The first scholarly exploration of the forums, practice, and economics of functional medicine.

Physicians of the Future interrogates the hidden logics of inclusion and exclusion in functional medicine (FM), a holistic form of personalized medicine that targets chronic disease. Rosalynn Vega uncovers how, as “wounded healers,” some FM practitioners who are former chronic disease sufferers turn their illness narratives into a form of social capital, leveraging social media to relate to patients and build practices as “doctor-influencers.” Arguing that power and authority operate distinctly in FM when compared to conventional medicine, largely because FM services are paid for out of pocket by socioeconomically privileged “clients,” Vega studies how FM practitioners engage in entrepreneurship of their own while critiquing the profit motives of the existing healthcare system, pharmaceutical industry, and insurance industry. Using data culled from online support groups, conferences, docuseries, blogs, podcasts, YouTube, and TED Talks, as well as her own battles with chronic illness, Vega argues that FM practices prioritize the individual while inadvertently reinscribing inequities based on race and class. Ultimately, she opens avenues of possibility for FM interlocutors wrestling with their responsibility for making functional medicine accessible to all.

Comparing national efforts to preserve public lands, William R. Lowry investigates how effectively and under what conditions governments can provide goods for future generations.

Providing intergenerational goods, ranging from balanced budgets to space programs and natural environments, is particularly challenging because most political incentives reward short-term behavior. Lowry examines the effect of institutional structure on the public delivery of these goods. He offers a theoretical framework accounting for both the necessary conditions — public demand, political stability, and official commitment to long-term delivery — and constraining factors — the tensions between public agencies and politicians as well as between different levels of government — that determine the ability of a nation to achieve long-term goals.

In support of this argument, Lowry evaluates data on park systems from more than one hundred countries and provides in-depth case studies of four — he United States, Australia, Canada, and Costa Rica — to show how and why the delivery of intergenerational goods can vary. For each of the cases, he reviews background information, discusses constraints on agency behavior, and assesses expansion of the park systems and restoration of natural conditions at specific locations.

This extensive comparative analysis of the preservation of public lands offers new insights into the capability of nations to pursue long-term goals.