KevinMD November 3, 2025
George F. Smith, MD

Not long ago, a friend told me, “I switched insurance and can’t find a doctor who will take me.” Another said, “I left a leading integrated health plan after going on Medicare and now no one will see me.” These aren’t isolated complaints. They’ve become the new reality in an affluent U.S. region: It’s easier to buy a multimillion-dollar home than to find a new primary care doctor.

I saw this problem firsthand before I retired from full-time practice at the end of 2020. At my clinic, only two of us out of more than a dozen internists and family physicians had “open panels,” meaning we were allowed to accept new patients. Everyone else had closed their doors, maxed out...

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