Today national Health and Human Services Secretary Kathleen Sebelius laid out the latest proposal  to increase people’s access to family doctors and clinics. Already primary care physicians seeing Medicare patients are being paid more thanks to the Affordable Care Act. Under this rule those increased payments will also extend to physicians seeing Medicaid patients starting next year. When I speak on the Affordable Care Act I often get a question about what we are doing to support primary care doctors and family practitioners since they are the often under-appreciated backbone of our health care system. This is one way.