The Physical Laws Framework: Conserving High-Quality, Long Lives
The National Minority Quality Forum (NMQF) presents this exploratory Health Affairs blog series to introduce the Physical Laws Framework (PLF), a groundbreaking evaluation methodology that applies fundamental physical laws to healthcare system design, maintenance, and evaluation. We are setting the scales at the conservation of life. Unlike legacy healthcare systems that prioritize financial metrics and administrative efficiency, PLF focuses on healthcare's true mission: conserving high-quality, long lives by maintaining and restoring biological order.

Explore the Series
LinkedIn Live + YouTube Playback: Expert Talks on Each Principle:
Join NMQF staff and special guests as we break down each article through engaging LinkedIn Live sessions. These video discussions bring context, commentary, and community voices to the Physical Laws Framework.
Why the Physical Laws Framework Matters?
The Physical Laws Framework matters because it grounds healthcare in the universal principles that govern life—like timing, energy, and order. By aligning care with these natural laws, we can better understand the root causes of health disparities and design systems that truly support equitable, effective outcomes for all.
FAQ's
What is PLF?
PLF is a healthcare transformation model that aligns care systems with the physical laws that govern biological life—from atoms and molecules to entire organs and systems. It seeks to deliver more effective and equitable healthcare by working with, not against, the body’s natural processes.
Why is PLF Important?
Current healthcare systems often violate the fundamental laws of biology—through delays, fragmented care, and systemic inequities—which can worsen outcomes. PLF offers a science-based framework to prevent and reverse these problems by restoring biological order.
What problems does PLF address?
PLF tackles systemic disorder in healthcare: late diagnoses, access delays, fragmented records, and care decisions that ignore biology's timing or energy needs. These violations disproportionately affect marginalized communities.
What are the six principles of PLF?
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Conservation of Biological Order
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Energetic Efficiency
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Information Transfer Fidelity
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Temporal Alignment
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Equilibrium Restoration
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Environmental Foundation Integrity
How does PLF relate to health equity?
PLF directly addresses health disparities by showing that poor outcomes are often the result of systemic violations of biological law—such as access barriers, environmental stress, or poor coordination—not individual failings. By realigning care, PLF reduces inequities.
Is PLF a policy proposal or a clinical tool?
It’s a scientific framework for organizing both policy and practice. PLF can inform how we design benefits, deliver care, set quality measures, and engage communities—all grounded in physics and biology
Who created PLF?
The National Minority Quality Forum (NMQF) developed the PLF to advance systems that deliver equitable, biology-aligned care. It serves as the foundation of NMQF’s research, advocacy, and policy efforts.