Thehealthcareblog iconThehealthcareblogSep 16, 2026 ~1 min source read

Comment on America Is Running Out of Doctors by Joel Selanikio, MD

The AAMC (yes, the trade association of organizations that train physicians) and HRSA models take current per-capita utilization and just multiply by demographic projections. They basically define demand as "what patients did in 2020, forever" times population projections.

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The AAMC (yes, the trade association of organizations that train physicians) and HRSA models take current per-capita utilization and just multiply by demographic projections.

They basically define demand as "what patients did in 2020, forever" times population projections.

All of which is invisible to the healthcare system, because the system only counts the activity that walks in the door — not the activity that isn't coming anymore.

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The useful part

The AAMC (yes, the trade association of organizations that train physicians) and HRSA models take current per-capita utilization and just multiply by demographic projections. They basically define demand as "what patients did in 2020, forever" times population projections. All of which is invisible to the healthcare system, because the system only counts the activity that walks in the door — not the activity that isn't coming anymore.

How it works

  • I suggest we count the demand that's left the clinic before we spend billions on training based on simplistic demand assumptions.
  • More: https://www.futurehealth.live/thoughts/does-america-really-have-a-doctor-shortage

Details worth keeping

Every projection here assumes demand is rising, or at least holding. Neither has a variable for changes in demand.

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