Patient Fallout

We have noticed a sharp decline in new patient referrals over the last year and a half. The reason we are told is that so many people in our community have lost their medical insurance . They don't have insurance, so they skip physicals and wellness checkups from their primary care physicians. They therefore never get checked and referred to us. We are probably going see a sharp rise in late stage skin cancers in a year or two because of this. Are you noticing similar trends in your communities?