Primary care serves as the foundation of Ontario’s publicly funded healthcare system. Yet, the province is facing a widening gap between the number of available family physicians and the growing population in need of care. If current trends continue, an estimated 4.4 million Ontarians could be without a family doctor by 2026. This crisis is driven by multiple factors, including excessive administrative burdens, outdated payment models, and the rising costs of running community clinics. This position paper presents a series of comprehensive recommendations focused on modernizing compensation structures for family physicians. These changes aim to enhance physician retention, support sustainable practice models, and inspire the next generation of medical students to pursue careers in family medicine.