For a medical student to become a licensed and legitimate medical practitioner, an aspirant needs to undergo arduous four year college degree, board exam, residency and other training programs. In most countries, at least 8 years of education and training is needed before finally practicing medicine. In the midst of practice, more seminars and constant trainings are still needed for continued learning.

Demands for physicians increase than its supply since it would take time for new doctors to finally practice health care. Since projections are set to increase within 2015 to 2025, the demand is also set to grow steeply.

Long lines in the doctor’s waiting room for consultation, hours and miles of driving and an extensive schedule date because of the scarce number of doctors has been an issue ignored for 30 years. It will not take a long time before doctors are finally saturated.

The World Health Organization (WHO) has released a review showing the world needs 15% more doctors than what we have in the present times. Physicians who are active are currently seeing 4 to 5 patients in an hour, an allotted estimated limit of 15 minutes per patient which, as everyone complains, is not enough for a proper and thorough consultation.

Doctors’ fee is also being affected on a larger scale. With the implementation of health care insurances, the shift from fee-for-service to a bundle fee-for-performance reimbursement system will lead primary doctors into larger group practices. This trend has accompanied a downward pressure on their incomes as doctors.