Listen now (17 mins) | Listen Now It's estimated in the next few years the Affordable Care Act will add 25 million Americans to the health care insurance rolls. In addition, 10,000 Americans age into Medicare every day. Current estimates by the Health Resources and Services Administration and others show the country already has a shortage of health care providers, particularly primary care physicians, and the shortage is projected to grow substantially worse by 2025. Since we can neither meet the demand nor improve supply without changes or improvements to medical workforce training what then can be done to reform federally-funded graduate medical education (GME), particularly since GME policy has been frozen since 1997.