About Us
Our Movement
PC4AA is building a national, grassroots movement to disrupt the status quo in health care and build a lasting alternative: primary care for all, built from the bottom up, community by community. We are galvanizing those who are fed up with complicated, expensive, inequitable health care. We will combine local community organizing with state level advocacy and national coordination, to bring primary care to all.
Community by Community
PC4AA is built on the understanding that every neighborhood and community is unique, and each has their own needs, assets, and capacities. We believe the United States can build a health care system that works for everyone if every community commits themselves to providing all residents with a primary care clinician and a primary care practice, and that there will be different pathways to universal primary care in different places.
Mission
To bring about a healthcare system in the U.S. that values people over profit—built on a foundation of affordable access to high-quality primary care for everyone, in every neighborhood and community
Vision
Life expectancy, quality of life, public health, and health care costs in the United States will equal the best in the developed world. Everyone in the United States will have a relationship with a primary care clinician at an affordable cost and with adequate access.
How We’ll Win
We know that when a majority of people stand up and demand change with their voices, votes, and actions, they win. We will build consensus in every community that primary care for all Americans is non-negotiable and stand up, develop and implement solutions, and force change together.
Board & Steering Committee

Jonathon Roth

Sara Pastoor

Elizabeth Moreira

Michael Fine

Hana Hamdi, MPH

Scott Conard

Laurence Bauer

Gabriel Fine

Margaret I. Gradie, PhD,

Judith L. Steinberg, MD, MPH, FACP

Alan Roth, DO

Twila McInnes

Brian Keyser
Jonathon H. Roth is an Associate General Counsel with Santander Bank. Prior to joining Santander, he worked as an Assistant General Counsel at JPMorgan Chase & Co. and as an associate at the international law firm Jones Day. Jonathon regularly provides pro bono legal services to non-profit organizations in the healthcare and education sectors. Jonathon is a graduate of Hofstra University and Boston University School of Law.
Elizabeth Moreira is a program coordinator LISC’s Pawtucket Central Falls Health Equity Zone (HEZ), and Director of Operations for Project Health CV Inc (PHCV), where she coordinates medical missions to Cape Verde providing primary care, specialty care, education opportunities and technology transfer. Liz was the City of Pawtucket’s first Public Health & Equity Director leading the COVID-19 response and multilingual support and resources to the hardest hit communities of Rhode Island. She was the recipient of the Pawtucket Hall of Fame 2022 Person of the Year Award and Pawtucket Foundation’s 2023 Person of the Year Award.
Michael Fine, MD is an award-winning author, community organizer, public health expert/leader, and family physician.
Dr. Fine serves as Chief Health Strategist for the City of Central Falls Rhode Island, and was Director of the Rhode Island Department of Health 2011-2015.
Belita Andrade RN is a nurse and nurse educator. She is a staff RN in the Respiratory Intensive Care Unit at Rhode Island Hospital. She teaches certified nursing assistants in four languages. She is a tireless advocate for her patients and her community.
Scott Conard MD is a family physician, author, healthcare visionary and physician leader.
He was the founder and physician leader of TienaHealth Medical Clinic, a proactive medical home; TienaHealth Research; Sleep Healers sleep labs; and Proactive Medical Management. Dr. Conard served as Chief Medical & Strategy Officer of Medical Edge, a 510 provider, 1.3M patient healthcare system.
He is co-founder of Converging Health, LLC a technology empowered consulting and services company.
Laurence C. Bauer, M.S.W., M.Ed. is a consultant to family practices and healthcare systems around the country. He founded and led the Family Medicine Education Consortium, Inc. from 1994 to October 2021. (www.fmec.net). The FMEC brings people and ideas to together to strengthen Family Medicine and primary care.
Gabriel Fine is the former CEO of HealthAccessRI and one of the founding members of the Direct Primary Care movement in the US. He has worked for a range of organizations and movements attempting to tackle issues of healthcare accessibility and efficacy. He comes to Primary Care for all Americans with experience and expertise in non-profit financial oversight, early stage growth strategy, healthcare delivery systems, movement strategy, and campaign finance law.
Julie Foucher, MD, MS, is a four-time CrossFit Games athlete and Cleveland Clinic-trained family physician. Her passion and unique position lies in helping patients prevent and reverse disease through lifestyle, and she’s committed to transforming culture and primary care delivery to align with this mission. Julie currently practices Precision Medicine at Wild Health, and hosts the Pursuing Health podcast.
Wayne Jonas, MD, is a researcher, practicing family physician, and professor of medicine at Georgetown University and at Uniformed Services University of Health Sciences. From 2001-2016, he was President and Chief Executive Officer of Samueli Institute, a non-profit organization supporting the scientific investigation of healing processes in the areas of stress, pain and resilience. Dr. Jonas was the director of the Office of Alternative Medicine at the National Institutes of Health from 1995 to 1999 and led the World Health Organization’s Collaborative Center for Traditional Medicine.
He is the President of Healing Works Foundation.
Alan R. Roth DO, FAAFP, FAAHPM is Chairman of the MediSys Health Network Department of Family Medicine, Ambulatory Care and Community Medicine in Queens, NY. He is also Chief of Integrative Pain, Hospice and Palliative Care at Medisys and its former Family Medicine Residency Director.
Twila McInnis, MPA, MS, RN is a registered nurse and nurse administrator She served as the Director of Nursing for the State of Rhode Island and the Director of Accountable Care Organization Operations and . with a decade of clinical experience at a leading Boston teaching hospital, holding a Bachelor of Science the Corporate Director, Clinical Evidence Management at a number of large health care organizations. She resides in Hampton, New Hampshire and serves on the Nursing Advisory Board of Southern New Hampshire University.
Judith Steinberg is a primary care internist and infectious disease specialist. After practice and clinical leadership roles at community health centers in Boston, she served as the Chief Medical Officer at the Bureau of Primary Health Care in the US Department of Health and Human Services (HHS) and as a Senior Advisor to the Assistant Secretary for Heath. She led the HHS Initiative to Strengthen Primary Health Care and the development of an HHS action plan to strengthen primary care across 14 HHS agencies.
Currently, she continues to work on strengthening primary care, advancing behavioral health and primary care integration, and improving global health by serving on boards of directors, committees, and federal government councils.
Hana Hamdi, MPH is pursuing an advanced practice degree in Nurse-Midwifery at Yale University. Formally a Clinical Data Analyst at Planned Parenthood of Greater New York, her goal has always been to support women and marginalized communities. Ms. Hamdi majored in Biomedical Engineering with a minor in Women’s and Gender Studies at Rutgers University and received her Master’s of Public Health from Columbia University, studying the Child Friendly space needs of Syrian refugees living in Jordan, palliative care in hospitals in Senegal, childhood asthma in New York City, and a health workforce strengthening program in Uganda. She is committed to creating a world where everyone has equitable access to preventive and primary care.
Brian Keyser is a research associate on the health policy team at the Center for American Progress, where he focuses on health care affordability and access. He received a Master of Science in Health and the Public Interest from Georgetown University in 2023. In a previous career, he was the founder of Casellula Cheese & Wine, board chair of the American Cheese Education Foundation, and co-author of Composing the Cheese Plate (Running Press, 2016).
Margaret I. Gradie, PhD, is a public health leader dedicated to strengthening rural health systems and advancing the primary care workforce. She has worked across nonprofit organizations and state government to improve access to care and support community-based health initiatives.
Dr. Gradie currently serves as a Lead Planning Analyst with the Connecticut Department of Public Health. She previously was Chief of the Office of Primary Care and Rural Health for the State of Rhode Island and Director of the Northeast Telehealth Resource Center. She earned her PhD in Biological Anthropology from the University of Massachusetts Amherst.
