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Politics : A US National Health Care System?

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To: skinowski who wrote (6672)	4/13/2009 10:23:58 PM
From: i-node	Read Replies (2) of 42652

How many of you heard of any young Internists or family docs hanging out the shingle and starting a new solo practice in recent years? It hardly ever happens. A recent article in JAMA published a few months ago describes a study of 4th year medical students in the US med schools. Only 2% of them expect to have a career as primary care physicians. Solo practice, almost never. We serve mostly small towns in Arkansas, so we do see some family practice clinics, but even there in small towns there is a propensity toward specialties that wasn't there 15 years ago. Internal Medicine, like any specialty dependent on Medicare, is tough these days; frankly, we haven't done a new install in an Internal Medicine clinic in a very long time. We put in systems for some geriatric and physiatry offices a few years ago, and they are GONE. Moved on to other specialties with a better insurance mix. We put in a system at an office in a town of 8,000 six months ago -- 2 FP docs, fresh out of their residencies. These guys instantly had lines at the door. Like you, I think we're going to be facing some real critical shortages here. Probably the best hope is for PAs to fill the gaps.

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