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Future of Medicine is Systems Architecture - Douglas Won, MD

  By Dr. Douglas Sung Won, MD Over the course of my career, I have come to believe something that may initially sound unconventional: the future of medicine will not be defined primarily by individual clinicians, breakthrough procedures, or even technological advancements. It will be defined by systems architects. I say this not as theory, but as lived experience. I began my professional journey immersed in clinical practice, dedicating years to advancing minimally invasive and endoscopic spine surgery at a time when these techniques were still developing. Precision, discipline, and accountability shaped my daily work. The operating room demands clarity of thought and steadiness under pressure, and those early years refined my respect for technical mastery. Yet even at the height of clinical performance, I could not ignore a recurring reality. Outcomes were influenced by forces that extended far beyond the surgical suite. Referral delays, fragmented diagnostics, misaligned incentiv...

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