Primary Care as a Public Utility
JAMA 10.1001/jama.2026.7194May 20, 2026 at 11:00 AM EDT
As people in the US increasingly struggle to find a primary care clinician, state investments in primary care share common challenges. A primary care common fund could help states overcome these challenges by pooling resources and paying for primary care as a public utility—consistent with the vision of primary care as a common good—without disrupting the rest of the health care system. This approach is supported by precedent and paths toward feasibility.
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