• The insurance intermediaries, who never actually see a patient or deliver any care, haven’t got a clue how this whole health thing works.
• They are happy with mediocre doctors that cut time and care. Those doctors (and physical therapists) run mills, but the insurance companies are happy with them.
• Quality and quantity of time are not rewarded, and in fact are punished in the health care environment we have.
• Primary care physician will become as rare as swimming with dolphins.
• It will depend upon how much money you have to buy concierge/retainer medicine.
• Doctors in training are flooding away from general Internal Medicine, Pediatrics and Family Medicine in droves.
• Only 2% of medical students plan to go into primary care which used to be over 50%.
• The whole premise of health care reform ensures that everyone has access to good quality care.
• Every nation that provides good, quality access has a strong primary care base that is the foundation.
• Primary care is valued by the government, the payers, the population and even by the physicians.
• We have it all backward. It is time to revamp the system from the bottom up.
• We have not yet begun the hard work to bring costs under control because there are too many pigs at the trough. “You can’t clear the swamp until you get the pigs out of the way”.
• We have a lot of pigs to move aside so more people can get to the water.

Read More on  http://www.kevinmd.com/blog/2010/03/primary-care-valued-saved.html