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Dr. Lisa Rosenbaum tells committee primary care needs more resources, warns measurement can 'dumb down' care
Summary
Dr. Lisa Rosenbaum, a cardiologist and New England Journal of Medicine podcaster, told a legislative committee that U.S. primary care is undervalued and that policy should prioritize funding, local training and relationship-based models rather than overreliance on metrics. She cited research tying PCP loss to higher spending and worse outcomes and urged investment in rural residencies and direct primary care.
Dr. Lisa Rosenbaum, a cardiologist and host of a primary‑care series for the New England Journal of Medicine, told a legislative committee that the United States has chronically undervalued primary care and must direct more resources to it.
“There is no primary care without a relationship,” Rosenbaum said, arguing that policy focused narrowly on measurable metrics — blood pressure targets, screening checklists and other value‑based indicators — misses core, relationship‑based work.
The committee had invited Rosenbaum in advance of an incoming Senate bill on primary care. A committee member asked whether the discussion referred to S.197; members noted the bill’s timing depends on Senate scheduling. Rosenbaum declined to offer a specific legislative prescription but stressed broad goals: restore clinician autonomy, invest in community‑based training and fund care teams that help…
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