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The Primary Care Physician and Health Care Reform

The Primary Care Physician and Health Care Reform COMMENTARY The Primary Care Physician and Health Care Reform Salary Robert H. Brook, MD, ScD The salary differential between a primary care physician and Roy T. Young, MD a specialist is substantial. The median salary in large, mul- tispecialty group practice for a US internist is about $205 000 HATEVER FORM IT TAKES, HEALTH CARE RE- a year; for a family medicine physician, $198 000; and for a form will increase the number of Americans pediatrician, $203 000. The median dermatologist salary is covered by health insurance. But there is con- $351 000. Given this pay differential and the narrowed scope Wcern that the legislation will not bend the cost of practice, why should bright, hardworking, debt-ridden, or curve—that is, will not reduce the growth of health care costs even altruistic medical students choose internal medicine, fam- so that it more closely resembles the growth of the US gross ily medicine, pediatrics, or primary care for residency? domestic product (GDP). Currently, health care consumes In 2010, only 2722 (54.5%) of the 4999 residency spots about 16% of the GDP; advocates of bending the cost curve in internal medicine were filled by graduates of US-based hope that in 2020 it http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

The Primary Care Physician and Health Care Reform

JAMA , Volume 303 (15) – Apr 21, 2010

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Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2010.472
pmid
20407064
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY The Primary Care Physician and Health Care Reform Salary Robert H. Brook, MD, ScD The salary differential between a primary care physician and Roy T. Young, MD a specialist is substantial. The median salary in large, mul- tispecialty group practice for a US internist is about $205 000 HATEVER FORM IT TAKES, HEALTH CARE RE- a year; for a family medicine physician, $198 000; and for a form will increase the number of Americans pediatrician, $203 000. The median dermatologist salary is covered by health insurance. But there is con- $351 000. Given this pay differential and the narrowed scope Wcern that the legislation will not bend the cost of practice, why should bright, hardworking, debt-ridden, or curve—that is, will not reduce the growth of health care costs even altruistic medical students choose internal medicine, fam- so that it more closely resembles the growth of the US gross ily medicine, pediatrics, or primary care for residency? domestic product (GDP). Currently, health care consumes In 2010, only 2722 (54.5%) of the 4999 residency spots about 16% of the GDP; advocates of bending the cost curve in internal medicine were filled by graduates of US-based hope that in 2020 it

Journal

JAMAAmerican Medical Association

Published: Apr 21, 2010

References