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The Reply

      I don't think that creating MDs with less training is a good idea. They would be seen as second-class doctors to the public—and to our current physicians.
      However, I do agree with Dr Volpintesta's last paragraph in his comment on 2 previous articles in the The American Journal of Medicine.
      • Dalen J.E.
      Concierge medicine is here and growing.
      • Dalen J.E.
      • Ryan K.J.
      • Alpert J.S.
      Where have the generalists gone? They became specialists, then generalists, then subspecialists.
      We have a significant number of nurse practitioners and physician assistants, and they are well prepared to provide primary care.

      References

        • Dalen J.E.
        Concierge medicine is here and growing.
        Am J Med. 2017; 130: 880-881
        • Dalen J.E.
        • Ryan K.J.
        • Alpert J.S.
        Where have the generalists gone? They became specialists, then generalists, then subspecialists.
        Am J Med. 2017; 130: 7666-7768