Hive Health Media

A Tidal Wave of Healthcare Demand

There is a shortage of doctors all over America and it is getting worse for two reasons. Both reasons are on the demand side of the medical equation. President Obama’s new healthcare laws mean that many more people will be making tracks to their doctors and the second reason is the ‘baby boomer generation living longer and demanding more healthcare. The Association of American Medical Colleges (AAMC) report that even without Obamacare there will more than 100,000 too few physicians come 2025.

Come 2014 the new healthcare law will extend insurance coverage to around 30 million people. However it takes a decade to train a doctor. You do not need the intellect of a president to see that there is nothing either the federal government nor the AAMC can do to bridge the gap in the short term. The only two professional areas where supply exceeds demand is in plastic surgeons and dermatologists. What does that say about the US as a nation?

What happens now and what will happen increasingly is that the delivery of healthcare in America will simply take longer and conditions will get worse. Many professionals call it an ‘invisible problem’. Patients will have to travel further to consult a doctor, suffer on stretched waiting lists, pack into emergency rooms and probably go without care all together at times. The chief executive of the California Medical Association, with almost 35,000 members say “It results in delayed care and higher levels of acuity. People access the health care system through the emergency department, rather than establishing a relationship with a primary care physician who might keep them from getting sicker.”

The healthcare gap between the ‘haves’ and the ‘have not’s will grow. Doctors are among the haves of course and nobody will blame them for wanting to work in the more attractive geographical areas. For example, take Riverside County in California. The population there has grown 42% in twelve years and is continuing to grow despite the turgid economic climate. The number of doctors providing healthcare in the area has not kept up with the population growth because doctors make more money and have a better quality of life across the county line in neighboring Orange County.

The federal government recommends that any area have between 60 and 80 primary care medics for every 100,000 people and between 85 and 105 specialist practitioners. Riverside and the surrounding regions, excluding Orange County of course, has around 40 generalists and 70 specialists to each 100,000 residents. At the same time all across America, less than half of the primary care clinics are taking on new patients since ‘08. This makes it difficult for poor patients to participate in healthcare even though they are now eligible for Medicaid.

[box type=”note”]Primary healthcare providers all over America are bracing themselves for a tidal wave of demand on a system that is already overheating. They are working hard to speed up patient processing procedures, cramming more consultations on to already full doctors’ schedules and of course competing with everyone else to recruit more physicians.[/box]

Claire Al-Aufi is a contributing author for Hive Health Media who provides updates on health and fitness news.

7 Comments

  1. Dr. Bruce Salzinger, DC

    September 5, 2012 at 5:43 am

    Chiropractic healthcare has clearly demonstrated cost containment with excellent quality outcomes for foundational health improvement. The more people that understood this as a collaborative approach the better we would all be.

    • Anderson Kelly

      January 20, 2013 at 6:03 pm

      Please stop posting your opinion on the affordable care act as it is irrelevant to how this bill impacts health care providers. You’re a chiropractor; even a nurse is more qualified to make decisions relating to health care than you are.

      • Douglas Robb

        January 20, 2013 at 7:48 pm

        And we should accept you as the expert because????

        • drsalzinger

          January 20, 2013 at 8:15 pm

          Licensed, legal in all 50 states. Over 20 years of helping over 500 patients a week. Referral practice. That should say enough.

        • Anderson Kelly

          January 20, 2013 at 9:27 pm

          Perhaps you should attempt to determine what you think about the article before you go looking for an ‘expert’ to tell you how to feel about it.

          You’re asking me to justify something to you, but I’m just not inclined…

          Have a good day!

          • Douglas Robb

            January 21, 2013 at 5:52 am

            Without attempting to explain sarcasm to you Anderson…My comment was intended to highlight the hypocrisy of your position,

            You denigrate the opinion of a fellow reader AND insinuate that all chiropractors lack medical knowledge…without backing up this OPINION with any proof.

            And while this type of intellectual debate is generally effective amongst third graders and Fox News “experts”, it just comes off as trolling to the rest of us.

            Your opinion on any subject is welcome here at HHM, but if your sole reason for commenting is to belittle other readers, perhaps you should spend some time considering why you feel the need to act this way.

            But then again, since I am NOT a mental health professional, my opinion on your motives ain’t worth shit…so feel free to ignore it.

      • drsalzinger

        January 20, 2013 at 8:19 pm

        You obviously know nothing about Chiropractic care. Unfortunate. For over 117 years responsible Chiropractic care has helped millions with a non surgical, drug free approach. Growing globally exponentially because it works.

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