantly improve the quality of your life and save you tens of thousands of dollars on medical care in the years ahead. The monthly cost of MyPreference™ is only a cell phone bill for an individual, or a cable bill for a family of four.
How does it work? Dr. Carol Rupe's patients sign an annual agreement to participate in her MyPreference™ program. The monthly participation fee and any medical visits, if necessary, are invoiced for greater financial flexibility. Dr. Rupe tries to solve many medical problems by phone if she can. WellCraft Health™ includes clinical diagnostics and a limited number of medications and injectables at no extra charge. WellCraft Health forwards your insurance information to LabCorp for lab work, and to your pharmacy of choice for medications. We strive to work with the "Best of the Best" in specialty care and hospitalization.
You may have health insurance, but do you have great primary medical care that can help improve the quality of your life?
CLICK HERE for a FREE Enrollment Consultation to discuss your medical needs and MyPreference™
Health Insurance Driven Medical Care
Does This Sound Familiar? CLICK HERE for a FREE Enrollment Consultation to discuss your medical needs and MyPreference™ ![]() |
Dr. Carol Rupe's Specialties

Dr. Carol Rupe is not a “provider”. She is a family physician - skilled in clinical medicine, inpatient (hospital-based) medicine, and long-term care. Attorneys contact Dr. Rupe to review medical cases and provide professional advice on the standard of family medical care. Dr. Rupe has been recognized as an expert in family medicine in more than 30 US states, from California, to New York, down to Florida, and many states in between. With a special focus on Women's Health and Senior Health, Dr. Rupe also offers her experience in these specialties:
Discover Everything Missing From Modern Medicine Today℠! |

Custom, WellCrafted Medical Care

WellCraft Health™ is significantly DIFFERENT and BETTER than a traditional medical office.
Appointments at WellCraft Health™ are easy to make, and possibly for the same day. We respect and value your time. Your medical visit is scheduled for up to 30 minutes, so you have a real conversation about what you are experiencing. Together, you and Dr. Rupe, can discuss treatment options and work out a custom, and WellCrafted solution that works best for you. Like the Country Doctor, Dr. Carol Rupe is available to her patients, day and night.
Dr. Rupe knows her patients so well, she can address many of your needs by phone, and not require a medical visit. Should you need specialty care, Dr. Carol Rupe will act as your "Quarterback", coordinating your care with medical specialists, diagnostic centers, and hospitals through our increasingly complex medical system. She will review your medical care and translate medical jargon so you can understand your diagnostic results and specialty consults. She will call you personally to discuss your lab work, specialty consults or medical procedures.
At WellCraft Health™, you are not a number. You are unique and special - and so is your medical care.

Get Better Primary Care
In comparison, MyPreference™ is a value-packed, premium quality medical care program, serviced by Dr. Carol Rupe, a veteran family physician.
Participating in MyPreference™ and implementing healthier lifestyle changes can increase your longevity. Together, we can help reduce your risk of developing a significant number of chronic diseases. Avoiding or delaying the onset of chronic diseases like diabetes and cardiovascular disease, among others, will save you THOUSANDS of dollars in specialty medical care and hospitalization. Invest in your health with MyPreference™ ![]() |
Click Here for a FREE Enrollment Consultation to Lower YOUR Risk.
But I Have Health Insurance!
Terrific. You have a form of partial (40%, 60%, 80%) financial protection IF and WHEN you are in an accident or develop a serious medical condition that requires expensive medical care. Health insurance DOES NOT diagnose medical conditions. Your insurance card DOES NOT provide medical care.
Health insurance companies and government agencies set prices, make rules, and process claims. What you actually have is an expensive Buyer’s Club membership. Traditional medical organizations charge different prices, depending upon which insurance "Club" you belong to, with the highest price reserved for those who belong to no health insurance "Club" at all.
Health insurance driven medicine also means having to endure longer waits getting a medical appointment, and once there, having significantly long waits in a "waiting room" before you see a primary care provider. During your medical visit, your primary care provider - typically a mid-level physician assistant or nurse practitioner - will provide you with 3 to 5 minutes face time to discuss “ONE THING” and you leave with a prescription.
You may have health insurance, but do you have great primary medical care?

Are You Putting Yourself At Risk?

Are you at greater risk for developing debilitating and expensive chronic diseases by trusting your medical care to mid-level providers?
- Increasingly, both primary medical care services and specialty medical care services are performed by mid-level providers.
- Mid-level providers do not have the training or expertise of physicians. Key aspects of your medical care may be put at risk, resulting in more discomfort, more medical visits, more tests, more lost time, and more expense for you and your family.
- North Carolina statutes require mid-level providers to have physician supervision, as do the NC Medical Board and the NC Board of Nursing... BUT ...
- The supervising physician does not have to be onsite
- The mandatory Collaborative Agreement or Supervisory Agreement are typically, very loosely defined using terminology such as:
- "... must establish minimum standards of consultation ..."
- "... must be appropriate to the skills of the supervising physician as well as the mid-level practitioner's level of competence ..."
- "... physician to provide the legally required supervision of the PA or NP ..."
- Ask yourself these reasonable questions:
- A) If a mid-level provider is required to have physician medical supervision (because they have less medical training), and the supervising physician is not onsite OR the supervising physician has a busy schedule of their own, how much effective medical supervision actually occurs?
- B) How much of your medical care is provided by lesser trained physician assistants or nurse practitioners?
- C) Based on your personal experience, have you received the professional time and experience, and quality medical supervision that you actually need for your medical care?
Four BIG Reasons for you to benefit from Dr. Carol Rupe's expertise and experience. Come home to WellCraft Health and enjoy custom, WellCrafted medical care.