The thresholds we have for when we treat these diseases are somewhat arbitrary. It reminds me a lot of kind of the mortgage crisis in 2008 at the time I was at McKinsey and even though as you mentioned I was recruited there to do health care I ended up doing credit risk. When you practice medicine 3.0 you have to target causal risk factors regardless of short-term risk this is a very important distinction that is tragically missing from medicine 2.0.

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