Altering specialty balances.

Abstract

In an on again, off again pattern, the numbers and distribution of physicians have been of policy concern since the passage of Medicare and Medicaid in the '60s. After a hiatus in the '80s, these issues are a significant part of the current health reform agenda, appearing in one form or another in many of the proposals already offered. If the solutions found this time are to have lasting effects, however, it is critical that the issues are carefully shaped and that those making policy are certain that agreement has been achieved on the basic terms that characterize the issues. This column is jointly edited by Keven M. Fickenscher, MD, Chair, and David A. Kindig, of the College's Forum on National Health Policy.