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Previous Volume 331:879-880 September 29, 1994 Number 13 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: President Clinton's proposal to decrease the total number of residency training positions in an effort to increase the ratio of generalists to specialists (discussed by Iglehart in the April 21 issue)¹ makes little sense for a growing population with ever-increasing health care needs². Such a plan will have catastrophic repercussions for a large segment of children, elderly people, and minorities in this country. Political rhetoric aside, the harsh reality is that by decreasing the number of residents today, the Clinton proposal virtually guarantees fewer physicians -- and further fragmentation of medical services -- in the future.

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