Abstract
Noncommunicable diseases (NCDs) account for the majority of morbidity, mortality, and health expenditures, yet progress toward international reduction targets remains limited. Although evidence-based strategies for prevention and long-term management are well-established, health systems predominantly remain biomedical and fragmented across clinical, public health, and community sectors. This structural misalignment constrains the ability to scale prevention and deliver coordinated chronic disease management. This paper proposes “Operation Whole Health” as a framework for a paradigm shift in the health care system. Drawing on lessons from the coordinated mobilization observed in the United States during the COVID-19 response, the framework emphasizes the importance of mission clarity, cross-sector workforce integration, and sustained financing to achieve significant and scalable change. Whole health models—person-centered, interprofessional, and prevention-oriented—offer a mechanism for aligning clinical care with behavioral, social, and community determinants of health. Expanding prevention capacity includes systematic integration of traditional, complementary, and integrative medicine professionals, whose competencies align with chronic disease prevention but remain underutilized within publicly financed systems. Because effective whole health interventions for NCDs are known, a key constraint in widespread implementation may be policy prioritization rather than scientific uncertainty. A structural redesign of health care anchored in the whole health paradigm may be needed to alter NCD trajectories and stabilize long-term health expenditures.
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