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Health Professional Shortage Areas, Health Status, and Reform-Reply
Patrick Dowling, MD, MPH
Harbor—UCLA Medical Center Torrance, Calif
Arch Fam Med. 1996;5(4):197.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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In reply
Dr Good of Nova Southeastern University in Florida makes several good points in his letter concerning my recent Editorial. I agree with his assertion that federal programs have restructured and reformulated the market forces in rural areas. I am reminded of an anonymous quote about the market and medicine in this country: "When it comes to medicine, Adam Smith is all thumbs."
John Eisenberg, MD,1 former Chairman of the Council of Graduate Medical Education, recently stated that market forces are encouraging more students to seek careers in primary care, but that the market itself was imperfect and as such probably would not solve the problem the nation has with rural and urban underserved areas.
Accordingly, I think Good makes several good suggestions, such as the creation of an Alternative Emergency Facility and the preferential recruitment of medical students from rural backgrounds. Clearly these are positive incentives that could reverse some
. . . [Full Text PDF of this Article]
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