KevinMD November 25, 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 Kaiser after going on Medicare and now no one will see me.” These aren’t isolated complaints. They’ve become the new reality in Silicon Valley: 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 Palo Alto Medical Foundation clinic in Daly City, 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...

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