The San Joaquin Valley lacks doctors. For every 100,000 residents, the Valley has 39 primary care physicians—22 percent less than the state average of 64—and an even lower share of specialists. The supply is also short for health professionals who accept Medi-Cal and plans through the Affordable Care Act.
Simultaneously, the Valley has an outsized need for doctors. Home to concentrated poverty and some of the most polluted air in the country, the Valley’s four million residents suffer from elevated rates of asthma and obesity compared to the rest of the state. Life expectancies for poor and affluent residents can vary by as much as 20 years.
“Struggling For Care” is a collection of in-depth reports, testimonials and panel discussions examining what this shortage means to residents, what some health professionals are doing about it, and why the Valley has such a tough time holding on to doctors in the first place.This reporting was undertaken as part of a project with the USC Center for Health Journalism’s California Fellowship.