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Episode 36 - Undervalued Thinking: Why Primary Care Is Failing in the System That Pays for It
Episode 3614th October 2025 • Byja Radio Show • Byja Radio
00:00:00 01:19:30

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In this episode, “Undervalued Thinking: Why Primary Care Is Failing in the System That Pays for It,” we explore how America’s $4.9 trillion healthcare system continues to underfund the very foundation of good health—primary care. Despite rising medical costs, only about 4% of spending reaches primary care, leaving providers overwhelmed and patients underserved. The episode breaks down how Medicare’s payment system rewards procedures over “thinking work” like prevention, coordination, and counseling, fueling burnout, physician shortages, and declining access across rural and low-income communities. While policy reforms and state initiatives aim to rebalance spending, the pace is slow. As a hopeful contrast, the Direct Primary Care model is highlighted as a growing solution—one that values time, relationships, and prevention over paperwork and profit.

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