While it is good to have more specialists (more doctors that can help you), each specialist needs a certain amount of patients to support his practice, both from a financial and an experience standpoint. For example, a neurosurgeon needs 100,000 people to support his practice. An isolated town of 200 simply cannot support a neurosurgeon. What if a specialty was had by every PCP? Like a "major" for every college student?
Solution: 1. Maybe. The idea of every doctor being a specialist can work; where every doctor is both a primary care doctor to his regulars and a specialist. Using this scenario, consider a hypothetical doctor's firm where there are 5 doctors that all specialize differently. If they need to, they can refer their primary care patients to their colleague down the hall. Ultimately, we will have greater access to both primary care and specialty care. The real life problem here is that each specialist doctor would still not get the practice that is looked upon in specialist.
2. Historically, the more money a profession makes, the more students it will attract. So we might pay our PCP's more money, but the problem with this is that mid-level professions, like physician assistants, can usurp its roll in the industry.
3. Many students choose pharmacy or dentistry because the working hours are more desirable. So lets adopt these conditions to PCP's instead of increasing their pay even more, though I do not want a PCP to be unavailable at nights, like most dentists. [I am just bitter because I have had 2 painful toothaches start on Friday nights.] This may be able to increase the proportion of PCPs to specialists.
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