95% of medical spending is managing chronic diseases after we get sick - from the "small" issues (like fatigue, insomnia, anxiety, obesity, infertility) to the "big" conditions (heart disease, cancer, diabetes, Alzheimer's). The biggest mistake in medicine is that we treat these conditions in isolated siloes. These conditions are highly connected, and our ability to prevent and reverse them is under our control and simpler than we think. The key is our metabolic function - the most important and least understood factor in our overall health. This discussion will explain the systemic forces that prevent a larger discussion of metabolic health in medicine and specific tools to improve our metabolic bio-markers, feel better, and reduce chances of the further disease quickly. It will also outline policy change that is in progress to change the $4.5 trillion of healthcare incentives that profits when we are metabolically dysfcutional.