KFF Health News (9/18, Wolfson) reports the goal of fostering physicians who train locally and stay to work in rural areas is weakened by “recent state and federal spending cuts” that will “pull dollars out of an already frayed health system, exacerbating the shortage of care and making their efforts more challenging.” KFF details how “California’s health care shortage is driven by the struggles of rural hospitals; an aging physician workforce; the inherent appeal to up-and-coming doctors of more urban areas; and the financial pressures of doing business in a region with a high proportion of low-paying government insurance, especially Medi-Cal, the state’s version of the Medicaid program, for people with low incomes and disabilities.” Specialists are in “acutely short supply” in many northern counties, with some areas with no specialists at all. Beyond funding cuts, “medical educators also worry about new caps on federal student loans, which could deter lower-income students, including those in rural areas, from medical school. Altogether, the financial constraints will only make the health care shortage worse.”
Related Links:
— “Health Care Cuts Threaten Homegrown Solutions to Rural Doctor Shortages,”Bernard J. Wolfson, KFF Health News, September 18, 2025