It’s no secret that physicians are reimbursed less these days for the care they provide. Sooner or later, more doctors are going to turn into niche marketers. Imagine a pediatrician’s practice that only makes house calls – and only to private pay clients. Maybe there are two doctors who stagger shifts so they cover everything from 7 AM to 8 PM. House calls are available on weekends, but at a higher rate, and it’s all billed to a credit card. Certainly that’s a narrow market, but they don’t need volume if they price their services right. Office expense is minimal, since they make house calls, so overhead is lower. And once one doctor does this successfully, others will follow. Is there a niche you can innovate your way into?