The national program office director and deputy directors speculate that the marketplace demand for generalists during the 1990s influenced all medical schools and may have blunted the particular effects of the Generalist Physician Initiative.
According to Gerald T. Perkoff, MD, "Market forces have more to do with career choice than do the needs of the system, and certainly more than philosophies."
The original RWJF Program Officer Michael Beachler concurred: "Health care system forces, unleashed in the early 90s, were more powerful than any grant program."