To the Editor: Projecting physician supply and demand is much more complicated than Dr Brook1 presented in his Commentary on how disruptive innovations could increase the value of health care. The decision to increase medical school enrollment is a function of many complex variables.2 Factors in addition to those cited by Brook include physician retirement patterns, generational and sex differences in work styles, and international medical graduate importation.
Kirch DG. Disruptive Innovations and Health Care Reform. JAMA. 2010;303(7):620–621. doi:10.1001/jama.2010.128
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