Chronic disease revolution...hmmm..

Agree with the WSJ authors who are also physicians at Yale School of Medicine:

"To make this revolution a reality, the U.S. needs a comprehensive national initiative to map, model and mitigate postinfection syndromes as well as tackle chronic diseases by addressing their infectious root causes. Ideally, Congress would provide additional funding and direction through legislation like the Long Covid Moonshot Act, introduced in the Senate last year. 

The Trump administration could also take immediate steps—streamline approval for new treatments, provide sustained research grants, create dedicated centers of excellence, and coordinate global efforts on diagnostics and therapies.

Advancing this research is one of the most effective ways to improve the lives of the tens of millions of Americans with chronic diseases."

For a paradigm change: 

US physician reimbursement model is geared towards wRVU model- physicians who do procedures are heavily rewarded in terms of their Work Relative Value Unit - wRVU thereby naturally causing a shift among medical students and residents to lean towards those careers in medicine that are procedural heavy (Gastroenterology, cardiology, critcal care, plastic surgery) as reimbursement and therefore payment will be higher. 

This has led to the drain of the best and brightest in medicine to shift away from specialties that deal with chronic conditions such as diabetes, hypertension, obesity, chronic kidney diseases to much higher paying fields.

In my opinion, for a "chronic disease revolution" current payment model has to change and rewards physicians who spend time and efforts preventing and treating chronic disease conditions.

How to Lead a Chronic Disease Revolution - WSJ