The writing is on the wall. Plain and simple, there are not enough doctors to take care of the newly insured under the Affordable Care Act (aka 'Obamacare'). This article does shed some light on potential solutions. Certainly Nevada needs more residency funding and slots, especially in primary care. There is mention of using telemedicine, primarily in rural settings. Until insurance reimburses providers for virtual visits, the broken system of "fee-for-service" which equates to only being paid for in-person visits will continue to bottleneck the system.
Cirrus Medical Network, LLC is engaging primary care physicians (PCP's) to think forward and embrace primary care telemedicine solutions, offering personalized virtual visits and continuity of care via a network of board-certified primary care physicians. Cirrus Medical Network physicians are retained by the health care consumer without the hassles of insurance or Medicare/Medicaid. Rather, akin to concierge or direct pay care practices, comprehensive primary medical care is available 24/7 by "Your Doctor. Online" (within the scope of telemedicine).