When [disease] Can't Be Stopped,

We Have Medicalized Aging, And That Experiment Is Failing Us.

Making Systems Work Is The Great Task Of My Generation Of Physicians And Scientists. But I Would Go Further And Say That Making Systems Work - Whether In Healthcare, Education, Climate Change, Making A Pathway Out Of Poverty - Is The Great Task Of Our Generation As A Whole.

We Now Have 30 Percent, For Example, Of Medicare Patients Who Are Seeing Doctors Who Are Rewarded For Doing This Kind Of Work, Like High Blood Pressure Control. So, The Affordable Care Act Has Pushed This Direction Down The Road.

We've Created A Multitrillion-dollar Edifice For Dispensing The Medical Equivalent Of Lottery Tickets - And Have Only The Rudiments Of A System To Prepare Patients For The Near Certainty That Those Tickets Will Not Win. Hope Is Not A Plan, But Hope Is Our Plan.

The Battle Of Being Mortal Is The Battle To Maintain The Integrity Of One's Life.