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January 15, 2003

Challenges Facing Family Practice and Primary CareChallenges Facing Family Practice and Primary Care

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(3):297-300. doi:10.1001/jama.289.3.297-a

To the Editor: Both Dr Graham and colleagues1 and Drs Grumbach and Bodenheimer2 discuss the travail of generalists in the current health care system. They cite reimbursement inadequacy, overload of new work, and the lack of respect for generalists' expertise. Although Graham et al celebrate the current importance of family practice, the specialty appears to be in decline in both numbers and eminence, as are primary care careers in all of medicine.