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

Why Our Healthcare System is Failing Us

13 May 2026 · 1 min

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In this brief monologue, Dr. Jaiwant Rangi reflects on the growing fragility of the U.S. healthcare system, highlighting how a series of events over the past decade—most notably the COVID‑19 pandemic—exposed its reactive, fragmented nature that focuses on crisis care rather than preventive management. He illustrates this point with a personal anecdote about his cousin, who was born with a pituitary hormone deficiency that is medically manageable through hormone replacement. Dr. Rangi notes that he regularly treats patients with similar endocrine conditions in his clinic in Folsom, California, underscoring the contrast between a treatable condition and a system that often fails to intervene early.

Chapters

It was not just one event. I think it was a sequence of few events that have happened in the last 5 to 10 years, I would say. Certainly COVID was one of the big moments that made me change things because I saw how fragile our system really is. It's reactive, it's fragmented, you know, it's built around crisis care where we are taking care of person when it's too late. Around the same time, I had my cousin. We grew up in the same household. And he had a pituitary condition, which is totally manageable, if not reversible, because you're born with some hormone deficiencies and we can totally replace those. And I take care of those patients here in my clinic in Folsom, California all the time.