Abstract
I n my last letter, I indicated that I would write to you again concerning the questions you raised about the type of health care program that I provided for all office patients. In regard to whether there are enough physicians to provide comprehensive primary health care, I have always felt, speaking in purely economic terms, that medical care is a commodity that is bought and sold in the marketplace. When the demand is present, the supply will become available. Actually, the predominant request today is for<i>symptomatic</i>care rather than<i>comprehensive</i>primary care. Training two types of physicians, one to provide symptomatic care and the other to provide comprehensive care, has been suggested. I agree with the statement by George Engel, MD, Professor of Medicine and Psychiatry, Medical School, Rochester, NY, in the reprint that I sent you: "It is better to have two categories of health professionals, one
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