The medical news consistently suggests that the United States is facing a physician shortage. Article after article addresses possible solutions to the physician shortage. They speak about increased utilization of foreign medical graduates, advanced registered nurse practitioners, physician assistants, nurse practitioners, even pharmacists as providing primary care services. Podiatrists are never mentioned in any of the articles. No suggestion that they assume a greater role in relieving burden from primary care physicians. No suggestion that a consideration be given to increased scope of practice. In fact, the word podiatrist never appears in any of these discussions. Never. Anyone with any degree of knowledge, awareness, and insight, knows the truth. Podiatrists will continue to be relegated to the world of quasi-medical providers, who will rely on huckstering and scams and unnecessary surgery in order to make a living. Applications to the podiatric schools are extraordinarily reduced such that three out of every four applicants in some instances two out of every three will be accepted regardless of their GPA or MCAT scores. If you do not believe that general medicine is not aware of the poor quality of graduates you’re sadly mistaken. Unrecognized training such as osteopathic residency and fellowship training has now been eliminated. Why would you suspect that allopathic medicine will be impressed by podiatry residency training when they have eliminated osteopathic residencies? To make matters worse, rumor has it that at least two more podiatry schools are being planned for the near future; one in Texas the other in the Washington DC area. Just what we need. More schools for less qualified applicants. More demand for residency training when we have just relieved a residency crisis in our profession by reducing the quality and requirements and turning our heads to less than superior training in some of the programs. This is, of course, the last thing we need. The failure rate in the surgical boards stands as proof. We are going to produce more of less. That should help everyone I am certain. Everyone that wants to look forward to a life of cutting toenails for cash or very low reimbursement. Recently PM Magazine featured a former APMA president who is now a consultant for a vascular testing device. Here is a man who has no credible publications to his name. However, just like similarly non published Ira Krause, Matthew Garafaulis, Michael King, and others, these individuals who have no academic bona fides yet all somehow end up running malpractice carriers, and as consultants for orthopedic and pharmaceutical companies. That is because their priority is not and has never been looking for the safety and security or the advancement of your profession. They simply look for the safety and security and advancement of their own personal pockets. You have to wonder how stupid some of the members of our profession remain as they pay dues to this useless organization the APMA. Step back and give this some thought. No one is looking to the podiatrist to help resolve future healthcare needs in this country. Yes there is a void in the number of positions required for the future of healthcare in the United States. And they are looking everywhere for help. Everywhere, that is, except to the podiatrist. Seven years and an average salary of less than $150,000 per year. Why anyone would join this profession, let alone support the APMA, is certainly difficult to understand. We have a useless executive director and a self-serving useless Board of Directors. They all must go. Only dramatic and urgent reform, change in education, and a change in priorities will save this profession from returning to the days of cash-based chiropody . So called three-year residency’s, unrecognized by medicine, does not guarantee access to patients. Osteopathy and its ability to provide specialized services has been eliminated by allopathic medicine. Why would you think podiatry is not next? Maybe Jeffrey Lehrman can start lecturing to non-podiatrists on proper coding for footcare. Because it sure looks like they will be the only ones providing those services in the years ahead.