The following editorial appeared in the Pittsburgh Post-Gazette on Monday:
Two months ago, 412 medical school graduates learned they would not have a place in the residency programs that should have capped their studies and led to a license to practice. That was more than just a disappointment for them and their families; it was bad news for the nation.
Most of these students had done their part by working hard in college and during four years of medical school, often accruing massive personal debt in the process. But a lack of adequate federal funding for the country’s residency programs shut them out, the second straight year that has happened.
It’s a problem that’s only going to get worse if nothing changes.
The need for new doctors is growing exponentially, driven by three forces: the population is aging and requires more care, one-third of the physicians practicing today plan to retire in the coming decade, and the Affordable Care Act means more people have health insurance and access to doctors.
The federal investment in the next generation of doctors is not keeping up. The government pays for most of the cost of residencies, but Congress has not budged from the cap of $1 billion that it set in 1997. That’s enough for about 115,000 doctors in training, far fewer than the country needs.
By next year, the United States will fall short by 63,000 doctors and that figure will leap to 130,000 by 2025, according to the Association of American Medical Colleges.
Medical schools have done their part, adding seats to their four-year training programs to get more future doctors in the pipeline. However, without adding residencies, the funnel only gets more narrow, keeping qualified graduates from advancing toward a medical practice.
Expanding the pool of residents is not the only solution to the care shortage. Regulations must change so that nurse practitioners and physician assistants can practice to the full extent that their training provides, for instance.
Although most of the problems challenging the nation’s medical system defy simple solutions, that’s not true of the residency shortage. There are measures pending in Congress right now that would raise the spending to allow for more doctors. House Resolution 1201, for instance, proposes adding 15,000 more residencies over five years.
Like an infection left untreated, America’s doctor shortage will only get worse until lawmakers act.