PT - JOURNAL ARTICLE AU - Kurt C. Stange TI - Holding On and Letting Go: A Perspective from the Keystone IV Conference AID - 10.3122/jabfm.2016.S1.150406 DP - 2016 Jul 01 TA - The Journal of the American Board of Family Medicine PG - S32--S39 VI - 29 IP - Supplement 1 4099 - http://www.jabfm.org/content/29/Supplement_1/S32.short 4100 - http://www.jabfm.org/content/29/Supplement_1/S32.full SO - J Am Board Fam Med2016 Jul 01; 29 AB - This commentary examines what it might look like to be countercultural in the current era of health care change, and asks what we should hold onto and what we should let go of as we reinvent an ideal that gives meaning to family physicians and value to patients and populations – that primary health care is a relationship to be nurtured and supported, not just a commodity to be delivered and optimized, measured and incentivized, bought and sold.