How to increase the supply of providers


The actual numbers of the “doctor shortage” remains greatly debated, but this author is right on target: Our doctors are too educated - Washington Post August 13, 2018. We are training them the wrong way for the wrong job and with the wrong incentives. The “shortage” is also behavioral and emotional: our physicians are not groomed to perform and achieve consistent business, clinical and social results. They are coddled and develop a culture of entitlement. Altering the admissions process and training programs could change that if done purposefully. There also remains a powerful case for opening up mainstream care to non-physicians. The US remains the only country in the world that delivers frontline primary care via overly schooled physicians with at least 11 years of post-high-school education. What a waste! Open up the system to NPs, PAs, NDs with reimbursement from insurers, self-insured employers, and government programs. Quality would go up, prices would stabilize. - Sanders DiPiero

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