Contribution of primary care to health systems and health: is it essential? Evidence of the power of primary care in health promotion has grown since researchers have been able to differentiate primary care from other features of the health service delivery system. Studies consistently demonstrate that primary care has a positive impact on health outcomes. They reduce mortality and morbidity and are considerably more lucrative than specialty care. Primary care is therefore essential. Some of the beneficial impacts of primary care on health are: - It increases contact with necessary services, - Care is of better quality, - There is more emphasis on prevention, - There is early management health problems,- The cumulative effect of the main features of primary health care delivery, and- They reduce unnecessary and sometimes potentially harmful specialist care. Primary care improves access to health services for somewhat disadvantaged population groups. They are the first point of contact with health services, providing access to others in the health system for people who need it. Other developed countries have achieved universal and equitable access to primary health services, some provided directly and others through assurance of financial coverage for visits (van Doorslaer, Koolman, and Jones 2004). In the United States, socially disadvantaged populations are more likely than advantaged populations to lack a regular source of health care. The beneficial impact of health insurance in the United States is largely to facilitate access to primary care (Starfield and Shi 2004; Lillie Blanton and Hoffman 2005). In the absence of health insurance, socially disadvantaged population groups are less likely...... middle of article ......quickly to the major problem facing primary care physicians, our system The current health system will undoubtedly find itself in a deeper situation and a darker divide. The dilemma is that there is a significant drain of primary care physicians and few medical students actually choose to become primary care physicians and choose to become specialists because of better hours, better pay and fewer responsibilities (Editors and staff, Drug Week, 2009). . It is important to increase the number of medical school graduates in order to increase the doctor per person ratio, Cuba is the first country with a ratio of 1 doctor per 175 inhabitants while the United States has 1 per 390 ( Wikipedia, Cuba). the government should make medical school more affordable, either by regulating medical school costs or by increasing the amount of financial aid given to students.