Wither Primary Care?

Wither Primary Care?


Michael J Pentecost, MD

Fall 2006 - Volume 10 Number 3


The report from the American College of Physicians (ACP) didn't pull any punches.1 Primary care is on the verge of collapse. Senior physicians are retiring or leaving the field; medical students are avoiding the discipline like the plague; health care capital is in full retreat; new technology investments are lagging. With demand for primary care services expected to skyrocket, the timing couldn't be worse. As the demographic bulge of baby boomers begins to turn 60, the ranks of Medicare patients will grow from 39 million to 72 million by 2030, then comprising nearly one fifth of the population.1

etoc emailClick here to join the eTOC list or text TPJ to 22828. You will receive an Email notice with the Table of Contents of each issue.

The Permanente Journal advances knowledge in scientific research, clinical medicine and innovative health care delivery. It is a peer-reviewed journal of medical science, social science in medicine, and medical humanities.

The Permanente Press

The Permanente Press publishes The Permanente Journal and books related to health care. For information about subscriptions, missing issues, billing, subscription renewal, and back issues, Email: permanente.journal@kp.org.


27,000 print readers per quarter, 15,350 eTOC readers, and in 2018, 2 million page views of TPJ articles in PubMed from a broad international readership.


The Kaiser Permanente National CME Program designates this journal-based CME activity for 4 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ISSN 1552-5767 Copyright © 2019 thepermanentejournal.org.

All Rights Reserved.