In a thought-provoking discussion, family physician Kurt Stange shares patient-centered stories that highlight the essential elements of primary care, focusing on the importance of relationships. Cultural anthropologist Rebecca Etz critiques the limitations of one-size-fits-all guidelines, emphasizing the social dimensions of health. Elizabeth Bradley discusses how social determinants, not just medical care, affect population outcomes, warning against offloading social needs onto primary care. Together, they explore the fragility of the primary care system and the urgent need for a more integrated approach.