Medical Incentive Structure

The problem of ignoring dietary root causes in institutional care extends beyond assisted living to nursing homes, hospitals, public schools, and prisons, all of which follow similar FDA-compliant dietary patterns. Medication management software for assisted living contains no dietary tracking fields or prompts because no regulatory body requires it, not due to any design failure. Doctors face no legal risk for failing to recommend dietary changes, creating an asymmetric incentive that structurally discourages dietary intervention. Physicians who deprescribe a medication and subsequently see a bad patient outcome face malpractice liability, while those who maintain standard prescriptions can defend the decision as standard of care.