He believes that laughter, joy, and creativity are an integral part of the healing process, and therefore true healthcare must incorporate such life. Doctors and patients in his model relate to each other on the basis of mutual trust, and patients receive plenty of time from their doctors. Allopathic doctors and practitioners of alternative medicine will work side by side. If you think that all sounds like a utopian impossibility, it isn't. Adams and his colleagues practiced medicine at the Gesundheit Institute together in West Virginia that way for 12 years in what he calls their "pilot project." They saw 15,000 patients. He has devoted his life to the study of what makes people happy.

The Gesundheit Institute addresses, by action, four major issues in healthcare delivery: the rising cost of care, the dehumanization of medicine, malpractice suits, and abuses of the third-party insurance system. Dr. Adams adds to his training as a physician his experience as a street clown. In working with health and mental health professionals, he explores the relationship between humor and therapy using his unique blend of knowledge, showmanship, and "hands-on" teaching techniques. He says, "I interpret my experience in life as being happy. I want, as a doctor, to say it does matter to your health to be happy. It may be the most important health factor in your life."

The author of two books, Gesundheit and House Calls, Adams is also a nationally known speaker on wellness, laughter, and humor, as well as on healthcare, and healthcare systems. He approaches the issues of personal, community, and global health with "zestful exuberance" according to Time magazine. He believes that "the most revolutionary act one can commit in our world is to be happy."