California's primary care shortage is getting worse. Here's how to fix it

California 's shortage of primary care doctors is tied largely to the lower pay and relative lack of prestige associated with primary care.

Nearly 15 million Californians live in areas without enough primary care providers to meet patient needs.

State budget constraints and potential federal spending cuts could exacerbate shortages.

The U.S. spends significantly more per capita on health care than other industrialized nations, yet Americans are n’t any healthier.

The field has historically been underfunded, accounting for less than 5% of national health care spending in 2022 .

Medical students, often faced with staggering educational debt, are choosing higher-paid specialties.

The project brings together three large insurers and 10 independent practices across the state.

It is administered by two industry groups, the Integrated Healthcare Association and the California Quality Collaborative .

Participating practices also receive monthly per-patient payments for “population health management” The idea is to add more insurers and medical groups over time.