Nearly 50 million Americans, mainly in rural areas, must travel over 25 miles to see a gastroenterologist, Weill Cornell Medicine reports. Gastroenterologists play a vital role in diagnosing and treating conditions like colorectal cancer and liver disease, yet two-thirds of U.S. counties lack one entirely.
Communities without gastroenterologists tend to be rural, with older populations, lower incomes, and fewer insured residents. The shortage may worsen as many existing rural specialists near retirement. Access varies widely by state, with Alaska, North Dakota, and Wyoming having the lowest ratios.
Experts suggest policy measures, including loan repayment programs and higher pay, to attract specialists to underserved areas. Advanced-practice clinicians may also help fill the care gap in these regions.

