Primary Care Moonshot: A Policy Proposal for Addressing Underinvestment in Primary Care

AJMC October 30, 2024
Jonathan Staloff, MD, MSc, Leah M. Marcotte, MD, MS

A Primary Care Moonshot could reorient the US health care system to a system of wellness and prevention, with long-term savings in care expenditures and better health outcomes.

More than a decade after primary care was promoted in the Affordable Care Act as a means of improving health care outcomes and costs, we still have not seen large-scale changes in primary care delivery or payment.¹ Chronic underinvestment is a major cause of the glacial pace of primary care progress. The US spends approximately 5% to 7% of total medical expenditures on primary care, whereas comparable high-income countries, with less overall health care expenditures and better population health outcomes, spend approximately 13%.^2-4 We also seem to be moving in the wrong...

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