New York continues to spend more on health care than nearly any other state while achieving only average health outcomes, according to a new data brief released today by the New York Health Foundation (NYHealth) and the Primary Care Development Corporation (PCDC). The brief, The State of Primary Care in New York: A 2025 Data Update, finds that chronic underinvestment in primary care is straining the workforce, limiting access—particularly in rural and underserved communities—and contributing to higher overall health care costs.