Former New York Gov. Eliot Spitzer proposed a new loan-forgiveness program that would entice new doctors to rural communities, and his newly sworn-in successor, Gov. David Paterson, has expressed support for the initiative. But many in the medical community say it isn't enough, because the program doesn't address the overarching problems such as exorbitant malpractice insurance premiums, flat Medicare reimbursement rates, and a lagging rural economy.