I wrote in September about how surgeons’ time and expertise is leveraged in their specialties while primary care doctors are largely left to fend for themselves, doing many things that severely diminish their productivity and push them toward burnout.
Shortly after I did that, I got an email newsletter that quoted and linked to an article in the Washington Post making the same observation and said primary care is at a tipping point. Today, only 25% of doctors are in primary care. This means there aren’t enough primary care doctors for everyone who needs a PCP (which many insurance companies even require).
The article points out that in 1980, almost 2/3 of medical visits were in primary care and 1/3 were in specialty medicine. By 2013, those statistics were reversed.
This is what the Post states has caused this switch, besides the income inequality between generalists and specialists:
“But the dispirited feeling that drives doctors away from primary care has to do with far more than money. It’s a lack of respect for nonspecialists. It’s the rising pressure to see and bill more patients: Employed doctors often coordinate the care of as many as 2,000 people, many of whom have multiple problems.
And it’s the lack of assistance. Profitable centers such as orthopedic and gastroenterology clinics usually have a phalanx of support staff. Primary care clinics run close to the bone.”
https://www.washingtonpost.com/opinions/2023/09/05/lack-primary-care-tipping-point/
A Country Doctor Writes: 
That is so true. I observed it myself this week. I had my every three-year flip colonoscopy plus gastroscopy scheduled. There were eight doctors at the center that morning. Each doctor had 10 patients scheduled. Can you imagine the amount of income that generated?
So much of this (lack of respect, lack of support, pressure to see more patients) can be traced back to the AMA’s RUC deliberate devaluation of the work we do.
As long as healthcare is treated as a business, primary care docs (and those in specialities like pediatrics and psychiatry) will suffer. We are not money-makers for corporate medicine.