The health reform bill threatens to worsen the shortage of primary-care doctors and lead to longer waits in the emergency rooms and for office consultations, the American College of Physicians said in a report. Proposals to increase family doctors' fees and ease rules on school debt of medical students would not make a difference for years, and the country would need another 35,000 to 46,000 primary-care practitioners within 15 years to meet the aging population's demand, the group said.

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