If Rhode Island has a primary care problem, it won't be solved by opening another medical school or more residency slots. If you look at Table A20 of the AAMC Matriculants data for the last entering class, the average MCAT score for Rhode Island residents was a 512.9 and the US average was 512.1. It isn't that much harder for Rhode Islanders to get into an MD school than the average US resident. Furthermore, if a Rhode Island resident wants to practice in primary care, he or she can always go to one of LECOM's 57 inexpensive campuses. (It is 57, isn't it?)
If you look at the ACGME Data Resource Book, you will see that Rhode Island has 16 residency slots in family medicine out of the country's 5,387. Rhode Island's share of the US population is .33% while its share of family medicine slots is .30%. Furthermore, Rhode Island accounted for .5% of total new residents entering "pipeline" residency programs (i.e. leading to board certification) in 2024-2025. Finally, Rhode Island sits next door to Massachusetts which has a bevy of residency programs.
If Rhode Island has a primary care physician problem, it's due to its high malpractice exposure, its high cost of living and high taxes. The average malpractice premium in 2024 for internal medicine physicians in Rhode Island was $13,000 but in Michigan it was about $6,300 and in Wisconsin it was about $3,300. High premiums correlate nicely with horrid legal environments. Ask any physician in Illinois or New York.
Medical Malpractice Insurance by State | Cunningham Group
www.cunninghamgroupins.com
The average annual salary of a Rhode Island family practice physician in 2024 was $244,000 per the BLS which was about the national average. However, at that salary, per Bankrate's cost of living calculator, the cost of living in Providence is 10% higher than Detroit and 24% higher than Indianapolis. Rhode Island has the eighth highest tax burden in the country.
Tax Burden by State in 2026
wallethub.com
When they say, "It's not about the money", it's about the money.