This study aims to provide an insight into the development of primary care in Korea. Primary care is fundamentally a health systems orientation or reform concern which can be defined by defining what it tries to displace. For that reason, primary care is undeniably a highly varied notion, and primary care reforms differ substantially across countries due to different policy inheritances and different problems they face. In this study, we tried to identify problems that need to be tackled urgently in the context of historical development of Korean health care system and primary care. Among many aspects of the reform proposals, we have primarily been concerned with the increasing importance of building knowledge base, or policy infra for more consensus based policy process. The importance of fostering a more pragmatic and gradual approach such as encouraging voluntary models in the private sector instead of imposing forceful measures was also emphasized.