"Foundational role? Yes. Single-most-important-thing-under-the-God-given-sun-above? Is the foundation truly more important than anything and everything that rests upon it? That is where this line of reasoning falls apart, the ipso facto assignment of importance to the nebulous prime imperative that is the current primary care initiative."
lol I guess this games ok to play but don't mess with that darn straw man. "Ipso facto assignment of importance to the nebulous prime imperative" again, this is a little cringe worthy, I get it man, you really enjoy impressing everyone with your vocabulary, because typically even really smart people actually talk like this (just a hint of sarcasm). Primary Care is the foundation for medicine, we can argue all day about how when a MOHS procedure is done that saves a life. However, it is the primary care physician that screens and consults the specialist, and not just for one specialty but for all, and they also don't just manage one organ system they manage many. So to say "we all contribute" is a bit of a misnomer, and I feel that people attach importance to their job and justify it based on the pay they receive. Who's really going to say, "I make half a million a year, I don't work hard for it and don't deserve it."? therefore, you get every single specialist justifying what they earn and how hard their job is, when in reality some of the lowest paying jobs in medicine are perhaps the most demanding, and no this not an absolute just a generalization.