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Correspondence
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Volume 361:1413-1415 October 1, 2009 Number 14
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Primary Care — Lifelines and Shortages

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by Bodenheimer, T.
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by Steinbrook, R.
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To the Editor: In their Perspective article (June 25 issue),1 Bodenheimer et al. accurately depict our nation's intensifying primary care crisis. Although studies have found that increasing the number of primary care physicians leads to better and cheaper health care for their patients,2,3,4 surveys also portray these doctors as physicians under siege.5 One necessary reform is the equalization of compensation between general and specialty physicians.

Our U.S. system pays much more for procedures than for the medical management of illness. In my specialty of orthopedics, Medicare will approve a charge of approximately $60 for my most common office visit but . . . [Full Text of this Article]



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