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At the Intersection of Health, Health Care and Policy Cite this article as: Lewis G. Sandy, Thomas Bodenheimer, L. Gregory Pawlson and Barbara Starfield The Political Economy Of U.S. Primary Care Health Affairs, 28, no.4 (2009):1136-1145 doi: 10.1377/hlthaff.28.4.1136 The online version of this article, along with updated information and services, is available at: /content/28/4/1136.full.html For Reprints, Links Permissions: /1340_reprints.php E-mail Alerts : /subscriptions/etoc.dtl To Subscribe: /subscriptions/online.shtml Health Affairs is published monthly by Project HOPE at 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814-6133. Copyright © 2009 by Project HOPE - The People-to-People Health Foundation. As provided by United States copyright law (Title 17, U.S. Code), no part of Health Affairs may be reproduced, displayed, or transmitted in any form or by any means, electronic or mechanical, including photocopying or by information storage or retrieval systems, without prior written permission from the Publisher. All rights reserved. Not for commercial use or unauthorized distribution Downloaded fromDownloaded from by by Health AffairsHealth Affairs on February 28, 2016 on February 28, 2016 by guestby guest H e a l t h T r a c k i n g MarketWatch The Political Economy Of U.S. Primary Care The singul