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Chapter 117

2021 : A

READING2 · 22 questions

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Chapter 117 · 2021 : A · READING2

The Physician Assistant Will See You Now
(23) The term “paramedics” refers to health care
workers who provide routine and clinical services. While
the pressures of an aging population, insurance reforms,
and health epidemics have increased demand for care, the
supply of physicians is not expected to (24) keep pace.
The Association of American Medical Colleges predicts a
shortage of over 90,000 physicians by 2020; by 2025, that
number could climb to more than 130,000. In some parts
of the country, shortages are already a sad fact of life. A
2009 report by the Bureau of Health Professions notes
that although a fifth of the US population lives in rural
areas, less than a tenth of US physicians serves that
population. Because a traditionalist response to the
crisis— (25) amping up medical-college enrollments and
expanding physician training programs—is too slow and
costly to address the near-term problem, alternatives are
being explored. One promising avenue has been greater
reliance on physician assistants (PAs).(26) By virtue of (27) there medical training, PAs can
perform many of the jobs traditionally done by doctors,
including treating chronic and acute conditions,
performing minor (28) surgeries: and prescribing some
medications. However, although well (29) compensated
earning in 2012 a median annual salary of $90,930, PAs
cost health care providers less than do the physicians whomight otherwise undertake these tasks. Moreover, the
training period for PAs is markedly shorter than
(30) those for physicians—two to three years versus the
seven to eleven required for physicians.
Physician assistants already offer vital primary care
in many locations. Some 90,000 PAs were employed
nationwide in 2012. Over and above their value in
partially compensating for the general physician shortage
has been their extraordinary contribution to rural health
care. A recent review of the scholarly literature by
Texas researchers found that PAs lend cost-efficient,
widely appreciated services in underserved areas.
(31) In addition, rural-based PAs often provide a broader
spectrum of such services than do their urban and
suburban counterparts, possibly as a consequence of the
limited pool of rural-based physicians
Increasingly, PAs and other such medical
practitioners have become a critical complement to
physicians. A 2013 RAND Corporation report estimates
that while the number of primary care physicians will
increase slowly from 2010 to 2025, the number of
physician assistants and nurse-practitioners in primary
care will grow at much faster rates. (32) Both by merit and
from necessity, PAs are likely to greet more (33) patience
than ever before

The term “paramedics” refers to health careworkers who provide routine and clinical services.
Which choice is the best introduction to the paragraph?
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