In Times Like These, Our Purpose Is Clear

Today, as we recognize Women in Medicine Day and the start of Black History Month, I am reflecting on the roots of family medicine. Our specialty was born out of a social movement — one that recognized the failures of a fragmented, inequitable health care system and responded with a commitment to accessible, patient-centered care. Family medicine has always been about ensuring that every individual, regardless of who they are or where they live, has the opportunity to achieve health. 
 
These values are not just guiding principles; they are the foundation of our work. They transcend politics and remain central to why we chose this profession — to serve patients and communities with compassion, evidence and advocacy. 
 
In the past two weeks, we have seen an unprecedented number of executive orders and actions that threaten the health of our patients, the practice of family medicine and the well-being of the communities we serve. The pace and scope of these changes are concerning, and I want to be clear: The AAFP shares your concerns, and we are taking action. 
 
Our advocacy efforts are focused on protecting patient care, defending evidence-based medicine and science, and ensuring that family physicians can continue to provide the full spectrum of care our patients need. We are pressing members of Congress to intervene where necessary, advocating for key health care programs and funding, and engaging in public and media outreach to highlight the real-world impact of these policy changes. We are also working to give you the resources and support you need to navigate this uncertain landscape.

Advocacy takes many forms. While immediate, high-profile action can be powerful, lasting change often requires strategic engagement, persistence and coalition-building away from the spotlight. Direct confrontations may feel cathartic, but they don’t always lead to meaningful solutions. Nonetheless, if a time comes when we need to take our cause to the streets — figuratively or literally — we will be ready. Family medicine has never shied away from standing up for what’s right, and we won’t start now. 
 
This is a difficult time, and I know many of you are feeling troubled and uncertain about what lies ahead. In moments like these, our purpose remains clear. Family medicine has always stood up for our patients, for our communities and for the future of health care. 
 
Thank you for all that you do. We are in this together, and the AAFP will continue to stand with you.