More than one-third of US adults lack access to primary care, which has increasingly become a commodity rather than the common good envisioned by the National Academies of Sciences, Engineering, and Medicine. Many states are working to bolster primary care, but face common challenges related to federalism, fragmentation of health insurance, and administrative hurdles that undermine their efforts to invest in primary care. These challenges are discussed and one potential solution is described: a primary care common fund that finances and pays for primary care from the perspective of a public utility.
Read the JAMA article: Primary Care as a Public Utility
2026
https://profiles.ucsf.edu/kevin.grumbach