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H. Robert Silverstein's avatar

Well Thought out and reported by you. However, it is not nearly so complex and verbose as presented. Commonsense would tell us to correct what we breathe, drink, eat, exercise, and our avoidance of unrealistic expectations: Quite simple, however most behave in an addictive fashion hanging onto/doing those things that are contrary to the human biology. Kevin Volpp of the University of Pennsylvania made it eminently clear that it must be both a carrot and stick approach to achieve the necessary biologically protective changes. Simply as education, I would encourage you to read the "Wellness Protecting Numbers" at WWW.THEPMC.ORG

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William H Bestermann Jr MD's avatar

Thanks. I appreciate your comment. This piece is not about the interventions. It is about the systems to standardize and scale the interventions. It is essential that we develop a consistent system to deliver the care that you describe. You are right. The intervention itself is simple. You need a systematic approach to even produce a consistent hamburger in Sarasota and Seattle.

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