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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

    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

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      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
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    • Breast cancer and the daughter who gave everything

      Dr. Damane Zehra | Conditions
    • End-of-life care cost substance use: When compassion meets economic reality

      Brian Hudes, MD | Physician
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      Travis Walker, MD, MPH | Physician
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      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
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      Mousson Berrouet, DO | Physician
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      Dan Ouellet | Tech
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