As a former healthcare investment banker, I observe what others have pointed out: that the U.S. will not fix its primary care crisis with higher annual expenditures alone.
I argue for treating primary care as essential infrastructure by expanding the workforce through state-backed financing and loan relief, building modern information infrastructure with interoperable data platforms and AI-enabled tools, and investing in community-based clinics and independent medical groups so primary care can function as a true prevention and early detection hub rather than just a referral source.
The article shows how states can use proven tools such as tax-exempt bonds, credit guarantees, and all-payer capital support programs to unlock long-term financing, rebuild workforce, IT, and facility capacity, improve access and outcomes, and still meet balanced-budget requirements.
https://www.linkedin.com/pulse/rethinking-primary-care-investment-strategy-peter-a-wadsworth-vsfte