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A Message from the Editor-in-Chief: End of An Era
A final goodbye It is with a heavy heart that I write this last piece for Perspectives in Primary Care. Current financial realities have necessitated... - 
      
        
        
An Underrated Barrier to Healthcare: It's Not Just About Cost
“Thank you for calling our free clinic. How can I help you?” I have spent countless hours listening to the pleas of people in desperate need of... - 
      
        
        
A Guide to Geriatric Psychiatry Referral for Health Care Professionals and Caregivers
Our aging global population has the potential to enrich our communities, strengthen intergenerational relationships, and help preserve our cultural... 
Archive
As of June 30, 2025, Perspectives in Primary Care is no longer active. 
Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.
            
            Primary Care
            
            Health Equity
            
            COVID-19
            
            Global Health
            
            BIPOC
            
            Behavioral Health / Mental Health
            
            Addiction / Substance Use Disorder
            
          
          
          Reflections on Tribal Primary Care in America
California of the pioneers, peopled by progressives of campsites with bear lockers of pines and berries of easy cilantro in markets of walnut milk of ocean vistas and Apple of fires in the woods. Our tribal health community “We want you to trust us with your primary health care,” I tell the 60-year-old patient whose body mass index (BMI) is just past obese. He is a native man who studied the classics in college and has been working on a book for 25 years. He lives with two sons ...
                    
        
            
            Health Equity
            
            Health Policy
            
            Social Determinants of Health
            
            Public Health
            
            Activism
            
            Trauma
            
            Sexual and Reproductive Health
            
            Addiction / Substance Use Disorder
            
            LGBTQIA+
            
          
          
          Health Equity & Reproductive Justice: Transforming Perinatal Care Now
Drug-involved fatal poisonings for 2020 are expected to reach over
                    
        
            
            Community Health
            
            Social Justice
            
            Health Policy
            
            Public Health
            
            Activism
            
            Trauma
            
            BIPOC
            
            Behavioral Health / Mental Health
            
            Addiction / Substance Use Disorder
            
          
          
          Evolving Concepts of Justice and Safety
Criminalizing survival Rachel stayed. She stayed to survive, and for that the criminal legal system labeled her a “frequent flyer.” When she called 911, she was lucky if she got a couple hours reprieve from her long-time partner’s life-threatening abuse before he returned home. He would often return home bragging about the arresting officer making a pit stop for him at a nearby ATM to make his bond—a common ...
                    
        
            
            Health Equity
            
            Health Policy
            
            Social Determinants of Health
            
            COVID-19
            
            Public Health
            
            Environment / Climate
            
            BIPOC
            
            Addiction / Substance Use Disorder
            
          
          
          The Original Pandemic: Commercial Tobacco
All mentions of tobacco in this article refer to commercial tobacco and nicotine products and not sacred and traditional use of tobacco by some Native American communities. This article is solely for informational educational purposes and is not meant to lobby and/or express, promote, or influence support or opposition on any ...
                    
        Treating the Opioid Crisis: Current Trends and What’s Next
Throughout the past decade, the U.S. has seen a dramatic shift in addiction medicine research, clinical practice, and related stigma in seeking care. Throughout this piece, we will explore the top six trends related to treating the opioid crisis, and we’ll consider what may be next. The Opioid Epidemic Opioid addiction has existed for centuries. But deaths from opioid overdose in the U.S. have rapidly risen since the 1990s, which started as prescription opioids were prescribed more liberally for ...
                    
        Integrating Addiction Treatment in Primary Care: Training Needs and Novel Approaches
Addiction is a chronic medical condition that carries significantly elevated risk of morbidity and mortality, as the sequelae of substance use disorders (SUD) can be severe and life-altering. While evidence-based treatments for SUD exist, many people face barriers to accessing care. For example, of the approximately 20 million people living with addiction in the United States in 2019, only 12.2% received ...