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Patchell Bader

Such a worthwhile article. In the field of medicine, prevention is practiced by health centers (preventive medicine) and predictive are practiced by hospitals.

Brian Jackson


When most people think about preventive care, they picture "healthy" individuals. But the benefits of preventive care, including screening and other "wellness" tests, are much higher in individuals who are at high risk. This particularly includes those with chronic diseases. E.g. LDL monitoring is much more important in a diabetic than in someone with no risk factors for CAD.

This suggests an even stronger relationship between predictive and preventive testing than what you state above -- the predictive testing identifies patients who need additional monitoring (i.e. preventive or wellness testing).

I'd also suggest that instead of talking about preventing chronic disease, that we talk about preventing the complications of chronic disease. This is to some degree semantics (if you improve your blood glucose levels through diet and exercise, are you still a type 2 diabetic?) but I think it refocuses our attention in useful ways.

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