Casey Means, MD

speaker

204 appearances 1 recordings 1 series first heard Oct 2024 last heard Oct 2024

Casey Means, MD’s voice in public audio — every appearance, attributed to the second.

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The Joe Rogan Experience · #2210 - Calley Means & Casey Means, MD · 8 Oct 2024 podcast

We I every doctor I know is a good person went into health care for noble reasons. But if you have if you have a hammer, everything looks like a nail. If that's what you know and that's what you can offer people, that is what you're going to offer people.

And especially with cancer, when people are hopeless and desperate and you have something you can do for them and it happens to be really profitable. This this revolving door keeps happening. Yeah. And then just always getting back to systems issues, because that's where Callie and I really focus. You look at some of these things that sound good on paper.

And I think this is actually a lot what's happening with politicians, is they see these bills, lots of things coming across their desk, and they kind of sound good on paper. It's going to be good for farmers. It's going to be good for absences. It's going to reduce obesity. Sounds great, but the devil's always in the details. You look at what happened with...

obamacare and like they they did they did speak about this idea of value-based care which sounds really good it's like we're gonna have we're gonna pay doctors more for better outcomes which which is awesome so a doctor would have to show essentially that they're the patient is getting better and they're doing it for a lower cost that's the value equation and if that happens they get paid more well the

easiest, by far, evidence-based way to make a patient healthier for a lower cost is to have them eat real food and exercise and go in the sunshine and sleep, right? And manage their stress, obviously. Not drugging them for life. And unfortunately, even that... That whole project got co-opted by industry because what happened was industry got their fingers in it.

And the quality metrics that doctors were going to have to report on to get that increased payment, instead of it being quality, good outcomes, being a healthier patient who reversed their disease, quality, good outcomes was measured by how many of the patients in that doctor's practice were medicated on long-term medication therapy.

So a doctor, instead of saying, I reversed these 50 patients' diabetes and now they are non-diabetic, they would report that they had their patient panel on long-term diabetes medication and they were compliant with it. That was a good outcome. So even something that sounds good, Obamacare, value-based care, can get corrupted if we don't look at the details.

There's a new bill right now that's been introduced that's all about protecting farmers, that's basically going to allow the EPA, which is totally bought off, to decide at a federal level whether these different pesticides are safe or not.

And so if the EPA says that a particular pesticide is safe, then state by state, it's going to be similar to the vaccines where people cannot sue for harm caused by pesticide injury if it's got the label that the FDA said it was safe. So it's like, oh, well, this is going to create less complexity for farmers and we're going to have less litigation. But it's the devil's in the details.

And so, you know, I think that all that is to say, I think COVID broke something open that is good because it's basically giving people the courage in the face of total insanity that happened to ask why and to be a And but there's you know, there's a lot to clean up.

And I think that just seeing it firsthand in the health care system, like I have a little cynicism about it because of the way the incentives are in the business model. But I think like Callie said, with executive leadership, this could change rapidly.

I was just going to say, the immediate response to what Callie's saying is that's going to decrease access. People are going to starve. This is an equity issue. People can't afford regenerative agriculture. Yeah, by design, right? That is also a systems issue. The fact that people can't afford that food is because we're subsidizing the shitty food.

So it's like that's why at every level, you know, the immediate backlash to saying any of this is that, oh, that's elitist, classist, racist, whatever, you know, because not everyone can afford this. But that is literally by design. And that could be changed as well.

Of course we'll make this happen.

Or complicated. How are we going to get the food there? It's not complicated. You know what's complicated? Sitting a 12-year-old down once a week to get an injection for their obesity. This is insane. Like going to the pharmacy, having to pay for that, having to get the kid to accept the injection.

That kid's still going to be living in a toxic stew. They're still going to have a totally challenged life. Their mitochondria, you know, is that ozempic going to go into their cell and somehow clear out the mitochondria of all the other toxic crap that we're still living in? Absolutely not. So it's like we are being gaslit.

We are being gaslit to think that for some reason the pharmaceutical approach is the only one.

It's the only thing we should be passionate about. It's the only thing that defies complexity or cost and silence on kids need to be outdoors playing. Right now, the average kid in America is spending less time outdoors than a maximum security prisoner. We should think about that.

The fact that the pesticides, the plastics, the sleep, all the things, and somehow that's all too complicated, but we can jam kids for life with a shot weekly for $1,600 a month.

And liking sunlight.

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