
The Primary Care Crisis and Why US Health Keeps Getting Worse
If you want to understand why American healthcare keeps getting more expensive while our outcomes keep lagging, start with one uncomfortable fact. We built a
Dr. Alan Roth, DO, and his teams design primary care around the whole person—using comprehensive risk stratification, longer, higher-value visits, and proactive outreach to improve outcomes and experience for diverse urban populations. He has presented this work nationally, including with the Primary Care Collaborative.
His leadership spans clinical care, education, and system redesign. He is the former Family Medicine Residency Director and Director of the Hospice & Palliative Medicine Fellowship at MediSys (Jamaica & Flushing Hospitals), and currently serves as Chief of Integrative Pain & Palliative Care.
Dr. Alan Roth advances primary care that measures what matters to people: function, relief, and life goals. His team’s model blends robust data (multi-factor risk scores) with longer visits and coordinated palliative care—so decisions reflect the whole patient, not just the guideline.
On this site, Dr. Roth writes about whole-person primary care, the limits of protocol-only medicine, over-screening, and practical reforms that return clinical judgment and patient preferences to the center of care.
Content on this site is for general education. It is not a substitute for personalized medical advice, diagnosis, or treatment.

If you want to understand why American healthcare keeps getting more expensive while our outcomes keep lagging, start with one uncomfortable fact. We built a

The phrase medical-industrial complex can sound dramatic until you watch how modern medicine actually works. Follow the money and you start to see why so
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