The Weekly Standard has been checking in with Forrest since our May 24, 2010, cover story, “Cash for Doctors,” detailed how physicians were developing novel approaches to avoid the coming avalanche of new regulations and insurance mandates. Forrest’s practice, Access Healthcare, charges patients $39 a month, plus $20 per office visit, and offers a menu of additional low-cost services and tests. He doesn’t accept insurance, because he says it’s too much of a hassle and drives up his costs.

At the time, Forrest’s approach seemed to be paying off, but there were still plenty of questions about how the Affordable Care Act would affect his practice and those of other doctors seeking to steer clear of insurance bureaucracies and government decrees.