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The Spokesman-Review Newspaper
Spokane, Washington  Est. May 19, 1883

In this June 19, 2012 photo, Dr. Bruce Stowell examines patient Robert Busch at his office in Grants Pass, Ore. Stowell is among many doctors in rural areas who have capped the numbers of Medicare patients they take due to low reimbursement levels. A nationwide shortage of primary care physicians willing to set up practice in rural areas is making the problem worse.

Jeff Barnard / Associated Press

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