Medicine 2.0 vs. Medicine 3.0

Aspect	Medicine 2.0	Medicine 3.0
Goal	Extend lifespan by treating diseases when they develop	Keep diseases from developing by preventing or managing the causes of disease
Approach	”Reactive medicine"	"Proactive medicine”
Primary Tactics	Procedures and drugs, with limited counseling on “lifestyle factors”	Focus on “lifestyle factors” such as exercise, nutrition, sleep, and stress management, with limited use of drugs, hormones, and supplements
Time Horizon	Measured in months or years	Extends for decades or a lifetime
Effectiveness Measures	Evidence-based medicine and randomized controlled clinical trials	Broader approach to determining the benefit of interventions, integrating all available evidence balanced against the risk of no action
Patient Involvement	Patient is a passive participant	Patient takes a much more active role (captain of their “health ship”)

Application to Oncology

These paradigms apply directly to cancer care:

Medicine 2.0 Oncology: Focuses on treatment of established cancer with surgery, chemotherapy, immunotherapy, and radiation
Medicine 3.0 Oncology (Metabolic Oncology): Focuses on prevention and risk reduction through metabolic health optimization