⚕️ The War on Disease
Designing the First War to Win
Introduction
Unlike every other “War on [Problem]” that has failed spectacularly—creating bureaucracies that perpetuate the very problems they claim to solve—the War on Disease is structured to actually win. We’re not building another government ministry that needs disease to exist for job security. We’re creating a market that profits from cures.
Structure It Differently: Markets Not Ministries
The fundamental flaw of government “wars” is that they create permanent bureaucracies with perverse incentives. The War on Drugs created the DEA, which needs drug crime to justify its $3 billion budget. The War on Poverty created welfare systems that trap people in dependency. The War on Terror created a surveillance state that needs threats to justify its existence.
The War on Disease is different:
Build No Bureaucracy to Preserve
- Use smart contracts, not buildings: No headquarters, no permanent staff, no pensions to protect
- Automated governance: Code executes decisions, not committees
- Sunset provisions: If diseases get cured, the system can dissolve (mission accomplished)
- No jobs dependent on disease existing: Everyone gets paid for solutions, not for managing problems
Pay for Outcomes, Not Process
Traditional government approach:
- Pay researchers to write grant proposals
- Pay administrators to review proposals
- Pay committees to meet about proposals
- Pay for “research” whether it works or not
- Result: Mountains of paperwork, no cures
Our approach:
- Patients pay for treatments that work (subsidized by DIH treasury)
- Researchers get paid when patients join their trials
- Success attracts more patients and more funding
- Failure means no funding
- Result: Only effective treatments survive
Create Competition Between Solutions, Not Monopoly
FDA model:
- One pathway to approval
- One set of gatekeepers
- One definition of “safety”
- One timeline (17 years)
- Result: Innovation strangled
dFDA model:
- Multiple competing trials for same condition
- Multiple research teams racing for solutions
- Multiple approaches tested simultaneously
- Patient choice determines winners
- Result: Innovation explosion
Let Researchers Get Paid for Curing Diseases, Not Getting Grants
Current system rewards:
- Grant writing skills (theater)
- Political connections (corruption)
- Publishing papers (nobody reads)
- Following fashion (me-too research)
Our system rewards:
- Curing actual patients
- Reducing suffering measurably
- Beating competing treatments
- Speed to market
- Patient satisfaction
Align the Incentives: Everyone Wins by Winning
The genius of markets is that they align self-interest with social good. Our system ensures everyone profits from success:
Patients: Get Subsidized Treatments, Not Exploited
- Dynamic subsidies from DIH treasury reduce treatment costs
- Choice between multiple competing trials
- Get paid to participate (refundable deposits)
- Own their data and benefit from its use
- Vote on funding priorities through Wishocracy
Researchers: Get Rewarded for Cures, Not Papers
- Paid directly by patients joining trials (immediate revenue)
- No grant-writing bureaucracy
- Success brings more patients and funding
- Reputation system rewards effectiveness
- Can pivot quickly based on results
Investors: Earn Returns from Health, Not Death and Disease
- VICTORY bonds: 270%+ returns from curing, not treating
- Returns scale with health outcomes achieved
- Alignment with human wellbeing
- ESG compliance built in
- Legacy value beyond money
Politicians: Get Elected for Results, Not Promises
- Visible health improvements in their districts
- Job creation from research centers
- Campaign contributions from aligned interests
- Media coverage of local cures
- Actual problems solved = re-election
Minimize Perverse Incentives Through Market Competition
Unlike government monopolies, markets punish perverse behavior:
- Can’t profit from keeping people sick: Competitors will cure them
- Can’t suppress cures: Someone else will develop them
- Can’t create fake diseases: Patients won’t pay for fake treatments
- Can’t hide negative results: Transparent blockchain records
- Can’t capture regulators: There are no gatekeepers to capture
Spillover Victory: Solving Everything Else
Disease underlies most social problems. Cure disease, and watch other “wars” become obsolete:
War on Drugs: Addiction Is a Disease (Actually Cure It)
- Addiction has biological basis: Dopamine dysregulation, genetic predisposition
- Current approach: Criminalization (doesn’t work)
- Our approach: Medical treatment (cure the brain chemistry)
- Result: No addicts = no drug trade = no drug war
War on Poverty: Healthy People Aren’t Poor
- Chronic disease causes poverty: Medical bills, lost productivity, disability
- Mental illness prevents employment: Depression, anxiety, ADHD
- Our approach: Cure the diseases causing poverty
- Result: Healthy people work, earn, prosper
War on Terror: Mental Health Treatment Prevents Radicalization
- Radicalization correlates with: Isolation, depression, trauma, personality disorders
- Current approach: Surveillance and bombs (creates more terrorists)
- Our approach: Treat the underlying mental health issues
- Result: Mentally healthy people don’t become terrorists
The Meta-Victory: Proving Markets > Government
The War on Disease isn’t just about curing disease—it’s about proving a new model of governance:
First Successful “War on” Anything Ever
Every government “War on X” has failed:
- War on Drugs: More drugs, more violence
- War on Poverty: More poverty, dependency
- War on Terror: More terrorism, less freedom
- War on Cancer (1971): Cancer still #2 killer
The War on Disease will be the first to actually win, proving:
- Markets work where governments fail
- Aligned incentives beat central planning
- Competition beats monopoly
- Bottom-up beats top-down
Template for Everything Else
Once we prove the model with health, apply it everywhere:
Education:
- Current: Government monopoly, failing schools
- Future: Educational markets, competing approaches
- Result: Actual learning
Housing:
- Current: Zoning bureaucracy, housing crisis
- Future: Market solutions, innovative building
- Result: Affordable homes
Energy:
- Current: Regulatory capture, fossil dependence
- Future: Energy markets, competing technologies
- Result: Clean abundant energy
Transportation:
- Current: Crumbling infrastructure, traffic
- Future: Transportation markets, innovation
- Result: Efficient movement
The End of Central Planning’s Credibility
When the War on Disease succeeds where all government wars failed:
- Central planning loses all credibility
- Markets become the default solution
- Bureaucracies can’t justify existence
- The state begins to wither away
The Beginning of the Market Revolution
The success cascade:
- Health markets cure disease
- Public demands markets for everything
- Government monopolies crumble
- Innovation explodes everywhere
- Humanity enters golden age
Key Performance Indicators
Unlike government programs that hide failure, we measure success transparently:
Year 1 Targets
- 1,000+ active trials launched
- 100,000+ patients enrolled
- 10+ diseases with breakthrough treatments
- 50% reduction in trial costs demonstrated
- $1B+ in researcher revenue generated
Year 5 Targets
- 10,000+ active trials
- 10M+ patients enrolled
- 100+ diseases with new treatments
- 90% reduction in trial costs
- $10B+ researcher revenue
- 5+ diseases completely cured
Year 10 Targets
- 100,000+ active trials
- 100M+ patients enrolled
- 1,000+ diseases with treatments
- 95% trial cost reduction
- $100B+ researcher revenue
- 50+ diseases cured
- Aging reversed in humans
Conclusion
The War on Disease succeeds where others failed because it’s not really a war—it’s a market. Wars require enemies and create destruction. Markets require customers and create value. By structuring the “war” as a market, we ensure it actually achieves its goals instead of perpetuating the problem.
When historians look back, they’ll mark this as the turning point: When humanity stopped funding its own destruction and started investing in its own survival. The War on Disease isn’t just the first war we’ll win—it’s the last war we’ll need to fight.
For detailed implementation, see:
- The Decentralized FDA - The platform enabling this war
- Aligning Incentives - How we get everyone on board
- The 1% Treaty - The funding mechanism