Manpower Issues and Subspecialists

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To the editor: I read with great interest the statement of the Federated Council for Internal Medicine on manpower in the January issue (1). The statement is an appropriate answer for the social needs of the public since it clearly supports the present tendency to increase the number of primary care physicians. I was disturbed, however, with what could be interpreted as an attempt to encourage subspecialists to assume the role of primary care providers, especially for the aging population.

Multiple disorders indeed frequently occur simultaneously in late life, but this even more heavily underscores the importance of the skilled

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