I’ve started to see a pattern linking where resources are allocated in our system and the incidence of problems. We’re pouring money into new digital technologies, new therapies, new models of care in the name of "growth," "innovation" and "disruption". Simultaneously, we’re doubling down on dysfunctional EHRs and rafts of research that are still not oriented toward questions that matter to patients and families. And, we still do not invest enough in acceleration of the basics: accessible primary care, health education and community-based care, mental health, and practical, preventive strategies like food security and housing. Ultimately, it’s the silos — in our system, in our research, and in our policies — that are doing the most damage to our health.