How do we navigate our way to focusing on sickness, suffering, and symptoms when the zones are flooded?
To borrow a phrase from American football, Donald Trump is flooding the zone. The NHS is flooding the zone. Even medical journals are flooding the zone. Pity the citizen, health professional, or reader left bewildered by a barrage of executive orders, bureaucratic healthcare edicts, and journal articles. What to do? How do you fill the unforgiving 27 hours (the time required each day for a US physician to follow guideline recommendations) with 97 200 seconds of worthwhile work? About half of those 27 hours are needed to provide preventive services—an untenable situation with which primary care doctors in any country will empathise. Minna Johansson and colleagues argue perceptively that the premise of …