Investment in primary care results in savings in overall health care spending. This has been empirically proven in the state of Oregon. Health care spending in the United States in 2016 was $3.4 trillion, or 17.8% of GDP. By the year 2025, spending in the US is expected to reach 19.9% of GDP. What are we getting in return for spending more money on health care than any other developed nation in the world? Not much. Our health outcomes leave much to be desired. Why? Health care spending in the US generally promotes utilization of services - apart from outcomes - as opposed to effective, proactive, whole-person care. There is a better way. In 2009, the Oregon legislature established the Patient-Centered Primary Care Home (PCPCH) program. As of the writing of this article, there are over 600 clinics in Oregon with PCPCH recognition. The foundation of the PCPCH model consists of 6 Core Attributes that promote care which is: accessible, accountable, comprehensive, continuous, coordinated, and patient- and family-centered. What has been achieved since implementation of the PCPCH program in Oregon? A multi-year study from Portland State University [found] $240 million in savings in the first three years of the program. Every $1 increase in spending in primary care resulted in $13 in savings in overall spending.