The current Medicare operation—reimbursing medical goods and services to a growing number of people without basing the reimbursement benefit on the actual cost of the services—is unsustainable, but there are some possible remedies.
Utah's preventive care plan for the uninsured offers limited benefit for young healthy individuals but does not provide the necessary care for it's more chronically ill participants.
The New Model of Practice in Family Medicine has been designed to improve patient care and alleviate financial and administrative pressures on family physicians.
A residency program director supports a shortened 2-year family medicine residency program that emphasizes primary care in the ambulatory setting and also allows family physicians to receive additional postgraduate training in their specialty areas of interest.
Marguerite Duane, MD, MHA and Robert L. Phillips, Jr., MD, MSPH
Two physicians argue in favor of extending residency training for family medicine physicians to 4 years so they will be adequately prepared to participate in family medicine's new model of care.