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Published at www.nejm.org November 18, 2009 (10.1056/NEJMopv0909479)

Eliminating a Viable Primary Care Workforce — A Primary Care Perspective

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When physicians or health policy experts propose that the United States move to a single-payer health care system, with all doctors on salary,1 I find it disheartening: I am hoping for a practical, ethical, financially sound solution that would correct (at least partially) the problems in our system and preserve its strengths. We need a solution that recognizes our culture, our rapidly growing elderly population, the rejection of capitated health care by so many Americans, and the damage that our government's Medicare program has done to primary health care for the elderly.

I could not spend the amount of time . . . [Full Text of this Article]



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