
The United States is in the midst of a demographic shift that primary care medicine cannot afford to ignore. By 2034, adults aged 65 and older will outnumber children under 18 for the first time in American history — a milestone that carries profound implications for how we deliver outpatient care. In communities like Plano, Texas, where the population has grown rapidly over the past two decades and a significant percentage of long-term residents are now entering their senior years, the gap between what aging patients need and what the healthcare system routinely provides has never been more apparent.
At Express Internal Medicine, we have built our practice around closing that gap. As a
geriatric care doctor in Plano, I see firsthand how aging patients are often passed between specialists without anyone coordinating the full picture: managing polypharmacy risks, monitoring for cognitive decline, addressing mobility and fall prevention, and taking the time to understand what a patient's life actually looks like outside of a clinical encounter. Internal medicine, practised well, is where that coordination belongs.