This article from the AAFP discusses a problem that is only going to get worse. As today’s medical students avoid primary care residencies we are losing the next generation of mentors. This will become irreversible at some point unless we overhaul the income disparities and student loan indebtedness to encourage primary care choices. Increased respect in medical training and elimination of the bureaucratic disincentives for private practice would also help. http://www.aafp.org/news/education-professional-development/20140706preceptstudy.html?cmpid=em_20318028_B1 The ACA doesn’t provide the long term vision and system coordination necessary to reverse the downward spiral.