CODFP Manifesto


The Division of Family Practice is developing resources for the purpose of fostering primary care physicians in their quest to improve and optimize the health of their patients, with the addition of evidence-based preventive health strategies to their current clinical armamentarium.  These resources can also be used by other health care professionals and laypersons, and to this end, foster improved interdisciplinary relationships with the common goal of optimal health care for our community.


We will need health reform, and perhaps both a revised interdisciplinary health care delivery model and an appropriate fee schedule to ultimately sustainably succeed at such a grand vision. Western populations are now riddled with chronic diseases that for most of human history were rare or non existent, that can only be explained by environmental or lifestyle influences.  Our diets, our activity levels, our sleep patterns, our stressors, and our social interactions have all changed dramatically, even in recent decades.


In modern science, evolution is the default perspective for inquiry. In modern healthcare, however, evolution is almost nowhere to be seen. Neolithic and (especially) post-industrial diets combined with modern sedentary lifestyles have pushed our physiologies dangerously far from their adapted environments, and it is becoming exceedingly expensive and ineffective for medical practitioners to fix the resulting damage done to our bodies or halt the epidemic flood of illnesses collectively referred to as the diseases of civilization. In fact, the current generation of children may live shorter lifespans than do their parents—a startling reality that should shock health experts into creative, collaborative solution-searching.

As we search for new directions and arguably a better way to deliver the promise of healthy populations, we hope that website resources such as this will engage in scientific journalism to spread preventive health ideas, insights, and discoveries with our community openly and freely.  The time is now ripe to capture this energy and cultivate further interdisciplinary inquiry through a common resource that unites all those interested in advancing the science and practice of human health in the twenty-first century.  In our healthcare communities, a well-used and dynamic resource such as this will hopefully touch a widespread audience and will foster new, unique approaches to solving our existing healthcare challenges.

Finally, this is an opportunity to support dialogue and conversation between all health care professionals who are passionately concerned about restoring, maintaining, and enhancing people’s health. When we understand how our diet and lifestyle choices cause our health states to degrade, we can better implement cost-effective ways to improve health. Not only is an ounce of the right prevention worth a pound of cure, the right ounce of prevention costs a lot less. In light of the resource constraints that our healthcare systems currently face, implementing concepts and ideas presented her may be pivotal in reforming a tired out medical model that no longer serves the needs of the populations it was intended for.  We challenge all of you to join in this process, and become part of a great new beginning in health care.


pmf 2013/01/25