Being a 1st year US medical student, I have read several articles about how physicians face an uncertain employment future due to growing oversupply of physicians in this country. This oversupply of physicians does not only adversely effect physician employment opportunities, it also is thought to be bad for the US health care system in general. Studies have shown that in regions with a glut of physicians, the number of procedures done rises in direct proportion to the oversupply of physicians. This suggests that some of these procedures may have been 'unnecessary' procedures, and this raises the cost of healthcare for everybody. I would argue that the solution to the oversupply of physicians is not to drastically decrease the number residency spots open to International Medical Graduates (IMGs). Although there is a surplus of physicians in the US, it is a geographic surplus, meaning that while certain regions have too many physicians, other regions, such as rural or poor urban areas, remain underserved and are in desperate need of more physicians. IMGs have historically been the most willing of all physicians to work in these underserved areas that have been all but ignored by the US graduates. By decreasing the number of residency positions open to IMGs, the maldistribution of physicians in this country will only be exaggerated while a glut of physicians will still remain in those regions that US graduates find most desirable to practice in. Increasing the number of US medical school spots would only magnify the problem of a physician surplus and make the maldistribution of physicians worse. IMGs are an easy target for the physician surplus problems but they are not the solution. The geographic distribution of the physicians in this country must be adressed before decreasing the number of residency spots. Finding ways to make these underserved areas more attractive to US graduates, through either federal aid loan forgiveness programs or by creating medical school admission programs that require students to practice in underserved areas might be part of the solution. I think that US legislators are rightfully hesitant to do anything about a 'surplus' of physicians in training or decreasing the number of IMGs when they have communities in their own district that are serious need of more physicians. Before we start turning away more qualified IMGs, I think that we need to first address the geographic maldistribution of physicians in this country.