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In some regards, the United States of America is home to the greatest health care system in the world. However, problems exist regarding access to care, particularly in rural areas of the country. These problems are due in part to misguided policy decisions, and as a result, the current U.S. system of training doctors after graduation from medical school fails to produce the proper number and mix of physicians and leaves thousands of qualified medical graduates without a pathway to participate in the health care workforce.