ALL frontline fields (primary care, general surgery, general ob/gyn, emergency room)are in danger due to low reimbursement, poor hours, increasing patient demands, increasing administrative burden and fear of litigation. This is why the rest of medicine needs to help prevent the demise of primary care, rather than benign (or malignant?) neglect. We are at the bottom of the house of cards, when we are pulled out, everything collapses.