'I'm the Pauper of My Profession'.One big reason fewer medical students are specializing in primary care is simplehermes belts for women. In 2009 primary-care doctors -- specifically those practicing family medicine and internal medicine -- earned an average of $201,548, according tohermes h belt, a physician and health-care executive search firm. That might sound like a lot to most working people, but in the same year, dermatologists made $350,627, gynecological oncologists made $460,000 and doctors practicing neurological surgery made $548,186. "Students are not dummies," says Pho. "They graduate with $130,000 in debt; why should they go into primary care?" When a primary-care doctor examines a patient with private healthhermes belt, the doctor will get a payment on a scale that's similar to Medicare reimbursements, says Dr. Martin Shapiro, a professor of medicine and public health at the David Geffen School of Medicine at UCLA. It's even lower when they see Medicaidhermes belts. "Reimbursement is a lot lower for primary-care physicians given the amount of time that a visit will take relative to the amount of time needed to do a procedure [hermes belts for men]," he says. Reimbursements put a premium on volume, not on spending time with patients, he says.