Incentives to keep doctors in West Virginia are not working, according to Dr. Mary Marcuzzi of the Lincoln Primary Care Center in Hamlin. Only 16 percent of medical grads open a practice in rural counties, she said.

Marcuzzi said rural doctors have been continually squeezed, much more so than their urban counterparts.

In addition to problems with malpractice, most physicians who have graduated in West Virginia do not consider trying rural health care. Most still leave the state, subsidized by taxpayer supported medical schools.

West Virginia government continues to offer incentives.

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