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🇺🇸 America’s Healthcare Cost Crisis: From Unsustainable Growth to Measurable Medicine with FMTVDM® FRONTIER

  • Writer: Richard M Fleming, PhD, MD, JD
    Richard M Fleming, PhD, MD, JD
  • 6 days ago
  • 3 min read

The United States stands at a pivotal crossroads in healthcare—where spiraling costs threaten national solvency and reactive medicine continues to outpace measurable outcomes. With annual expenditures projected to exceed $7.6 trillion by 2035 under current models, the crisis is no longer theoretical; it is economic, clinical, and moral.


FMTVDM® FRONTIER offers a transformative alternative: a patented platform for absolute quantification that shifts the paradigm from guesswork to precision, from passive observation to proactive intervention. This blog explores how measurable medicine can reverse unsustainable growth, reclaim billions in wasted spending, and redefine America’s leadership in global health.


1. The Challenge: Highest Costs, Lagging Outcomes


The United States spends more on healthcare than any other nation — over US $4.3 trillion annually — yet faces:


  • Stagnant life expectancy — now 77.5 years, down from 78.8 in 2019

  • Chronic disease overload — NCDs account for 90 % of deaths

  • Diagnostic inefficiency — delayed detection, fragmented care, and subjective interpretation

“America’s healthcare system is the most expensive in the world — and among the least efficient.” — Commonwealth Fund, 2024

Despite advanced technology, most diagnostics remain qualitative and non-calibrated — what FMTVDM® FRONTIER calls Yesterday’s Myopic Medicine.


2. Why “Yesterday’s Myopic Medicine” Fails


Traditional diagnostics in the U.S. suffer from:


  • Visual interpretation bias — results vary by technician, clinician or center

  • Delayed detection — disease found only when visible or symptomatic

  • Non-standardized imaging — no reproducible calibration across facilities


This leads to wasteful spending, late-stage treatment, and avoidable mortality.


3. The Quantified Shift: FMTVDM® FRONTIER


FMTVDM® FRONTIER introduces calibrated, quantitative diagnostics that measure regional blood flow and metabolism, producing reproducible, absolute data.


Core Benefits:


  1. Early detection — before symptoms or structural damage

  2. Standardized interpretation — across hospitals, states, and systems

  3. Therapy monitoring — track real-time response

  4. Policy insight — A.I.2 - supported national health planning


This shift transforms fragmented systems into measurable, efficient platforms.


4. Quantified Impact: Ten-Year Economic Comparison

Scenario

Baseline Health Spending (2025)

Annual Growth Rate

Projected 2035 Spending

Cumulative 10-Year Total

Cumulative Savings with FMTVDM®

Myopic Medicine

US $4.3T

5.8 %

US $7.6T

US $58.2T

FMTVDM® FRONTIER

US $4.3T

3.5 %

US $6.1T

US $54.7T

≈ US $3.5T saved


Interpretation:


By reducing annual growth from 5.8 % to 3.5 %, the U.S. could save ≈ US $3.5 trillion over the next decade — while improving outcomes and system cohesion.


5. Measurable Health Gains


Parameter

Current Model

FMTVDM® FRONTIER Projected

Average diagnostic delay

10–14 months

< 3 months

Late-stage disease treatment share

55–65 %

30–40 %

5-year survival (cardiac/cancer)

68 %

85–90 %

Healthy life expectancy gain

+ 3–6 years

Total health cost growth (10 yrs)

+ 70 %

+ 40 %

6. National Implementation Pathway


  1. Select Nation Status (SNS) Entry — pilot in VA, DoD, or CMS

  2. Calibration and Training — establish national FMTVDM® centers

  3. A.I.2 Integration — build predictive models from anonymized data

  4. Cross-system Scaling — unify diagnostics across public and private systems


7. Long-Term Return on Investment

Metric

Conventional Medicine

FMTVDM® FRONTIER

Total 10-year cost per capita

US $17,500

US $15,200

Healthy years per capita gained

1.1

3.2

Economic productivity increase

+ 1.9 % GDP equivalent


8. The Future of American Medicine: Measured, Unified, Resilient


FMTVDM® FRONTIER offers the United States a path to measurable, unified healthcare — replacing fragmented systems with calibrated diagnostics and reproducible outcomes.

“The countries that measure, manage; the countries that guess, spend.” — Dr. Richard M. Fleming, PhD, MD, JD

References


  1. CMS National Health Expenditure Data (2024): Historical and Projected Spending

  2. Commonwealth Fund (2024): U.S. Healthcare System Performance Report

  3. OECD Health Statistics (2024): Health at a Glance: United States

  4. Fleming RM. FMTVDM FRONTIER — The Standard for a Calibrated, Quantifiable Medical World. (2024)


  • Yesterday’s Myopic Medicine” — 5.8% annual growth from US $4.3T in 2025 to US $7.6T in 2035

  • FMTVDM® FRONTIER — 3.5% growth to US $6.1T

  • Table: A 10-year savings of US $3.5 T


USA’s 10-Year Health Expenditure Trajectories. Modeled 10-year health expenditure for the United States: “Yesterday’s Myopic Medicine” vs FMTVDM® FRONTIER. Quantified diagnostics and early intervention with FMTVDM FRONTIER save ≈ US $3.5 trillion nationally.
USA’s 10-Year Health Expenditure Trajectories. Modeled 10-year health expenditure for the United States: “Yesterday’s Myopic Medicine” vs FMTVDM® FRONTIER. Quantified diagnostics and early intervention with FMTVDM FRONTIER save ≈ US $3.5 trillion nationally.


 
 
 

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© 2025 by Richard M Fleming, PhD, MD, JD.

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