TY  - JOUR
AU  - Schoenberg, Poppy L.A.
PY  - 2025
DA  - 2025/11/26
TI  - From Vision to Strategy: Expanding Metaversal Integrative Healthcare with DAOs and Blockchain Ecosystems
JO  - OBM Integrative and Complementary Medicine
SP  - 050
VL  - 10
IS  - 04
AB  - Legacy, profit-driven organizational structures often lack the adaptability, equity, and innovation required for the evolving complexities of contemporary patient-centered care. They can limit access, constrain options, impose financial burdens, and hinder optimized delivery. Here, we propose a new architecture for metaversal integrative healthcare using decentralized autonomous organizations (DAOs). Blockchain technology and smart contracts underpin equitable, transparent, and resilient health ecosystems beyond institutional gatekeeping and entrenched hierarchies. Central to this innovation is the introduction of Ecosystem Value Networks (EVNs), which quantify how diverse contributors, including patients, function as “wellness stewards” within decentralized, interconnected networks of value. EVNs represent a paradigm shift from transactional, top-down authority structures toward relational, emergent, and self-perpetuating interconnected systems. By programming prosocial principles into the architecture of DAOs via governance tokens, digitally encoded collective voting, autonomous smart contract enforcement, and transparency-by-design; these dynamics intrinsically reinforce collaborative over competitive behaviors and outcomes. Traditional institutions often reward dominance, prestige, and hierarchy, that represent conditioned patterns rooted in ancestral scarcity-based modes of fear and control; ill-suited for equitable healthcare. DAOs and EVNs, in contrast, condition new modes of operation grounded in abundance, interdependence, and shared stewardship. Over time, these digital frameworks can transform how health knowledge is generated, distributed, and enacted, establishing a “new normal” from the inside out, in which interconnectivity defines leadership and value. Moving from vision to strategy, this work maps a pathway toward truly participatory (opposed to nominal or symbolic), adaptive, and value-responsive healthcare systems for the new digital age.
SN  - 2573-4393
UR  - https://doi.org/10.21926/obm.icm.2504050
DO  - 10.21926/obm.icm.2504050
ID  - Schoenberg2025
ER  -