Abstract
Health reform discussions revolve around how best to achieve the goals of improving quality, increasing the access to care, and costs containment. However, in the current health reform debate, little attention is paid to how medicine is currently taught and practiced. Internal medicine does appreciate that the fundamental tenets of health arise from understanding the interaction among genomics, the external environment, and behaviour. Modern medicine often neglects this comprehensive model and treats disease in isolation, without taking into account the dynamic, integrative systems in the human body.
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