AGING & CLINICAL MEDICINE: Wellspan Medicine for the Second Half of Life
As chronic illness becomes the norm rather than the exception, medicine must relearn its purpose — not to cure, but to guide the living system toward sustainable equilibrium . There is a point in the arc of a life when medicine stops being about defeating disease and starts being about something harder to name. The infections that once cleared, the fractures that once knitted, the recoveries that once surprised everyone — these still happen. But they happen against a background that has shifted. The body's reserves are thinner. The diseases are no longer visitors; they have moved in. And the physician's task is no longer simply to cure but to help a person live well inside conditions that will not be reversed. This is the territory of what we might call wellspan medicine — a medicine oriented not toward the elimination of illness but toward the preservation of capacity, coherence, and meaning across the second half of life. TWO PRINCIPLES Wellspan medicine rests on two connec...