Arjun Sharma in Undark:
IN THE 1960s and 1970s, researchers offered financial incentives to patients to get them to lose weight, quit smoking, and abstain from alcohol. To some degree, it worked. But when governmental bodies proffered a pecuniary boon to physicians to move their practice to rural areas, the outcomes were less clear-cut. In fact, new evidence suggests that such monetary incentives barely move the needle.
In 1965, as Medicare was being launched, state lawmakers were in the process of identifying regional gaps in the American health care landscape. These places, which were designated under the nationally established Health Professional Shortage Area program, or HPSA, disproportionately lacked medical practitioners and are now areas where a single physician could be tasked to juggle the health of thousands of people. Such medical deserts include more than 5,300 rural areas, in which almost 33 million people face a dearth of primary care services.
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