The contentious debate over our health care system is an example of the ongoing political circus in the United States. As the 2012 elections approach, we can expect a rapid rise in vitriol. Our country spends twice as much on health care per capita as other developed countries. The current system is so dysfunctional that planned spending will increase every year, putting incredible pressure on our fragile economy. The majority of health care spending is spent on patients with chronic diseases, many of which are preventable. Unfortunately, doctors practicing preventative care are left out of the equation. The shortage of primary care physicians in America is inevitable due to limited income, lower prestige, and fewer opportunities. Most of us have always looked up to primary care physicians for almost all of our health care needs. They know our medical history intimately and generally care about our well-being. This area of ​​practice is mainly dominated by people who have completed their training in internal medicine, family medicine and general medicine. After eight years of schooling, coupled with six-figure student loans, some of these tireless workers find themselves faced with thankless work. The current system does not give them the rewards they deserve. In fact, the prospect of limited income is completely unavoidable. These doctors are also small business owners. First, they invest a lot of money in offices, office equipment and medical equipment. Second, the added burden of overhead costs and staff salaries will weigh on their bottom line. Third, the inescapable specter of malpractice insurance premiums is a necessary evil middle of paper that incentivizes hospitals and ambulance services to provide anyone in need of emergency medical care, regardless of their legal status or ability to pay. EMTALA applies to virtually all hospitals in the United States that accept payments from the Centers for Medicaid and Medicare Services. This law essentially gives everyone a free pass to free medical care. As a result, more people are going to emergency rooms for preventive care and avoiding the hassle of paying for a primary care doctor. Every American will lose if the primary care physician shortage persists. Our current system is broken and all the alternatives recommended by our politicians only favor special interest groups whose only concern is their bottom line. Our policymakers will not understand the plight of the average citizen. Their special health insurance coverage protects them from the problems we all face..