How can these 2 categories coexist? We all know there are severely underserved areas and we also know we have unmatched eligible residency candidates. How come the total number of FM spots has been dropping instead of rising since I think 2002? Is creating more residency positions to meet the needs too difficult and should the accrediting process be reviewed? Or do the authorities not care? If the GME regulations stay the way they are -ignorant to growing numbers of unmatched and underserved, then we as caring physicians should be grateful for the nursing associations expanding their rights to provide care independently. And I am not joking at all - if we can afford to waste physician-power while not supplying the demand for health-care then thank God for people with common sense who (unlike us apparently) understand that caring for people is better than not caring at all.