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Socialized Medicine and Universal Care
Advance for Physician Assistants, 03/30/09

Cawley JF - One possible outcome of universal health care coverage would be increased demand for PA services. In this scenario, universal coverage would include a guarantee that a basic package of primary care services would be provided, thus creating an even higher demand for primary care providers, which PAs could help fill. One issue, however, is PAs' trend to specialties. Only 37% of PAs now work in primary care. Were PAs to meet the anticipated demand, new incentives for PAs to enter and remain in primary care practice would need to be created. Enactment of universal health care coverage will be a monumental political fight, with the outcome still very much uncertain. Hostility to ostensible socialism remains a common basis of objection to universal health care by opponents of government expansion and monetary redistribution policies. The debate should be based on the relative merits of the proposals, without name-calling.