EPISODE · Jan 6, 2026 · 8 MIN
Building a Better Backbone and the Role of Primary Care in the US
from Microdosing · host Paul Schrimpf
The US healthcare system is privatized and built around a capitalist model. Within that framework, one flaw stands out: unlike nearly every other high-performing health system in the world, the United States lacks a true backbone. There is no layer that reliably guides people, connects decisions over time, or helps them confidently take the next step. The solution is the backbone it never built, and that backbone is primary care.
What this episode covers
The US healthcare system is privatized and built around a capitalist model. Within that framework, one flaw stands out: unlike nearly every other high-performing health system in the world, the United States lacks a true backbone. There is no layer that reliably guides people, connects decisions over time, or helps them confidently take the next step. The solution is the backbone it never built, and that backbone is primary care.
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Building a Better Backbone and the Role of Primary Care in the US
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