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Physician Workforce

PERSPECTIVE

The Ramifications Of Specialty-Dominated Medicine

Reading the paper by Richard Cooper and colleagues is like watching a television commercial for a sport-utility vehicle (SUV). "Buy more physicians" is the marketing pitch—and not just any physician, but the four-by-four (as in four years of medical school plus four or more years of residency training), gas-guzzling specialist model that creates an irresistible buying frenzy among American consumers eager to spend their discretionary income.

When I watch advertisements showing a mud-splattered SUV careening along a dirt road and coming to rest atop an impossibly remote mountain peak, I confess that I feel no automotive lust. I think about . . . [Full Text of this Article]

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