Not enough vascular, podiatric surgeons. From the article:
“Podiatrists no longer see Medi-Cal patients in their offices since the state cut the care in 2009, Rupley said.
Fresno also doesn’t have enough foot specialists for its population. The recommended number is one podiatrist for every 30,000 people, Rupley said. Fresno has 19 working podiatrists and would need almost twice that number to be at the recommended level, she said.”