Physicians who choose rural practice are called upon to deliver care that they have limited experience with, most notably in emergency situations when they are the most skilled people around.
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.