KevinMD September 15, 2024
America has a systemic and pernicious problem: health care without primary care. Just a century ago, primary care physicians were the trusted cornerstone of the U.S. health care system, providing the first point of entry into health care, addressing most ailments, and managing patients across a lifespan. This primary care “first” system has gradually eroded over the ensuing decades, and unfortunately, many citizens have fallen victim to a modern culture that undervalues primary care as a crucial service. There are valid reasons for this evolution, but there are also unintended consequences — including an obsession with quick fixes like subspecialty care, procedures, and pharmaceuticals, which breed preventable, avoidable, and siloed care, costing us both money and health.
The roots of...
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