Primary care is critical to successfully reforming healthcare and yet this specialty has been seriously neglected for decades. This article once again documents the nature of this neglect which it defines as follows:
1. Financial neglect
2. Excessive panel size
3. Poor access for patients
4. Burnout
Unfortunately, these problems are long standing and getting worse. The dilemma is that we can not seem to offer a practical road forward to address these issues.
My book The Journey’s End (thejourneys-end.org/) covers the history of all these challenges in great depth and most importantly offers a road map to correct them. Ironically, addressing these concerns will dramatically improve End of Life care as well.
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