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M. Boyd Gillespie
The Johns Hopkins University School of Medicine Baltimore, Md

JAMA. 1993;270(23):2805-2806.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—The Editorial by Dr Johns¹ is an important reminder to the health care task force that the success of any reform depends ultimately on the people who will implement it. Currently there are too few general practitioners in areas of need to enact a program that emphasizes primary care, preventive medicine, and public health. Johns' proposal for a National Health Service Corps (NHSC) is one answer to this problem. A government that is serious about health care reform will reinforce the rhetoric with financial incentives such as tuition debt relief, which encourages students to choose training in primary care.

Leaders of America's top medical schools are likely to support the idea of a NHSC because it allows them to sidestep the problem of primary care. Institutions like Johns Hopkins will not feel obliged to promote primary care to the same degree as specialization and research because . . . [Full Text PDF of this Article]

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