Minnesota's legislature has put in place a model for medical training
that has improved rural health outcomes AND boosted rural economies. Why
aren't federal health administrators taking note -- and taking action?
Primary care was supposed to be the centerpiece of President Obama's health care reform bill — the way the country was to reduce the amount it spends on medicine. So why is his administration cutting primary health care allotments by 27 percent?
On January 1, federal health care rates for doctors will be cut 29.5% unless Congress acts. The cuts will be harder on primary care physicians — and that means they will cut more deeply in rural communities, which are more dependent on primary care providers.
Rural health care providers are paid less to provide treatment to a population that is more likely to be poor than those in the cities. Now medical researchers are saying rural hospitals don't provide the same quality of care as those city institutions that have more money and richer patients. Well......
Dr. Robert Bowman explains how a community solved the problems of
physician recruitment and retention by seeing that the two problems are really
one: how to build quality relationships.
Dr. Robert Bowman, M.D. describes the broken design of American health care:
physicians are concentrated in locations and careers that fail to serve
the majority and the most urgent medical needs.