“Those of you who read this column routinely can reliably predict my vote, so no need for me to say what it will be. There are reasons, however, directly related to my purview here — preventive medicine — to say why it will be what it will be.
Prevention covers a broad clinical expanse, encompassing disease treatment as well as primary prevention, the work of keeping disease at bay. It also extends to health promotion, those efforts directed at helping people become and remain healthy in the first place.
Success across this expanse depends on two systems, only one of which is even close to fully functional in our culture. Those two systems are disease care and health care. The election has obvious and profound implications for both.”