Pdocs are aging out and no one is rushing to fill the empty spots. There's one pdoc for three counties here so my GP is following me. I lived in Austin, TX before and even they a large metro area had trouble retaining Pdocs. Many rural areas in USA have no access to Pdocs or even good Ts. For years mental health wasn't covered and then ACA forced it to be treated equal with medical coverage but now the GOP's want to take that away so why would a med student with all their loans want to go specialize in a field that might not be covered?