Washington "The United States is experiencing a primary care shortage the likes of which we have not seen," Jeffrey P. Harris, MD, FACP, president of the American College of Physicians (ACP), today told the House of Representatives Energy & Commerce Health Subcommittee. "The demand for primary care in the U.S. will grow exponentially as the nation's supply of primary care dwindles."
The reasons behind the decline in the supply of primary care physicians are multi-faceted and complex, Dr. Harris added. They include the rapid rise in medical education debt, decreased income potential for primary care physicians, failed payment policies, and increased burdens associated with the practice of primary care.
Testifying at a hearing, Making Health Care Work for American Families: Improving Access to Care, Dr. Harris told Congress that ACP strongly supports the need to ensure all Americans have access to affordable health coverage. As more people are covered, he said, the primary care workforce needs to grow to take on more patients."
"Primary care physicians are the first line of contact for individuals newly entering the health care system," Dr. Harris said. "If we do not increase the primary care workforce, it will become impossible in many communities for people who do not currently have a relationship with a primary care physician to find an internist, family physician or pediatrician who is taking new patients."
"Noting that decades of research have shown that primary care is the best medicine for better health care and lower costs," Dr. Harris said ACP believes that the United States needs a comprehensive approach to ensure access to primary care. "We should start with a national health care workforce policy process to set specific goals for educating and training a supply of health professionals, including primary care, to meet the nation's health care needs."
ACP believes the U.S. needs three other workforce initiatives:
Currently, the average primary care physician earns approximately 55 percent of the average earnings for all other non-primary care physician specialties.
Studies show that this compensation gap is among the most significant reasons for the growing shortage of primary care physicians.
"Although it may appear to some that our call to increase Medicare payments to primary care is self-serving," Dr. Harris pointed out, "the fact is that almost half of ACP's membership practice in subspecialties, not general internal medicine. Yet they share our belief that having a sufficient primary care workforce is essential if patients are to have access to high quality, effective and affordable care."
"The United States faces a critical shortage of primary care physicians for adults," Dr. Harris concluded. "We believe that it is imperative that all Americans be provided with access to affordable coverage. We also know that coverage alone will not ensure that patients have access to high quality and affordable care if there are not primary care physicians available to meet their needs."
|Contact: David Kinsman|
American College of Physicians