I agree with you that we’ve made progress. To me, the most impressive achievement has been nearly curing cystic fibrosis and our array of tools for dealing with HIV. And yet I think it’s important to be honest. The age-adjusted diabetes mortality rate per 100k has been pretty much flat for thirty years. Life expectancy growth has been meager and the US has fallen far behind Europe. Overall health/physical fitness/mental health seems to be on a steep decline. 90s and 2000s optimists had high hopes for the world. They would have good reason to be horrified at things today.
If we’re lagging behind Europe, that doesn’t seem to be an issue of progress, right? If they are ahead, then the tech must be here ready. And we’re a bit richer than them, so we could presumably afford to implement whatever policies they are doing. Living just seems to be a higher priority over there…
Meh, it’s just a reflection of there not actually being much medical progress and lifestyle becoming the dominant tie breaker as the few breakthroughs we do have spread through the world.
“We can’t fix most damage to any organ so follow a lifestyle that minimizes it” is not a meaningful medical advance IMO.
Thanks to modern weight-loss drugs (many of them repurposed diabetic meds) lifestyle might become less important.