There's this narrative pushed by alt-health that doctors are just pill pushers who don't ever offer up lifestyle treatments to solve issues, just throw pills at patients and go 

Even if that were 100% true, which I don't think that it is—let's think this through. 

People don't take their pills as it is! Adherence rates for chronic conditions like diabetes and hypertension, both addressable with lifestyle change, are typically between 50% and 60%. 

And we believe, then, that patients who cannot handle this BURDEN of A PILL are going to reorient their lives to eat better, workout, spend more money on healthy food? And maintain that for the long term? 

I resent the doctor blaming I see over on X and from health influencers. Doctors are still a frontline for health information and interventions and those looking to change bigger systems shouldn't make them an enemy

The Farcaster formerly known as Kchamp. Books, beats, bodybuilding, bright ideas and beautiful things.

katherinechampagne.com

Agreed. With any field there is a spectrum of good to bad practitioners. I think the main thing broken in medicine today is the incentive alignment between doctors and pharma companies rather than doctors and the health of their patients. 

Would be nice if doctors had better incentives for effectively motivating their patients to "reorient their lives to eat better, workout, spend more money on healthy food? And maintain that for the long term". That is a hard problem worthy of incentivizing more.