Physician demand in all specialties is greater than the supply. As the population grows the number of doctors is decreasing. The 2036 projected shortage in the United States is 86,000 according to the 2023 study by AAMC (Association of American Medical Colleges).
The Covid pandemic worsened the crisis as more doctors left physician life primarily due to money. During this time Medicare continued to decrease doctors' reimbursement for medical services rendered to elderly and disabled patients. Basic costs like office rental or purchase, malpractice insurance, employee salaries were the main sources of money outflow. All of these were increasing as were costs for an aging population most of whom had at least five chronic medical conditions.
As a potential physician shortage may be approaching, it has become more difficult to get timely appointments. If you have insurance, they must be in network to avoid extra cost beyond your insurance coverage. This usually means longer wait time primarily due to smaller listing of doctors. Many physicians also have limited visiting hours unlike days of old when they made themselves more available to patients than two days a week.
In addition, doctors are more specialized and selective in their choices. One choice is cash only payment instead of insurance, Medicare, or Medicaid. Another choice is the specialty or subspecialty chosen. The more specialized are usually more expensive and highest paid. Some have gender and age preferences. Burnout due to overworking has led to limits in the number of new patients for some doctors, or just quitting.
Patients should try to find doctors they feel are best for them and their family. Even if it means consulting several in the same specialty until you get the right one. Doctor shopping is becoming more popular as the healthcare landscape keeps rapidly changing. The Internet makes it easier to do, but the telephone makes it more personable. Talking to someone can give you more informatiom and add to your research. Word of mouth is still a good way to find doctors. Seek out the best doctors and you will find trustworthy personalized precision health care for you. Best health!
