Re: Is this a nationwide trend, or just here?
Just wanted to add my 2 cents. I have been a health care exec for 25+ yrs. The trend that is constantly discussed among my collegues (but you don't see much in the popular media) is the shortage of primary care physicians. Med students are just not choosing Family Practice and Internal Medicine anymore because they can make more $ and work less hours in specialties. With an aging population, trying to get in for non urgent visits are getting more and more difficult all over. Add to the mix the fiscal realities of our healthcare system and we just don't have the access we once had.
I am sure there are many good physicians and mid level providers that provide excellent care in FL. The problem, remains however that in areas with a high concentation of Seniors, the demand for care is greater and the payor mix has a higher percentage of Medicare (which often is less than expenses reimbursement rates). This can mean care is often harder to access, less comprehensive and treatment may be less aggressive than other areas.
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