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To me, what might be done differently is to increase the number of primary care physicians. According to the slide 25 Issues in Medical Practices, an imbalance between primary care and specialty care. From 1979 to 1999, the number of primary care physicians increased by only 18%, while the number of specialist increased 118%. In the United States, approximately 40.8% of the physicians are generalists and approximately 59.2% are specialists. In addition, nurses the largest group of healthcare professionals has fallen due to sluggish wages, low job satisfactions, inadequate career mobility, etc. I believe the major reason for shortage of primary care physicians is the amount of student loan debt they incur in becoming licensed physicians.

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