Family Practice

Join The GREAT ESCAPE from Insurance Driven Medicine

We are seeking to employ a Family Physician who:
(1) desires a significantly better medical practice environment
(2) WILL HAVE GREATER earnings potential than health insurance dependent medical practices
(3) wants to achieve a better work/life balance with a 4 day work week schedule
(4) longs to rekindle the joy of being a physician again through more personal medical care
(5) will have more control over their schedule w/ less admin overhead, lowering stress
(6) enjoy fun, sun, boating, nature, kayaking, and a large number of area events
(7) may be contemplating a future retirement location


We seek personable physicians with various skill sets and different experience bases who want to provide better medical outcomes for their patients AND enjoy their medical profession again. WellCraft Health is a supportive home for those who have become frustrated with what the medical system has become. Over 2,100 medical practices, like WellCraft Health, in the US are now direct pay medical practices who have rejected the health insurance driven model of medical care, now dominated by hospital systems and private equity firms.

Special Notes: We have financial stability & better earnings BECAUSE we contract directly with our patients, earning on average over $1100 per year per patient, and have low overhead. A family physician with a panel of 520 enrollees can earn approximately $400,000.

Over 85% of primary care practices operated by hospital systems are financially subsidized by the hospital system. In 2024 and 2025, 62 hospitals were part of bankruptcy filings adversely affecting the employment of physicians in MI, IL, PA, MA, FL, NJ, AL, AR, TX, and LA. The hospitals most at risk are owned by private equity companies. We have no such concerns. We are free from insurance company billing overhead and have no risk from denial of payments.

Health care's hidden problem: hospital primary care losses
"Health care is constantly evolving, and it s no secret that many hospitals are bleeding money when it comes to their primary care practices. On the low end, a hospital loses $127,000 per year on a primary care physician. Anecdotally, a rural hospital in Indiana expressed that they lose nearly $500,000 per year."

"DPC: the prescription for financial health

DPC practices provide an innovative solution to this conundrum. They operate on a profitable subscription-based model, where patients pay a monthly fee for comprehensive primary care services.

Why DPC works

Financial sustainability. DPC practices are financially sustainable, eliminating the losses associated with hospital-employed primary care. Physicians can focus solely on providing high-quality care to their patients.

Transparency and trust. DPC practices are transparent about their financial model, fostering trust between patients and physicians. Patients know exactly what they re paying.

Rural health care savior. Since DPC practices only need a few hundred patients to be profitable, they are able to operate in areas that a hospital-subsidized practice cannot. DPC practices are a lifeline for rural hospitals. They can partner with these hospitals to provide primary care services, ensuring that rural communities have access to essential health care."

To Our Prospective Family Physicians:

Mid Career Physicians: The nature of primary care has changed. Primary care has largely become the realm of advanced practitioners. Almost 50% of primary care physicians in several national surveys have become disenchanted with their chosen profession and the direction of medicine. The doctors indicated a desire for less stress, more satisfaction, better earnings, and better Work / Life balance.

WellCraft Health is a GREAT opportunity to get off the gerbil wheel and LOVE being a doctor again, with easier hours and BETTER compensation. The future of family medicine is direct primary care.

New Graduates: Dr Carol Rupe is a former USAF and USUHS FP residency instructor, a mentor, and a national expert in family medicine, women's health, and senior health. We plan to implement a four day work week WITHOUT twelve hour days. There is no place better to build your career and future earnings than at WellCraft Health. It is definitely worth a phone call or email inquiry.

Senior physicians: Lake Gaston is an excellent area to retire in. Extend your career with an easier schedule, fewer hours, and a more supportive medical environment. Part time employment options will be available. We need a full time physician first because we have more demand than we can fill.

Physicans seeking part time employment: Please keep our contact info. Drop us a note. We plan to add this capability in the future.

Welcome Home to WellCraft Health


WellCraft Health is a truly patient centric practice model that family physicians AND our patients LOVE . We partner with our patients and actively work with them to diagnose and help solve their medical and emotional difficulties. We help them navigate the ever more complicated medical system, advocate for, and follow up with their specialty care and hospitalization - and achieve better outcomes.

WellCraft Health offers our community a personal, country doctor style of medical care - privately. WellCraft Health patients receive MORE professional time and attention, BETTER medical care, and FASTER, more responsive service. More importantly, we have patient relationships that are personal and long term.

The Few, the Proud, and Health Insurance Network Free


Dr Carol Rupe, a veteran family physican, has never been happier in her profession, and she has the love, respect, and support of her patients. WellCraft Health chose to NOT participate in any health insurance network, allowing Dr Rupe the freedom to practice "old school" medicine, centered on the health and welbeing of her patients. She now loves her medical career, has minimal administrative duties, supports less overhead, and now earns more than she ever could achieve as an employee doctor. WellCraft Health is radically different, and YOU will LOVE it .


WellCraft Health is located near beautiful Lake Gaston on the NC / VA border off I-95. Our area has an abundance of natural beauty of lakes, deep woods, and the Roanoke River, and can easily plan for weekend getaways to Raleigh, Richmond, Norfolk, the Atlantic beaches, Charlotte, the NC mountains and all points in between.

Our website is ( usable by mobile, but best viewed with computer)

We look forward to speaking with you,

Carl and Carol Rupe, MD