RT Journal
A1 Detsky AS, Gauthier SR, Fuchs VR
T1 SPecialization in health care—reply
JF JAMA
JO JAMA
YR 2012
FD May 16
VO 307
IS 19
SP 2025
OP 2025
DO 10.1001/jama.2012.3655
UL http://dx.doi.org/10.1001/jama.2012.3655
AB 
Dr Johns and colleagues suggest that the market is better suited for determining the distribution of training options than the government. We might argue that in the United States, the market has not done that well. And because the government definitely has skin in the game as the largest payer, it certainly should have the right to influence the manpower and reimbursement issues. We agree that financial considerations are not the only factor in career choices but are pretty sure that if primary care physicians incomes went up by 80% and specialist incomes went down to the same degree, it would change the distribution of services provided to patients.