Building a Better Backbone and the Role of Primary Care in the US

Building a Better Backbone and the Role of Primary Care in the US

From Microdosing by Paul Schrimpf

January 6, 2026 · 8 min

About this episode

The episode discusses the flaws in the US healthcare system and emphasizes the importance of primary care as a foundational element.

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.

People in this episode

Host: Paul Schrimpf

Topics covered

  • healthcare system
  • primary care
  • capitalism
  • health system performance
  • patient guidance

Keywords

  • healthcare
  • primary care
  • capitalist model
  • patient support
  • health system
  • backbone

Mentioned in this episode

Organizations: US healthcare system

Places: United States

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