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John Horstkamp is a family physician.

Should doctors give up on primary care?

John Horstkamp, MD
Physician
August 24, 2019

Ten years ago, I wrote an essay on the primary care shortage.  I argued that more money and better working conditions would help decrease the shortage.  Unfortunately, things have worsened over the last decade.  The AAMC now predicts a shortage of between about 15,000 and 50,000 primary care doctors in 2030.

The gap between generalists’ and specialists’ incomes is still huge.  The average family doctor earns about half …

Read more…

Should doctors give up on primary care?

More than lip service is needed to fix the primary care shortage

John Horstkamp, MD
Physician
April 19, 2015

America faces a serious shortage of primary care doctors. The reasons are not hard to understand.

Lower income is the most important factor.  Adult primary care doctors (general internal medicine physicians and family medicine physicians) earn on average $100,000 or so less per year than specialists do. Our income is much greater than that of the average American, and so many people have little sympathy here.  But almost all people prefer …

Read more…

More than lip service is needed to fix the primary care shortage

How to fix the primary care shortage

John Horstkamp, MD
Physician
August 17, 2009

The primary care physician (PCP) shortage has attracted a lot of attention recently, and for good reason. Individual Americans are concerned that they will not have timely access to needed medical care, and policy makers are concerned that our specialist-heavy medical system is failing, giving us expensive but disjointed, poor quality care. Many experts rightly think that a robust primary care system would give us better health care for …

Read more…

How to fix the primary care shortage

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  • Most Popular

  • Past Week

    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions
    • Your doctor saved your life but won’t return your call [PODCAST]

      The Podcast by KevinMD | Podcast
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
    • Why bipolar II is not just a milder version of bipolar I

      Ethan Evans, MD | Conditions
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • A humorous parody of medical specialties and the modern patient

      Sidney J. Winawer, MD | Physician
    • 13.1 reasons running a half marathon beats practicing medicine

      John Wei, MD | Physician
    • Medicare practice expense cuts will hurt patients

      John Birkmeyer, MD | Policy
  • Recent Posts

    • One silly mistake can sabotage your medical career before it starts [PODCAST]

      The Podcast by KevinMD | Podcast
    • Symptoms with normal labs deserve a better question

      Shiv K. Goel, MD | Physician
    • Can clonal hematopoiesis improve blood cancer screening?

      Jason Liebowitz, MD | Conditions
    • International medical graduates need real protections

      Vasilii Khammad, MD, PhD | Physician
    • Why psychiatric medications often fail autistic patients

      Carrie Friedman, NP | Conditions
    • Missed claims filing deadlines threaten patient care

      Assinatha Mukantaganzwa | Finance

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