For those who think that PAs are not trying to replace primary doctors readthe following. it is an excerpt from a internet response.the assertion that the care from a PA is better is not true.1) they see less complicated cases2) they have an MD next to them to review the complicated cases.3) I have worked with PAs/NPs and they should not be working independently.To the Editor,To fully address the physician shortage, we must redesign our approach to care. A model that we should evaluate is utilizing midlevel providers for primary care. Many studies have shown care quality as good or better than similar primary care doctors. Let us use the more extensive knowledge and training of physicians for specialty care. Most are going there anyway because lifestyle and financial pressures have squeezed them out of primary care. There are over 25,000 midlevels graduating each year, and can rapidly meet the needs of our aging population.Patrick Watterson PA-CInternal Medicine/Sports Medicine/Occupational MedicineVice President of Finance and Information SystemsBethany Medicalpatrickw@bethanymedicalcenter.com Untitled Document ReferenceRockey PH. Fixing the US physician shortage requires many more slots for resident physicians in training. MedGenMed. 2006;8:52. Available at: Log In Problems Accessed May 22, 2006.