The Primary Care Crisis in Three Wee Little Pictures

I don't intend to cover the current primary care, wait time crisis that's in the news. The topic, of course, is way beyond my area of expertise as a hospital epidemiologist.  However, as I've been reading the news reports, these three "trends" seem to be behind the crisis. There is nothing much we can do about trend #1. However, when you combine an aging population with huge pay discrepancies between primary care (Psychiatry, Internal Medicine, Family Medicine and Pediatrics) and other specialities (trend #2), you have a recipe for a crisis. Trend #3, requires more discussion, but paying more for healthcare over the past few decades doesn't seem to be gaining us more clinicians (the dark red area on the third image - use a magnifying glass if you can't see it).