Many individual primary care physicians are highly capable and knowledgeable and can provide high quality preventive care. As a group, however, they apparently do not achieve those goals. In truth, they really cannot be expected to given the growth in new information in each field of medicine. They must rely on specialists to support them and to achieve the highest quality care. To rely on guideline-driven, primary care to solve the problems of the high cost of medical care is an example of the triumph of hope over reality.
So....we need MORE SPECIALISTS! Even 2% of medical students going into primary care is too much! It's all a great conspiracy!
It's really a silly opinion piece. For some reason Dr Goldfarb thinks the logical solution to improving patient outcomes is to just refer everyone to nine different specialists rather than to implement strategies that would make internists/primary care providers more accountable for their patients and would encourage practice patterns more in tune with the "standards of care". But this is the Weekly Standard, after all, the head cheerleaders of the Cheney torture program. Why would you expect anything nuanced and well-reasoned from them?