Why Miracle Drugs Can’t Fix Broken Delivery

I could talk for the rest of the day about it, but I'll stop now.

No, that's right.

You hit like three main things, right? You hit, you know, delivery of medicine.

I mean, we've talked about the accessibility, the cost of it.

We've also talked, you also mentioned the fragmentation.

So three fantastic ways that, you know, I want to make sure we hit upon today.

I want to start with the last thing you mentioned here.

Is the biggest problem that you're seeing medical capability or is it delivery? Are we able to take care of people or is it just the way that we are taking all this expertise and all this innovation and actually deploying that into, again, the end user, the consumer? So where's the disconnect that you see?

Well, I see the disconnect.

We have capacity, particularly in specialties.

Most medical students go into specialties these days.

But you mentioned fragmentation and trying to coordinate that.

So I can't tell you how many people I talk to.

My practice is general cardiology, and they say, well, I don't know.

I've got to check with my endocrinologist.

I've got to check with my dermatologist.

I've got to check with this, check with that.

There's nobody coordinating that care, which makes it more expensive.

But again, coming back to What could reduce that fragmentation? I think it's having this kind of one-to-one relationship with a physician.

It's much more satisfying for patients, much better for helping them in their navigating their own health.

It's obviously to me, I'm like, well, yeah, that's a no brainer, right? With the work that we do in the direct primary care world.

But when we talk about being able to trust and being able to access a physician, I think that's where a lot of people are going to look at you and say, well, that's not my reality.

I only need a family physician to send me to a referral, send me to a specialist.

And you see that you mentioned in medical schools, like I've talked to medical school folks and they're like, oh, no, no, no.

We are the elite medical school.

I could talk for the rest of the day about it, but I'll stop now.

No, that's right.

You hit like three main things, right? You hit, you know, delivery of medicine.

I mean, we've talked about the accessibility, the cost of it.

We've also talked, you also mentioned the fragmentation.

So three fantastic ways that, you know, I want to make sure we hit upon today.

I want to start with the last thing you mentioned here.

Is the biggest problem that you're seeing medical capability or is it delivery? Are we able to take care of people or is it just the way that we are taking all this expertise and all this innovation and actually deploying that into, again, the end user, the consumer? So where's the disconnect that you see?

Well, I see the disconnect.

We have capacity, particularly in specialties.

Most medical students go into specialties these days.

But you mentioned fragmentation and trying to coordinate that.

So I can't tell you how many people I talk to.

My practice is general cardiology, and they say, well, I don't know.

I've got to check with my endocrinologist.

I've got to check with my dermatologist.

I've got to check with this, check with that.

There's nobody coordinating that care, which makes it more expensive.

But again, coming back to What could reduce that fragmentation? I think it's having this kind of one-to-one relationship with a physician.

It's much more satisfying for patients, much better for helping them in their navigating their own health.

It's obviously to me, I'm like, well, yeah, that's a no brainer, right? With the work that we do in the direct primary care world.

But when we talk about being able to trust and being able to access a physician, I think that's where a lot of people are going to look at you and say, well, that's not my reality.

I only need a family physician to send me to a referral, send me to a specialist.

And you see that you mentioned in medical schools, like I've talked to medical school folks and they're like, oh, no, no, no.

We are the elite medical school.