The 2020 Program is in no way anti-medicine. Deep context and promotion of more effective communication channels among scientists, policy leaders, physicians, other care providers, and the general public will help to resolve many pressing medical issues. The 2020 Program views the medical practice and related products and services as a public service. There is nothing good about disease, as it is said, and nothing good about "market-related activity" that even remotely encourages growth of disease-related conditions to feed such markets.

There are many opportunities in providing public health services efficiently and in a cost-effective manner. The 2020 Program's "pull" strategy for calling attention to otherwise unknown conditions to the site of need will be very effective at controlling costs and improving outcomes. Good performance in such activities should bring substantial rewards, financial and otherwise. The 2020 Program and associated organizations are well-positioned to take a leading role in such developments.