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June 30, 1978

Rural Medicine

Author Affiliations

Afton, Wyo

JAMA. 1978;239(26):2759-2760. doi:10.1001/jama.1978.03280530023011

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To the Editor.—  Over a year ago I decided that I no longer wanted urban medicine, and I opted for rural medicine. The reasons for my choosing a small, remote town in rural, mountainous Wyoming might not appeal to many physicians, old or new. One thing is certain in my mind, and that is what it will take to get physicians to practice and stay in these underserved areas.It seems paradoxical that in our society we pay premium wages to workers who must live in remote areas while working to compensate and entice them to stay. The urban physician usually makes greater income and has higher fees paid and allowed by third parties than his rural counterpart. The rural general or family practitioner has far greater responsibility and jeopardy without practice relief, is expected to know more (he must because counsel usually is far away), and has less equipment,

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