 The evidence suggests that primary care-oriented systems can provide better health outcomes, more health equity, and lower costs compared to other models. However, despite this strong evidence, these systems have been chronically underfunded. During the COVID-19 pandemic, a primary care-focused council would have been able to quickly mobilize primary care to address vaccine equity and public health concerns, especially in rural and marginalized urban areas. An infrastructure investment plan should include oversight, tools, and resources to rebuild primary care.