Aging population, Medicare changes mean doctors make house calls

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Dr. Marianna Pernia works out of a rolling suitcase and the trunk of her car.

The suitcase, a modern equivalent of the old-fashioned doctor’s bag, holds rubber gloves, a blood-pressure cuff, tongue depressors and all the other supplies she needs to care for her patients in their homes and workplaces.

When she runs low, she restocks out of her silver Honda Accord, which is stuffed with supplies and drug samples.

Pernia’s setup is unusual because her practice, Doctors Making Housecalls, doesn’t wait for patients to show up at an office; instead, doctors take medical care to them.

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