Another Reason for Universal Healthcare
Arbitrary denials, and delay in medication, should not be controlled by health insurers like UnitedHealth Group.
And just like that UnitedHealth Group reduced the work required for patients to receive their medication. It’s as if there was no real reason for anyone to jump through these hoops to begin with. It’s as if all the requirements for reauthorizations were made up. As if they were only in place to make it difficult for people to receive their medication and deny or delay peoples prescriptions and save UnitedHealth Group money.
It seems that way, because it is.
Once you see the truth you can’t unsee it, and that’s how I feel here. After learning about universal healthcare systems in other developed countries around the world my views of healthcare in this country have totally changed. Perhaps the most eye-opening fact I learned was that in developed nations with universal healthcare insurers, whether they are private or public, are not allowed to deny or delay claims. I can’t help but see this situation through that lens.
The problem is that UHG, a for profit health insurer, is allowed to implement their own set of made up requirements that do nothing but make it more difficult for patients to receive medical services and medication. And the arbitrary nature of these requirements is confirmed by the fact that, after receiving some “pressure,” at a moments notice they can change those requirements. So much so that they anticipate a 25 percent reduction in paper work associated with reauthorizations for the 80 drugs they selected.
When you see that you have to ask the question: If they can so easily and quickly eliminate those requirements, then why were they there in the first place? And, what other “requirements” could just as easily and quickly be eliminated? How could insurance make it easier for doctors and patients to receive the care they need and are entitled to instead of making it more difficult?
It’s a big game to them. The prize is money. The consequence is suffering.
I know because I saw it firsthand after the company I worked for was acquired by UnitedHealth Group. The focus was never on patient outcomes or the level of care patients received. Not when it got in the way of profits. UHG executives didn’t fly in for meetings to discuss how patients were doing. They flew in to ask: why we weren’t making more money, how could we make more money, and when we would make more money.
I was never a proponent of universal healthcare, especially when I was working. It took me a long time to come around to it. Reading The Healing of America was the last piece for me. I realized I wasn’t a proponent of it because I didn’t understand it and because I had succumbed to the propaganda that opposed to. TR Reid’s book gave me the information I needed to understand how it could work, and why it was so important.
Healthcare is not something to mess around with, that suits in a board room should be pontificating on. Healthcare should be easily obtainable, accessible, and affordable for everyone. And people who actually study medicine should be making the decisions. Decisions shouldn’t be made based on their impact on a stock price.
From my time working under UnitedHealth Group I still own some shares of their stock. When their CEO was murdered, the stock took a dive. When the DOJ opened up an investigation into improper billing of Medicare it dove further, and it hasn’t recovered. I told my brother I’m stuck between a rock and a hard place.
“On the one hand, my stock is down 30 percent. On the other hand, UHG is finally getting what it deserves, and even though it hurts my wallet, I’m happy that they’re facing a reckoning.”
The Reality
Lessons from the mobile food market with We Don’t Waste
There’s basically four jobs you can do when you volunteer with We Don’t Waste (not including setting up and breaking down the market, which everyone works together on).
You can work the check in table. That is verifying that the participants have a reservation, and checking them in to the system so we can keep track of how many families we’ve served (an average market serves 400 families, 2,000 - 3,000 people).
You can work the food tables where customers shop, making sure that the tables are stocked, and that customers take the right amount of each item (every item has a limit to ensure that all participants have the opportunity to shop the item).
You can work the market entrance and assign families that need a shopping cart to a volunteer working a cart. Lastly, you can volunteer to work a shopping cart, which involves following a person or family through the market, helping load their items into the cart, pulling the cart for them, and then following them to their car or house (when its close) and unloading the items for them.
Carts is the job I most prefer.
I prefer it for two reasons. One, it is the most active and physically demanding of all the jobs. It requires 2.5 hours of constant moving, walking, and occasional lifting.
Second, I love it because it gives me the opportunity to interact with the people who come to our markets, and it allows me to get to know a little bit about them.
The demographics of the people who come to our markets is diverse. Young and old. Singles and families. Citizens and immigrants. Housed and unhoused. And everything in between. The question I ask most people is “where are you from.”
A young man with his baby girl from Afghanistan, in America attending college.
A very young girl rom Spain, shopping for her whole family who presumably couldn’t make it to the market because they had to work.
A mother and grandmother from Ethiopia.
A young girl born in Colorado, but whose parents immigrated from Kenya.
A young man no older than me with a baby girl who told me he walked from Venezuela with his wife (his daughter he priorly exclaimed was born in Colorado). It took them 2 months, and they had to cross the dreaded Darién Gap.
An elderly overweight woman from Colorado with health complications.
A family from Panama.
A 37 year old man from Vietnam, who’s lived in America for 10 years.
A lady from El Salvador who’s been in America for 30 years, in Colorado for 20 of them.
A young unhoused couple and their dog, from Colorado, living out of their car.
A Native American Man and his wife.
Two friends, a male and female, the woman carrying her beautiful 7 month old baby girl, who came to America from Egypt 2 years ago.
An elderly woman from Colorado shopping for herself, her 18 yr old grandson, his 17 year old girlfriend, and their infant. All of whom live with her.
A handful of families from various parts of Mexico.
A young American woman with 5 kids, 3 of whom are special needs.
These are the people we serve. These are the people whose lives we make a little bit easier by providing them with free food and baby supplies (WeeCycle partners at all We Don’t Waste Markets to provide free diapers, formula, and occasional extras such as winter coats, blankets, toys, and books for children). These are the people who we make feel a little bit more welcomed, by being kind and offering our help to them.
And in turn they are kind, generous, and grateful whenever they are at our markets.
These are the people I get to know just a little bit whenever I work a shift. And these are the people that remind me that no matter where you come from in the world, or what your hardship is, that all you want is to be fed, cared for, and welcomed into society.
And these are the people that remind me that every effort by the news, politicians, and lobbying groups, to make us think otherwise, is absolute horse shit.
People’s Opinions Are Not Their Own
But they believe they are
Most people don’t even realize that when it coms to politics and world events, that is to say things to which they are not intimately involved with, that they don’t actually have an opinion. That the thing or idea they espouse to believe is just a regurgitation of what they have been told.
How else do you explain people supporting foreign wars that kill millions of innocent people that they have never met and have never threatened them, fought in a place they have never been to?
How else do you explain why people would so easily agree to shut down their businesses, stay locked inside for months, and allow loved ones to die alone in hospitals, nursing homes, and clinics?
Would it really be the opinion of the average person that this was all ok had the ideas not been shoved down their throat?
The same goes for the love and hatred of certain political figures. How do you explain why so many people hold Barack Obama, Hillary Clinton, and Joe Biden, in such high regard, despite the fact that they have participated in genocide, overthrowing foreign governments, and the relentless bombing of foreign countries.
People hate Russia, China, and Iran, and yet most of these same people have never been to any of these countries (most of them probably don’t even hold a U.S. passport). Most of them have Russian friends, Chinese friends, Persian friends, or have met people from these countries and have never had more than a disagreement with them, and yet they believe, because they’ve been told, that these countries and the people that populate them are bad.
They view these countries as evil and cheer on any talk about destroying them. Whether it is by financial and economic ruin, or through physical aggression. They view it as just and reasonable. And they believe it is an opinion they have formed. It never occurs to them that these countries might just be filled with people similar to the ones they have known in their own lives.
It’s similar to a conversation Jen and I were having during our recent trip to Guatemala. When we told friends and family we were going to Guatemala, many of them said things like “Be careful.” “There’s a lot of crime there.” Which is the same reaction we got when we went to Mexico a year earlier.
We realized that only the people that have never visited these countries say things like “be careful,” “I wouldn’t go there,“ “couldn’t you go somewhere else.” While the people who have been to these places say things like “you’re going to love it.” “Have such a great time!” The former have formed their opinions based on what they see in the media and what they are told. The latter have formed their opinions based on real life experience. Going to a place. Seeing it with their own eyes. Meeting the people.
I don’t really understand what it is about the human psyche that makes people want to stick their neck out for a belief with absolute certainty without actually having firsthand knowledge of it. I don’t understand how people don’t hesitate and question what they are being told, and look back to their real life experiences for the answers.
It feels like the whole world is suffering from amnesia, forgetting how many times in their lives they’ve been lied to, and how many times something they believed to be so absolutely true turned out to be so absolutely false.
It’s so frustrating to live in an age of information surrounded by people who are uninformed and unconscious, and yet hell bent on making “their” opinions heard. People who just accept what they are told, and then repeat it as if it’s facts they’ve uncovered. It’s an insane world to live in.
Some learn from history, others want to repeat it.
Most examples from history are not there to be repeated
So often I worry if what I’m about to say is going to offend people. Then I read an article like this, “If Indians and Pakistanis Can Relocate, Why Can’t Gazans?” and I think, “I’m way too kind.”
But I think that’s the problem. The worry I feel, and other good people feel, about hurting others. Because when you’re an innately good person, hurting people is the opposite of what you do. Rather, you consistently try to shield others from harm. And you don’t discriminate. It doesn’t matter who they are. What they believe. If they are good or bad. Or whether they agree with you or not. But that’s not how the other side plays it.
The side of evil doesn’t hesitate. They don’t worry. They go straight for what they want, and they take it by any means necessary.
I do wonder how all the people who write and talk about oppressing and displacing whole populations of people would feel if the script was flipped. If they were the ones on the losing end. If their possessions, their houses, their cars, were confiscated or destroyed and they were told to never return. Go start over somewhere else. I wonder if they would say “well it happened to the Indians, the Pakistanis, the Germans, guess it’s my turn.” Or if they’d fight back. History says, they’d fight back.
But the thing that’s so curious to me about invoking such events as the Partition of India, the swap of Greek Orthodox Christians and Muslims, or the expulsion of Germans from Czechoslovakia and the Soviet Union, to justify the displacing of people from Gaza, is that these aren’t examples to follow. These aren’t examples of a time when things turned out okay.
Rather, these are examples of what not to do. They are, or should be, reminders of atrocities invoked on innocent people that should never be repeated.
By the author’s own words he says that the Partition of India “led to some two million deaths and uprooted 18 million people.” Not ok. He goes on to say that “both India and Pakistan worked hard to integrate the new arrivals.” Insinuating that everything was peaceful from that moment forward.
He leaves out the genocide, supported by Nixon and Kissinger, that took place against the people of East Pakistan (modern day Bangladesh) just a couple of decades later, in part due to left over hostilities from the Partition. And he omits the India - Pakistan war that occurred soon after in response to the genocide, in which an estimated 2 million East Pakistanis were killed and 10 million refugees that fled to India to save their lives.
Netflix has a show out called Black Warrant (I highly recommend it). The show is based on the real life experiences of Sunil Gupta, who was a jailer in India’s Tihar prison in the 1980s. In one of the scenes a fellow jailer describes Partition and how it impacted his family.
“My dad used to say, before the Partition, we had huge, huge farms. We had to leave everything behind overnight and come to this side. So, one thing is clear to me since I was a child. The common man, Hindu, Muslim, they’re not our enemies. They suffered the same as us. You know who the real enemy is? The assholes who play these political games.” [emphasis mine]
I wonder what could drive someone to advocate for forcing people to leave everything behind, suffer, and start over. I wonder how someone could be so brazen to suggest that this as a good option, when it’s not something they would ever voluntary for themselves or their family. I can only assume that unless you’ve ever been displaced before, you have no idea what it must be like. But then again, I’ve never been displaced, and yet I know it’s not something I want to push on anyone else.
I think it requires a weak, fragile, scared, and insecure type of person to be able to overlook the devastation, loss of life, injury, and trauma being displaced causes. A desire to sacrifice others because it makes them feel safe. I think that’s the only way you could sit in a comfortable desk chair, in a temperature controlled room, typing away, and think, “Yes, this makes sense.”
Mike Benz thinks American Prosperity is in Jeopardy
No one needs to suffer for the US to prosper
I listened to Mike Benz on the Tucker Carlson show, and I’ve started his episode with Joe Rogan. I like to listen to the same person on different shows because the differing views and interviewing style of the hosts gives you slightly different insights and information.
But in this case I put the Rogan episode on immediately after because I wanted to make sure, to confirm, what I thought I heard Mike Benz saying on Tucker Carlson. And that is, once USAID is gone, as it is anticipated to be, then we are going to need to find new ways of manipulating foreign governments and overthrowing politicians who are unfriendly to the US. We’re going to need a new way of accomplishing these same goals so that the US can maintain its dominance in the world and continue to live the prosperous lives we’ve become accustomed to.
Things like cheap oil for cheap gas. Favorable import and export agreements. Our inventory of over 700 military bases around the world, many of which are on “hostile” soil in places such as Cuba and Syria. These are things that have been accomplished according to Mike Benz, in part, because of USAID.
Mike Benz says he has spent the last 8+ years blowing the whistle on all of the nefarious things that USAID has been involved in. Both domestically and abroad. According to him, and documents that have been brought to light in recent weeks, USAID has not been operating solely in the humanitarian capacity we all believed it was. The AID in USAID stands for Agency of International Development, a name that could take on many different meanings, but is apparently not AID the way we all think about it. Rather part of its budget has been used to influence foreign governments into our favor.
And now that the cover has been blown, instead of being elated that his work has played a role, Mike Benz is nervous that the current administration and its elected officials don’t have the experience or insight necessary to dismantle USAID and maintain the US stranglehold on the world. That without USAID funded protests, riots, information gathering, misinformation campaigns, and influence on foreign judicial systems, the US might not be as prosperous as it currently is.
Over the past year or more I’ve finally begun to understand what it means to live in America and be an American citizen. This awakening first after I learned about how United Fruit Company, a US company, successfully lobbied the US government to overthrow Guatemala’s democratically elected president, Jacobo Arbenz, in 1954. Arbenz was nationalizing land, reclaiming uncultivated land and redistributing it to poor peasants in the country. Unfortunately the reform bill greatly impacted United Fruit Company’s land holdings. [read: The Fish That Ate the Whale for more details]. The CIA ended up backing a coup that successfully ousted the president and installed a military dictator with close ties to the US government.
I learned how a similar playbook was used in Cuba after Fidel Castro came to power and nationalized American businesses. Sugar was Cuba’s main export and most sugar plantations were US owned. The Bay of Pigs Invasion was a failed attempt to overthrow Fidel Castro and secure American prosperity. [read: Cuba: An American History for the full history]. Or how the US has historically used its influence to keep coffee export prices down in South America, causing massive amounts of economic hardships in those countries [read: Uncommon Grounds: The History of Coffee and how it Transformed our World for more].
In more recent times I’ve read about the economic sanctions and oil embargoes placed on Venezuela with a stated aim of squeezing the “illegitimate” government of Nicolas Maduro. It’s merely coincidence that Venezuela has the world’s largest known oil reserve in the world. The sanctions and embargoes imposed on Venezuela have not brought legitimacy, instead they have crippled the economy and caused the great migration of Venezuelans to America seeking opportunity.
Or take this comment from Lindsey Graham telling you in plain detail why we really support the war in Ukraine. “They’re sitting on $10 to $12 trillion of critical minerals in Ukraine”, Graham stressed. “They could be the richest country in all of Europe. I don’t want to give that money and those assets to Putin to share with China.”
If Trump and Israel succeed in displacing 2 million Palestinians that call Gaza home, and taking control of the land, it will be just one more example of the empire’s control.
At times during the interview Tucker Carlson pushed back saying why can’t we just use our power to promote peace and security. But at all times they regressed to the need of controlling foreign interests. It was shocking to hear the cavalier way in which two grown and educated men spoke about controlling the resources of other countries, and the fear they projected about the possibility of it coming to an end.
We claim to be the richest and most powerful country on earth because we promote freedom, democracy, and capitalism. That we are the best because we allow the best to come here and innovate. But that’s not really the case at all. We are the richest and most powerful nation on earth because we rob, rape, and plunder every other nation’s resources.
I recently read Judgement at Tokyo: World War II on Trial and the Making of Modern Asia, in which I learned that since WWII Japan has not had a military. Their defense department is in place solely, as the name suggests, for defense. They are not allowed to be the aggressor in any war. It was part of the agreement that ended WWII. And up until learning that, I had never even considered that an army would be used for anything other than aggression abroad. That’s not something that was ever on my radar growing up in the US. We have the most powerful army and we use it often and loosely.
With the dismantling of USAID, and other peace talks happening right now, my hope is that we can finally start to turn the tide of who we are as a nation. That for once in my lifetime, and maybe in the last 100 years, our foreign policy could actually align to the principles we claim to promote. That we can use our wealth, power, and influence to promote peace, prosperity, and security both here at home and abroad. There are more than enough resources in the world for everyone to prosper. Wouldn’t it be nice if everyone did.
The Psychology of Politics
The importance of federal nutrition programs and the people who benefit
The importance of federal nutrition programs and the people who benefit
It was a weird feeling to be volunteering at a food drive on the same day that President Trump paused funding with the potential to impact key food programs in the country. Someone I was volunteering asked, “what do you make of it?”
“They just don’t fucking get it,” I said.
The administration claims that it won’t impact federal nutrition programs, but federal nutrition programs have long been in the crosshairs of republicans as a way to reduce government spending.
The organization I volunteer with recovers food that would’ve otherwise ended up in a landfill. Perfectly good food like organic blueberries, oranges, apples, frozen tilapia, walnuts, canned salmon and tuna, the list goes on. All this food gets redistributed to people in need. If it were not for We Don’t Waste and other organizations like it, all of these items would end up in the trash, and millions more people would end up hungry.
At least 50 percent of food in this country ends up in landfills. At least 60 million people are food insecure (a number that I personally believe to be extremely under reported).
The people who attend our food drives are a diverse group. Young and old. Americans and immigrants. Able bodied and not. Every ethnicity under the sun. Mothers, fathers, sons, daughters, grandparents. People wait for hours to receive food. Mothers wait in the heat or the cold holding their children. Grandparents wait to get food for their families while their children work.
This diverse demographic isn’t unique to this organization. It’s been the same across all the organizations I’ve volunteered with. People of all walks of life are hungry, they are struggling, they need food, the same way WE ALL NEED FOOD. Knowing that they have a place to get food eases the burden of their stress just a slice.
It’s a strange thing to think that these people are just trying to “game” the system. I don’t know about you, but if I go to the grocery store and a line builds up in front of me and there’s no extra cashier in sight, I start to get angry. Why do I have to wait at all just to check out? Open another lane!
Here these people wait in line for hours at times. Trying to find shade from the Colorado sun, or keep warm in the frigid winter temperatures. Just to get some food. Completely unsure of what they might get, because every week it’s different. What’s available is dependent on what’s donated by the local vendors. And that varies from week to week. So I find it hard to believe that if they had the option to go to the grocery store that they would choose to wait here, outside, for an unknown.
They are also the most grateful people. They are constantly thanking us. One young kid even shook my hand today as a gesture of his appreciation for us being there. They are also the most considerate people. Constantly declining food when they already have enough.
“O no, I already have plenty of rice.”
“We have a lot of macaroni and cheese already in the house.”
“Take as many apples as you want. Do you want more?” I asked someone today. “No, there are more people in line, leave it for them,” was the reply I got.
This notion that these people are not actually in need. That they are gaming the system. That they are not worthy of the most basic and fundamental resource, is an idea that could only be considered by someone who has never seen it in person.
It can only be considered by someone who just doesn’t fucking get it.
Tell your lawmakers to visit a food bank and see if it doesn’t change their mind. Only a cold hearted person wouldn’t.
When Everything is Important, Nothing is Important
We’re spread so thin, nothing is getting accomplished
My Biggest Pet Peeve
My biggest pet peeve, especially as it relates to health in this country and around the world is that everyone is working on their own thing, which isn’t necessarily the right thing. My pet peeve was triggered the other day after I read an email for a new documentary called Plastic People. The movie chronicles the rising presence of microplastics in our environment, in our bodies, and its impact on our health as a result.
This is good work. Important work. I agree that our obsession with plastic is definitely playing a role in our deteriorating health. I try to limit the use of plastics in my life all of the time. I just don’t think it’s the most important work if we’re really trying to solve our health problems.
I don’t know how much time, money, human capital, and just overall resources were used in doing the research for this movie, analyzing the research, publishing it, and pulling a movie together, but all I can think about is that every resource used here, could’ve been used to tackle the real issue. Food.
The fact that most people don’t have access to the food they need to be healthy. Most people don’t have access to enough food at all. The fact that the majority of food is grown in lifeless soil. That most food is doused in chemicals like herbicides, pesticides, and fungicides that kill life all around it. The fact that most animals are raised in inhumane and unsanitary conditions, and are fed the same toxic food we grow for ourselves. That most livestock are injected with hormones and given antibiotics when neither one is needed.
And, most importantly, the fact that all of that food described above is then processed in factories by large corporations who add more chemicals, sugar, and toxic ingredients to it. And that this same highly processed toxic food is convenient and cheap to buy.
The average American’s diet now consists of at least 70 percent processed food. At least 70 percent of Americans are overweight or obese. At least 50 million Americans are facing food insecurity. Millions more face nutrition insecurity, a term that is not even spoken about. That is the biggest issue we face.
The fact that all of that food is wrapped in plastic, served on plastic, eaten with plastic utensils, doesn’t help. But it is not, in my opinion, our biggest problem. In fact, I would argue, that if we could change our food system, that if we could change people’s behaviors around food, that it would do more to limit the amount of plastic in our environment than anything else we could do.
If more people shopped for and cooked whole foods only, instead of buying packaged foods and pre-made meals. If more people cooked instead of ordering take out or going to the drive in. If less people drank sugar filled coffees, juices, and smoothies. If all of those things were to happen, if we could change the food system and change peoples habits, we could greatly reduce the amount of plastic on this planet.
And that’s why this is my biggest pet peeve. Because when I see a documentary like this one, or I hear a charity asking for money for research to study cancer, heart disease, Alzheimers, or any other chronic disease, or a research study like this one I wrote about, I automatically think, “what would happen if instead of spreading ourselves and our resources thin across all of these ‘issues,’ we aggregated them around the main issue. Food and the food system.”
How much better off would we be?
I’m sure this perspective will garner push back from many. But I think if you truly understand the impact the way we grow food has on the planet, and the way the food we eat impacts our health, you too would realize that there is no greater issue we face than this one.
Political Psychology
Maybe they should ban TikTok
Maybe they should ban TikTok
I’ve thought it was a bad idea from the beginning, but I think I’m starting to come around to it. They claim the reason is because of Chinese influence on our society, and because China is collecting data on US citizens that could be used against us. But that’s not the real reason and we know it (at least some of us do). As the lawyer for TikTok accurately pointed out, if that really was the reason, then why are other Chinese owned companies that also collect user data still allowed to exist?
It’s like this excerpt from an article I read recently about why the US placed a $15 million bounty on Venezuela’s President Maduro. The US claims it’s because he’s been involved in trafficking cocaine into the US for the last 20 years, costing lives and ruining communities. But as the author accurately points out, that’s not the real reason.
“If the United States were genuinely concerned about democracy and human rights, Venezuela wouldn’t even make the top ten of their hit list. If it were about promoting democracy or protecting human rights, they’d be placing bounties on the heads of Saudi Arabia’s royal family or Israel’s prime minister.“
No they want to ban TikTok because they don’t have control over censoring it the way they do Instagram and FaceBook, or the way they used to have control over Twitter (now X), before Elon Musk bought it. Or the way they have control over the narrative the news spins. “COVID misinformation,” most of which turned out to be true, spreading across TikTok is what started it, and now its about censoring the reality of the brutal atrocity that Israel, backed by US weapons and money, is carrying out in Gaza, and about squashing opposition to the US support for Ukraine.
But here’s why I’m coming around to the idea. Because maybe a ban on TikTok will lead to a ban of Instagram, FaceBook, X, BlueSky, Truth Social, pick your poison. Whichever platform you rationalize using. Maybe a ban on one, will mean a ban for all, and we can all start getting our lives back. People can stop endlessly scrolling at dinner, or while they’re crossing the street, or while they’re supposed to be working. They can stop looking at shit they don’t care about, and obsessing over things that don’t impact them. Maybe they’ll stop having their minds infected with things that don’t actually matter, and they can focus on what does. They’ll finally be able to get away from things that are just there to trigger their nervous system, to make them angry, and instigate a response. Maybe if we eliminate one, we can eliminate them all, and everyone can pick their heads up long enough to see what is actually happening around them.
Yes I could be in favor of a TikTok ban if it means all of social media goes away. I think we were doing just fine when it was just the internet. And I think if we can get back there it will transform the population. I know it will never happen, but this TikTok ban has got me dreaming.
Not to get political
Healthcare as a business
Healthcare
I was talking to my neighbor the other morning. We ran into each other walking our dogs. My fiancé and her both share a history of cancer. My fiancé currently has stage IV metastatic breast cancer. We found out less than a year ago. My neighbor knows this and was asking how she was. All things considered, she’s doing pretty great. But it launched us into a conversation about healthcare.
My neighbor’s new insurance doesn’t cover preventative PET scans, a very effective form of diagnostic imaging that could detect cancerous cells throughout the body. So she told me she’d first have to be diagnosed with cancer, again, for a third time, before her insurance would cover a scan. By which point it could be spread to multiple locations throughout her body. The best chance of survival when it comes to cancer is early detection. Which makes this policy insanely dangerous and stupid.
Its backwards policies such as these that leave the patient out in the cold that caused me to leave a successful career in healthcare after nearly a decade. I could no longer be an accomplice to such crimes.
My neighbors husband it turns out left for similar reasons. He was working for an insurance company that celebrated when they got above a certain threshold of claims denials. The more claims they deny, the less services they pay for, and the more money that goes to their bottom line. The more of a chance that treatable diseases, like cancer, are missed, and people like my neighbor or my fiancé suffer.
One of my responsibilities at work was to fight the insurance companies for erroneously denying claims, and for what we called short pays (the health insurer is contracted to pay $90 for a service but they only pay $60). We had a whole department dedicated to this one function of recovering money we were owed, a large percentage of which was owed to the doctors we managed. We routinely negotiated multi-million dollar settlements ($30 x thousands of claims = millions of dollars). Wasting hours of our time, and never getting 100 percent of the money owed to us. The reason a doctor spends only 10 - 15 minutes with each patient is not just because of the low level of reimbursement they are receiving, but because sometimes they aren’t being reimbursed at all, and they need to make up for it with volume.
These are the very real games that health insurance companies play, and get away with. Sometimes the doctor pays for it. Sometimes the patient does. But the insurance companies always seem to walk away unscathed. Healthcare in this country is a business. And business, particularly in a capitalist society, is driven solely by profit. And when patient outcomes are pushed aside in favor of more profit, you end up with a nation of chronically sick individuals.
The Behavior of Change
My views based on my experiences.
As in a love relationship, we learn that what we thought we knew is not equal to what we are discovering. As in an intimate relationship, we learn that who we thought we were is not who we are now in the midst of all the disappearing boundaries. Almost always in relationship, what we think have to give, is not actually what is needed. What we thought was love, might not have been love at all. And what we thought we had to give up, is not after all what is being asked for - David Whyte
Sleep
It wasn’t long ago that I discovered that sleeping is a skill. For most of my life I considered myself someone who couldn’t take naps or sleep past a certain time in the morning. I was up when the sun came up, or the first time my eyes opened. When I went to take a nap, I would get up just minutes later. Sleeping extra was just not something that I was born with.
Until one day I realized that it was all a lie. That the reason I couldn’t nap or fall back asleep like so many other people I knew, was because I didn’t want to. I didn’t want to fall asleep during the day. I was busy, I had things to do. The same was true of the mornings. Once my eyes opened and I glimpsed the morning sun my mind would immediately start working and it seemed more important to get up and act than to stay in bed.
I realized this and so one day I did a little experiment. I went to take a nap, but this time I meant it. Instead of going into it with the mindset that I wouldn’t be able to fall asleep, I went in with the mindset that I really wanted to get some rest, even if it was for only a few minutes. I convinced myself that if I could rest for 20 - 30 minutes, that contrary to my prior belief that it would be a waste of time, that I would actually be more productive throughout the rest of the day. And it worked. And so for many days after, instead of fighting it and saying I can’t, I embraced taking a mid-day snooze.
More recently I’ve tried this same idea in the mornings. But for a different reason. I realized that on days when I actually slept past that initial wake up, that my days went smoother. I was less agitated. My brain wasn’t as foggy. Even my bowel movements were better. So I told myself that I could sleep in, and that I didn’t have to rise with the sun. That I could be someone who sleeps past 6 am. And so far it’s worked.
We have so many preconceived notions about ourselves. About things we are capable of and things we aren’t that are based on a lifetime of experiences. Since we’ve been doing something a certain way for most of our lives we’re convinced that it can’t be changed. That it’s innate within us. We were born this way.
But once you realize that that’s not true, a whole new world begins to open up. A whole new world where changing your behavior is possible. Where statements such as “I can’t, I’m not that type of person” begin to wash away and seem silly. We are capable of a lot more than we give ourselves credit for.
Your boots not in.
We were out skiing and my fiancé was having trouble getting her boot into her ski. it was her third day ever skiing, and she was wearing new boots. From where I was standing I could see that her heel wasn’t lined up, and so when she pressed her foot down, her boot hadn’t clicked in. So, trying to be helpful I said “your boots not in.” She tried again. But the same thing happened. So I said, “your boots not in.” This happened one more time and she finally turned and, clearly frustrated, snapped back, “I know its not and you’re just standing there tell me its not. Do you think that’s helpful?”
I tried to explain that I thought it was, and that I didn’t think she could tell whether she was fully in or not. But, consumed with frustration, she didn’t see it that way. She just thought I was being a dick.And I can see how. But at the same time something else dawned on me.
It dawned on me how these small moments in a relationship could lead to bigger issues down the road, and leads to cracks in communication.
If one party thinks they are being helpful, but the other party doesn’t receive it that way, and is constantly pushing back, then it’s going to make their partner reluctant to give feedback. They’re going to hesitate to offer advice or even be truthful becasue they are expecting an unfavorable response.
They think they are coming from a place of being genuine, but they just end up getting their hand slapped. And the more and more it happens, the more and more they are going to default to being silent, and biting their tongue. Which is a crucial mstake in any relationship.
I realizd this as it was happening. And I realized its all these moments, if left unchecked, add up over years to lead to the demise of a relationship over time. But I also became aware of two other things.
One, no matter what, you can never be afraid to open your mouth in a relationship jut becasue of past experiences. Two, most importantly, that you also cant keep doing or saying the same thing and expecting a different response. I.e. “Your boots not in.”
You have to think o adifferent approach when the first one isn’t working. You have to think about a different way to get your point across, so that it is receifeved int the way in which you intended it. Maybe I should have skiied over and physically helped her place her boot firmly in. Maybe I should have showed her with my own skis. Or maybe I should have said nothing and just waited.
But its hard to see that in the moment, and correct yourself while its hapneing. But I think just being aware of it, even after the fact, will help the next time you find youself in that situation. And the more and more youre aware of it, the easier it will be to identify.
A disagreement or frustration over ski boots is not the end of the world. But I believe that getting it right in the small inconsequential moments in life is the key to having succcess in the moments that really matter.
Why are we paying for anything?
A few months ago I returned a rug to Home Depot. After a couple of weeks of having it in our bedroom we decided that we didn’t like the look or feel, so we returned it. Home Depot issued us a refund, and told me they were going to destroy it. The rug was new, but they decided it was easier to destroy it then put it back on the floor. The rug cost $250.
For Christmas my sister-in-law ordered my fiancé and I a karaoke machine. But after ordering it she realized it was the wrong one, so she logged back onto Amazon, cancelled the order, and ordered the correct one. They refunded her for the cancelled order, but sent both anyway and told her to keep them.
In Colorado and California I’ve volunteered with local food banks and food recovery organizations. Between them they recover millions of pounds of food each year, that would’ve otherwise ended up in the landfills. They distribute the food they recover to people suffering from food insecurity who are unable to buy enough groceries. The food being recovered is good quality food. Organic produce. Wild caught fish. Organic dry goods. Milk and eggs. Pork and beef.
Fifty percent or more of food in this country ends up in landfills. The waste starts on the farms, continues in restaurants and retail shops like grocery stores, and occurs the most in homes.
So my question is, if all of these producers, manufacturers, and distributors are ok with just throwing away product, why not get organized and give it away? I know there’s a family who would love a $250 rug for their house. Or a karaoke machine for their kids. And most certainly everyone would love access to free nutritious food!
Or how about we get better at managing what ends up in our landfills so that we can lower prices by selling more product? I don’t know what the answer is, but I do know that more and more I wonder why I’m paying for anything.
In a society full of abundance waste is inevitable.
Greed and Corruption
Kind of the Same Thing. Both Corrode our Society.
Greed
If you’re Kevin Hart or LeBron James, why are you doing Draft Kings commercials? I don’t know what either of them are worth, but I’m sure they’re each in the hundreds of millions of dollars in wealth. So could they really being selling their souls for a few more million? They’re better than that right?
So does that mean that they each believe that they should be using their celebrity status to promote online gambling? One of the most addictive addictions of all the addictions. In states that have legalized online gambling calls to help lines have increased 400 - 700 percent. So it couldn’t be that either right? So what are they doing? This is the question I ask myself every time I see a wealthy celebrity endorsing a substance or activity or food that clearly is contributes to illness and despair.
It’s the question I asked myself when I saw Tom Brady, Ben Affleck, Matt Damon, and others, doing a Dunkin’ Donuts commercial during the Super Bowl. Arguably the best football player to ever grace the field and two mega actors endorsing one of the biggest sugar dealers in the world (I don’t know who’s worse, them or Starbucks). Sugar, an addictive substance which has been directly implicated in the increasing rates of obesity and metabolic disease, leading to an increased prevalence of chronic disease.
Or when I’ve watched Reggie Miller endorse Wendy’s during basketball games, giving the impression to young viewers that Wendy’s was part of his path to becoming one of the greatest basketball players in history.
How often do you think Tom frequented Dunkin during his career, or Reggie Wendys?
How much money would it take for any one of these people to not promote something that’s detrimental to society? What would it take for them to not only not promote addictive habits, foods, and substances, but promote the opposite. To take out an ad spot talking about all the things they’ve done to get to the level of success they have achieved. To talk about what kind of food and beverages you should consume if you want to be an athlete. The kinds of habits and discipline it takes to achieve your dreams. To invest their time and money and take out a 30 second ad during the Super Bowl to talk about why these foods, substances, and habits, are killing us?
It’s a mental illness really. This tenacious quest for more. More money, more fame, more status, more houses, more cars. And in the end all we get is more illness.
Everyone says they want better for the people. More for the people. And yet when it comes time to show it, they act in direct contrast to their words. It’s an illness that has been allowed to penetrate through all of society, and promoted by those with the power to end it.
Corruption
At this moment in history, out of all the people I could think of that the US could place a bounty on, including more than one war criminal, President Maduro of Venezuela is not one of them.
The US alleges that for over 20 years Maduro and his government have collaborated with a Colombian rebel group to smuggle cocaine into America, causing devastation throughout the country. If that was true, and the government was actually concerned with pervasive drug, then the Sackler family, owners of Perdue Pharma, should find out what their bounty is soon. I’d expect it to be many multiples of the one place on President Maduro.
I mean, Perdue Pharma is responsible for not one but two drug epidemics in this country. The first was valium which they began selling in the 1960s. Under false claims that overstated its benefits and understated its risks, mainly its addictive properties, valium quickly became a number one selling drug in the country. Then, in the 90’s, following the exact same script, they shot OxyContin to the top of the charts, and while OxyContin sales may have faded since then, the widespread use of opioid drugs has not. Claiming hundreds of thousands of lives, and ruining many more. Communities were ravaged but the effects of OxyContin and subsequent drugs that filled the void left by tighter restrictions placed on prescription opioids.
Not only was there never a bounty out for any one of them, and there never will be, those criminals walk free amongst us. Punished only monetarily, forced to pay fines that are completely disproportionate to the hell they caused and the wealth they gained off of other people’s misery.
So what is the bounty on President Maduro really all about then? The answer is oil and not getting what the US wants. Venezuela is home to the largest oil reserve in the world. And the US has been after control of that oil for nearly a decade. Starting in 2017 the US began placing financial sanctions on Venezuela. In 2019 and 2020 they implemented sanctions on Venezuela’s ability to sell oil internationally. Oil accounts for more than half of its fiscal revenue. So its no surprise that the sanctions crippled Venezuela’s economy, which is the impact the US was hoping for.
Only it didn’t cause the change they were after.
While the goal of the sanctions was to put pressure on Maduro and other leaders who the US deemed as illegitimate, the effects, as are typical of sanctions, was only felt by the people. The crippled economy caused a humanitarian crisis. But rather than topple the government and force change at the top, many Venezuelans decided to flee. Many ended up here in America. Who could blame them?
Struggling to survive and with little hope for the future if they stayed in Venezuela, what other choice did they have?
So after nearly a decade of economic strangulation failed to create the change they wanted, they pivoted to plan B. Directly and openly remove him from office.
This is a move that the US had turned to time and time again throughout its history. They’ve used it all over the world, but perhaps most frequently in South America. When the US doesn’t get what it wants, it forces change at the top. First it tries with economic sanctions, seizure of assets, and embargoes on a country’s main exports. And when that doesn’t work, they try by force.
They did it in 1954 in Guatemala. After the democratically elected president announced a plan to redistribute land acquired illegally by American owned United Fruit Company, the CIA backed and funded a coup to remove him. [read: The Fish That Ate the Whale]
They did it in the 50s and 60s in Cuba. First with an embargo on sugar, it’s main export, then with the failed Bay of Pigs invasion in 1961. While they intended to remove Fidel Castro from power, it only led to a firmer grip on the nation, and a tighter relationship between Cuba and the Soviet Union. [read: Cuba: An American History]
Throughout much of the 1900s the US interfered repeatedly with the coffee trade in Latina America in an attempt to keep prices down. [read: Uncommon Grounds]
And it seems like just for shits in the 2000s the US helped block a raise in Haiti that would have raised the minimum wage to 62 cents per hour.
So no this is not about cocaine. This is about the US government once again putting their hands where they don’t belong, and once again ignoring the real issues at home. This is about oil, but its also about placing blame. About finding a scapegoat for the drug epidemic in this country. And who better than the president of a Latin American country.
Time, attention, and resources that should be used to fix problems at home and implement solutions, are instead sent abroad. As things get worse around the world, it should be of little surprise that they collapse here as well, and perhaps deservedly so. We can’t escape the despair we sow abroad. Eventually it has to come home to roost.
The Behavior of Change
My views based on my experiences.
Perception is reality
Food is food. Medicine is medicine. Poison is poison.
Let’s not confuse things.
It’s not even that food is medicine it’s that all this other shit is fucking poison. Framing food as medicine creates skepticism because people already have a perception of what medicine is, and it’s not food. Let’s let medicine be medicine. Food be food. And poison be poison. And clear up any confusion.
See, I do think medicine has the power to heal. In specific cases there are medicinal therapies that can help. But mostly, healing doesn’t come from eating real food, it comes from the elimination of poisonous ones.
It would kind of be like telling a smoker that oxygen heals. So they stop smoking, stop inhaling CO2 and nicotine and all of the other harmful substances in cigarettes, only breathing oxygen, and cite oxygen as the medicine. But it’s not. The poisonous cigarette was the culprit. And when they stopped that their body began to heal.
Or telling someone who drinks soda that water is medicine. It’s not. If a soda drinker replaces their soda with water, the water has no healing benefits. The elimination of liquid sugar called soda is the reason they begin to heal.
Food is medicine. Sounds nice. Hippocrates said it a million years ago. Let food be thy medicine and medicine be thy food. Yes, food has vitamins, minerals, macros, that you need, but are they really healing? If that’s all the stuff you already need, then is it healing or maintaining?
Food is medicine feels complicated. It feels like extra work. Medicine not only already has its own perception about what it is, but it also has its own perception about what it means to take medicine. And I don’t think food should be mixed up in that.
I also think that by emphasizing real food as medicine it lets the food industry off the hook for the toxic substances that it creates. It doesn’t put enough emphasis on the illness that their products create. It shifts the focus away from their poison and onto eating healthy food, and I don’t think that anything will change until the products that they make are banned or severely limited.
Recently there was that stupid debate going on about Fruit Loops Canada versus Fruit Loops America and the ingredients in each. RFK Jr, someone I actually like, was arguing that we need to make our Fruit Loops like that of Canada’s with less toxic ingredients, but that misses the point. The issue is not what’s in Fruit Loops, the issue is that Fruit Loops exists as a cheap, accessible, and easy choice for consumers. Another inane debate that’s been going on is people trying to push McDonalds to go back to using beef tallow for their french fry oil instead of the seed oil they switched to many years ago. The issue isn’t the oil. The issue is that McDonalds, and garbage like it, are allowed to exists as cheap, accessible, and abundant options for people.
Ban the poison and fix our health.
To avoid the perils of the products manufactured by the ultra processed food industry requires a heightened state of awareness and vigilance. It requires preparedness to head out into the world and not fall victim to these substances. For my finances birthday we rented a few lanes at the local bowling alley. We had a 5:30 - 8 pm slot. Too early to eat dinner, too late to wait to be done. I knew I was going to be hungry, and I knew the only options at the bowling alley would be highly processed and refined poison devoid of anything even resembling food. So before walking out of the door I stuffed a piece of steak and a 1/4 of an avocado into my mouth. I figured at the very least it would take the edge off, and hopefully prevent me from indulging in bowling alley food until I got home.
I ended up eating one slice of bowling alley pizza. Not terrible, and I did enjoy it, but I was able to avoid the french fries, chicken fingers, and three varieties of birthday cakes that her friends brought. But how many people have the time, awareness, or dedication to do that? My senses are not many, and understandably so.
One other lady that joined us to bowl also didn’t indulge in any food. She’s training to do some mountaineering this winter and looking to lose a few pounds.
But we were in the minority, and when cheap toxic food is the only option, most people are going to have a hard time turning it down.
Timing the market
To understand why you can’t time the market, take the simple case of United Healthgroup. Previously trading at an all time high of $630 per share, is now (at the time of this writing) down to $489 in the weeks following the murder of their CEO, Brian Thompson. Down over 20% in a few short weeks. Unpredictable and therefore impossible to time. That of course is an extreme example, but I think the extreme examples are the ones that provide the most clarity because it’s hard to dispute the facts. COVID, when the market dropped 40% in a matter of days, is another extreme but important example. You can’t time the market.
Peloton growing too fast and being unable to keep up with demand, followed by the death of a child using the treadmill, coupled with the death of an actor using a peloton on a TV show, crashing the stock to an all time low is another clear cut example. None of that could be predicted. Peloton’s stock has never recovered.
Over the last few years, with this lesson in mind, I’ve been selling off my individual holdings, and reinvesting them slowly into ETFs. The major one in my portfolio being VTI. While an ETF like VTI will swing with the market, the swings will be far less volatile than say what happened with UNH. After COVID a number of my stocks went from all time highs, to all time lows, and after seeing my money dry up, I realized I had learned my lesson and that I needed to do what I can to prevent that from happening again in the future.
Some of the individual stocks I got out of, like Uber and Netflix, went on to rebound to new highs, and in theory I lost out on that upside. But gains in the stock market are only made when you sell. Otherwise they are just unrealized. And it’s very easy to get enamored with your “unrealized” gains and have them slip out from under you without you even noticing. Separating your emotional buy-in for a stock is an important part of the game. Not getting too greedy is just as important.
If you want to win the market, then you need to believe in long term gains. Sticking it out for the long term and putting your money into ETFs that provide the least amount of volatility and the most amount of stability. Another small bonus is the dividend that comes with most (if not all) ETFs. Use those dividends to reinvest in the security and I think you’ll have a winning strategy you can’t go wrong with.
Proud of myself
I’m proud of myself. And not because of doing the hard things or working hard. Working hard and doing the hard thing has always come naturally to me. As naturally as working hard can. I’m sure there’s a trauma reason behind it.
But no, I’m proud of myself for doing the small things, taking my time, and not pushing myself too hard.
I went skiing the other day and my boot was killing me. Normally I would’ve just kept going, not wanting to waste time stopping. Not wanting to be a bitch having to stop to fix my boot. It’s skiing, isn’t your boot supposed to hurt? But instead, I stopped. Took my boots off and relaxed enough to fix my boot, relieve the pain, and even write myself this note.
Even going skiing was an accomplishment for me. My in laws were coming in that same day and I still had a lot of things I wanted to before they got in. The house needed to be cleaned. There were a couple of pieces of furniture I wanted to pick up. Some minor groceries I wanted to get for them. In a past life I would’ve put my desire to go skiing and be outside for a few hours aside, and decided that it was more important to get every little last thing done. And then for the next few days I would’ve suffered as I had ignored that calling to get outside. Which would’ve been a far worse result than if I didn’t get everything done on time at the house.
But this time I decided to take a chance. To go skiing and see what happens. See if I can get everything done anyway. See if in the long run the time outside, listening to my inner voice, outweighed rushing to get everything done and stressing myself out. Like I said, in so many words, I’ve always been good at stressing myself out and pushing through. Relaxing and taking time for me has never been a skill of mine.
But not this time. I think I’ve started to feel a shift. Figuring out that balance is more important than nonstop work.
Follow up note… it worked. I got everything done, and had an awesome day on the mountain.
Sleep
Sleep is the most important thing. If you don’t get good sleep, nothing else will matter. You can go a few nights with bad sleep and get by, but those days will eventually catch up, and you won’t make much progress during that time. In fact you’ll likely regress.
That’s why everything you do should be with sleep as the priority. What foods should I eat and what foods should I avoid? What drinks should I have and what drinks should I avoid? Should I back off my exercise or push hard? What should my technology hygiene look like? What should I engage with and what should I avoid? How’s stress impacting my sleep and how can I improve it?
Because the thing is, that while some of this will require short term sacrifices, the benefits of quality sleep will very quickly begin to outweigh them. Your body will begin to heal and transform. Your mind will be clear. Your relationships will improve. It will be easier to make better food choices. It will be easier to be active. Nothing in life escapes the impact of poor sleep. And everything improves with good sleep.
Health
I want to be healthy so that I can participate fully in life. Health as a stand alone has never been the focus for me. Health has always been a means to an end. To be able to wake up and say yes to any invitation that comes my way. Yes I want to take that trip. Yes I want to climb that mountain. Yes, let’s go to the beach. Yes, yes, yes.
I want to wake up and feel good. And to me that’s health. And it’s not possible without health. I fear how many people don’t wake up feeling that way. How many people have felt poor for so long that they no longer know how poor they feel. Often worse. It upsets me.
Death Penalty
Something just dawned on me that should’ve seemed obvious before. While reading Judgment at Tokyo, I read about how the lead judge of the trial agonized over sentencing any of the accused war criminals to the death penalty. He had never sent anyone to death before.
Which made me realize, and ask myself the question: if a judge sentences someone to death, doesn’t that make them a murderer? Even if the accused is convicted of heinous crimes, doesn’t that make the judge equally as heinous?
I know the idea is to serve justice and protect society, but it’s kind of like the abortion question. An abortion is killing a baby. You might agree with the procedure or not, but at the end of it, a life has ended. Same goes for the accused.
You may or may not agree with it, but at the end of the day, when someone is executed for a crime, the people involved have taken a life.
The Behavior of Change
My views based on my experiences.
Thoughts and download from the week.
“Most frustration comes from not having a plan, or from not being open to changing when the plan you have fails.”
Eating Late
Every night it’s a struggle to not eat a snack after dinner and before bed. I know how much better I sleep, and therefore how much better I feel the next day when I don’t have a late night treat, and yet I fight myself on it every night.
Food is so good, it makes it so hard. It feels so right at the time, but I immediately regret it because I know I’m not going to sleep as well as I could have if I just listened to that voice saying “don’t do it,” “you don’t need it.” Instead of listening to the voice that says, “who cares,” “you deserve it.”
I used to think that if I just had something healthy and light, like a bowl of fruit, or something satiating, like protein powder mixed with soy milk, that it would be okay. But it’s not. It’s better than cake, or cookies, or ice cream, but it’s still not good.
Often times I rationalize eating something by convincing myself that I didn’t have enough calories that day, or enough of a certain macro, usually protein, to cover me for my workout. But it’s really just that, a rationalization to eat when I don’t need or want to.
If you’re reading this and thinking “wow this guy is tormented by food.” You’d be right. It wasn’t always like this for me. It started when I started training for triathlons a few years ago. Back then I always felt like I couldn’t consume enough calories to keep up with the long and hard days of training. There was no way, without a proper nutrition plan, which I didn’t have, to stay on top of the calories and macros I needed. As a result I always felt hungry and depleted. So I began over analyzing my food, and questioning what I was consuming with every bite. Even though I’ve been removed from that training style for a couple of years now, it’s taken time to undo that programming.
Tracking my food for 6 months helped. I learned that I was over-consuming fats, and under-consuming proteins (the latter of which I think was contributing to the feeling of being depleted). Balancing my diet, getting closer to the right amount of macros, has helped repair my relationship with food, but I know there is still more work to do.
But, no matter how much my that relationship improves, I doubt it will ever be easy. Because really, aren’t we all tormented by food in this country? Isn’t that why 70 percent of the population is either overweight or obese? And why everyone is always trying to lose weight and failing? I don’t think you can live in this country and not be tormented by food. Food in this country is available in endless abundance, it’s accessible everywhere you turn, and it’s extremely affordable. There is always an opportunity to shove something delicious in your mouth. Not something nutritious, but something delicious. Something ultra-processed, loaded with sugar, and of low quality, actually stripped of its nutrition. Something that tastes good, feels good, and hits all those sensory pleasure zones in your brain. No, we all struggle with it.
A rancher at a regenerative agriculture conference I went to said it best, “our addiction to convenience is killing us.”
So I wage the daily battle against food. Some days I win, some days I lose. I just try to string together more winning days than losing ones. Staying away from ultra processed foods, foods loaded with added sugar, fat, and sodium.
If there’s one thing that The Comfort Crisis brought to light for me, it’s that in this modern world you need to be actively fighting back the comforts that are all around us and making us sick. You can’t take a day off.
It’s an unfortunate thing, but if we want to achieve and maintain our health, it is going to require work, because the environment in this country doesn’t support a healthy lifestyle. It’s on you to create one for yourself.
10,000 Steps
I think 10,000 steps, when combined with a diet rich in whole foods and devoid of processed foods and added sugar, is actually a good number to strive for that can make you healthy and keep you there. The problem I see is that getting to 10,000 steps in a given day is really hard. I like to think that I’m very active. I workout for a minimum of one hour per day. I don’t have a desk job that keeps me tied to a chair for 8 hours or more. I spend 3 - 5 hours per days standing in my kitchen cooking meals and cleaning up after them. I walk my dog 2 - 3 times per day. On most days I do some type of yard work, that might include mowing the lawn, watering our flower and vegetable beds, or weeding. And still, most days, I don’t even come close to 10,000 steps. In fact, the Garmin watch I recently bought came set with a daily step goal of 7,222 (no idea where that number comes from), and I rarely even hit that number. The only time I hit this number is if I go for a run or a hike.
But I do recognize that on days when I hit that 7,000 number, or even better yet, I get up and over that 10,000 step number, I feel better. The difference is noticeable. My energy levels are better. My mood is better. I eat better. I sleep better. Everything is better. I’m just not convinced that 10,000 steps is a realistic figure for 99 percent of the population. For most of us, getting enough steps in would require a gargantuan effort. But I’m also not sure what is, or what other metric might be that could have the same benefits as 10,000 steps, but also be achievable.
No One Size… Many Sizes
We say there is no “one size fits all” when it comes to diet and exercise. That each of us are unique, and what works for you might not work for me. And what works for me, might not work for you. And that’s true, but we need to go one level deeper. Because, unfortunately, it’s even more complex than that.
What works for you is going to change throughout various times in your life. What works when stress is low, probably won’t work when stress is high. What worked when you were 25, doesn’t work when you’re 30, 35, or 40. What works when you’re catching a full night of Zzzzs, doesn’t work when your baby is waking you up multiple times per night. What works when you’re home, might be hard to replicate on the road.
That’s why, beyond any diet or exercise advice, you need to be vigilant about which situation you find yourself in, and adapt to meet it. You need to dial into the signals that your body is sending you.
Someone changes their life by going on the ketogenic diet, but after 6 months, they suddenly aren’t feeling well. It’s not working, and they’re constantly craving something sweet. Maybe it’s time to start incorporating some fruit. Or they’ve become tired of eating so much meat. Maybe it’s time to start eating more fish.
Or they always worked out in the morning, but now they start work earlier, and they have a longer commute, both of which are cutting into their morning workout. Can they wake up a little bit earlier to get in a workout? Is there time during lunch? At the end of the day? Instead of exercising 5x per week, can they squeeze in 3? Something, anything, just to keep the momentum and build on the habit.
There are so many examples, so many ways life is going to interrupt your plan, and I think that’s the problem that a lot of people face. They are unable to recognize why their routine is no longer effective, and rather than investigate why and make some changes, they throw the whole plan away and regress back to baseline, or worse, below it.
I think it’s very important to realize first that what’s going to work for you is specific to you. But second that you’re going to need to stay on top of it and manage it throughout different times in your life. The way I like to think about it is using a golf analogy (I don’t golf, but it works). I like to always stay as close to the pin as possible, so it’s never too hard to make my putt. What do I mean?
Let’s say I go on vacation where I’m sure to indulge in food I wouldn’t normally eat. Well I’ll try and keep at least one meal per day, but usually two, close to my normal diet when I’m home. This way, when I do get home, my routine hasn’t drifted too far off, and it makes it easier to ease back into my normal diet.
Let’s say that I have family visiting, and working out for 60 - 90 minutes isn’t possible without looking like I’m offending my guests. Rather than completely skipping my workout, I might just put together a 30 minute workout that keeps the routine and momentum alive for when my family leaves and I have my time back.
I’m constantly thinking about how I need to adapt my plan to fit the current situations in my life, always keeping the focus on staying as close to the pin as possible. Consistency is the key. Consistency is where progress is built. Figure out what you need to do to stay and consistent and not let life interrupt your plan.
Senate Testimony on the Health Crisis in this Country
I listened to Brigham Buehler, Casey Means, and Calley Means all on Joe Rogan talking about the testimony they gave in front of the Senate discussing the growing health crisis in this country. All three of these guests expressed some level of gratitude that they were able to present their case and lay out the facts about why and how we’ve gotten into such a mess. But the one thing I didn’t hear from any of them was anger or disdain for the fact that we even had to have a testimony to begin with. That no one that sits in the Senate has any idea about what’s going on in this country. That they are so unaware, or at least claim to be, of the fact that toxic food, plastics, and prescription drugs are murdering people in this country. They needed to hear it from a panel of experts.
Perhaps my view is biased because health, diet, food, exercise, longevity, and health span, are all things that I think about and read about on a daily basis. But holy shit, the health crisis in this country is the biggest issue we face as a nation, with ripple effects throughout every aspect of our lives. And the members of the senate don’t have a clue as to what’s going on, and yet they are the ones voting on bills, policies, and funding that directly impact the trajectory of this epidemic.
Maybe I don’t know how government and politics works, but my assumption would be that the people leading the country should know a little bit about what’s going on in the country before they get to lead it. I question how much these members actually pay attention. How many of them actually read. How they spend their free time, or any of their time, because time and time again, they are fucking clueless.
Perhaps it’s a product of the fact that some politicians have been politicians for decades. Decades! Spending their time campaigning, going to parties, and kissing the assess of the people that give them money. It’s outrageous and it’s becoming harder and harder to accept the extreme level of incompetence that exists in our government.
Three good podcast episodes
Joe Rogan and Diane Boyd - Diane K. Boyd is a wildlife biologist who has devoted decades to studying wolves. She is the author of "A Woman Among Wolves: My Journey Through Forty Years of Wolf Recovery."
Joe Rogan and Israel Adesanya - Joe sits down with Israel Adesanya, a mixed martial artist competing in the Middleweight division of the UFC. He is the subject of the documentary "Stylebender," available now.
Peter Attia and Anne Lembke - #321 – Dopamine and addiction: navigating pleasure, pain, and the path to recovery | Anna Lembke, M.D.
Establishing a new political party
With one focus. Health.
The Health Party
I want to start a new political party called The Health Party, whose whole mission will be to discuss current events and policy decisions purely from the lens of personal and public health.
I think everyone would agree that their health, and the health of their loved ones, is their number one priority above everything else. That everything we do, is done with the survival of ourselves and those we love in mind. So, with that in mind, the idea is to analyze current events and policy decisions to determine how they are impacting our health, and choose where we want to throw the weight of our support, based on this idea.
For instance. There’s a new Farm Bill [link] that’s going to get passed this year. In that bill will be billions of dollars that the government is going to pay farmers. Currently, all of the money will go to subsidizing conventional farming. Farms that grow rows and rows, acres and acres, of commodity crops like wheat, seed, grain, corn, and potatoes. These farmers all spray the food they grow with endless amounts of insecticides, fungicide, herbicide, and any other type of “side” you can imagine, as they prep their fields for planting, during the growing season, and while harvesting. Not only does the food get it, but because of their proximity to these chemicals, the farmers and farmhands are also exposed.
So, when considering our health and the health of those around us, should we continue to subsidize these farms? The answer is obviously no. No, we do not want to continue to subsidize growing methods that produce food that is killing us. No, we don’t want to continue to subsidize food that is used to make sugars, like high fructose corn syrup, ultra-processed foods, and to feed animals raised on feed lots (CAFOs [link]). No, that is not where we want to spend our money. Our tax payer money.
But, we should do something with the money. So, should we use it to incentivize those farmers to begin transitioning to healthier farming methods, like regenerative agriculture? A method of farming that has been proven to grow healthier and more humanely raised foods, that can heal the land and heal the population. Yes. We know the harm that pesticides and conventional farming practices have on the land and our health, so we should use that money to begin to transition away from them.
I think it can be that simple.
I read an article the other day that said the estimated cost to transition from conventional farming to regenerative farming globally is between $200 - $450 billion. But that same article also stated that it will be hard to make that transition because farmers have not been able to secure the funds they need to transition, which is one of the main struggles that farmers face. Obtaining required capital from banks and other financial institutions. So they’re stuck, unable to change.
If we move that $70 billion in the farm bill that is currently ear marked to subsidize conventional growers, and give it to farmers that are trying to improve, then we’ll already be 15 - 35 percent of the way there (depending on what end of the estimate you believe).
I think when policy, bills, and current events are analyzed purely from a personal health perspective that almost all of them will be that easy.
I hope you join.
Sincerely,
The Health Party.
Trump
I hate Trump for all the reasons that anyone who hates Trump hates Trump. But I also admire him.
I admire him for his willingness to break away from the conventional. To a lot of people they see this and think “he’s a criminal.” Maybe. I don’t know.
But what I do know is that he figured out how to come into the Republican Party as a complete outsider who many people despised and never wanted to see him win, and he won.
Now, during the Republican primaries he’s refusing to debate. It’s pissing a lot of people off who want to see him on the stage. And it’s pissing off the other candidates who want the opportunity to debate him (or at least they say they do). But the reality is, as annoying as it might be, as pompous as it might seem, and as unconventional as it is, it is the reason I also appreciate it.
He’s figured out that Republican debates (any debates) are meaningless and ineffective. He’s realized that he can make better use of his time by holding a rally, and taking 3 hours to deliver his message to people who want to hear it, instead of sharing 3 hours arguing to make a point.
Winning sometimes requires breaking the mold and being unconventional. And while some of his methods might appear “unethical” or “immoral” (the courts will decide) the take away is that, to win, and disrupt an industry (two party politics), you need to be willing to take risks and piss a few people off.