In Mississippi’s rural areas, access to health care is a growing concern. Access to primary care
physicians is of particular concern. A large percentage of Mississippi’s population is living in
poverty (20%), and 39% is comprised of minorities (36% African-American). Research shows
a close relationship between poverty, minority composition, and health care access. University
of North Carolina researchers have found that only 11% of U.S. physicians are located in rural
areas, whereas 20% of the U.S. population is rural. Nationally, the number of physicians increased
nearly 25% between 1990 and 1997. During that same period, the number of rural physicians grew
by only 11%. The shortage of rural physicians is not improving, and projections indicate there will
continue to be a problem in the future.1
Unequal access to health care is a critical concern in Mississippi, a state with a largely rural
population, a high minority composition, high poverty rates, and some of the unhealthiest residents
in the nation. Mississippi’s primary care physician population, often the first to treat patients, is a
key component of health care access. This Health Map examines the number and location of
primary care physicians in Mississippi using data from the Mississippi Physician Labor Force Study.
http://www.healthpolicy.msstate.edu/publications/healthmaps/primcarephys.pdf
Given these
factors, declining Medicaid reimbursement rates, and a
tenuous legal climate that has raised physician insurance
premiums, Mississippi faces a continuing challenge in
recruiting and retaining physicians.4
While excessive malpractice lititgation is a factor in the decline of Physicians as seen in the study from MSU and UofM it is one factor in many. To address the issue of malpractice with tort reform legislation alone will not solve this as will passing healthcare legislation that excludes it because if the number of Doctors continues to decline it has a direct effect on delivery and cost. In the end, it makes sense to craft some form of malpractice reform in healthcare legislation , at this point though especially when it applies to tort reform itself , I'm not so sure how you do that on a national level as it does appear to be a state issue.