I believe our health care system needs to be more patient- centered and engage patients in their own care. American medicine excels at crisis intervention with innovative drugs and surgical procedures. Yet chronic illness comprises the majority of problems that most physicians see in their office. Chronic health problems are adversely affected by poor diet, lack of exercise, obesity, smoking and excess alcohol. Another factor affecting chronic disease management is that insurance companies typically do not reimburse for measures to prevent disease. They instead wait until a serious disease has occurred that generally is much more costly to treat.