In this episode, AAFP Government Relations Vice President David Tully welcomes back to the podcast Yalda Jabbarpour, M.D., director of the Academy's Robert Graham Center and a practicing family physician. Their conversation centers on the RGC's latest primary care scorecard, titled "The Cost of Neglect," and how this new research shows the effects of chronic underinvestment in primary care.

Tully also updates Academy members on two policy changes:

• the Center for Medicare and Medicaid Innovation's recent announcement that it will end several of its models, including two the Academy has championed — Primary Care First and Making Care Primary; and

• an executive order affecting the Public Service Loan Forgiveness program, which has benefited family physicians.

Topics

00:00 Welcome to Fighting for Family Medicine, and a conversation with Robert Graham Center Director Yalda Jabbarpour, M.D.

01:18 Introducing Dr. Yabbarpour

01:35 What's going on with primary care spending and where should the money be going?

04:19 What are the consequences to practices and patients of low investment and payment?

06:35 What's at issue with graduate medical education funding and what the scorecard calls its "misdirection"?

10:05 Teaching Health Center Graduate Medical Education uncertainty

10:56 What does primary care research look like and where should it fit in among broader efforts to improve evidence-based care?

13:13 Updates on PSLF and CMMI

14:55 Join the AAFP's advocacy.

15:19 Conclusion

Related Resources

• Robert Graham Center Primary Care Scorecard

• AAFP Advocacy Ambassadors

• 2025 AAFP Family Medicine Advocacy Summit

• Speak Out Campaigns

Disclaimer

Copyright 2025, AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.