Healthcare Is a Paradox 🧵 1/ If a system receives $10 trillion a year, advances in AI diagnosis, gene editing, and remote care, …then logically, it should be delivering the best health outcomes in human history. But here’s the paradox: Life expectancy is stagnating.
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2/ Healthcare is both the most technologically advanced and the most structurally flawed system on Earth. We can detect cancers earlier than ever. We can edit genes that once dictated fate. We can deliver care through screens thousands of miles away. And yet: 4.5 billion people
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3/ Let’s start with spending. Global health expenditure hit $10 trillion in 2025, roughly 10% of global GDP. (WHO “Global Spending on Health” report) But the distribution is wildly uneven: - Low-income countries: < $50 per capita - High-income countries: $4,000+ per capita - The
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4/ Why? Because the system incentivizes reaction, not prevention. About 65-84% of spending goes to hospitals, procedures, and pharmaceuticals. Less than 35% goes to preventive, community-based, or continuous care. (Common health-system financing analyses) We pour money into the
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5/ Chronic diseases deepen the paradox. Non-communicable diseases (heart disease, diabetes, cancer, respiratory disease) cause 75% of global deaths about 43 million lives every year, with 82% of premature deaths in low- and middle-income countries. The economic cost? $30
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6/ And then comes the efficiency problem. Even in wealthy countries: Huge portions of spending are lost to administration, fragmentation, duplication, and waste. Meanwhile, low-income populations suffer the opposite problem: Too little funding, too much out-of-pocket burden,
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7/ Innovation is not the issue. Structure is. We have the insights to predict disease. The tools to personalize healthcare. The science to prevent or treat most chronic conditions. But we lack what matters most: integration, coordination, interoperability, and aligned
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8/ This is why the ROI of healthcare is paradoxically low. More hospitals. More drugs. More devices. More spending. Yet outcomes barely shift, and gaps continue widening. Because adding more to a fragmented system increases complexity, not impact.
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9/ The truth is simple: Money alone cannot fix health. What we need is a shift from reactive care to proactive care, episodic treatment to continuous support, volume-driven systems to value-driven models, siloed practices to coordinated networks, data accumulation to actionable
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10/ Until we redesign incentives and rebuild the architecture of care, the $10 trillion we spend each year will continue producing disappointing returns for life expectancy, quality of life, and human well-being. Healthcare, in short, is a paradox: the most technologically
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Who are the best coaches in college football right now? Josh and Caleb Downs take on this trending topic in this week’s episode of Downs 2 Business. With the biggest Saturday of the year ahead for Caleb and Jeremiah, you won’t want to miss this one. Sponsored by @google
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@LifeNetwork_AI Absolutely without redesigning incentives, even $10T can’t deliver the outcomes humanity deserves. Healthcare’s paradox won’t be solved by technology alone, but by rebuilding the system around people, coordination, and value. Excited to see how Life AI plans to reshape this
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