The Problem With Healthcare: It's Average

Healthcare in America is consistently ranked last in the developed world. Many physicians refute the data by saying we have the top researchers, technology, hospitals, and medical schools in the world. So why do we have incredible healthcare knowledge, experience, technology, and infrastructure but the healthcare outcomes rank so low? The answer is that America practices "Average" healthcare.

Let me explain:

Harvard Professor Todd Rose tells a story in his book The End of Average about the development of jet powered fighters in the United States after WWII. These jets were crashing all the time and the US was losing way too many pilots. In almost all instances the results were blamed on "Pilot Error". In a huge research program by the Pentagon they found the problem with all the crashes was....."Average".

The problem was that the military built the cockpits of these jets to fit an average adult male. The research study measured hundreds of things in the fighter pilots from their finger sizes, finger lengths between knuckles, torso size, hip width, neck length, shoulder width, foot size, etc. The results were stunning! Even though the cockpits of these advanced jets were built for an "average" adult male between the height of 5 '10” - 6'0", and all the pilots were that same size, the cockpits didn't fit any of the pilots! The conclusion of the study was that every person was different and average meant it worked for nobody because half were bigger and half were smaller. The answer was to make adjustable seats and controls. When the adjustable seats were added, the crashes stopped.

Healthcare in America faces this same dilemma. Healthcare treatment is run off of algorithms or decision trees developed by different medical boards. In depression and anxiety treatment, everybody is started on Prozac first. The algorithm then walks the doctor through medication adjustments and switching to the next medication until the physician finds a combination of depression or anxiety medications that work. This process can take years!

These algorithms are built on the premise of treating an average patient. The reality is, nobody is average! Setting medical treatment programs to hit "average" means they won't work for anybody. Isn't it ironic, healthcare in America is shooting to be "average". When I take my kids in to receive healthcare, I don't want "average", I want "great"!

How do we move from "average" healthcare to "great" healthcare? The answer is Precision Medicine. Precision Medicine means you don't look at a large population and treat an individual as an average of that whole population. Precision Medicine means that you make medical decisions based on the individual and what will work specifically for that person. It also means that the treatment will be customized to the person. You never look at treating a patient and say, "Well, this tends to work for most people." Instead a healthcare provider who practices Precision Medicine says, "This will work for you."

BoTi Health practices Precision Medicine in our Blues Butler depression and anxiety test as well as in our Allergy Butler service that fixes allergies. In depression and anxiety we do this by gathering a patient's DNA and checking 8.7 billion markers and connections to find the exact problem for that patient. Most physicians will only gather 6 to 20 data points including things that don't matter like height, weight, and blood pressure. We then use powerful A.I. systems to run trials on that person's DNA until we find a specific answer for that person.

In the Allergy Butler allergy service, we take gather incredible amounts of data and then customize the therapy for each person. The medicine is different for everyboy! If we just made "average" allergy medicine, it would work for nobody.

So, the biggest problem with healthcare today is that it's....average, which means it works for nobody. That's why American healthcare is ranked dead last everytime.

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