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Many of the young people living in inner-city America don't see themselves - I mean, they even talk about things like death and dying. And there's a tremendous loss of hope. And of all the things to lose, I think nothing is worse or more difficult to overcome than the loss of hope.
Medical disenfranchisement is fueled by a host of factors that include worsening shortage of primary care doctors in needy communities and a troubling scarcity of providers willing to treat the uninsured or publicly insured. Adding to the trend are fewer medical students choosing primary care over more lucrative and specialized fields.
Whether the struggle was between English merchants and the American colonies, pre Civil War northern manufacturers vs. southern slave holders, or American grain farmers and auto manufacturers seeking advantage in the Mexican agriculture and labor markets in the 1990s, U.S. policy has reflected the economic clash of interests of the day.