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Targeted preventive care is on the table but blanket annual physicals for the entire adult population I think is outdated 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

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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

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.