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Research Letter
Health Care Policy and Law
May 18, 2020

Primary Care Spending in the United States, 2002-2016

Author Affiliations
  • 1Santa Rosa Family Medicine Residency Program, Santa Rosa, California
  • 2American Board of Family Medicine, Lexington, Kentucky
  • 3Center for Professionalism and Value in Health Care, Washington, DC
  • 4Robert Graham Center, Washington, DC
JAMA Intern Med. Published online May 18, 2020. doi:10.1001/jamainternmed.2020.1360

Insufficient investment in primary care is one reason that the US health care system continues to underperform relative to the health systems in other high-income countries.1 States and countries with greater access to primary care clinicians and more robust primary care services have better outcomes and lower costs.2,3 For this reason, Rhode Island and Oregon have mandated measurement and targeting of primary care expenditures, and other states are considering related legislation.2,4,5

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