For decades health reformers have been pushing American medicine to adopt more proactive models of care -- led in large part by Kaiser Permanente and its deep history in preventive medicine. Yet focusing healthcare conversations on maintaining health rather than managing sickness appears to be a constant challenge. Today consumer technologies are driving people to monitor, track and manage more and more elements of their lives, in pursuit of total health and wellbeing -- from mental to physical health and all of their intersections. Are these digital tracking technologies then enabling our pursuit of wellness, or are there more systematic interventions on social determinants of health? What are the current models of health that point us towards an ideal future of integrated mental, physical, and social wellness, and how can we ensure that all people access these means to truly thrive?