Medscape August 20, 2025
Liz Scherer

Within the next decade or so, the US is expected to experience a primary care shortfall of up to 86,000 physicians. Though the impact will be felt throughout the nation, socioeconomically disadvantaged communities are likely to bear the brunt.

In rural areas especially, a perfect storm of lower incomes, limited insurance coverage and access, insufficient public transportation, and dwindling healthcare provider numbers has translated into significant disparities in preventable chronic diseases, hospitalizations, and elevated mortality rates. Given proposed cuts to Medicaid, which 1 in 7 Americans living in rural areas rely on, and an aging population, gaps in outcomes are likely to widen even further.

An important key to addressing and possibly eliminating these current and future gaps — especially...

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