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—I appreciate Dr Brody's recognition of the continuing efforts of the AAFP to address the broad policy concerns of providing access to care for all Americans. As an academy, we are wrestling with the difficult (for physician organizations) issues of cost containment, delivery system reform, and primary care physician supply as components of a health care access reform proposal, and we contemplate development of a more comprehensive policy statement in the next year.Ms Zanca's letter poignantly illustrates the plight of Medicaid patients today—lack of access to physicians. The AAFP recognizes that expanding access through Medicaid must include substantial revision of the Medicaid program (and probably a new identity as well) to overcome the real obstacles she and her son so unfortunately experienced.
Aukerman GF. Access to Health Care for the Uninsured: The American Academy of Family Physicians-Reply. JAMA. 1991;266(18):2561. doi:10.1001/jama.1991.03470180060029