Our local 4 counties are approaching an RD crisis; we only have 2 RDs for 1/2 million people, with one retiring soon, leaving only mine! Poor thing's afraid she'll never get a day off, vacation, or be able to retire. So, she signed up with Sutter on the condition they find her a partner. It may take 2-3years. Sutter Foundation is one of those big groups of hospitals and services (just in Calif?). It's not an HMO or Kaiser-type; it has no insurance plan of it's own... it's just a big group. I don't know how it gets paid; my bill didn't increase, so maybe the dr pays a fee. It had better do it's job and find us at least one more RD.
Do you live north of Sacramento? We don't have one here, have to drive to Sacramento. about 48 miles.
It is sad. It took my RD over a year to replace one that left in the practice. They were lucky in that they got the guy as part of a package deal-his wife is also a dr. and they were both hired to work for the same hospital system.
If you think it is bad for us...try finding a peds. RD.
Rusty-----I live in Sonoma County and the other nearby counties covered by these 2 RDs are Napa, Mendocino, and I can't remember if my RD said the 4th county is Marin or Lake. Sonoma County alone has at least 350,000 people, although with all the redwood trees, hills, ranches, farms, it doesn't appear that way unless in the cities right along the fwy.