Eric Topol

I mean, what we have with this Cassandra's curse is a lot of denialism.

And this is really unfortunate.

I like your optimism about where we can head, but I don't see any of it.

Like, for example, yesterday was published an important paper about COVID in children and teens.

With the second infection, there was a doubling of long COVID with lots of other symptoms and outcomes that were adverse.

And here we are, the COVID vaccines are only for people over 65.

Yeah, well, you know, that's where it gets us to the last topic I wanted to run by you.

When I talked to Susan Moneris before she suddenly was no longer at CDC, she and I were in alignment about the PCDCP for prevention, which, you know, there hasn't been enough of that.

And we're at a time right now where if you can see your future, you know, as you know, there was a recent Nature paper actually from Germany

which predicts your future events and health for the next 20 years, remarkably accurately.

And not just the events, but when.

And then added to that, as you just mentioned, Tom, there's all these diagnostics, like for example, it could be a polygenic risk score, it could be your protein organ clocks, all these other layers of data.

We can do this now.

We can say who's at high risk and we know the ways to prevent these diseases.

It seems to me that it's a really exciting time in medicine, which is being missed because of this enhanced capability for prevention, which I know you're into that because it starts with seeing, seeing the future.

What are your thoughts about taking prevention, primary prevention?

never getting the disease in the first place, to a new level in the years ahead?

I'm with you, but all the things you outlined were at the population level.

And what we saw when that is being done, like, for example, vaccine mandates, as an example.

There are many others.