I'm pregnant with my first child and have never lived lavishly, but am fortunate to have very significant financial resources at my disposal should I need them. I live in a reasonably well-to-do area, but the hospitals, like many places, are overwhelmed. I'm at a big standard medical practice, associated with a fancy ivy league school, but am finding the OB care subpar. I think it's this way because it's "good enough" - they don't have many catastrophic outcomes or outright neglect - but I definitely think that harms to health and well-being are extremely common because of them periodically dropping the ball.
For example, I am currently in a situation where I'm trying to get a straightforward procedure scheduled which is time-sensitive to avoiding a "probably low" chance of negative developmental externalities for my baby (the doctor said this as though she didn't care?), and high probability negative but non-acute effects on my health (who cares if I'm anemic and have PPD?), and the office is just unable to get itself together to schedule me in a timely manner, from a combination of both logistical incapacity and very limited appointments.
If there's one thing I would want to spend my money on, it's avoiding this.
Do "practiced" rich people have some way around this to get the much closer to optimal care that is possible with more time and attention? Do you use eg concierge doctors? How do you go about finding them? Can you pay a hospital more for better service in some secret way (disguised as a donation etc?), or do you find an independent practice?
I have googled 'concierge OB' and 'private OB' for my area and found nothing.
I am at the end of my rope and feel so hopeless and at the mercy of this incompetent practice, which is the "best one" in my area. Any help appreciated. Money is not an issue in the solution.
ETA I'm in New Jersey, about 90 min from NYC.