A highlight from Thoughts On Our Healthcare System & Low Carb Diet With Dr. Bret Scher From Diet Doctor - 20 Minute Fitness Episode #245

20 Minute Fitness


Prep thanks martin. Splashing beer. yeah like Like what he said you know. Line off the record. I mean i love the died dr podcast. You've been doing us all huge service by bringing on really interesting speakers. And i've been running myself quite a lot from your podcast. So it's a huge honor to have you on our show today but for those that haven't really listened to your podcast or don't know anything about the diet. Dr can give reef intro about you and your own background sure. Yeah thanks opportunity be happy to. Yeah so i started as a as a regular cardiologists did a regular cardiology fellowship and actually how to a special component to that as a preventative cardiology fellowship as well so it was a combined fellowship and it was an orange style fellowship program so very low fat plant based diet and then with the exercise and the stress management and the quitting smoking in the social connections and all that so it was a multi pronged program i got out into the real world and started practicing general cardiologists focusing on prevention and quickly realized i was not having the impact. I wanted to have and quickly saw how broken the healthcare system is. There's really no other way to say it. It really is sort of backwards in terms how it sees prevention and how it sees lifestyle interventions and without going into too much detail basically. I realized that wasn't the patient's fault that they weren't adhering to lifestyle recommendations or they weren't improving with lifestyle recommendations. It was our fault because we were really sending the wrong message and then through a little bit of a circuitous path and got turned onto. Low carb nutrition by a friend of mine who was a health coach. Rover's working with and at first. I was pretty skeptical. I put up the brakes and put up the walls right away. Because that's everything i'd been trained But once i dug into it and starting to seeing that they were studying research literature. Supporting luke our nutrition in sort of my mind went crazy. It's like how do they not know about this. How is nobody talk about this medicine and then tried it on myself. Tried it on number patient and then from there disturbed hit the ground running as becoming a low carb advocate. Because it's something we need to talk about more of in medicine because it has such an important potential role and is being shunned for no good reason inappropriately and then through good fortunes. I mean i have my own podcast and then got recruited by diet. Dr which is an amazing company. I'm so happy be. It'd be working with diet. Dr now their medical director. Because we are really the leader for evidence based low-carbon mentions in content to help people understand you know to cut through the the headlines and the and the extremisms and really sort of learn. The role that low carb can have medically personally and to be able to host their podcasts. Or our podcast at diet dr. So it's been a great transition and that's over the course of twenty years. That transition summed up into a few minutes. But that's basically how. I got to worry today. Also so let's with the hell's justice to match league. Because i'm curious what do you think is actually the biggest issue right now with our guest in the us. The biggest issue is just the lack of focus on prevention and people talk about prevention. They'll give it lip service but they won't give it money. They won't give it emphasis. They won't give it priority and you know it's because of the way. Our health system is designed with the insurance based system. The way it is now you may be with one insurance company health insurance company. Now if they're gonna spend money to make you healthier ten fifteen years from now the health insurances they don't get return on your investment so that's one problem Get a problem is when it comes to doctors and healthcare systems getting paid. You get paid much better to treat acute problem when it comes to the the involvement of pharmaceutical companies. They're making money off of people being chronically sick and needing medications so the incentives when you combine all those things together in one system incentive is not to make people healthy long-term that the incentive is to treat acute problems in Treat chronic problems. Enshrined do a good job. Managing them not to prevent them. And that's what. I think is really backwards. Now that being said our healthcare system is phenomenal. If you suffer a heart attack and end up in the hospital and neither stent put in or you need emergency bypass surgery or you need a heart valve put in or you're in a car accident. You need surgeons trauma surgeons. You have a severe infection and you need antibiotics. Our system is very very good at that but it really breaks down when it comes to preventing most of those problems in the first place. Right now i know that under the affordable care act's has been opposed to make preventive healthcare into more affordable based restricting insurance companies from not cha-ching. Eupol let's say you annual checkup. What do you think is missing there. You know what. I mean not really being forced to come in every year. I mean that's still something that's foreign terry. And then even that annual checkup seems to me awfully simple or shore Should it different. What should in an ideal world rents of healthcare. Looked like in your opinion. Yeah great point. Grey point about the annual checkup. Insure you know force. Everybody to have their annual annual checkup. Is that a good thing. I mean what benefit are. They getting from annual checkup. And that's the question of the doctors got fifteen minutes with you and they're thinking about all the things they have to do in all the paperwork they have to do all the patients they have to see they don't have time to really get into the nuances of lifestyle and also most of them aren't trained about livestock therapy and when they read about what is appropriate lifestyle is the same old low fat low saturated fat counter calories eat less exercise more. That's going to solve all your problems. Well that's been the mantra for decades. And what have we seen during the time of that mantra. We've seen obesity go up. Type two diabetes go up. We've seen alzheimer's go up. All these chronic medical conditions increase under the watchful eye of a healthcare system theft claims to be trying to treat those and prevent those. But it's clearly not doing the job so part of the problem. is you know. Doctors aren't trained properly for this and they don't have the time for it. So what we really need is a multidisciplinary system. And this is what i sort of. Tried to create with my friend who i mentioned earlier. Who's the health coach dustin. Who turned me onto low carb lifestyle. We tried to create this. Integrative atmosphere where we have the nutritionist. We have the health coach. We have the personal trainer. We had the doctor And it was really hard to do because it's expensive to do and insurance isn't gonna pay for that. So people have to pay out of their pocket and that just meant couldn't scale it and so that's where the barrier is. because that's the ultimate preventative. Care when you get the experts. You can't expect a doctor to be able to come up with meal plans and be able to come up with you know nutritional education and that's part of the role that we're trying to fill at diet. Dr for the doctors for the even the nutritionist and the personal trainers in the health coaches that we can be their resources for their content for their meal planners to their recipes. There shopping and just to educate as much as possible. So they don't have to do all that work. They don't have to recreate the wheel but they can work with us and we can help supply that because that's that's really what we need. Is that broad. Umbrella approach the Medical society medical community does not have right now at all. But how should it look really impresses like if if this would be actually done a through my insurance through my local family practitioner. Like what should they be doing like you were alluding to is an annual checkup. Read enough not. Then what should it be like. If your average joe comes to a like what tests should they be running and What

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