sayerji.substack.com By Sayer Ji
How Modern Medicine’s Greatest Failure Became Humanity’s Greatest Opportunity.
There’s an old medical school joke that goes something like this: “The delivery of good medical care is to do as much nothing as possible.” Samuel Shem wrote these words in his satirical novel The House of God back in 1978, intending them as dark humor about physician burnout and the absurdities of medical training.
But what if this wasn’t a joke at all? What if it was prophecy?
As I write this in 2025, the American healthcare system consumes $4.8 trillion annually¹—more than the entire GDP of Germany. We have more specialists, more drugs, more procedures, and more sophisticated imaging technology than ever before in human history. And yet, by nearly every meaningful metric, we’re sicker than ever. Chronic disease affects 60% of Americans². Mental health disorders have reached epidemic proportions³. And most damning of all: medical errors and correctly prescribed medications have become the third leading cause of death⁴.
The math is staggering. Each year, over 440,000 Americans die from preventable medical errors⁵. Another 128,000 die from properly prescribed pharmaceuticals⁶. That’s more than half a million casualties annually from a system designed to heal. To put this in perspective, we lost 58,220 American lives during the entire Vietnam War. Our medical system kills that many people every six weeks…
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