Problems in Primary Care

To the Editor:… I was extremely disappointed by the complete lack of attention to the use of nurse practitioners and physician's assistants as primary care providers in the Sounding Board articles in the March 4 issue of the Journal¹–³. Physicians can care for more patients, use their medical training more appropriately, and provide better preventive and maintenance health care for their patients when they work with nonphysician primary care providers. If there is to be an adequate supply of care givers and appropriate use of resources, the delivery of medical care, not just its financing,…