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.
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.