Some primary care physicians in Seattle have adopted a system where each of their patients pays a fixed annual fee and receives coverage for all their primary care services (in this scenario, the patient can purchase of health insurance to coverage for specialty and hospital care, if desired). Focusing on the primary care aspect only, discuss whether this would be a better approach than the current system which relies on private insurance, Medicare or Medicaid. Include in your discussion consideration of the administrative costs of processing claims, the effects on access to care, and the potential effects on quality of care.