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Research ArticleReflection

The Day After: Primary Care in a Post-Election Landscape

Riley Smith
The Annals of Family Medicine June 2025, 240576; DOI: https://doi.org/10.1370/afm.240576
Riley Smith
University of North Carolina, Chapel Hill, North Carolina
MD
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ABSTRACT

This narrative essay explores the intersection of health care, politics, and identity from my perspective as a family physician on the day following the consequential and polarizing 2024 US presidential election. I recall and grapple with the profound grief, anxiety, and uncertainty expressed by my patients, particularly those from marginalized communities, as they face threats to their health care and very identities. These experiences highlight the tension between professional neutrality and our moral imperative to advocate for vulnerable populations.

Key words:
  • special population: LGBTQ
  • health policy/health policy research
  • Received for publication November 19, 2024.
  • Revision received March 13, 2025.
  • Accepted for publication March 24, 2025.
  • © 2025 Annals of Family Medicine, Inc.
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The Annals of Family Medicine: 23 (3)
The Annals of Family Medicine: 23 (3)
Vol. 23, Issue 3
May/June 2025
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The Day After: Primary Care in a Post-Election Landscape
Riley Smith
The Annals of Family Medicine Jun 2025, 240576; DOI: 10.1370/afm.240576

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The Day After: Primary Care in a Post-Election Landscape
Riley Smith
The Annals of Family Medicine Jun 2025, 240576; DOI: 10.1370/afm.240576
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Keywords

  • special population: LGBTQ
  • health policy/health policy research

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