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Haven't had a regular doctor for years. I tried a couple of times, and they keep leaving the area. The cost of living (especially real estate) is extremely high here, and Medicare reimbursement rates are low (we're classed as a "rural" county, the local hospital sucks, and we're next door to a metro area with good hospitals and great specialists which sucks off a lot of the higher paying patients.
So new doctors don't stay, because they can't make enough $$ to afford a good house, and the old timers are retiring one by one and don't take many new patients, because they don't have to.
We got a bit of a pickle here, unless I want to find a primary care physician 30+ miles away.
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