Amar Rewari: The Biggest Problem in Medicine Isn’t Treatment, It’s Behavior
Amar Rewari/LinkedIn

Amar Rewari: The Biggest Problem in Medicine Isn’t Treatment, It’s Behavior

Amar Rewari, Chief of Radiation Oncology at Luminis Health, shared a post on LinkedIn:

“I went to the TIME100 Health Dinner expecting to hear about new drugs. I left thinking the biggest problem in medicine isn’t treatment – it’s behavior.

During a panel on why heart disease remains the leading cause of death, Victor Bultó, President of Novartis U.S., said something that stuck with me: the technologies and medications to prevent many cardiovascular events already exist. We simply don’t use them well enough.

His conclusion was striking. Pharma has had to evolve from a medical sciences company into a social sciences company. Because the challenge is no longer just biology.

Humans are wired to prioritize the present. We take the immediate reward today and discount the long-term risk tomorrow. That helps explain why blood pressure goes untreated, medications go unfilled, and prevention gets delayed. Improving outcomes increasingly depends on sleep, stress, diet, exercise, and behavior – not only prescriptions.

Other moments reinforced the same theme from completely different directions.

Jesse Eisenberg, who donated a kidney to a stranger, spoke about altruism – that the barrier to organ donation may not be willingness, but awareness. Gerontologist Dr. Kerry Burnight reframed aging with her concept of ‘joyspan,’ challenging the fear-based narrative around growing older and emphasizing dignity, contribution, and purpose.

What made the evening especially meaningful, though, were the conversations I had with leaders across the system including Maryland Health Secretary and former CMS leader Meena Seshamani on delivery reform and policy.

As a physician working at the intersection of clinical care and health policy, my biggest takeaway was this: The next advances in health won’t come from a single breakthrough drug. They will come from aligning biology, behavior, and systems.

Thank you to TIME for the invitation. Being in that room reinforced why this work matters.”

Amar Rewari: The Biggest Problem in Medicine Isn’t Treatment, It’s Behavior

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