Dr. Anand Parekh
Appearances
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I know how frustrating it can be to struggle with sleep. Tossing and turning, feeling like your mind just won't shut off, and waking up more tired than when you went to bed. It's exhausting, both physically and mentally. Sleep is so foundational to your health, but so many of us suffer from poor sleep.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
It's zero, right? Unless you get a gastric bypass. And they had 60% reversal. They had 90% or more off of insulin or very low insulin doses. They had 12% weight loss, which is a massive amount. In weight loss studies, you get five. Everybody's dancing around, happy and excited for 5% weight loss. And they did it through a digital platform where there were coaches and support.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
There was remote monitoring for ketones, for weight, for blood sugar. And they published the data. It was a ketogenic intervention, which is the opposite of the DPP, which is basically high fat. And yet this is not reimbursed. And it's the amount of savings in these patients just astronomical.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
So how do we sort of get, because this sort of goes back to the conversation we were having earlier about prevention and treatment. So prevention is important. It's a population-based intervention, and not all the people you're gonna do the intervention on are gonna get the problem. In other words, not everybody who gets a colonoscopy was gonna get colon cancer, right?
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
But everybody who's already sick needs the intervention of lifestyle interventions, because it's lifestyle as treatment, not only as prevention. But that's not reimbursed, and yet it's probably the biggest bang for the buck in terms of our healthcare system. And how do we get our government to start to understand that?
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And maybe it's what you talked about, is funding more research that proves the model. Right, right.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Looking at hormones, organic acids, nutrient levels, inflammatory factors, gut bacteria, and so many other internal variables can help us find the most effective path to health and healing. I'm really excited about that now, and I can finally take advantage of these tests without the hassle of the confusion of going through so many multiple labs.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I mean, you were involved in the one campaign that was driving the AIDS and poverty relief in Africa. And it was a massive campaign against all odds. And it succeeded. And you were shepherding that through. And that was a huge achievement. We need a PEPFAR One campaign for the food system. We need a Manhattan Project for the food system.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
How would you go about, given all your experience and knowledge and your work at the Bipartisan Policy Center, laying that out in a way that was a doable strategy, a winnable way?
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Yeah, you don't. And so the key things that have to get changed, and you write about them, for example, in the bipartisan policy work, you know, SNAP, food labels, you know, reforms to Medicare, reimbursement around food as medicine, which you're talking about. How challenging do you think it is to get some of these things done? Because
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
For example, with SNAP, the leveraging nutrition was a great report that was put up by the Bipartisan Policy Center, which outlined some of the things that need to be done, like limiting access to, for example, sugar-sweetened beverages, which the dietary guidelines say we shouldn't you eat, but the SNAP benefits provide $7 billion a year for soda consumption. And so it's like schizophrenic.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
It's like the right hand doesn't know what the left hand of the government's doing. And there are people who are for it. There's people who are against it. For example, the hunger groups oppose any restrictions. And how do you thread that needle? Because I think
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
It's such an important program, for example, for feeding the hungry and food insecurity, but it also has secondary negative consequences of actually increasing poor health in that community and increasing the need for Medicaid and Medicare to pay for those patients who eat those foods who get sick. So it's really kind of a rabbit hole you don't want to go down.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Key ingredients like magnesium, vitamin B6, zinc, and calming compounds like glycine and magnolia bark work together to promote relaxation, lower stress, and optimize your sleep cycle. If you're ready to transform your sleep and health, give Sleep Breakthrough a try. Head to bioptimizers.com slash hymen and get 10% off today with promo code HYMEN10. Yeah, I think that's right.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I mean, I think I'm always curious about, you know, policy ideas becoming then policy and then becoming implemented. And it seems like there's a lot of steps there that things can go wrong. How do you navigate that?
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
With all the conventionally raised animal products flooding the supermarket, it can be hard to find meat that actually supports your health goals instead of taking you further from them because of the use of antibiotics and hormones and a really gross, unnatural, inflammatory diet that they feed the animals. And that's why I love grass-fed ground beef from ButcherBox.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
It reminds me of what Winston Churchill said, which was democracy is the worst form of government, except for all the others. And I think, you know, you're kind of a unicorn because you thread the needle between a heart surgeon, which is the sort of epitome of acute care, rescue medicine and public health, which has been a large focus of your work.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And particularly with the Robert Wood Johnson Foundation and Like you said, you were there operating on the downstream consequences of all this stuff. And you're like, wait a minute, maybe we better figure out a way to not get these people on my operating table.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And a lot of the work you're doing now in Nashville with Nashville Health and the Robert Wood Johnson Foundation is focused on population health and how the social determinants, which are
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
food and your housing and your economic opportunities, all the things that we don't think are that important, which may make up to 80% of the difference in your health and your, you know, actual health quality of life and productivity. You know, what do you see is required for the government to sort of really shift to say, wait a minute, we're focusing on the wrong end of the stick here.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Yes, we need to, you know, maintain our best healthcare system in the world and the high quality of acute care medicine. But if we're really going to solve the health disparities, the economic impact of chronic disease, the fact that six out of 10 Americans suffer from a chronic disease, four out of 10 have two, and in a few years, 83 million will have three or more chronic diseases.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Ground beef is probably the easiest protein out there that can be worked into any type of dish. I just love how quickly it can help make a healthy meal. And when you go with grass-fed, you're getting a source of omega-3s, vitamins, and minerals, too, and maybe even a lot of phytonutrients.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And, you know, this will be metabolic health, you know, only being 12% of the population, 88% are not healthy. How do we start to shift our focus and share some of the work you're doing there because it's so important and it's such a different framework for how we solve these problems than just more access to care and better financing and better efficiencies.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
It's flipping the whole problem on its head.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And with ButcherBox, I get 100% grass-fed and grass-finished beef delivered right to my doorstep, no matter which state I have to be in. They also offer free-range organic chicken, wild cod, and salmon, which are part of my weekly meals, too.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
It's true. And the thing that you talked about in terms of medically tailored meals is such a great example of an out-of-the-box intervention that works better than anything else. And you see that with the homeless population, providing them housing, literally paying for their apartments, reduces healthcare costs dramatically and is actually an economic benefit.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Or I was speaking to the former head of population health at Cleveland Clinic where I work, and he said, you know, if we provided housing and food for young mothers, we would dramatically reduce preterm births and neonatal costs, which are literally in the billions and billions of dollars.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Grass-fed ground beef is the first protein I recommend for people who are trying to get more comfortable in the kitchen because you just throw it in a pan with some sea salt, herbs, and spices and make a great meal. One of my favorites is sauteing it with lots of fresh garlic, onions, peppers, cumin, chili powder, oregano, tossing over a bed of greens for a super easy homemade taco salad.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And yet our health care system isn't set up to provide food or housing or any of the things that actually make the most difference. That's what's so striking to me.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Yeah, it's true. We were at a friend's house, Jimmy Haslam, and his brother was the governor of Tennessee, and we were chatting, and he said, you know, a third of our Tennessee budget is Medicaid. which is not only because of populations who are affected by these social determinants and desperate to find solutions, but I don't think they're hearing the right ideas.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I don't think they're hearing the right information. And I think, you know, the fact that, you know, you're out there talking about this and that, there's these models like national health, I think hopefully will spur governors and mayors and others to actually start to act on this because this is where we have to move.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I think, you know, in healthcare right now, there's this movement towards population health. Cleveland Clinic just stood up a new program called 4C, Cleveland Clinic Community Care, to try to actually act in this space. And they started a food is medicine program. So you see these global leaders like Cleveland Clinic leaning into this space to
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Just talking about this makes me hungry. If you've been looking for a way to get more high-quality protein in your own diet, be sure to check out the grass-fed beef from ButcherBox. along with all the other humanely raised antibiotic and hormone-free meats. They make eating well easy, delicious, and accessible.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
But I still find it's so incremental and I am like, wait, you know, this is like, I feel like I'm, I've got a big, you know, a truck full of water and I'm, you know, in the desert and there's on the other side of this glass wall is everybody's dying of thirst. And it's like, it's so not that hard. Yeah. And yet, and we're just, it's so frustrating. So I think you're right.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I think it's a grassroots efforts and, and on the local, local levels being, being focused on this. And it's also educating policymakers. And that's really why, you know, I, I wrote my book food fix is why I started the, the food fix campaign, try to create a coordinated effort.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Like you're talking about for the 2000 people in Washington that actually need to be educated to understand these things, because, you know, I don't believe there's anybody that wakes up in the morning and says, you know, I just want to keep people sick in America and I want to maintain the status quo.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I mean, people, whether you're a big CEO of a food company or you're a politician, everybody wants better for themselves, for their families, for their country. It's just that we don't have the roadmap to get there. And I think this is the kind of stuff that actually has to be at the forefront of whoever is in the next administration in the aftermath of COVID-19.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Because just in terms of pandemic preparedness, how do we deal even... the next pandemic that's going to come unless we make a more resilient healthcare system, a more resilient population. And I think, you know, I think you've worked so hard to do that.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
So how would you, if you were president today, what would you be like leading the charge on to get us going in the right direction around this incredible burden of health disparities and chronic disease and social determinants?
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I'm a Democrat, but I would vote for you.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Why aren't the good people running? I just don't understand.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
You're one of the few scientists, physicians who've come to the insight that we can't just treat patients in the office and tell them what to eat, that we have to fix the food environment that healthcare fix.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
It's not just about better care coordination or better efficiencies or improving payment systems or prevention in some vague way, but it has to do with changing the context in which we eat the foods that we have access to and the policies that promote the consumption of more and more of the bad stuff. And again, we're sort of incentivizing the wrong things.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
So one, how did you kind of have the aha? And two, let's talk about this because it seems like, you know, one, one in $5 is for healthcare and about 80% of that is for chronic disease. And most of that is from diet that if we go upstream, unless you go upstream, we're not going to fix the problem.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And that's projected to go up exponentially.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Yeah. All of them. Well, the challenge with that is that the food industry has polluted the science with studies that confound the truth, that challenge notions that they're unsafe. You know, American Beverage Association fund studies that soda doesn't cause obesity and kind of muddies the waters.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And so the argument is, well, who's going to be the judge and determine whether or not this is safe or not safe, right? Some people think, well, Twinkie's fine if you eat it once a week, but maybe not. Yeah.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
There was a guy who was at the Milken Conference who was the head of a big food company. He was like, I feel like a frightened dinosaur.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Making an Oreo of 90 calories instead of 100 calories. Exactly. Cut six trillion calories out of the food supply.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
These are the same. Sure. Yeah.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
with industry and also work against industry when we need to give them carrots give them sticks help them and sell healthier more equitable more sustainable food and i think that's happening i think that's i think i've seen these big companies like nestle and pepsi just struggling to sort of reinvent themselves but it's tough because they've got you know i mean i talked to the head of nestle and he's like yeah we have lean cuisine which is mostly carbs
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
because it's low fat. And because we call it lean, the FDA says we can't change the composition of it. So we can't make it healthier, even though we want to. And I'm like, it's an $800 million business. I get it. These are like big issues for them.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
So let's talk about what those policies are. Cause there, there's a lot of things you've written about and I want to get into some of them.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
You talk about your best by policy changes that are going to be not one thing, but a series of things that attack multiple sectors where there's issues, whether it's policy schools, whether it's quality issues, whether it's, you know, labeling, whether it's research, all these things are, are needed in concert to actually shift the whole dynamic from what we have now.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
But one of the articles wrote was called the real cost of food. Can taxes and subsidies improve public health in JAMA a few years ago? And one of the challenges that, you know, we sort of don't want a nanny state, but in essence, we are creating a nanny state in reverse because we're being a nanny to the big food companies by subsidizing commodities.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
that are wheat, corn, and soy, that are almost 60% of our calories, and the people who consume the most of them are the sickest. And of course, we then fund food stamps, which is predominantly, I think it's 70 plus percent of it goes to junk food, and 7 billion, almost 10% goes just to soda. So we've created this system where we're having price supports for the bad food, but not for the good food.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And you talk about flipping that upside down.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I talked to the vice chair of Pepsi. He's like, Mark, I said, why do you use high fructose corn syrup in your drinks? He says, because the government makes it too cheap for us not to.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
But does it allow for the production of more and more of the food? In other words, they pay for them to produce food, even if they, for example, in bad soils or in ditches, and then they fail and they pay for this money. I mean, I've heard all these stories.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I thought that's what Nixon's policies on Earl Butts were designed to do, which is to drive the prices of milk and meat down because they were consuming these commodity crops. And he was worried about the prices going too high and not getting elected. And he got Earl Butts to change the policies. I thought that's what the whole thing was about.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
All the externalities. Even how we grow the food, how it affects soils and water and climate.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Soda has gone down 40%, and the price of fruits and vegetables has gone up 40%.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
So what are your best buy policies if you were willing to sort of be in charge for a little bit and could just do what you wanted? I think you're in North Korea, just make a decision on whatever you want to do.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
In other words, you shouldn't give them a tax break for spending... billions of dollars advertising junk food to kids.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Well, our school lunch policy now doesn't exactly do that, right? Pizzas are vegetable and French fries are vegetable and
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Although 50% of schools, you go in and get brand name food on different days. Monday, it's McDonald's. Tuesday, it's Burger King. Wednesday, it's Domino's. That's 50% of schools and 80% have contracts with soda companies.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
No, but all the sports drinks, which are extremely high in sugar.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
So there's no sugar-sweetened beverages in schools? Yeah, that's pretty much.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Right, right.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
But you've got to train the doctors.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Before you jump on there, just to show you how powerful that is, what you just said, that if you get food prescriptions, the impact can be profitable. Why would the government want to pay for food? It seems like a waste of money. People have to eat anyway.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
But Geisinger did a study where they actually took very treatment-resistant type 2 diabetics who were poorly controlled, the most food-insecure, They were costing an average of $248,000 a year and they gave them $2,400 of food and some support, social support and help to use the food and learn what they're doing.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And they reduced their cost to 48,000, an 80% cost reduction while improving dramatically the health And so it's a no-brainer, but you can't get Medicare to cover a fruit and vegetable prescription.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
We don't focus on, you wrote that we spend about a billion and a half on nutrition research and about 60 billion on all the drug and other research. So it's like,
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I heard some scary thing. We spend more on animal pet care and food than we do on education for our kids.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
I mean, it's tough. You've got 40% of the Academy of Nutrition Dietetics, which is our dietetic group in America, being funded by the food industry.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
50 years. Yeah, it took a long time, but we've done it.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Hey everybody, it's Dr. Hyman. Thanks for tuning into The Doctor's Pharmacy. I hope you're loving this podcast. It's one of my favorite things to do and introduce to you all the experts that I know and I love and that I've learned so much from. And I want to tell you about something else I'm doing, which is called Mark's Picks. It's my weekly newsletter.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
So just to clarify for people, the Congressional Budget Office is the watchdog. That's right. That looks over the costs of things for the government.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And the policies and laws. And they score policies based on their impact over a 10-year period. But the benefits of prevention might be over a 20-year period. So it seems like a cost center instead of a cost savings.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
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The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
So we're still- And just to clarify for people, the way typically doctors get paid and hospitals get paid is like widgets. The more stuff you do, the more you get paid. The more angioplasties you do, the more surgeries you do, the more colonoscopies you do, the more visits you do, the more money you make. That's right. And it doesn't care if the product is good or not.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
It's like, imagine paying for a car, but it didn't work. You're not paying for the outcome. And so value-based care is a new way of thinking that's incentivizing healthcare systems and doctors to be accountable for the outcomes of their patient's health. So keeping them healthy. Now if somebody bounces back to the hospital, the hospital makes money. In the future, the hospital won't make money.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
It'll be making money by keeping people out of the hospital. And that's a very different paradigm shift, but we're not quite there yet.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
i think it's pretty important because if you don't actually provide an environment that allows people to make easy healthy choices it's hard to do the right thing and i think one of the biggest challenges in this conversation is the sort of dichotomy between the idea of personal responsibility and sort of the nanny state you know the environment we live in how do we change the toxic environment and i think most of the messaging from
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
It's not just about feeling rested, it's about giving your body the deep restoration it needs to feel and function at its best.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
most of professional associations, much of our government policy, and certainly the food industry, is that It's your fault you're overweight. It's your fault you're sick. It's a personal choice, just like smoking is a personal choice. And they talk about moderation. There's no good and bad calories. A thousand calories of broccoli is the same as a thousand calories of soda.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
There's focus on exercise as the solution. There's focus about moderation. It's really interesting, and it's a culture that's really focused on personal responsibility, but it ignores the fact that actually can't be personally responsible in a toxic environment. If you can't go in your neighborhood and buy a vegetable and you have to take two hours of buses to buy a carrot, that's a problem.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And if we don't address the environment we live in, we're not going to be able to get people to make healthy choices. I remember reading a study where they looked at people who were overweight and diabetic who lived in very low socioeconomic neighborhoods. They moved to a slightly better neighborhood
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
and their blood sugar went down and their weight went down without any other intervention, just giving them a better zip code. So basically the zip code we have is a bigger determinant than our genetic code when it comes to our health. And we don't really seem to acknowledge that in our policies. We say it's all about choice.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Because the truth is, you know, food industry and pharma are not investing in research around this.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Is that really true? 19% of the NIH budget goes to prevention? 19%.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
So the incentives are not as much there. Hey everyone, it's Dr. Mark. One of the most important tools I have for helping my patients optimize their health is testing. And that is why I love what Rupa Health is doing.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Well, let's just define prevention because is a mammogram prevention, is a colonoscopy prevention? No, it's early detection. True prevention is really dealing with the causes, the upstream causes that you talked about in your book.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Yeah, one of the things you mention in your book, in addition to sort of these points, is sort of targeting things that work but aren't paid for. So digital health, for example. You mentioned Omada Health, which I helped advise when they were starting out.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And I said to them, look, the diabetes prevention was a good start, but it's based on a little bit antiquated nutritional data about low-fat diets and high-carb diets for diabetics. But it worked because, and I met people who were in the program And they said, well, it worked because we came to groups, because we had to write down everything we ate, because we exercised together.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
Functional medicine testing can require placing orders with lots of different labs and it can kind of get really complicated for doctors and their patients to easily access results and keep track of everything. But Rupa Health has totally streamlined that process.
The Dr. Hyman Show
Encore: Why Our Current Healthcare System Keeps Us Sick And How To Fix It
And it wasn't so much the food, although it was healthier, it wasn't the healthiest. And there's been more sort of advanced versions of that that have developed that are digital. For example, Virta Health, you probably heard about, where they literally take in poorly controlled, like pretty overweight, poorly controlled diabetics, 60%, 60% reversal. Now, in traditional medicine, it's like zero.