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Article CommentaryCommentary

From the Federal Government to the Front Lines of Primary Care: Lessons Learned in the Fight to Strengthen the Foundation of Healthcare

Katherine A. Gergen Barnett and Judith L. Steinberg
The Journal of the American Board of Family Medicine June 2026, 39 (1) 158360; DOI: https://doi.org/10.3122/jabfm.2025.250174R2
Katherine A. Gergen Barnett
1 Boston University Chobanion and Avedesian School of Medicine Boston Medical Center https://ror.org/010b9wj87
MD
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Judith L. Steinberg
2 Formerly, US Department of Health and Human Services
MD, MPH, FACP
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References

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    (4, 2025) The growing burden of chronic disease. . 2025-8-5. https://nihcm.org/publications/the-growing-burden-of-chronic-diseases.
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    (10 22, 1994) Is primary care essential? Lancet 344(8930):1129–33, doi:10.1016/S0140-6736(94)90634-3. .
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    (6, 2021) Implementing high-quality primary care: rebuilding the foundation of health care (National Academies of Science, Engineering and Medicine), https://www.nationalacademies.org/our-work/implementing-high-quality-primary-care. . 2026-4-7.
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    State investment hub. . 2026-4-7. https://thepcc.org/policy/state-investment-hub/.
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    2026 Primary Care Scorecard Shows Continued Underinvestment, Workforce Strain. . 2026-5-4. https://www.milbank.org/2026/02/2026-primary-care-scorecard-shows-continued-underinvestment-workforce-strain/.
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    (2025) State of the Primary Care Workforce, 2025 (National Center for Health Workforce Analysis, Health Resources and Services Administration), https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/State-of-the-Primary-Care-Workforce-2025.pdf. . 2026-5-4.
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    1. Mohr D. C.,
    2. Elnahal S.,
    3. Marks M. L.,
    4. Derickson R.,
    5. Osatuke K.
    (2025) Burnout trends among US health care workers. JAMA Netw Open 8(4):e255954, doi:10.1001/jamanetworkopen.2025.5954, pmid:40257797, pmcid:PMC12013355. .
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    1. Foubister V.
    (3, 2025) Five states leading efforts to increase primary care spending. . 2026-4-7. https://www.milbank.org/publications/states-lead-efforts-to-increase-primary-care-spending/.
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    Calendar Year (CY) 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F), Fact Sheet. . 2026-4-7. https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-medicare-physician-fee-schedule-final-rule-cms-1832-f.
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    (11, 2023) HHS is taking action to strengthen primary care. . 2026-4-7. https://www.hhs.gov/sites/default/files/primary-care-issue-brief.pdf.
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The Journal of the American Board of Family     Medicine: 39 (1)
The Journal of the American Board of Family Medicine
Vol. 39, Issue 1
1 Jan 2026
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From the Federal Government to the Front Lines of Primary Care: Lessons Learned in the Fight to Strengthen the Foundation of Healthcare
Katherine A. Gergen Barnett, Judith L. Steinberg
The Journal of the American Board of Family Medicine Jun 2026, 39 (1) 158360; DOI: 10.3122/jabfm.2025.250174R2

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From the Federal Government to the Front Lines of Primary Care: Lessons Learned in the Fight to Strengthen the Foundation of Healthcare
Katherine A. Gergen Barnett, Judith L. Steinberg
The Journal of the American Board of Family Medicine Jun 2026, 39 (1) 158360; DOI: 10.3122/jabfm.2025.250174R2
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