California Primary Care Shortage


Five Boxer puppies, 8 weeks old

A new report from the California Primary Care Association (CPCA) projects the state will need to boost its primary care physician workforce by 32% over the next 15 years to meet demands of a growing population. The study makes several recommendations to help bolster the supply of primary care physicians including:

  • Giving family doctors a new white jacket every year, though they will have to put a monogram on it themselves
  • A limited supply of Skittles
  • A lowering of measured quality metric count from 84 to 81
  • A free puppy

Of course these are made up but so are the real recommendations, which include the same crap over and over again:

  • Expanded loan repayment programs that help new physicians pay back student loans
  • Expanded new models of care that maximize the use of physician practice staff
  • Increasing the number of residency programs that place residents in underserved facilities like community health centers.

Shouldn’t the word “expanded” be a tip off that the concept was crap in the first place? I say, teach them the Direct Primary Care Model and allow low cost loans to help start it up.  Teach them to walk away from the insurance and government model.  Either that or give them the puppies.


Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected]

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5 Responses

  1. Kurt says:

    Only one problem with DPC. Pick the wrong place and the person will go belly up fast.
    If one has student loans to pay up, whadd’ya think they’ll opt for? Salary or the unknown????
    The students need to walk away from primary care medicine and dinosaur FP models.
    Get the marketable skills that though upfront require a greater investment of time but in the end
    offer better financial reward and satisfaction.

  2. Pat says:

    You’d probably have to give back portions of the puppy in subsequent years if you didn’t meet quality or “meaningful” goals.

  3. Perry says:

    At this point, I would take the puppy and go somewhere else, maybe become a computer programmer.

  4. SteveM says:

    The puppy sounds like a good idea to me!

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