Our libertarian comrades always remind us that the market always produces the right outcomes. But in Massachusetts, the first state with Universal Health Care, the market is not producing enough primary care physicians.
Studies show that the number of medical school graduates in the United States entering family medicine training programs, or residencies, has dropped by 50 percent since 1997. …the Medicare reimbursement for a half-hour primary care visit in Boston is $103.42; for a colonoscopy requiring roughly the same time, a gastroenterologist would receive $449.44.
Why be a family physician if the market pays you four times as much to be a specialist.