We have a sick care system

Prevention-first medicine, in short form

The condensed version of the argument: that American medicine is organized as a sick-care system rather than a health-care one, treating disease after it appears instead of preventing it.

The structural claim is that capacity, training, and reimbursement all point toward intervention, which produces a system that performs well in acute care and poorly against the slow metabolic conditions driving most long-run cost. He presents it as a design outcome rather than a failure of effort by clinicians.

At thirty-seven seconds this is the elevator version. The fuller conversation is here, and the policy consequence — what a payment structure rewarding prevention would look like — is in prevention over prescription.

Related: nutrition training in medical school and why a public-health advocate runs Republican.

More at healthcare reform and The Carnivore Lawyer.

Nothing here is medical advice.