KevinMD November 9, 2025
I spent 11 years becoming a family physician.
Four years in undergrad, four in medical school, three more in residency.
That’s a decade of delayed income and about $300,000 in debt, all for the privilege of practicing in one of the most critical, underappreciated corners of medicine: primary care.
I came out idealistic. I wanted to build relationships, prevent disease, and guide people through the chaos of a broken system. But I quickly learned something that still stings: the system doesn’t actually value what primary care does.
In most health plans, primary care accounts for roughly 5 percent of total health care spend. That’s it. Five cents on the dollar to handle 90 percent of what keeps people healthy and...
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