Evolution Never Saw this Coming

When the family of a longtime patient invited me to her funeral, I found myself wrestling with a question I never addressed in medical school. 

New Alzheimer's blood tests are accurate, available, and increasingly advertised — but for healthy people, a positive result is rarely useful. 

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Medicine has evolved from a calling into an industry, adept at dispensing procedures and pills (and gigantic bills), but less good at actual health. Most reformers call for big, bold action. What happens if, instead, you think small?

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