I think it’s worth re-examining the necessity of the physical 

It’s a 100yr old practice started by life insurance companies in a time when a lot more people got messed up by diseases that just aren’t relevant anymore 

We need to unwind some of this belief that “more” is “better” with medicine — this might be a good place to start

Life insurance has invested heavily in the longevity trend for similar reasons. Especially in research about biologic clocks:

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Life insurance has invested heavily in the longevity trend for similar reasons. Especially in research about biologic clocks: 

https://deeplongevity.com/blog/unlocking-the-future-of-health-insurance-with-aging-clocks-organ-health-scores-and-personalized-recommendations-3/

https://www.forbes.com/sites/christophersteiner/2017/10/04/with-the-swab-of-a-cheek-this-company-knows-when-youre-likely-to-die/

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Yeah its essentially a DTC, or rather CTD, scalable insurance model. Scary. And many of these clocks have shown to be inaccurate. We're at the beginning stages of life insurance being stratified at birth or close to then.

That second article is terrifying and makes me regret ever engaging with genetic testing omg

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Is that out of health or protectionism that doctors love the physical? 

Targeted preventive care is on the table but blanket annual physicals for the entire adult population I think is outdated 

Here, they looked at general health checks for 230,000 participants with long-term follow-up across ~15 studies and found no benefit https://pubmed.ncbi.nlm.nih.gov/23076952/

https://www.bmj.com/content/345/bmj.e7001

My sense there is that what we call “Longevity medicine”  starts to push towards “targeted prevention” not “general health check” like an annual physical

Big time. I think so too. We are operating on a 100y/o model. We can do better than sending tons of healthy ppl in to doc

certainly, that is a much better and refined approach. key is to pick up big issues early, which I think now is more possible than before at a personalized level.

My sense there is that what we call “Longevity medicine”  starts to push towards “targeted prevention” not “general health check” like an annual physical https://farcaster.xyz/keccers.eth/0x13092378