Medical equipment and technology

	Insufficient funding
	What is available?
	What is best for me?
	Lack of skilled technical expertise
	Lack of skilled interpretative expertise

Maintenance of an adequate health care workforce

	Recruiting
	Training
	Retaining
	Funding

Access to subspecialty experts

	Frontier/rural America 20% of patients 9% of Physicians
	Generalists
	Incentives/legislation ineffective
	Physician isolation
	Limited number of national subspecialists
	Subspecialty liability - accepting inferior studies
	Limits access to subspecialty medical care

Health care funding

	Use existing diagnostic equipment
	Provide necessary high quality, state-of-the-art, cost effective equipment (where needed)
	Revolutionary applications of software packages - low cost portable equipment/software can provide the same quality interpretation as high cost equipment