Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Drs Grumbach and Bodenheimer1 did not discuss service to underserved communities.
This encompasses not only the 41.2 million Americans (14.6% of US residents)2 who are uninsured, but also those insured persons
living in poverty. Primary care physicians, nurse practitioners, and physician
assistants provide the bulk of health care for these individuals. The socioeconomic
problems characterizing these populations further challenge the 4 functions
of comprehensiveness, accessibility, continuity, and coordination.
Bicket DP. Challenges Facing Family Practice and Primary CareChallenges Facing Family Practice and Primary Care. JAMA. 2003;289(3):297-300. doi:10.1001/jama.289.3.297-a