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they Institutions make more money when we are sick and less when we are healthy
Dr. Casey Means: "The money and the core incentive problem, which is that every institution that touches our health in America, from medical schools to pharmaceutical companies to health insurance companies to hospitals, to office offices, they make more money when we are sick and less when we are healthy. That simple one incentive problem corrodes every aspect of the way medicine is thought about, the way we think about the body.
We talked about interconnectedness. It creates a system in which we silo the body into all these separate parts and create that illusion that we all buy into because it's profitable to send people to separate specialties. So it corrodes even the foundational conception of how we think about the body. So it is about incentives and money.
But I would say that's the invisible hand. It's not necessarily affecting each doctor's clinical practice or their decision making. It's corroding every lever of the basics of how we even consider what the human body is and what life is."
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