I believe that the demand for dermatologic care will increase exponentially during the new millennium. It will be fueled by an aging population (some of whom continue foolish habits like tanning in salons), continued improvements in therapy resulting from the research conducted in basic science laboratories, and the shortsightedness of those individuals who are downsizing residency training programs in dermatology.
Eventually, managed care (or whatever modification replaces it) will permit and encourage direct access to dermatologists because it will prove to be economically advantageous (ie, more cost-efficient).
Pomeranz J. Observations on the Present and Concerns About the Future of Dermatology and Dermatopathology. Arch Dermatol. 2000;136(1):83. doi:10.1001/archderm.136.1.83