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I was taken aback at how difficult it was to gain access to primary health care when I moved to the United States in 2005.  Even in the self-described "Health Care City"  of New Brunswick, NJ-- home to Johnson & Johnson's headquarters, the Robert Wood Johnson Hospital system & St. Peter's University Hospital-- booking time with a medical doctor in a pinch was always a challenge.  Parents who've needed a prescription on a weekend, or desperately wanted to ensure that a cough was 'just a cold,' can surely identify with this experience.