There are two types of strategies to curb diabetes and other diseases; the clinical strategy and the population strategy. Our medical system - which treats individual patients and consumes over 95% of our health dollars - is a clinical strategy. One BIG problem with investing so much of our health dollars in the clinical strategy is that the majority of death, disease, or disability occurs among people who are at low or moderate risk. This concept, which is counterintuitive, is called the prevention paradox. The key to prevent diabetes and other chronic diseases is to design our communities to make it harder to become obese or sick.