JOHN NOSTA'S COLUMN

Is Technology Reinforcing the Very Essence of “Sick Care?”

Why Prevention Lags Behind in the AI Revolution

In the dual headline chasing of technology and healthcare, the narrative is often one of breakthrough, innovation, and progress. AI and cutting-edge technologies are regularly hailed as the key to solving our most challenging medical problems.

The headlines often brim with excitement—just last week, Google’s DeepMind unveiled AlphaProteo, an AI that designs proteins to bind with unprecedented precision to target molecules, marking a major leap in drug discovery. The ability to generate protein binders in a single step could reshape the way we treat diseases like cancer, autoimmune disorders, and viral infections. A remarkable feat, no doubt—but it begs the question: is technology driving us further into the paradigm of “sick care”?

The “sick care” concept frames healthcare as an industry primarily designed to react to illness rather than prevent it. It’s a system built to treat disease once it has taken root, focusing its efforts on developing drugs, interventions, and surgical techniques. And indeed, this is where we see the lion’s share of technological advancements. AI has been transformative here—accelerating drug discovery, optimizing clinical trials, and personalizing treatments. The economic incentives behind such innovations are undeniable: the pharmaceutical industry thrives on the development of new drugs and with good reason. Curing or managing diseases after diagnosis is a multi-billion-dollar enterprise.

But what of the other pole of healthcare? The space where wellness, prevention, and lifestyle medicine reside? In this sphere, the story is far less dramatic. While we see incremental advancements in fitness apps, wearable technology, and AI-driven health monitoring, they pale compared to the transformative work done in sick care. And it’s not because prevention lacks importance—it’s because prevention lacks the same financial incentives.

AlphaProteo: A Case Study in “Sick Care” Innovation

Take AlphaProteo as a prime example. This AI system could fast-track treatments for cancer, autoimmune diseases, and viral infections by designing proteins that bind more effectively to disease-associated targets. In one case, AlphaProteo achieved an 88% success rate in designing a binder for BHRF1, a protein linked to autoimmune disorders, far surpassing traditional methods’ 18% success rate. This achievement is not only a technical triumph but also an economic one. The efficiency and precision of AlphaProteo could reduce the time and cost of drug development, potentially revolutionizing the industry.

Yet, in celebrating such advances, we may be reinforcing a system that is reactive by nature. We are focusing on treating diseases after they have already begun wreaking havoc on the human body. The technological revolution, it seems, is deeply intertwined with the mechanics of treating the sick rather than preventing sickness altogether. 

The Wellness Gap: Prevention and Technology

It’s not that AI is incapable of driving innovation in prevention and wellness—it’s that the incentives aren’t aligned. Prevention, by nature, is harder to quantify, monetize, and structure within the current healthcare paradigm. While we’ve seen some success stories in the wellness space—AI-driven personalized nutrition plans, predictive algorithms that gauge disease risk, and continuous health monitoring via wearable devices—the resources and attention directed here pale in comparison to the juggernaut of drug development and treatment.

Consider this: wellness and preventive care require a shift in thinking. They demand long-term investment for outcomes that may take years, even decades, to materialize fully. In contrast, sick care offers immediate, measurable returns. A breakthrough drug can earn billions in revenue within a few short years. Prevention, by contrast, often goes unnoticed because its success lies in what doesn’t happen. A disease that never manifests because of a carefully optimized lifestyle isn’t as celebrated as one that is heroically cured after diagnosis.

Why the Balance Matters

The disparity between sick care and preventive care isn’t just an economic or technological issue—it’s philosophical. It speaks to the way we view health and medicine. For centuries, healthcare has been about intervention—about stepping in after the fact to fix what’s gone wrong. But if we continue to pour all our technological resources into this model, we run the risk of reinforcing its limitations.

AI and technology have the potential to disrupt not only how we treat diseases but how we think about health itself. Imagine a world where AI helps us prevent disease with the same rigor and intensity it applies to curing it. AI-driven systems could personalize diets and wellness plans, continuously monitor our health markers, and predict disease years before it manifests. Such an approach could shift the very foundation of healthcare—from reactive to proactive, from intervention to prevention.

Is a Preventive Revolution Possible?

The real challenge lies in the structure of healthcare economics. For a true preventive revolution to take place, the incentives must change. Governments, healthcare systems, and tech companies must begin to value and invest in wellness with the same fervor they invest in drugs and treatments. In the meantime, sick care remains the dominant paradigm, and technology, for all its brilliance, is largely reinforcing this model.

The future of healthcare could be one where AI is equally adept at helping us live healthier, longer lives as it is at curing diseases. But for that future to materialize, we need to rethink our approach to healthcare innovation. Is it enough to celebrate breakthroughs like AlphaProteo, or should we challenge ourselves to develop technologies that keep us from needing these breakthroughs in the first place? We stand at a crossroads. Will AI continue to drive us deeper into the domain of sick care, or will we harness its power to reshape healthcare as we know it—focusing not just on extending life but on enhancing the quality of life from the very start?

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John Nosta
John Nostahttps://nostalab.com/
John is the founder of NostaLab, a digital health think tank recognized globally for an inspired vision of digital transformation. His focus is on guiding companies, NGOs, and governments through the dynamics of exponential change and the diffusion of innovation into complex systems. He is also a member of the Google Health Advisory Board and the WHO’s Digital Health Roster of Experts. He is a frequent and popular contributor to Fortune, Forbes, Psychology Today and Bloomberg as well as prestigious peer-reviewed journals including The American Journal of Physiology, Circulation, and The American Journal of Hematology.

JOHN NOSTA - INNOVATION THEORIST

John is the founder of NostaLab, a digital health think tank recognized globally for an inspired vision of digital transformation. His focus is on guiding companies, NGOs, and governments through the dynamics of exponential change and the diffusion of innovation into complex systems.

He is also a member of the Google Health Advisory Board and the WHO’s Digital Health Roster of Experts. He is a frequent and popular contributor to Fortune, Forbes, Psychology Today and Bloomberg as well as prestigious peer-reviewed journals including The American Journal of Physiology, Circulation, and The American Journal of Hematology.

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