I found the article to be both discouraging and a little scary. So many of primary care physicians come from other locations, American students often opting for the higher paying specialties. It’s great that a place like the carribean exist for those students who have realized their desire to become a physician, but may have not had such a great start in college as an 18 year old! It’s scary to think that hope may be dashed for a lot of people who have tremendous potential, and who would help fill an extreme looming physician shortage! I hope more residency spots will be available in the near future in order to keep pace with growing medical school enrollment.