The institutions built to support primary care have failed it. Fee-for-service turned physicians into billing machines. Value-based care promised relief but delivered more paperwork. Insurance and administration have steadily extracted value from the people who actually deliver care.
The result is a system that has broken its best doctors:
Fifteen minutes per patient. Charts until midnight. You didn't go to medical school to be a billing operator.
Reactive visit after reactive visit. The system rewards volume, not outcomes.
Admin bloat and misaligned incentives have made primary care one of the lowest-compensated specialties.
America has never needed primary care more. And between AI, the shift to consumer health, concierge medicine, and insurance reform — primary care has never been more positioned to play a bigger role in people's lives.
The U.S. faces a shortage of 91,000 primary care physicians by 2034 — while PCPs already influence 85–90% of all downstream care costs.
Experienced operators in healthcare and technology, having created over $1B in enterprise value as innovators in the space.