@ChiTownBHawks , when you talk about EM being purged, could you please expand on this (EM is my top, followed by Anesthesia, then FM)?
@FutureDO2016 , there is some worry that salaries are going to go down for FM. Just look at Oregon allowing PA's to practice as a PCP and get compensated the same as a doctor by insurance companies (legislation middle of last year I think). It doesn't mean that the insurance company necessarily will, but it is an option.
That being said, take a deep breath. Healthcare is changing, but there won't be a loss of FM physicians. The idea of a private practice PCP outside of a Managed care/large group/hospital might be fading, but FM's themselves should be relatively fine. Most of the legislation being passed in the Healthcare sector is trying to focus more on quality outcome (not FFS) and prevention (away from specialists) with monetary incentives to keep readmit rates to the hospital low.
And let the minute clinics stay open with PA's for minor skin rashes and booster shots. The companies running them know that if they take on anything that resembles continuity of care, they become liable to insurance companies... which costs too much money. And remember, you aren't going to medical school to practice at Walgreens, WalMart, etc.
...So that's my pep talk. hope it helps! (now back to Pathology 
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Family Med Salaries and the Future of the Specialty
