Saum Sutaria, M.D.

It's about the burden of chronic illness and aging and all of these factors that drive worse outcomes that really aren't healthcare factors. Again, we talked about the infant mortality issues, the drug and drug access issues, and the mortality associated with that, homicides, violence, injuries, etc.,

It's about the burden of chronic illness and aging and all of these factors that drive worse outcomes that really aren't healthcare factors. Again, we talked about the infant mortality issues, the drug and drug access issues, and the mortality associated with that, homicides, violence, injuries, etc.,

Working on those things, plus the chronic illness side from the medical perspective, are not anymore about insurance or coverage or whatever. They're about addressing those issues directly.

Working on those things, plus the chronic illness side from the medical perspective, are not anymore about insurance or coverage or whatever. They're about addressing those issues directly.

That's right. I mean, I'm not saying that the solution is public health. I mean, I think the success that public health, the current model in public health had in infectious disease over the last 75 to 100 years hasn't worked in this setting. I mean, even COVID is a good example of that. So much debate exists about what happened there.

That's right. I mean, I'm not saying that the solution is public health. I mean, I think the success that public health, the current model in public health had in infectious disease over the last 75 to 100 years hasn't worked in this setting. I mean, even COVID is a good example of that. So much debate exists about what happened there.

Why was US mortality higher than most other developed countries in COVID? I mean, the most effective thing that happened during COVID was the development of the vaccines. which was, again, US ingenuity, innovation, and spread around the world in many, many ways. And so I think we have to rethink these models.

Why was US mortality higher than most other developed countries in COVID? I mean, the most effective thing that happened during COVID was the development of the vaccines. which was, again, US ingenuity, innovation, and spread around the world in many, many ways. And so I think we have to rethink these models.

And before we give them more funding, we need to make sure that they're doing the right thing for us. But if we can bring those things in line, I think we can make a difference. I come back to, which I learned from you more than anybody else, The background nutritional environment, if it changed, could make a big difference over a 10-year period.

And before we give them more funding, we need to make sure that they're doing the right thing for us. But if we can bring those things in line, I think we can make a difference. I come back to, which I learned from you more than anybody else, The background nutritional environment, if it changed, could make a big difference over a 10-year period.

And if you add to that incorporating a degree of physical activity, as we all know, this isn't about going from being sedentary to running marathons. It's about being sedentary to some physical activity. And it has a huge potential benefit on the types of healthcare costs that come from chronic illness. And those two things together and addressing some of the U.S.

And if you add to that incorporating a degree of physical activity, as we all know, this isn't about going from being sedentary to running marathons. It's about being sedentary to some physical activity. And it has a huge potential benefit on the types of healthcare costs that come from chronic illness. And those two things together and addressing some of the U.S.

unique issues could bring healthcare expenditures in line with GDP growth pretty quickly. But you have to have that goal over a 10-year period. If it's a one or two or three-year goal, we will fail and give up before we try. But you can do it over a 10-year period, I think. And that's where my optimism comes from.

unique issues could bring healthcare expenditures in line with GDP growth pretty quickly. But you have to have that goal over a 10-year period. If it's a one or two or three-year goal, we will fail and give up before we try. But you can do it over a 10-year period, I think. And that's where my optimism comes from.

Well, I think you have to start by having a discussion around what's our national health objective. We don't have a national health objective right now that seems obvious. And again, unless you just say by default, the national health objective is the ultimate in access and choice. And if that continues to be our objective, the system is designed to produce that.

Well, I think you have to start by having a discussion around what's our national health objective. We don't have a national health objective right now that seems obvious. And again, unless you just say by default, the national health objective is the ultimate in access and choice. And if that continues to be our objective, the system is designed to produce that.

My point is that we can have access and choice and incrementally put dollars into these other things and make a difference to both without radically cutting access and choice. That's what we have to get our head around from a long-term perspective. You're right. Short-term interests from all kinds of industry participants and public participants as well may run counter to that 10-year goal.

My point is that we can have access and choice and incrementally put dollars into these other things and make a difference to both without radically cutting access and choice. That's what we have to get our head around from a long-term perspective. You're right. Short-term interests from all kinds of industry participants and public participants as well may run counter to that 10-year goal.

That's why establishing that goal. The question is, go back to your point around what we did after World War II. It was a national goal to have an ecosystem of countries that stood for democracy and protected security around the world, and we were willing to invest in it. This may not be an international problem, but it is a national problem. And so we got to rally around that.

That's why establishing that goal. The question is, go back to your point around what we did after World War II. It was a national goal to have an ecosystem of countries that stood for democracy and protected security around the world, and we were willing to invest in it. This may not be an international problem, but it is a national problem. And so we got to rally around that.