Dr. Christian Smith runs a home-based direct primary care practice out of Mount Airy, Maryland, serving Central Maryland and the wider DC area. He is a board-certified internist, an Army veteran trained at Walter Reed, and he has opted out of Medicare entirely — care is provided by private contract, with no insurance billed and no third-party reporting. The practice states plainly: no insurance, no data mining, Bitcoin welcome.
Sound-money criteria: This one meets all three. Membership dues and visit fees are payable over the Lightning Network or on-chain, settled through Zaprite — bitcoin only, with no other tokens accepted or advertised anywhere on the practice’s site. It is a full fiat-insurance opt-out, and it partners with Sedera health cost-sharing for members who want catastrophic coverage alongside. Patient messaging runs on Proton Mail and records sit on encrypted non-commercial infrastructure.
Practical detail: Published pricing is $395/month or $4,200/year for an individual, $695/month or $7,500/year for a couple, and $595/month for the longevity program, with a $100 application fee and a six-month minimum. Membership is deliberately capped. This is a local practice, not a national one — visits are delivered at home within a service radius, so it is listed here for the model rather than as somewhere a Southern California reader can enroll.
Allies are screened on sound-money criteria only — cash price, no billing office, no insurance dependency. We do not evaluate clinical quality, and a listing is not a medical recommendation.