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Opportunity Newark - Initiative for a Competitive Inner City

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Fig. 18: Physician Offices and Clinics in Essex County, 1994 to 2003<br />

1100<br />

1000<br />

Number of<br />

Physicians<br />

995 1003 981<br />

960<br />

951<br />

945<br />

932<br />

944<br />

966 974<br />

900<br />

800<br />

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003<br />

Source: U.S. Census, 1997 and County Business Patterns, 2004.<br />

crisis.” 69 The Medical Society of New Jersey reported that<br />

one New Jersey carrier’s premiums increased by 57 percent<br />

to 87 percent between 2001 and 2003. 70 Further,<br />

“numerous obstetricians and other physicians from several<br />

New Jersey counties [including Essex County] have been<br />

<strong>for</strong>ced to restrict their practices, consider early retirement<br />

or leave the state altogether, due to unaf<strong>for</strong>dable premiums.”<br />

71 Coupled with the demands of student loans and the<br />

costs of establishing a private practice, medical malpractice<br />

insurance costs make the challenges of establishing a<br />

private practice overwhelming.<br />

In areas where significant numbers of residents are insured,<br />

private practitioners can be assured of being reimbursed<br />

<strong>for</strong> their services, somewhat mitigating the high cost of<br />

running a private practice. In <strong>Newark</strong>, however, roughly 30<br />

percent of the adult population was uninsured in 2004. 72 As<br />

a result, the city’s health care system is heavily reliant on<br />

government funding and reimbursement, adding to physicians’<br />

financial challenges.<br />

Although <strong>Newark</strong> has a network of federally funded health<br />

clinics, these resources are under utilized. 73 Primary-care<br />

69 American Medical Association. Medical liability crisis map. 2006.<br />

70 American Medical Association. America’s Medical Liability Crisis Backgrounder: New Jersey. 6/11/04.<br />

71 Ibid.<br />

72 New Jersey Department of Health and Senior Services. Center <strong>for</strong> Health Statistics. Behavioral Risk Factor Surveillance System.<br />

73 Interview with Dr. Alvaro Simmons. <strong>Newark</strong> Community Health Centers. 5/6/05.<br />

<strong>Opportunity</strong><strong>Newark</strong>: Jobs and Community Development <strong>for</strong> the 21st Century 40

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