Dr. Karen L. Smith (@KLSmithMD) is a national leader in primary care and was named the American Academy of Family Physicians (AAFP) Family Physician of the Year in 2017.  She is also an independent primary care physician and the medical director of Aledade’s North Carolina ACO. Joe (@JoeShonkwiler) speaks with Dr. Smith about what the Declaration of Independence can teach us about the current state of American healthcare and why she is optimistic about the future of primary care.