Thanks for posting this Jason. I agree that BC needs a much stronger primary care infrastructure to support patients with chronic illness and ensure longitudinal care. We all see patients who deserve better primary support that will prevent illness, deal with minor urgencies, prevent deterioration from chronic conditions and support end-of-life care. The Emergency Medicine Community witnesses these shortcomings daily and it is extremely frustrating to see patients suffering unnecessarily and to often have no good option to provide appropriate and timely follow-up from an emergency visit. Your post will surely bring this issue a more intense profile to health care policy makers. I hope that the experience of emergency practitioners will add more strength to the voices of general practitioners who have been advocating for stronger primary care for some time. The issues are complex and there is no quick fix but we should all be working together to plan effective solutions and begin putting them into place.