Jaiwant Rangi, MD, FACEEndocrinologist | Founder, Lower The Dose® | Speaker

Stagnant Care and Broken Connections: The Reality of Modern Health Systems

30 Aug 2026 · 0 min

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0:29

In this presentation, Dr. Jaiwant Rangi highlights a persistent shortfall in chronic disease management across a 12‑year span. Only 23% of patients achieved the combined targets for blood glucose, blood pressure, cholesterol, and non‑smoking status, and this proportion showed no meaningful improvement over the entire period. The speaker argues that the problem is not isolated to a single point of care but lies in the broken connections and coordination gaps between different stages of the healthcare system, indicating systemic failure in delivering integrated, effective chronic disease care.

Only 23%, less than 1 in 4, achieved the combined target of blood sugar, blood pressure, cholesterol, and nonsmoking. And that number did not meaningfully improve over the entire 12-year period. It's not that we were not doing well and now we're doing much better. It stayed the same. That is system gap in one number. The system does not fail only at one point. It fails in the connections between points.