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Letter to the Editor

Letter to the Editor

Not Attempting Care Parity Dismisses Rural America

doi: 10.1097/01.EEM.0000651048.73958.94

    Editor:

    Dr. Edwin Leap's column addressed many of the problems of the urban v. rural divide in medical care, which are mirrored in many other facets of life. (“Rural America, Already Feeling Marginalized, Needs Real Solutions, Not Just Telemedicine,” EMN. 2019;41[10]:15; http://bit.ly/2oyKTU1.) Not to attempt parity is to dismiss rural America as undeserving.

    My suggestions to the ACEP rural EM section are largely parallel: hub-and-spoke models, sharing EP staffing, more joint EM-FP residencies or fellowships, pay parity of some sort to give EPs incentive to work where they are scarce, and a pathway to associate membership in ACEP to rural EPs who are currently excluded. Consider this: They outnumber us. How are we content with a double standard of care?

    Bruce Parker, MD

    Minneapolis

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