All rights reserved.. ACP urges legislators to include provisions in wellness reform expenses that support primary care workforce The American University of Doctors today sent a letter to key legislators urging them to ensure that the final health care reform bill includes provisions to support the principal care workforce. Latest studies show that the U.S. Faces a shortage of more than 40,000 primary care physicians, even before considering increased demand for major care associated with increased protection, stated ACP President Joseph W. Stubbs, MD, FACP in the letter. Specifically, ACP requested that the final bill: Increase Medicaid and Medicare payments to primary care physicians.Therefore, the decision to enroll an individual in ACTIVE A or Energetic W was generally in keeping with a preexisting medical judgment. In ACTIVE W, therapy with a vitamin K antagonist reduced the price of stroke by 42 percent in comparison with therapy with clopidogrel plus aspirin. This decrease is similar to the 38 percent reduction in the rate of stroke with supplement K antagonists as compared with aspirin alone, reported in the meta-evaluation of warfarin trials.2 These two findings, taken together, would seem to suggest that there must be little or no difference in efficacy between clopidogrel plus aspirin and aspirin alone, a conclusion that’s inconsistent with the significant 28 percent decrease in the risk of stroke shown in ACTIVE A.