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CHET BROKAW,Associated Press
• PIERRE, S.D. (AP) -- North Dakota and South Dakota have struggled for decades with a shortage of family doctors in rural areas, and the gap between supply and demand is expected to grow as more people gain insurance coverage when the federal health care law takes effect next year. • Each state already has a shortage of 100 or so primary care doctors. North Dakota has no primary care doctors in 17 of its 53 counties. South Dakota lacks family doctors in 19 of its 66 counties. • But both states have a variety of programs in place to increase the number of medical school graduates, encourage more to practice in rural areas and use physicians' assistants and other health care workers to provide care to farmers, ranchers and small-town residents who often live long distances from the nearest doctor's office. • The Association of American Medical Colleges projects the national shortage of primary care physicians will reach almost 30,000 in two years and will grow to about 66,000 in little more than a decade. An increase in people with insurance coverage could mean longer waiting times when they visit doctors' offices. • North Dakota now has an estimated shortage of 100-150 doctors, with family physicians making up about half that deficit, according to Dr. Joshua Wynne, dean (Continued on page 28)
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