KevinMD November 13, 2025
An excerpt from Wonderful and Broken: The Complex Reality of Primary Care in the United States.
In a health care system full of paradoxes, this is perhaps the most striking. Primary care delivering value-based care is seen by many as the solution for an inefficient, inequitable, and poorly-performing health care system. Yet it is a shocking mess of burnout and depletion. With all the radical intention of Lenin, we must ask, “What is to be done?” Fortunately, there is no shortage of voices in health care that want to undo this harm and put primary care’s Humpty Dumpty back together again. The federal government and various state governments have launched a host of medical payment reforms designed to promote primary...
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