David Goldhill discusses the American Healthcare system with Malcom Gladwell. He is the author of Catastrophic Care.
Dr. Doug Lisle is the author of The Pleasure Trap. In a recent article he observed:
Tragically, most people are totally unaware that they are only a few weeks of discipline away from being able to comfortably maintain healthful dietary habits, and to keep away from the products that can result in the destruction of their health. Instead, most people think that if they were to eat more healthfully, they would be condemned to a life of greatly reduced gustatory pleasure. This is an extraordinarily deceptive and problematic situation that I describe as a pleasure trap.
Dr. Lisle is 100% correct. By applying a few basic concepts, it is easy to move away from this trap. Actually, I have developed one concept and two words that works.
When was there a head-to-head comparison of an intensive program of diet and exercise against statins? Never. There was such a trial for diabetes, and guess what? Lifestyle won. - Dr. Vikas Saini
From this article: Doing The Statin Math: What The Loud Debate Could Mean For You
You probably heard: Recently, the FDA announced a ban (sometime in the future) of trans fats in our food. So, the other day, my wife brought home this Chicken Pot Pie from The Fresh Market (a Whole Foods-type store). The front packaging stated: Zero grams of trans fat per serving. To me, that is a tip-off that I better look at the ingredients.
Sure enough, in black and white, there was the trans fat ingredient (partially hydrogenate oil) - second photo, three lines above the signature.
To learn more about the shenanigans of the food industry visit PartiallyHydrogenated.com
Moral of the story: Even in "health-oriented" stores, please do not trust the label - read the ingredients.
Also: Make note of the "Home-style" health-halo marketing. I would love to know: When was the last time anyone made a homemade (anything) with trans fats?
I did communicate with Fresh Market's customer service group. I thought this was an interesting response:
Please advise the customer that we will soon have a new formulation which will be 0 trans-fat. As a result of the Government/USDA shutting down, we are delayed in getting this product to shelf.
They blamed a delay on Uncle Sam - whatever.
Study of the Day: People who eat a handful of nuts seven times per week are less likely to die young, says a large Harvard study today.
This is the type of stuff that makes me nuts. The article also states this:
People who ate more nuts were not only less likely to die during the 30-year period, but also, Drazen said, "leaner, less likely to smoke; more likely to exercise, eat more fruits and vegetables, and drink more alcohol.
Hello! Am I nuts or what? Is it possible the information that is in bold above is what leads to a healthier life and a little more life - in terms of years.
Bottomline: While I do eat a lot of nuts (raw almonds), I will ignore this study.
I can relate to this article about the new statin recommendations.
I'm 58. When I put my numbers into the calculator, the corresponding recommendation was: no statins required. I decided to change one number - my age. I bumped it up to 65. Guess what? It recommended a statin ... to a healthy person.
My reaction: Thanks, but no thanks for the recommendation.
Who designed the calculator? The same people who did healthcare.gov?
Dr. John Abramson, author of Overdosed America, writes: This may sound like good news for patients, and it would be — if statins actually offered meaningful protection from our No. 1 killer, heart disease; if they helped people live longer or better; and if they had minimal adverse side effects. However, none of these are the case.
Read the rest of the article.
Thanks to ...
The new guidelines developed jointly by the American College of Cardiology and the American Heart Association, at the behest of the National Heart, Lung and Blood Institute, a federal agency. They are based on the most up-to-date research on prevention of heart attacks and strokes.
I find this fascinating.
First, in all the articles that are being written, there's no mention of CHANGING YOUR DIET/LIFESTYLE.
Second, we already know that a change in lifestyle will reduce heart disease by 80% and type 2 diabetes by 90%.
Third, Here's the Risk Assessment Tool for Estimating Your 10-year Risk of Having a Heart Attack. Based on the calculation here, a determination is made if you should be on a statin. Interestingly, I did the calculation based on my numbers - no need for a statin. However, I changed one number: my age. I upped it from 58 to 65. Guess what? Based on recommendations, I would be put on a statin. Well, I'm not 65 yet, but I'll take a pass when I hit that age.
My prescription: Forget the pill and change your lifestyle ... please.
Additional good reading: Lies, Damn Lies, and Medical Science
Unfortunately, most experts make losing weight and living a healthy lifestyle very complex. Here are just two examples of thousands.
First, here's an interview that Jonathan Bailor, a lifestyle expert did. It's with a neurobiologist So, granted it could be complex. However, far into the interview, in fact, he provides the simple solution for losing weight and living a healthy lifestyle.
I must add: Jonathan is very knowledgeable and does conduct very good interviews. So, in no way, is this a "knock" against him. It's just an observation that far too many experts turn this into a complex subject.
Next ... Here's a picture of the Obesity System Influence Diagram. Well, if we choose this route, we'll be tied up like a pretzel and never get out of this endless maze.
There’s no company in the world that’s better at making complex technology simple.
That’s Apple’s primary skill and it’s a skill that’s never been more valuable. – Steve Jobs
The simple approach: To combat all the "bad" influences that are thrown at us: Our culture, our food environment, and more, just follow this simple concept: Satiety and Taste.
No details here: I go into great detail in my book and website: 101 Incredible Diet, Health and Lifestyle Tips. Here's one tip: You must be motivated. It's too easy to go in the wrong direction. So, if you are not motivated to lose weight and live a healthier lifestyle, it's not worth starting ... right now.
If a product label states it's "natural", it means nothing! Naturally, I expect you to watch this video.
So, I recommend listening to this interview with Dr. David Katz. He recently wrote: Disease Proof - The Skills You Need to Slash Your Risk of Heart Disease, Cancer, Diabetes, and More - by 80 Percent.
His subtitle reminds me of a favorite quote: Genes load the gun, but lifestyle pulls the trigger.
Here are five that lead to diet and health failure.
I love all of them because, sadly, most people believe them. And, in my presentations and books, I enjoy debunking each one.
Here we go ...
1. Eat Less, Exercise More
Truth ... this lie has led to a tremendous amount of deprivation. Oh yeah, and try exercising off that fast-food lunch. Call me after your two-hour jog. Sadly, many nutritionists perpetuate this lie. A favorite saying of mine: If I'm hungry, I eat and don't think twice about calories. I got this saying from someone who practices healthy eating.
2. Everything in moderation
Truth ... When it comes to food intake, this word has no definition. Moderation to you might be excess to someone else. Most people who struggle with their weight tell me: "Everything in moderation." Replace moderation with rarely or occasionally.
This weekend, I had the most amazing corn-beef sandwich - flown in from Carnegie Deli. The great news: When you indulge rarely, no harm/no foul.
3. It takes willpower to lose weight
Truth: No it doesn't. How long can your willpower last? Not too long. Dr. David Katz says it takes skillpower. No doubt, just a few skills will go a long way.
Here's one of my favorite quotes: Good habits are as addictive as bad habits and a lot more rewarding. Changing a few bad habits will go a long way.
4. Eating food with health benefits is expensive
That's not a lie ... it's Bull$&!%. A day of healthy eating can cost about 11-bucks. Come on, most people pay about half that for their latte-capa-frappochino.
5. Americans have the best health care and we live longer
Truth: Watch about one minute of this video.
Bonus Myth: I wrote Feed Your Head at my local Dunkin Donuts. Its slogan: America Runs on Dunkin.
Truth: While its donuts might taste great, America gets fat on Dunkin.
Want to learn more? Just sign up for 101 Incredible Diet, Health, and Lifestyle Tips. When you do, you will get Feed Your Head at no additional charge.
In an article - Scapegoats, Saints, and Saturated Fats: Old Mistakes in New Directions - written by Dr. David Katz, he observes:
"In the past 30 years in the U.S. the proportion of energy from consumed fat has fallen from 40% to 30% (although absolute fat consumption has remained the same), yet obesity has rocketed."
The author of the commentary, Dr. Malhotra, adds the “yet” at the end of this line as if to indicate this is a surprise outcome. We cut dietary fat, but got fatter! But in implying this, he also seems to be implying that he failed to read what he just wrote. Re-read his line.
If the percent of calories from fat went down, but total fat intake did not (this is exactly what he is saying, and yes, it is true)- it leads inexorably to only one conclusion: total calorie intake went up, diluting down the percent of calories coming from fat. Can you imagine not rolling your eyes at a statement, pretending to be provocative, that read: “our calorie intake went up and yet we got fatter!” The only reasonable reaction to that assertion is: duh!
It seems pretty clear that most journalists covering this story ignored the implications of this line. But more surprisingly, the author himself ignored the implications of what he wrote. We never really cut our fat intake-we simply diluted it as a percent of total calories by eating more sugar and starch. So we kept the saturated fat, replaced some of it in time with trans fat, and applied a generous icing of starch and high-fructose corn syrup. And yet, amazingly, we didn’t wind up healthier. Well then, yes, clearly saturated fat must be good for us! Or not.
Ya gotta love it ... a diet for the social networking crowd ... Good luck Mitzi ... She also co-wrote The All-Pro Diet with Tony Gonzalez (my football hero)
I have listened to and watched much discussion about the Obamacare website. Ironically, comedienne Jon Stewart has the best analysis.
Dear Mr. President,
I am very interested in obtaining insurance via the website healthcare.gov. However, since that website has "opened for business", I have been confronted with many challenges that I have documented - the system is unavailable (there was also a typo on the page), live chat is unavailable, there are a lot of visitors on the site be patient, success URL with a totally blank page, the system is down at the moment, and an error occurred while processing your request. On day two, I attempted to get into the site at 6:00AM with poor results.
While it is disconcerting that the site is not ready for prime-time, it is equally troubling that you slough off its performance with a comparison to an iPhone release. You are known as the "great communicator". In my estimation your communication related to this release fiasco has been incredibly poor. As our leader and great promoter of Affordable Care, it would be most appreciated if you explained the problems and got your troops to fix them - sooner, rather than later.
A long time ago a business associate presented me with the Six-P Formula. It goes like this: Prior, Proper, Planning, Prevents, Poor, Performance. I wish you had been in that meeting.
A new day...A new problem. Now that President Obama finally spoke about the website, I figured that I would try it one more time. Well, as the picture shows, I got a little further. However, when I clicked on the continue button, it did nothing. So, I wasted my time "identifying" myself.
We are now 21-days into this fiasco. As some tech folks have discussed, there are obviously some very serious problems with healthcare.gov. I read that this website cost over $500-million. Wow!
Well, I got into the site with my log-in and password - to no avail. This was the next screen. Thank you Uncle Sam for the good laugh. I understand laughing is good for health. So, I thank you for assisting me with good health, but not insurance.
The website was sluggish, but it did let me in with my login and password. However, once in, this is the cryptic message that I received.
Seems like Healthcare.gov needs to go to the emergency room ... when it gets there it can wait and wait and wait.
Finally: I got into HealthCare.gov website and created a login and password. Oops: But when I "got in", this is the page I got to. Yep, a blank page. Notice in the upper left-hand corner it says: Success URL.