RT Journal A1 Schwartz MD, Durning S, Linzer M, Hauer KE T1 MEdical students’ changing views, career choice, and primary care payment reform—reply JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2011 FD October 24 VO 171 IS 19 SP 1772 OP 1773 DO 10.1001/archinternmed.2011.489 UL http://dx.doi.org/10.1001/archinternmed.2011.489 AB We appreciate the letter by Olson and Rosenbaum and share their encouragement regarding medical students' improved views of internal medicine careers in our study.1 We agree that narrowing the compensation gap between cognitive and procedural specialists is an important policy aim that might encourage more students to follow their values into generalist careers. However, it remains difficult to tease out the direct impact of income from the influence of work life, lifestyle, and prestige. We lack direct evidence that reducing the wealth gap would expand the primary care workforce. Nevertheless, as good internists, we are compelled to act despite the uncertainty and to carefully study its impact.