Exhibit 5.6 Forecasted Physician Requirements Under Five Scenarios

Specialty Scenario 1:
Status Quo 		Scenario 2:
Baseline 		Scenario 3:
Universal Coverage 		Scenario 4:
100HMO 		Scenario 5:
Non-minority Rates
2000 2020 2000 2020 2000 2020 2000 2020 2000 2020
Total Physicians (MDs and DOs)
781,282
1,038,234
781,282
996,387
817,615
1,092,381
781,889
1,059,907
802,356
1,072,048
Total Patient Care Physicians
733,342
973,840
733,342
935,248
767,420
1,024,551
735,131
995,794
753,007
1,005,383
General Primary Care
268,710
344,907
268,710
345,039
281,421
362,692
294,546
384,349
275,137
355,105
    GP & FP
109,571
139,252
109,571
138,846
112,652
143,979
107,348
139,754
111,543
142,514
    General Internal Med.
106,411
146,885
106,411
146,730
112,347
154,794
121,979
170,451
108,661
150,594
    Pediatrics
52,728
58,770
52,728
59,463
56,422
63,919
65,219
74,145
54,933
61,997
Medical Specialties
96,926
135,331
96,926
128,730
101,452
141,911
101,499
144,317
99,016
138,814
    IM Subspecialties
40,205
56,955
40,205
53,993
42,540
60,263
41,819
59,922
41,176
58,572
    Cardiovascular Diseases
20,828
31,690
20,828
29,440
21,549
32,742
21,130
32,944
21,110
32,183
    Other Medical Specialties
35,893
46,687
35,893
45,297
37,364
48,906
38,550
51,450
36,729
48,058
Surgery
161,160
213,196
161,160
188,291
170,919
226,585
161,462
218,836
165,223
219,711
    General Surgery
37,604
53,641
37,604
45,378
39,463
56,421
37,187
54,102
38,479
55,185
 Obstetrics/Gynecology
43,068
48,962
43,068
45,567
48,880
56,185
44,818
51,627
44,939
51,730
    Otolaryngology
9,839
12,248
9,839
10,847
10,294
12,856
7,985
10,281
10,035
12,557
    Orthopedic Surgery
23,225
31,596
23,225
27,547
24,741
33,604
22,066
30,884
23,803
32,534
    Urology
10,690
15,122
10,690
13,511
11,175
15,755
11,236
16,260
10,824
15,341
    Ophthalmology
18,876
25,972
18,876
24,378
18,704
25,915
20,194
28,701
19,034
26,254
    Other Surgical Specialties
17,858
25,655
17,858
21,064
17,663
25,850
17,977
26,980
18,110
26,110
Other Patient Care
206,545
280,405
206,545
273,187
213,627
293,363
177,624
248,293
213,631
291,753
    Psychiatry
44,495
54,116
44,495
53,782
42,133
52,752
31,961
38,129
45,871
56,328
    Anesthesiology
36,762
52,493
36,762
52,493
38,804
55,424
38,804
55,423
37,528
53,781
    Emergency Medicine
23,494
29,505
23,494
27,122
23,606
30,114
13,086
17,918
24,378
30,766
    Radiology
30,354
45,855
30,354
45,855
32,865
49,649
32,865
49,649
31,543
47,822
    Pathology
16,757
24,167
16,757
24,167
17,989
26,011
17,989
26,011
17,290
25,087
    Other Specialties
54,683
74,270
54,683
69,768
58,230
79,413
42,918
61,163
57,021
77,970
Non Patient Care
47,940
64,394
47,940
61,139
50,195
67,830
46,759
64,113
49,349
66,665