Mary Dan Eades, MD, critiques modern medicine’s reflexive reliance on escalating drug therapy rather than addressing underlying metabolic dysfunction. Using a MedScape clinical quiz about a mildly hypertensive patient already taking three medications, Eades illustrates how continuing medical education often trains clinicians to add yet another pill—or even consider invasive procedures—while ignoring diet, exercise, and insulin resistance as root causes. She argues that much of so-called “essential” hypertension is a manifestation of metabolic syndrome and that chasing ever-lower numerical targets reflects pharmaceutical capture of guidelines rather than patient-centered care. The article makes the case that a whole-food, low-carbohydrate ketogenic diet combined with resistance and functional training can rapidly improve blood pressure, weight, and metabolic markers—often allowing medications to be reduced or eliminated—while exposing polypharmacy as a symptom of a system that treats numbers instead of people.