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Dr. David Anthony Miranda reveals growing concerns surrounding primary care in medically underserved communities

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Dr. David Anthony Miranda reveals growing concerns surrounding primary care in medically underserved communities


Dr. David Anthony Miranda

Dr. David Anthony Miranda

Medically underserved communities—also known as medically underserved areas and medically underserved populations—are particular geographic locations wherein which residents suffer from a lack of, or reduced access to, primary medical care services and facilities. An urgent care physician based in San Antonio and specializing in care within medically underserved communities, Dr. David Anthony Miranda reveals more about the situation as concern grows surrounding the provision of primary care under such circumstances.


According to Texas-based Dr. Miranda, such geographic locations can range from individual suburbs to entire countries. “Many third world countries are considered wholly medically underserved,” he explains, “while in the U.S., it’s more typical to find smaller pockets within a particular city or state which are deemed to be underserved medically.”


The urgent care physician points toward his home state of Texas as an example. “From individual and neighboring counties to urban census tracts and civil divisions, a shortage of primary medical care services or facilities throughout the state has seen large swathes of Texas deemed medically underserved in recent years,” Dr. Miranda explains.


Indeed, a report carried out earlier this year by the Association of American Medical Colleges currently ranks Texas as 47th out of the 50 U.S. states in terms of adequate physician coverage in correlation with population numbers. An abundance of highly rural communities is, Dr. Miranda says, a significant contributing factor in the state’s struggle to provide sufficient primary medical care coverage. “The Association of American Medical Colleges has now declared Texas as ‘medically deprived’ based on its most recent findings,” he points out.


Dr. David Anthony Miranda shares growing concerns pertaining to primary medical care in Texas and across the U.S.

The second largest state in the U.S. covering over 268,000 square miles and home to a population of upwards of 28.3 million and growing, Texas has endured particular difficulties surrounding the provision of primary care since budget-balancing within the medical sector during the 1990s.


The state is currently working on the construction of numerous additional medical schools in an effort to see more qualified physicians living and working in Texas. “Extra efforts must also be made, however,” adds Dr. Miranda, wrapping up, “to increase the number of available residency positions open to newly qualified doctors, physicians, and other medical professionals if we’re going to really combat the problem, especially in the short term.”


Dr. David Anthony Miranda is a partner of Fit-Life MD, a physician-owned medical wellness and fitness clinic in San Antonio, Texas. The mission of Fit-Life MD is to improve the overall health and wellness of patients through individually designed and personalized treatment plans tailored toward general health and physical well-being. Dr. Miranda’s personal interests include investing in the stock market, especially publicly-traded healthcare stocks, as well as music, theater, and film.