[Powerofmene]

This article is spot on but misses two important points: 1) as customers are driven to the more convenient urgent care clinics such as The Little Clinic or Minute Clinic, they are losing the long-term consistency of medical review and care they once enjoyed through a relationship with their primary care physician. Second and most importantly, fewer and fewer people are going to medical school and of those that are, fewer are being general practitioners or internists so by and large your medical care is primarily given by PA’s and NPR’sboth of who. Require physician supervision.

I am all for customer centric healthcare but decreasing reimbursement rates and increasing government unfunded mandates are resulting in fewer people going to medical school. When a doctors patient load continues to increase they have less time to spend with patients and reviewing labs, etc.