US primary care is on verge of collapse, says doctors' body

doi:10.1136/bmj.332.7537.320-b

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Janice Hopkins Tanne

New York

The American College of Physicians believes the US primary care system is nearing collapse, blaming problems with payments to doctors and the fact that young doctors are choosing more lucrative specialties over internal medicine.

The college released proposals on 30 January for sweeping reforms. It warned that, if they were not enacted, “within a few years there will not be enough primary care physicians to take care of an ageing population with increasing incidences of chronic diseases.”

The …