Why not eliminate this anachronistic charade of the general practitioner and use nurse practitioners and physician assistants to fill the gap? This is already happening in rural areas, which sometimes lack even a single primary care physician.
Policymakers should be aware that even well-informed patients with good access to primary care need the ER. Legislation should aim to increase availability of primary care, but not penalize for use of emergency services.
The insufferable pace of primary care combined with the erosion of the doctor-patient relationship deters young physicians from entering the field. In my graduating class of 30 or so internal medicine trainees, only two of us chose to go into primary care.
During our primary-care crisis, should the U.S. be using valuable resources to deport Harvard-trained primary-care physicians who want to serve patients and also remain in the same country as their spouses? According to DOMA, it should.
Fewer medical students are entering general internal medicine these days. This is a huge problem because the numbers of those in need of general medical services are going in the other direction: up, up, up.
Training doctors to uncover and treat the underlying causes of disease could eliminate much of the unnecessary reliance on pharmaceuticals and reduce their devastating, and sometimes deadly, side effects.