Primary care is the foundation of a high-performing health system. This simple truth has been asserted and backed up by evidence again and again. But even self-evident truths can find it hard to gain traction in established systems. Unwieldy ships do not turn easily, even those prone to reform attempts that stall due to factors including built-in resistance to change and fragmentation. Over the past couple of years, we have seen predictable results as the ship gets hit repeatedly by centennial waves. But if we have seen the results, we have also seen better possibilities and futures. We have seen what proactive, responsive, and collaborative action can do. Team-based primary care and partners have stepped up, crew in a ship we need to steer towards safer shores. To do this, we must reconnect and reimagine, moving forward together.
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