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Elev8 & Pickle8 • 2d

“If a drug cured asthma in three days, we’d kill it. Chronic disease is where the money is.” This quote attributed to former Pfizer executive turned whistleblower Peter Rost keeps resurfacing because it forces an uncomfortable question. Is healthcare designed to heal people or to monetise illness? Rost later wrote The Whistleblower: Confessions of a Healthcare Hitman, arguing that pharma success is often measured by long-term treatment adoption rather than cures. While some legal claims were dismissed, the incentive problem he highlighted remains real. Chronic treatments mean recurring revenue. One-time cures do not. When success is rewarded by market size instead of recovery, outcomes get distorted. So here is the real debate: Should healthcare reward cures or consumption? Can profit driven healthcare align with patient outcomes? What role should regulation play in pushing curative innovation? If you build or invest in healthcare, this question will define the future.

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