With tens of millions of uninsured people likely to get coverage over the next few years thanks to health care reform, who is going to perform all the additional medical services, and how will costs be controlled if demand quickly races ahead of supply?

We already face a shortage of primary care doctors, according to The Physicians Foundation (www.physiciansfoundation.org), which has been circulating an op-ed piece on this subject raising issues that should concern not only health insurers and employee benefit managers, but workers' comp and auto carriers as well.

In 2008, the foundation surveyed U.S. primary care physicians and uncovered some very disturbing trends:

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