The lawsuit filed by 40,000 California doctors last week to halt nurse anesthetists' newly obtained ability to administer anesthesia without physician supervision opened the floodgates of fury. Beneath the din, however, is the underlying crux of the issue: the impact of the physician shortage on rural hospitals, which struggle to find and contract with primary care or specialty doctors willing to work in their areas, and especially at contract rates the poorer, smaller hospitals can afford.
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