Ex-Pharma Rep: It's Way More Corrupt Than You Think - Brigham Buhler

the number one cause of bankruptcy in America is healthcare costs 100% why how did we end up there it's a long Twisted Road one of the things i' I've talked about a lot is you know in medicine if you're going to understand or treat a disease State you you you have to find the root cause and if we go to find the root cause of the broken Health Care system in America it runs deep and it's Insidious and it's widespread so it's a lot to unpack but it's starts with our food our di diet our lifestyle our nutrition um our food sources what you and I were talking about right before we went on the air is all the contaminants in our food all the ingredients in our food uh you know a good friend of mine Bonnie Hari has been beating the drum on all these media Outlets lately exposing like in the United States in the 80s we had 700 approved ingredients in our food now we have 10,000 in Europe it's still close to 700 why in America do we have 10,000 and one set of ingredients for Americans in the same Factory and a different set of ingredients for Canadians whether it's fro Loops or whatever it is but that's one component of the issue then we go to the checks and balances like if we have a primary care in America that only has six minutes with a patient and they're controlled by what the insurance companies do uh the main message that I have for people is it comes down to corporate capture like if you show me the incentives I'll show you the out out comes and our entire incentive systems in this country are based off monetizing and capitalizing off chronic disease it's all about quarterly earnings quarterly profits nowhere in anyone's business school or any of these Executives is their priority to drive Health span or to cure chronic disease oddly it's actually quite an American approach to things you know profits first that's very important to us ital it's wild there's a few areas that we maybe should put profits second or third perhaps yeah and and and Healthcare is definitely one of those and so throughout the system the checks the balances all of that has been ripped out even with the collusion of our three-letter alphabet organizations you know whether we're talking about the FDA the NIH the CDC all of these various entities have also been corporately captured a lot of their funding a lot of their uh like goals and initiatives are based off of of helping these giant institutions that are monetizing these things how recently has it been since saying stuff like this didn't sound like crazy conspiracy theories you know what's Wild is I was telling Joe this stuff like five years ago uh and and one day Rogan's like come on the podcast and when I went on there nobody was talking about some of these things like especially the insurance part the insurance is one of these hidden monsters that people just don't know and even to this day they don't know and even after doing uh some of these bigger platforms like yourself you know now the message is getting out and I've had people like Bobby Kennedy reach out and I went and sat down and even a guy who's been in the trenches who's battled big Pharma who's battled uh these big corporate captured institutions when I brought up pbms he said I don't what are you talking about a PBM I don't have a PBM I have insurance and that's the feedback most people give me I don't know I don't have a PBM and so I have to like methodically walk them through what a PBM is how it's hurting America's health so if we look back to this whole uh profits first model we talk so much about big Pharma big Pharma big Pharma the big five insurance companies made four times the revenue of the biggest five pharmaceutical companies last year 4X the revenue they control every surg every drug every treatment when where and how you can access health care and treatments and preventive care I actually think the United Health CEO shooting for me was a real eye- openening moment because I just thought a guy shoots another guy on the street obviously there's going to be public outcry about this yeah and I didn't realize how strongly the American populace feels against all healthcare insurance insurance companies it was it was I mean again I'm an immigrant here I know you can understand most of the words that I say um but I was just [ __ ] shocked I come from a country that's got National Health Service yeah right if someone had gone and shot the head of the NHS who've been like what the [ __ ] are you doing yeah I think it's just it's well you I never condone violence and obviously what happened is terrible and tragic but so are the 1.7 million people dying every year of chronic disease in this country we spend more on health care than any other Nation but we're one of the fattest sickest and most chronically ill Societies in the history of the world more people are dying every year you brought up ssris in the very beginning more people are dying every year of deaths of Despair in the United States than ever before in the history of the world we have more people dying now than during the Great Depression of suicide and deaths of Despair why what we're doing is not working people have a hard time even what that guy did is terrible and it's tragic terrible way to deliver the message right nobody's condoning that but it's also equally terrible and tragic to delay deny and depose people's ability to get the care they so desperately need when people pay their hard-earned paycheck every month and all they expect is to have you there when you need it and then you don't allow them to access care and I can explain why and I've broke this down before the these insurance companies right they've made four times the revenue of the big pharmaceutical companies ask yourself how how they don't have a product their product is to be there in a time of need and provide you with care and insurances were started right in Texas uh in at Baylor in Houston Texas where I was a device rep for literally 15 years and Baylor College of Medicine realized we need to be able to help people Finance essentially preventive care and protect their bodies let's build in a monthly fee and then we'll allow them accessibility to stay healthy but that eventually became a profit Center and as these big insurance companies came in and acquired all the middlemen and all the checks and balances 60% of the revenue of United healthc Care last year which was $361 billion with a bee 60% of it came from prescription drugs via an in called a pharmacy benefit manager here's why this is a problem you have now incentivized the insurance companies to put you on drugs the average American's on four or more [ __ ] prescription drugs why we're not lazier than we've ever been I I I don't buy that do we have some lazy people yeah we do but there's no way what came first the chicken or the egg did we get chronically ill and chronically obese and then became lazy or did we become lazy because we were chronically ill and chronically obese I I don't know these are but we do know we're chronically ill chronically obese and probably a little lazy what I thought there was supposed to be caps on insurance company profits is that not the case I'm unaware of any caps the way the way that this is structured is so pbms were established in the 80s and the the premise was this the federal government here in the United States as capitalistic as we are realized we had a problem and they said look these Insurance comp or these uh pharmaceutical companies are out of control their profit margins are through the roof we've got to make medications affordable for the average American Consumer and patient we're going to establish these Pharmacy benefit managers that will go out and negotiate on behalf of companies corporations and the little man and they will fight for us to drive down the cost of Health Care and so they did for a period of time they went out and they negotiated with big Pharma and they got big corporations and companies together to lobby and put together our buying power to drive down the cost of a prescription drug making it affordable you know for Grandma and Grandpa those were captured in the late 80s by the insurance companies and so what you saw and one prime example I use all the time is insulin why does Eli Lily make the same exact profit margin on insulin almost 30 years later but the price insulin has forx where's the money going it's like where's the money Labowski where's the money and when you peel back the layers to the onion and you look the money is going to the insurance companies and so it's a little tricky to explain so I'll walk you through it as as seamlessly as I can insurance companies say hey there's these middlemen let's go buy them they bought the middlemen at that point they controlled the negotiations with the pharmaceutical companies and rather than negotiating down the price of the drugs they said aha what if we negotiate up the price of the drugs via rebates and what we would call Kickbacks in any other industry so they negotiated rebates on almost every major pharmaceutical product and if you want to be on United healthc Care's plan you got to pay to play if you want to be on Medicare Medicaid that is all an illusion Medicare and Medicaid are outsourced to who the big five insurance companies and so throughout the chain of checks and balances and the system they are now monetizing chronic disease they're incentivized for you to be on more and more medications because it's a profit Center for them and so to explain how that works people go wait a second why would an insurance company mark it up because they're the ones paying for it [ __ ] they don't pay for it insurance companies pass that bill on at the end of the year to your employer and 92% of people's Insurance are from their employer so most people never realize and then there's they also have what's called Gap pricing so I the only reason I know all this just to take people walk through like history and me is I had the touch points I was a drug rep and I went from that I I sold you know I launched seis in North America the Viagra competitor which was a blast like it was fun everyone loved it nobody was complaining about seis but then I got pivoted to anti-depressants and antis psychotics and I saw the Dark Side of big Pharma and within 8 months I was out of there I would have to go be a device rep Where I Stood in surgeries with the best and brightest surgeons in the world and I saw those problems and then from there I became a Serial entrepreneur in healthcare where I attempted to work within the insurance framework and what I saw was so eye openening it made it all finally make sense I was like oh my God this is what they're doing and once you know the magic trick you can see it over and over and over again and so the magic trick is we push people to medications and prescription drugs a real world example would be the opioid crisis what nobody realized in an article came out maybe two months ago I think in the New York Times 30% of the money and revenue generated from opioid abuse in this country went to the big insurance companies never did they get indicted never did they get questioned never did they get sued they skated Scot free but they had negotiated rebates on opioids why why that's important is I owned pharmacies that offered alternatives to opioids I would go out and educate clinicians on the importance of not prescribing opioids because I lost my brother to opioids they pushed it into the market they let big farmer ramrod it via a deal with the FDA the head of the FDA then went to go work for pdue Pharma who brought that drug to market for big huge fat salary three years later Purdue Pharma who created the volum crisis in the 7s then perpetuated the opioid crisis in the 2000s in the 9s and then all of that was profited by big Pharma and big Insurance where are we at with Padu farma now you know there's been I've watched at least two or three documentaries or series that have been made about that situation I think in the last half decade uh what's the current state of pdue and what's the current state of opioids uh accessibility how hard they're being pushed in America so opioids are very hard to get at this point however the equivalent to a 747 jet worth of people are dying every day to opioid related deaths because now that they cannot get opioids via clinicians they've turned to Black Market you've already created and perpetuated the problem now you've cut off the source and these people are turning to you know uh products from Mexico that are indirectly coming from China that are cut with fent andol and that that's canly what killed my brother um and so it's tragic and then the tra most frustrating of all is Purdue pharma's new blockbuster drug for opioid abuse they are now selling the cure to opioid abuse which is a new product that does help reduce opioids and has way less side effects but it is also addictive so you're giving a new addictive product to an addict and now monetizing and perpetuating the problem you created so opioids and then they're also trying to obstruct the ability to products like ibigan in the United States which you know is a one-time treatment and has over an 85% success rate at getting people off yes getting people off these drugs uh although it may be a slightly challenging process for 36 hours or whatever when you go through it yeah um so what happened with opioids how have they been pulled so opioids uh they put a lot of restrictions in place to make it harder it's called triplicate clinicians have to document document document and then prove they they can justify and their license is at risk and people went to prison uh because they were against over prescription correct because what happened is like any boom unfortunately where there's a lot of money there becomes a lot of Bad actors and that's what you're seeing today with even gp1s and weight loss drugs you know I mean it's it's popped up on every corner every every single freaking tele medicine company is canly prescribing gp1s and I'm not against them I because we we prescribe those at our company as well it ways to well but are they being over utilized overprescribed uh and inappropriately utilized for sure I remember I came to La maybe 2018 something like that and this would have been I think before California legalized weed but when you could get it with a medical marijuana card and I remember the first time I ever went to Venice Beach oh my God I'm going to go and see Muscle Beach it's going to be so cool I'm like you know just living the dream right so of late 20s first one of the first times I've come to America and a famous Venice boardwalk every third little kiosk was some di that could give you a medical marijuana card like how many marijuana doctors are there that exist on Venice boardwalk and you know for every legislative loophole there is an opportunity for people to capitalize on it correct and you know I suppose you also have um during covid people got lazy only fans did well uh over the last 50 years people have got fatter which now has opened up the opportunity for anorectics similar drugs to come through and there it's a good tool in the tool belt if you're chronically obese diabetic and sick and headed towards chronic disease of course I'm never here to judge we've got to put winds on the board and we've got to get the weight off but I say this all the time prescribing a glp1 without talking about diet lifestyle nutrition is like brushing your teeth while eating [ __ ] Oreos it's very counterintuitive it's just you've got to address the root cause and the root cause is Diet lifestyle and nutrition so the opioids have been pulled access to those has been made more difficult that's resulted in people having they've still got the tendency but the Sur is now being cut off because and if we walk through like how so it this take a step back I guess at this point almost 14 years ago as an entrepreneur I had steps and protocols and procedures in place so I would go meet with clinicians around the country and I would educate them on the importance of not prescribing opioids lightly and the message was this these can be very valuable to treat chronic pain when utilized in the right patient it can be lifesaving but if you utilize this in the wrong patient you're going to kill somebody and so why not take the proper steps there is a non-abusive non-addictive alternative to opioids and that is a ketamine based pain cream and it can't be abused you can't you can't separate out the ketamine you have no way of abusing it like topical it's a topical but for Orthopedic injuries knees shoulders elbows joints backs they were prescribing opioids for two months at a time you know writing like 60-day prescriptions you're perpetuating this problem and then those get diverted and so here were the safety nets don't prescribe it prescribe a non-abusive non-addictive pain cream that's option one option two you think this patient needs it okay toxicology screen this patient to make sure that they're not abusing other drugs and and or diverting this drug option three you should at minimal pharmacogenetic test which was a simple cheek swab that tells me if you have a propensity to become addicted it tells me can you even metabolize this drug cuz 2 3% of opioid users can't even metabolize it all of those checks and balances within a year the insurance company said we're not covering any of it put them back on an opioid why and at the time I'm going why we're we're we're literally giving life refs we're saving lives why would you do this I didn't realize they were making money off of it 30% caman topic alment is non-addictive what's the reason for people to keep coming back keep coming back and the insurance companies had negotiated rebates because that was a compounded drug so insurance companies hate compounding phes can you explain what compounding pharmacies like you know white label like what that is because I always hear people talking about it and I have no idea yeah this is this is actually crucial especially current events hims and hers did a Super Bowl ad set the world on fire people were pissed because what they did was they kind of captured the Maha message and made it look like it's about being healthy but the real message was oh and by the way sell you gp1s call us today the weight loss drugs and so that upset you know the health Advocates and rightfully so but then it upset big Pharma because big Pharma said look this is the problem you know you make us follow these rules and we have to give disclaimers and side effects but these guys didn't and the problem with that is it went from a conversation about a tele medicine company potentially acting in a way that some people think was unethical to a full-blown attack on compounding pharmacies and the reason that attack was perpetuated is Big Pharma is attempting to everyday discredit and scare people away from compounding phes what's a compounding Pharm so a compounding pharmacy compounds medications unique to the patient they also are utilized anytime there is a shortage in the marketplace and so do not be fooled I own one of the biggest compounding pharmacies in the country uh and every single product we make is FDA improved ingredients that come from the same exact suppliers this big Pharma every single batch we make is independently third part third party verified by an independent lab every single dosage we ship out the door we then retest to make sure that it's exactly what we thought it was said it was and it is okay there are dozens of checks and balances and the FDA has been in my building three times in 18 months there are over 5,000 big pharmaceutical manufacturing facilities that the FDA has not inspected in five or more [ __ ] years why because they've moved their facilities overseas they're in India they're in these third world countries that are hard to get to the FDA has to file for a Visa and then go over there and stay in a hotel with sometimes no running water they don't want to do that so they just don't go look and the reason we're on a glp1 shortage here in America is because Eli Lily's American facility got shut down because of a whistleblower and so big pharmas out there trying to scare people away from companies like you know all all of these tele medicine companies all these compounding pharmacies and tell people these are dangerous these are unsafe no it is no more dangerous than what you're doing and in fact I would argue what big farm is doing is astronomically more dangerous because they don't have the checks and balances and they have the lobbying power what happened with the Eli ly thing Eli Lily ended up getting hammered at their one of their facilities they had they came in and there were Barefoot people in the sterile rooms they literally had destroyed records their efficacy data wasn't correct I mean in this there's a book called bottle of Lies where this investigative journalist goes over to India with the FDA just to follow them and they're literally burning records not Lily but a big pharmaceutical company was literally burning records and we can go back in history to the long sorted jaded history of big Pharma uh a lot of people talk about Monsanto when we were talking about food you know Bayer Monsanto are the same company right they're owned by the same holding company so Bayer that produces drugs is owned in Monsanto are sister corporations and Monsanto produces chemicals that create cancer Bayer sells chem uh Cancer drugs but before that Bayer sold hemophilia drugs and they knowingly infected people with HIV in the late ' 80s early 90s when it was a death sentence so they cross-contaminated a hemophilia drug with a HIV they could destroy the batch and lose revenue for that quarter or they could ship it into the marketplace and risk infecting patients with HIV what do you think they did they shipped it to third world countries at a time when HIV was a death sentence and then back to compounding versus big Pharma compounding pharmacies came out and said we can make HIV treatments for literally $12 a month at a time when big Pharma was charging 122,000 a month and they got sued by all the big pharmaceutical companies for trying to provide life-saving treatments to third world countries finally there was enough of a of a voice a overwhelming swell of angry Americans and and Europeans that they had to back down but it was two years of an obstruction mentality how many people died and other news you've probably heard me talk about element before and that's because frankly I'm dependent on it the last 3 years I've started my morning every single day with element it's a tasty electrolyte drink mix with everything that you need nothing that you don't it's got the science backed electrolyte ratio of sodium potassium and magnesium with no sugar no coloring no artificial ingredients or any other junk and it plays a critical role in reducing muscle cramps and fatigue while optimizing brain health regulating appetite and curbing Cravings this orange flavor in a cold glass of water is like a beautiful sweet salty orangey nectar and it is the ultimate way to begin your day and I genuinely feel the difference when I don't take it best of all they've got a no questions asked refund policy so you can buy it and try it use the entire box and if you don't like it they'll just give you your money back and you don't even need to return it that's how confident they are that you love it right now you can get a free sample pack of all eight flavors with your first box by going to the link in the description below or heading to drink LM nt.com modern wisdom that's drink LM nt.com SL modern wisdom what are the drugs that you're most worried about at the moment you know if we' started to P opioid crisis everyone was talking about that it seems like this is something that in yeah there's some Downstream complications but I have to assume that getting them into a high level of scrutiny when it comes to your prescription is better than where we were before so okay something has been started yeah what are the drugs that you're most concerned about for the future of America so it's a du it's a dual a duality that's a challenge it's the drugs and the treatments that big Pharma suppresses coming to the market so one example would be peptides right uh gp1s are peptides why were they not on the bulks list that got banned by the FDA because they've been patented and monetized by big Pharma why did bpc and these other drugs go on the naughty list not because they were dangerous that's an absolute [ __ ] lie they went on the naughty list because MC has over 200 patents in process for peptides they are attempting so they in one breath they say oh no no no no you got to get rid of these things these are dangerous FDA you got to shut these guys down but then what they do is they come and capture those molecules patent them and sell the exact same thing that compounding phies were already providing to the public for a fraction of the dollar amount so like a glp1 is $1,600 through the insurance big Pharma model most compounding pharmacies are providing that compound for under $300 a month mailed to your doorstep and depending on your dosage it may be like $100 a month which is just mindboggling the big ones that are that are worrisome for me and have been forever and this is partially why I left being a drug rep all these years ago when you look and this is one of the things Bobby Kennedy's kicked a hornets nest over is these ssris these anti-depressants literally if you look at the data of over 75 studies in a meta analysis 85% of the efficacy of an SSRI was related to Placebo the these are their own studies these are Big pharma's own studies 85% was related to Placebo it has a 50% failure rate or relapse rate it causes increased suicidal ideation violent thoughts you know when we talk about the gun crisis in America look at how many of these mass shootings involved anti-depressants these are dangerous compounds and they don't have the efficacy that the American people have been sold on in fact even in the studies on a 52 point scale a depression scale it different differentiates from Placebo by 1 to two points one to two points we could give you sugar pills with none of the side effects but then we don't even talk about diet exercise lifestyle if I don't work out I'm an anxious wreck man I mean it's just the way my mind is I have to go work out I don't want to I'm like everyone else like and once you get in it you enjoy it but I think it's just a matter of like reframing things for the American people and helping them see the answer is not at the bottom of a pill bottle man it never has been it never will be what do you think the future of the sort of psychiatric drug world is surely this is ripe for some new formulation ssris I saw that study that dance was the most uh effective way dancing regularly was the most effective it was exercise basic it was that big study that was like exercise versus ssris and it's some absurd more effective but that when you actually looked at the list and they put it in order of what was the most impactful dancing with another person was that's fascinating the highest impact thing but I think that's kind of a bit of a cheat because you're not just looking at an exercise uh modality there you're looking at something that's pro-social you're looking at something that's you know got other people involved and so on and so forth it's like hey that's a little bit of trickery but anyway uh surely psychiatric mental health world is there not something I think we as much as we're connected we're also so isolated think about it like think about how much we're on our phones think about the reward system and i' I've heard you have podcasts where you've talked about it it all elevates our cortisol levels it all devalues our selfworth it all creates and perpetuates this problem of mental health and it starts now at a very young age and our diets our lifestyles our ability to exercise and get fresh air and build community you know as woo woo as that sounds those are answers to these problems and the other part is there were answers and have been answers for thousands of years like products like ibaan like it's not a product this is a plant-based medicine that was used on the plains of Africa 8,000 years ago why have these things been suppressed and hidden and villainized well we know why the same old narrative right The Establishment wants to suppress and prevent things from coming into the marketplace I'm very optimistic about a treatment like ibigan or psilocybin and even at wayt toell right now we're doing a project called the mindes project affiliated with Dell medical school where we're diving into using psilocybin for problem solving and complex problem skills uh because one of the lead scientists Dr Bruce Danner worked at Nasa and had an experience on psychedelics where he solved an equation that NASA had been working on for like seven years no there's so much to the human brain and the complexities uh even products like and so much is controlled by the insurance I hate to keep going back to that but like one of the treatments we do that I learned about less than two years ago you know there's a brain scan an EEG brain scan that has over an 85% success rate on depression anxiety and insomnia it's mind-blowing the numbers are are overwhelming and what they do is they assess your brain with an EEG it's called wave Neuroscience assess your brain with a simple EEG load it into an AI algorithm the AI tells us where neurons are misfiring it could have been from chemical abuse it could have been from head trauma it could have been from an extended period of depression and anxiety where your brain has now been rewired and these neurons are becoming beta waves in different aspects of the brain the future's bright is where I'm going with this it's not that there's one solution it's that we've been looking in the wrong place in my mind and we've been looking in the wrong place because Insurance in big Pharma is telling our government where to look and the people historically until Co I feel like the veil came off and now we all are going hold on a second I don't know if I believe you anymore at least I am that was an eye opener for me I think it was for me as well the agencies the media the people that supposed to be in charge and know what they're doing did not shower themselves in glory during that time and there's only so many situations where you can publicly face plant that badly and then have to walk it back or you get called out for hypocrisy or just like for ignore the fact that you once said something that You' now got to say the opposite up uh I think it really opened an awful lot of people's eyes and it doesn't surprise me that we're kind of it was very fertile ground in some ways a good thing because it did lay some fertile ground for uh the questions that people are asking now causing them to dig deeper into what's going on but I guess you know there's a lot of people that listen to the show who uh aren't American who aren't subject to the American Healthcare System can we just have a look at sort of what the state of health is like for a modern American what's the sort of Health outcomes that they've got how do they deal with the issues that are coming up what's the kind of care that they get yeah go through that so if you're if you're the average American and you're trying to get in to a primary care for instance through the insurance Mall let's use Luigi as an example the guy the Assassin of the United Healthcare CEO why would this guy do such a terrible thing what happened to this kid if you look at the a average spine patient in this country you have a spine injury okay this particular spine injury causes your extremities to feel like they're burning and on fire right neuropathic pain in your fingers your feet but also neuropathic pain in your genitals is a common side effect of this spine injury that Luigi was suffering from and you now have to go first if you're in the insurance model you got to go to a primary care it takes you 3 months to get in with the primary care because there's a weight list and they have to see a patient every 6 minutes they see 40 patients a day on average you're in and out of there right so they get you in and that doctor says who out of my out of my wheelhouse I'm going to prescribe you a a pain med and push you out the door and we'll get you scheduled with a specialist for spine you go see that spine specialist they go I can't do anything how long was the wait to get the spine specialist months usually three to six months now you get in with that guy you've been taking opioids this whole time now they tell you we need to get an MR in order for me to be able to give you a thorough answer to what's going on here so that takes time now a lot of times the insurance companies denies the MRI you have to fight the insurance company so they delayed your care delayed your ability to go from person to person they deny the coverage of the care okay and now the last shoe to drop is you finally get the MRI you finally get the surgery approved you go out you interview clinicians you find the best and brightest surgeon in your iog graphic region this is a spine surgery it's not something you take lightly you find the surgeon you want you set your date for surgery and the insurance company says no you're not allowed to use that surgeon that surgeon is not on our preferred plan you've got to use this surgeon over here so you're not getting the best surgeon for you you're getting the best surgeon for the insurance company's pocketbook and what they could negotiate the rate down to the cheapest reimbursement rate and then where where insult comes to injury after you've paid all that insurance in all these years you typically on a surgery have a $10,000 co-pay or deductible to scare you out of doing the surgery so imagine being a 26- year old kid you're miserable you've been on opioids your genitals are on fire now you finally get a surgery done by a doctor you didn't want to do it and you pay $10,000 out of your pocket that you're on the hook for that's why B the number one reason for bankruptcy in America is Healthcare they've essentially made the hospitals the MRI centers the surgery centers any of the touch points in the ecosystem subprime mortgage lenders you you don't have a choice as a hospital you're taking United Healthcare what are you going to do turn around turn away thousands of patients a month that's your Lifeline to keep your doors open so you eat the bill of the $10,000 and do your best to get the patient to pay and so for that patient now you get your surgery and in this particular instance the guy supposedly botched the surgery he had bad outcomes and those bad outcomes can lead to permanent erectile dysfunction it can lead to permanent neuropathic pain uh not to mention you know anywhere from 40 to 50% of patients who have a spine surgery will go back under the knife with an 18 months for another spine surgery yep and so you are caught in this feedback loop system where you're perpetually in pain perpetually prescribed drugs and hoping that you can just get an answer and you can't ever get an answer and this is the loop that these American people are trapped in and this is why people are so angry and so frustrated you know when they're cancer treatments are denied or whatever the whatever it is is denied and that's a whole racket too even in oncology what people don't realize is anywhere from 60 to 70% of an oncologist income comes from marking up your chemotherapy drugs so every part of the system has incentivized people to make money off you being sick and so then we're sitting here shocked I I heard Russell bran go oh yeah it's shocking America like you're all in awe over the fact that you're perpetually sick and that profits are at an all-time high but you've built a system to have all-time high profits and make yourselves perpetually sick as crazy as that sounds it's the truth temperature plays a huge role in how well you sleep but traditional bedding often fall short just add the brand new pod for Ultra to your mattress like a fitted sheet and it will automatically cool down or War up each side of your bed up to 20° plus it's got integrated sensors that track your sleep time and your sleep phases and your HIV and your snoring and your heart rate with 99% accuracy eight sleep has been clinically proven to increase Total Sleep by up to 1 hour every night increase deep sleep by up to 2.5 hours a month and reduce wake Time by up to 3 hours per month best of all they Shi to the US Canada United Kingdom Europe and Australia plus they offer a 30day sleep trial so you can buy it and sleep on on it for 29 days and if you do not like it they will give you your money back right now you can get $350 off the brand new pod 4 ultra by going to the link in the description below or heading to 8sleep.com wisdom using the code modern wisdom checkout that's EIG HT sleep.com slod wisdom and modern wisdom a checkout yeah I mean it's wild to hear that sort of process happen especially coming from the UK and look you know for the American people that might look at a nationalized healthcare I actually am kind of I'm superbly in favor of making some level of basic health care available for absolutely everybody for free and I think that it seems kind of barbaric that uh you get hit by a bus and you've got to walk it off because if you don't walk it off you're bankrupt like the choices between having a broken leg for the rest of my life that doesn't heal properly or being bankrupt and maybe being homeless and then you know the catcap goes down from there all of that being said and my you know very small area of social beliefs one of which is in healthcare uh I have to just explain for the people in America that might look at the UK and go oh my God like this is so fantastic we the standard of care that you have in the UK is uh it's not good it's not fantastic you know I walked in when I was 22 23 uh and started talking about the fact that I had a low mood and the doctor looked at me and said well what's wrong I'm like there's like nothing ostensibly wrong other than just like you know the way weight of existing I don't really know what's happening I haven't had you had a recent grief you had a recent breakup you in financial straight you blah blah blah blah blah no no no no no you sort of gave me this puzzled luck and then gave me a single page print out and sort of said go on your way so you know in the UK GPS General Practitioners that are our sort of first Port of Call you've got something up you've got a cough you back hurts you got something that you're worried about you go and see them they have 10 minutes to get you in introduce diagnose explain recommend and get you back out of the door again and that's just cycled through over and over and over again like a a Turn Style all day long uh so you know try you don't get to choose choose your [ __ ] surgeon in the UK to the NHS good luck like uh you know you don't have the same kind of uh levels of of care in that way you know in the UK every time that I post about blood work every single time I post about blood work I get tons and tons of messages from friends from other people where can we get this done in the UK I'm like I [ __ ] if I know man there is no such like when I came over here and I was introduced to the idea of an annual physical or a six-monthly checkup and they said well when was your last six Monon you checkup and I'm like I've never had this I don't we don't have you don't do preventive there is no there is zero preventative care in the but the main reason the zero preventive care is that the power users of the of a nationalized healthare system the people that are the sickest are the ones that take up the most time for the doctor so if you a relatively well person tries to get from Wellness to Fitness as opposed to to sickness to Wellness he looks at you and goes dude I've seen someone who's going to [ __ ] lose their leg because of their diabetes earlier on this morning your lower back pain meaning that you can only deadlift 80% of your max as opposed to 100% is not my problem get the [ __ ] out yeah you know because there the the the anchoring bias that they used to is so skewed toward the sickest members of society quite rightly they're the people that need the most care but there is this odd like adjustment bias where they can't make the site actually come back down to point at someone much closer to which is I'm not absolutely catastrophic but I'm not as good as I could be and I would like to become better uh the first time I moved to America I got uh I had an assessment so I could start working with Telly health and they said just normal physical got to get you in for normal physical so they bring me in and they do the knee tap thing and the height and the weight and all like basic [ __ ] and then they say we'll do an eye exam okay cover this please and read that and I'm like ah p q I can't read that one okay we'll go one bigger like s v and she's like we'll go one bigger like okay and uh we finish up this exam she's had a couple of cracks at it we finish up this eye exam and she goes you uh can't legally drive without glasses I'm like what like yeah yeah your eyes are that's a while really bad and I'm like what are you talking about my eyesight's perfect I I don't know I've never had bad eyes she's like no your your eyes are pretty bad I'm like and then I did notice i' been squinting a lot when looking at text stuff that was far away had been a little bit blurry I was like holy [ __ ] went and got my eyes tested and like yeah you need glasses then then I went and got lasic which is why I don't need these these are just because I look cool uh but I love it that was like I didn't know that yeah I had like vision problems because especially when it's anybody that's transitioned from seeing perfectly to seeing a little bit less than perfectly you're like H I don't know was stuff always this blur it's far away who knows if it's supposed to be Sharp is it [ __ ] 360p or 4K I don't know um and none of that stuff was picked up there is no preventative care in the UK at all there is no such thing as an annual physical now you can have berer nuffield you can have your those are private uh medical companies uh you can have those things and maybe if you went in and you had some like indications your doctor would say let's get your blood stunner let's do the whatever I have no idea what like this is what it feels like in the UK Healthcare feels like you have to do you have to say this weird series of secret incantations and do some special rain dance thing to get your GP to do the test to do the thing that you want them to do yeah what you're saying is my back hurts yes I've been through all of the different things it's not referring down my leg I've got this issue I've done this thing I've done rehab I've making sure I'm active I'm sleeping in this I've checked my bed I've checked my sleeping posture I'm walking all day I would just really love to get a scan well what we really need you to do I'm like [ __ ] so many times someone goes in to try and get a uh their particular pathology moved forward on the medical side of the scenario and they're left with something that you have to do and maybe on average that's actually what needs to be done because lots of people go in and they say uh my feet hurt and it's like dude you're 50 pounds overweight yeah um we need to here's some leaflets on healthy eating here's some ideas about what Kao is and how you can reduce your calorie calorie consumption and stuff like that maybe that's actually on average what most people need but the fact that you're on this 10-minute long conveyor belt speed date thing means that no one is ever prepared to look at somebody that's what's crazy is you're also describing the American Health Care System that's that's where we've gone to because because it's all Insurance based the average clinician has six minutes with a patient and so another example is I owned blood labs and I went out and I educated clinicians across the country on the importance of getting proactive and predictive what do I mean mean by that the diabetes you develop in your 30s started in your 20s right the atherosclerosis that manifest in your 40s started in your 30s the cancer you get in your 50s started in your 40s if we get proactive and predictive if we start by taking a look under the hood if we truly do a deep dive into you at the biological level and create checks and balances like you would in a business like you would in any other aspect of life you like to go hey am I headed towards my goal and petera talks about this if your goal is to live to be a happy healthy centenarian which I think is a great goal for most people if you could be physically healthy and lift your grandkids and enjoy life and go on Hikes we have to assess you periodically and gauge are we trending the right way or the wrong way and the system's not built to do that the system is built to push you in push you out monetize your chronic disease and profiteer off of the drugs and doctors are nothing more than an unwitting Psy in the process unfortunately say that you know a lot of the time people point the finger at sort of medicine overall I've got friends that are doctors at least doctors in the UK I think I've maybe one or two friends that doctors in the US I don't know a single one of them that got into the job of being a doctor in healthcare because they wanted to push some [ __ ] New World Order nefarious agenda they need to help people they're like you know caregivers or Druids or Wizards or a medic or some [ __ ] you be down Chris they're beat down but what's the level of restriction complicity ignorance neglect like how what's I me I can tell you real world the doctors care they're exhausted there's a massive shortage in primary cares a study done by Harvard said there's going to be 30% less primary cares in the next five years most primary cares when interviewed said they are not happy with their job and they don't want to be doing it in 3 to 5 years it is an exhausting beat down of a job and it's because of this pace they're not it's the pace it's that you don't allow them to solve problems it's that it's been corporately captured most primary cares in America are now part of big conglomerates so even let's go back to Big Insurance Blue Cross Blue Shield went out and bought Kelsey SEO Kelsey SE is one of the biggest Primary Care practices in the country it is owned by the insurance companies okay when I owned a blood lab and I went out and educated clinicians on the importance of running that comprehensive blood work annually and my clinicians started running that thousands of clinicians around the country within months they all got letters from the insurance carriers saying what are you doing we don't want you running this blood work it cost us money go back to running a basic lipid panel knock on the knee look in the ear test their eyes and look at a basic lipid panel of triglyceride cholesterol which tells us minimally nothing right because you don't have the full range of what's going on and that's the challenge we can't get proactive and predictive and preventative if we aren't able to look and the existing Insurance ecosystem in America will not allow the clinician to look because if you were looking early on you would catch diseases which then wouldn't be monetized further down the line I think it's a multitude of things I hate to go that far but one if an easy an easy lwh hanging fruit that we could all agree on is the insurance companies look at that and go why do I want them to run a $500 blood test when I can pressure them into running a $50 blood test right and now why would I want to uncover something that could lead to a surgery that cost me more money because they're not monetizing the surgery but they are monetizing the drugs and so there's an incentive system to keep you on drugs and then people go well eventually they're going to need surgery so wouldn't that be catastrophic for the insurance no because I go back to my previous statement most people's insurance comes from their employer and guess what happens in America the per the average American switches jobs every two and a half years so if I'm an executive at let's just say siga so I don't keep picking on United if I'm an executive at siga and I've got Joe Bob and he's pre-diabetic and he's Bubba is headed towards being morbidly obese and losing a foot I know that he's got two years before we reach that chronic crisis and by then he's somebody else's problem and I'm incentiv he's going to be a new employer that's got United Blue Cross right so this is weird this is kind of a a game of Russian Roulette sort of a mutually assured United destruction where they're going to send you their sickest and it's a game of past the parcel and at some point musical chairs and at some point the music's going to stop and you are going to be left holding this diabetic got it obese bag but where the sad part is most of the time that these huge Healthcare expenses happen are when they become the taxpayers problem once you're over the age of 65 and your Medicare Medicaid and you're no longer on an employer's plan is when the years and years and years of chronic abuse over prescription all of that the bill gets passed to who us the taxpayers right and so the insurance companies play this whack-a-mole Kick the Can down the road delay delay delay deny depose like let's stay away from it we'll just let somebody else deal with it because it's all about hitting the quarterly number and even at the hospital systems would be at the hospital they're like we got to get our surgical volumes up we've got to hit our number this quarter we're down 25% you need to see more patients today you need to find knee surgeries you need to find spine surgeries it is all about generating Revenue the entire ecosystem the checks and balances all of it's been thrown out the [ __ ] window man it is all crank crank crank this [ __ ] is print money this [ __ ] is [ __ ] can we can you just kind of explain zoom out a little bit more this Loop this pollination Loop between food producers insurance companies pharmaceutical companies FDA regulatory authorities what is the like simplistic process or structure or format of how they feed into each other yeah so one of the challenges is let's let's go to like let's go to even let's go back to just red Dy right this is really easy even when we got together that first Maha group and we testified in front of the Senate I think in I don't September of last year there was an article that came out days after we testified called us the woo woo caucus talked about how none of us have clinical experience and don't know what we're talking about let's be real I was the only one not qualified to be in that room we had you know Marty mcari who's now the head of the FDA so I'm very optimistic I know I've been very disgruntled about the FDA I'm very optimistic about Marty at the Helm of the FDA hope fixing the chronic problem there uh we had uh Chris Palmer a Harvard Professor uh you name it I mean this was a lot of very intelligent people I was again the the least qualified to be in that room and I was there as an industry Insider just explaining what I'd seen the day two days after a hatchet job article comes out when you go and look who funds that article it was funded by Bayer Monsanto the Bayer Monsanto funded this article why why would they have funded this Hatchet job article because Bayer is a drug company and Monsanto is a chemical company and those chemicals are part of what's causing and perpetuating disease States in this nation and then we go to the red food die like everyone laughed about red food D well why did the FDA decide now that RFK is coming into power right at the tail in of Biden's Administration to remove red food die again I'm not out here saying that it's like going to save the world but it is tied to ADHD and in in children and red food diet can perpetuate ADHD in children and hyperactivity and yet we're prescribing ADHD and hyperactivity drugs at an all-time high and there those are chemical straight jackets that then perpetuate the depression and anxiety that children have in high school and into their adult lives and so there is no such thing as a free lunch and I don't think it hurts to begin to question the narrative and and I'm not saying it's some big bad conspiracy to do it what I'm saying is we have siloed our Industries and our accessibility and our knowledge in such a way that you look like a crazy person for questioning it traveling should be about the pleasure of the trip and not the stress of packing which is why I am such a huge fan of nomatic this travel pack the 14 lit travel pack is what I wear every single day it is the biggest game changer and it genuinely makes spending your day lugging your possessions around infinitely more enjoyable they've got compartments for everything your laptop your shoes your sunglasses so well organized that even your toothbrush will feel important it's like the Marie condo of luggage everything has got its place and if you're still on the fence their products have got a Life Time guarantee so this is the last backpack you'll ever need to buy there's a 30-day money back guarantee so you can buy it throw your possessions in it and if you don't like it they'll give you a money back right now you can get a 20% discount off everything from nomatic by going to the link in the description below or heading to nom matic.com slod wisdom and they ship internationally that's Nom matic.com modern wisdom well this was sort of a big question that I had you know especially coming from the UK and look again not to beat on the UK in many ways it's it's great that we're like this um but 96% of people in the UK I think around about 96% took their first dose of the covid vaccine it was about 90% second dose and then in the 80s for the third for the booster something like that wow my point being that we're a very orderly Bunch yes right you give us a set of instructions and people will follow I think that it's in the '90s although I may be told I'm Wrong by the internet point being it was way higher than it would be in America that sense that there is someone looking over you that we're not adversarial with the key uh suppliers of our uh infrastructure of our sort of life-saving care nobody looks at the NHS people look at the NHS and they think that's [ __ ] and that is inefficient it's still the the NHS uses Windows XP still right that tells you everything that you need you fax things in the UK right Windows XP in facts okay so you have uh inefficiencies you have this sort of lumbering Behemoth which is essentially impossible to upgrade all the rest of the stuff but nobody looks at it and thinks it's malicious they think it's incompetent yeah in America same isn't true people have this sort of very adversarial relationship it feels very malicious and that's where I was going historically I would have said said it's compartmentalized its Silo much like the human body right we have built a a an entire Health ecosystem of siloed experts the body is one organism the gut biome impacts your chemical levels in your brain it's what it's the second brain to the body you know and that has a direct impact on your serotonin your dopamine all of that so to Silo off these different areas and we are so Niche and specialized that in a way we're missing the big picture it's interesting how the uh approach to health is similar to the structural approach to healthcare that you know you don't have somebody that is holistic and looking at I mean you do now just about to start with holistic Healthcare stuff like you do or Dr Gabrielle lion Etc 100% um but my point was is there nobody in America that fundamentally the book stops with because in the UK we have this sense that someone is on our side yeah that if you got 100,000 petitions together on whatever parliament. org or something it has to be presented it has to be presented on the floor yeah there is there no one like who's who is respons who driving the whose job is it to look after Health well it comes down to yeah I mean people would say the NIH and the FDA uh you know and uh HHS you know human health services but it then we go back to corporate capture so I'll just systematically go okay let's look at the FDA okay out of the FDA almost every single one of the heads of the FDA for the last 20s something years have gone to work for the exact institutions they were supposed to be protecting the American people from so the FDA has been captured corrupted and colluded with industry okay then we go to uh HHS you know HHS directly during Obamacare helped create what are now all these big insurance companies and pbms and their unilateral control of our health care System they created car vs and safety nets that allow for non-disclosure on how much money is being held at a PBM again corporate capture collusion corruption uh what was the NIH okay 80 to 90% of the NIH funding comes from the American taxpayer okay and out of 356 Blockbuster drugs over the last 15 years how many of those do you think started at the ni funded by us I don't know 100 [ __ ] per 100% of these drugs came from American taxpayer dollars then what happens is Big farma goes we innovate we innovate do you no you offered a deal to the NIH because there's so much collusion they basically come in and offer a program where they get a royalty the NIH gets a royalty off of big pharma's Blockbuster drug but we the people funded that drug then we the people don't get access to that drug cuz big Pharma says we have a patent on it and you're not allow insurance company won't pay for it even if you do get access or they'll make you pay over the over the odd boom wow okay now I fully I fully understand I fully it work all of our checks and balances have been corrupted and and this is wild one of the things I said in my Senate speech was I hear so often the Health Care system is broken the Health Care system is broken I want to be clear our health care system's not broken it's rigged and we're the ones fitting the [ __ ] bill it's not paid in tax dollars it's paid in human lives and human capital it's brothers and sisters mothers and fathers we are losing people at a break neck speed to chronic disease more people are dying of chronic disease every year than every [ __ ] goddamn War we've ever fought as a country that's how big this is if we were killing more people than the Holocaust and and all of these catastrophic events in human history every year why is somebody not ringing the bell yeah and why is why why is anybody that begins to ring the bell accused of being a conspiracy theorist or somebody that is team cucko land or whatever it was uh yeah I I don't know man look I I understand especially postco um I was dis I was made to feel uncomfortable with a lot of the Facebook status theorizing that went on uh there was a super famous uh WhatsApp image of one squaty one uh army guy walking down the street in London basically saying that martial law was about to be begun and that from tomorrow that you're going to be held in your houses and all the rest of this stuff this thing went [ __ ] Interstellar online right you know have you ever seen on WhatsApp where it says forwarded many times have you ever heard it's a little label it's like ah you should probably be a little bit cautious about this might be interesting or it might be [ __ ] um nobody was held to account for that every single person was like this is I've got a text from my brother and he's part of the 143rd Battalion of the whatevers Highlanders they they're going to do this thing I'm like all right is anyone calling your [ __ ] brother or [ __ ] sister for that [ __ ] Facebook status out like what's going on here so I understand that there was um a lot of additional room for speculation to be injected that caused people to first off waste [ __ ] brain Psych thinking about it but secondly get agitated and concerned uh in a way that they didn't need to causing unnecessary stress and stuff like that and making them doubt um paths that would have been actually more evidence based more efficacious although there wasn't many of those in Co in the first instance however when we've got ourselves to a much more sort of peaceful sedate uh situation like this it does I mean look you guys are going to continue to bang this drum and very very slowly more conversations like this Van's been on the show Callie's been on the show etc etc eventually I think we will get to catch up but this conceptual inertia right where people are so slow to be dragged along and that it has to be like these realizations that to me seem pretty obvious America is not a healthy country no since moving here all I've done for the last 18 months is try and fix my health which had been perfect until I moved here right I've only been here for three years I'm the [ __ ] split I'm not [ __ ] everybody right but I'm a pretty good split test perfect health until I was 33 moved to America by 34 and a half sibo H pylori candida gut dpois environmental mold exposure kicking off EBV maybe some lime I'm like and I'm now spending 18 months fixing it there's so many environmental toxins the food to a friend of mine he's British Ben wois I don't know if you ever heard of amazing kickboxer am and he was here to get some treatments and uh we hung out and he's like mate can I not get [ __ ] and like I just tried to buy like a basic croissant at the store and I saw the list of ingredients compared to like back home and he was like mind blown FL sugar it's just insane it's and so and I go to Europe and I eat whatever I want and lose weight I really do like it's it's [ __ ] wild so my point all of that together being I just wish that we could use a little bit more tasteful discernment when it comes to the level of scrutiny because it seems like a lot of the time scrutiny is applied not against ideas that don't have Merit but against people that you don't like from sides of the aisle that you don't like 100% you know if it hadn't been for the fact that RFK was on the right side of the aisle and it been attached to people like Elon and Trump and tulsy and all the rest of it you know remembering that not so long ago they would have been on a different side of the aisle uh and you just watch the reaction online can be determined by whether or not they used to be on your team or they are now on your teer and I know to me it's so disheartening what you're saying is spot on and I and I said this too to the Senate this is not a republican issue or democrat issue this is a Humanity issue chronic disease doesn't see your political leanings like this is hurting all of us and it's unfortunate that we're trying to now make it politicize left versus right but this is Humanity versus corruption don't get fooled don't let the Deep State whatever you want to call it the corporate powers that be of course they want us to fight each other but we're in this together and it's not Republican vers Democrat it's Humanity verse corporate capture Humanity verse corruption and collusion like the facts are going to speak for themselves I don't even understand with the vaccine stuff the up in arms over RFK asking questions like people aren't saying correlation is causation but people are saying correlation is justification to investigate should we not look at is there something more going on here we do know the history of big Pharma we do know like fool me nine out of 10 times shouldn't we take a look at the the one time we didn't think we were being fooled I mean because the history and the track record does not look good and so so you know you've been close to the RFK unit how much impact can RFK really have do you think like surely there's going to be so many barriers in the way of him making real change when it comes to healthcare new FDA head how much change can I think a tremendous amount I really do because a lot of it would be let's just say we get rid of direct to Consumer advertising for pharmaceutical drugs that's a big win let's just say we get rid of the corruption and all the collusion at the FDA I mean it's not going to change tomorrow but that is a big win what would you that's a good point let's say that you had a the FBI Most Wanted list uh if you had a top three top five changes that you would make what would they be uh well I mean definitely those two we've got to get rid of the cross-pollination and the collusion of these big pharmaceutical conglomerates with our regulatory bodies so that's if you work for one of the bodies you can't go to the farmer company corre we've got to limit the ability or prevent you from being able to swap Spit with somebody you're supposed to be regulating uh that's a mega problem and it blinds your judgment it really does just on that point is there as much of an issue with pharmaceutical company people going into the FDA because presumably the FDA wants people that have got expertise and there's only a like C the problem go back forth back forth right but would you be happy with them going farmer to FDA but not FDA to Farmer that's a tough question because you do want them to have expertise but then there's those ties there but that's it's course because you're now in the regulatory body it's either regulatory body gets paid for off before they leave and then gets a cushy job or person who still mates with all of the people then they take a job on a board and they're a consultant even though they don't that's they're just setting themsel up for a future career every angles another workaround where's a [ __ ] biochemist going to you know your molecular bio solution does create a new challenge but there's certain things like okay direct to Consumer advertising that's just in to me that is insanity and I understand why here in Australia they here in Australia are the only two places in the world [ __ ] question which I don't even know how that works because they have to give all the examples of how and at the end of that I've never gone wow those people L happy but I want to use that and risk uh heart attack stroke diabetes they just start rattling off all this stuff like if Joe is an advert for some gambling company or whatever and you've got a 60c advert and 45 seconds at the end are not available in nebr Nebraska and if you have a gambling problem please call 551 if you're in New York you need to call this number and I'm like holy [ __ ] like I suppose it's it's in there as protections but you're right they're not the most sexy ads in the world given that 50% of them are talking about the disclaimers that they've got that go at the front but but even separate from that one of the other challenges is the ability for big corporations to influence and drive legislative and uh governing body decisions what do I mean by that psychedelics how hard they are to get in this country why they're so obstructed but separate from psychedelics let's look at products like stem cells why why is it so hard because you've got big Pharma big medical big surgical breathing down the neck of the FDA influencing them and like we have an AI algorithm that we utilize at waste well one of the things I talk about is data in data out if you put bad data into Ai and large language models you're going to get bad decisions from large language models if we give our governing bodies a skewed lens a biased Viewpoint bad information bad facts bad data you're going to get bad legislative and uh governing decisions and we see it why like the peptides why would you come in and ban these peptides what is the real agenda the real agenda is Big Pharma put pressure on the FDA had nothing to do with safety it did not have anything to it was an overwhelming amount of pressure and it was an easy layup and they even do it with as soon as let's say joob Bob compounding pharmacy has a recall in Nebraska right why in the hell is that on national news like if somebody recalls eight vials of tepati the weight loss drug how did that get on national news when Eli Lily recalls thousands of vials and it never makes the news or fizer who they have recalls every day that never make the news the reason being they deploy their PR arm they push an agenda they scare the hell out of people they document it then they send all that news [ __ ] on to the FDA and go look at this man you guys are just going to let this happen we got to step up we got to get these guys out of the marketplace and the FDA has an incentive to do so because in 12 months they're going to be interviewing for a job going to work for those guys a quick note I partnered with function because I wanted a smarter and more comprehensive way to understand what's happening inside of my body twice a year function run lab tests that monitor over a 100 biomarkers and then they've got a team of expert Physicians that analyze the data and give you actionable advice to improve your health and lifespan if you've been feeling a bit sluggish then your testosterone levels might be the problem they play a massive role in your energy and your performance and being able to see them charted over the course of a year with actionable insights to actually improve them gives you a clear path to making your life better better so if you have not been performing in the gym or the bedroom the way that you would like this is an awesome way to work out what's happening inside of your body getting these lab tests done would usually cost thousands but with function it is only $500 and right now you can get the exact same blood panels that I get and bypass their weight list by going to the link in the description below or heading to function health.com wisdom that's function health.com slod wisdom how big a a uh Panic do you think there is behind the scenes for this odd combination of increased transparency governmental transparency through stuff like Doge Elon floating around RFK Tulsi like I mean I just have to assume you know you were talking about the papers being burned earlier on there's people with just no [ __ ] shoes or socks on sprinting around just trying to like shred USB files and you know that think they're Terri I 100% think they're terrified and I know but I don't think to your question earlier is there an opportunity for Change and is the opportunity better than ever it is but they are not going to go silently into the night these are some of the biggest most powerful institutions in the world and don't think for a second that politicians aren't scared of those people right this is a dance and they've got to find where they can put wins on the board another easy win on the board would be the pbms nobody's defending the pbms and the pbms have been Been So Silent behind the scenes that they really haven't lobbied like big Pharma and you're not going to find anybody going yeah protect those pbms because everyone the cat's out of the bag now anyone who knows what they are go what wait a second we're letting these guys make a bunch of money off of our prescription drug care so I think that's an easy fix like you should not allow insurance companies to own middlemen that profiteer off of chronic disease I I'm got to assume these are are these companies that are owned by the insurance companies are these uh an additional layer which are private organiz they're they're companies that are owned by the insurance companies it's just another arm of the insurance compan wasn't originally and then they just got eaten up by right okay yeah uh and then there's all sorts of things like in in medical in surgical you know people make the assumption that if something came through the FDA that it's safe even bigger than pharmaceutical 92% of the products in the operating room never had a human safety study the operating room so any implant any knee any shoulder any joint Scopes that go into your body uh anything pacemakers all of it most of that has never had a human safety study which sounds mindboggling the FDA couldn't get to all these things so they created an exemption in the 80s called the 510k approval process which says if you can find a like product in the market today we'll give you a daisy chain so like take a ring rotary phone at your house as a kid like in the early 80s you know probably before even your time but like that was a phone if that phone had an FDA approval and you grandfather in a cell phone and then your grandfather in an iPhone and now you got an iPhone 17 or whatever we're at with AI the study was done in 1982 and now we're 30 Generations away with a product what are the elements of that are in the operating room that are the highest concern for you uh I mean obviously anything implanted in the body because there some implants that are better than others oh for sure there always are and then there's like there there were like I can give you example in women's health they had a device that was put into the uterus to stop pregnancy and that device what they didn't ever do was a study on how to take it out and it was absorbing into the uteral lining so when a woman yeah when not not a c ey UD this preceded all that when an eure procedure and when women were deciding to take these various things out it absorbed into their uterus and they had to take out the whole uterus people were having all sorts of side effects there's a big class action lawsuit um there were uh literally like surgical procedures I'm in at crucial points in heart surgeries even where they're using highdef cameras and when they would hit the ablation device they never taste tested it with all the other equipment that's in the O so you're at a crucial part of a heart surgery you go hit an ablation device to burn or cauterize a piece of a heart tissue or whatever piece of anatomy you're working on the [ __ ] camera would turn off so imagine it's like a video game you're doing the surgery looking at the camera because it blows it up in high res and when you go to do a crucial part of the surgery blackout screen because they had never tested the camera to work with these pieces of equipment I mean there was a device that literally like a suction device and they didn't realize that it didn't have a disclaimer not to use it to suck like uh blood out of anatomy when you're in the middle of surgery and it literally sucked out like pieces of an organ and killed people I mean there's so many examp and then even more Wild West I'll tell you the most crazy [ __ ] story ever I I told this on Rogan and people I swear hand of God this is true I was in a surgery at the Houston Zoo on an animal on a on a tiger or leopard I don't remember on a big cat and I noticed the shaver it's a piece that they a piece of equipment they used to go in and clean up tissue in a joint and it had green tape on it it was labeled with green or red I don't remember it was labeled with tape and so I noticed it was a loner so I look at the serial number just cuz like oh it's a loner I it's wild the Houston Zoo has this freaking loner handpiece uh and like a month later I'm in a human surgery at a hospital and I see the guy shaving with this shaver with a green piece of tape on it and so at the end of the surgery I wait for it to all be done and I put on some gloves and I look and it's the same freaking piece of equipment the same exact handpiece that was in a Veterinary surgical procedure okay reps carry what are called trunk stock right when I was a surgical rep I had have like a million dollars in surgical equipment in my [ __ ] trunk and like you have restrictions like it's supposed to be kept at climate controlled temperatures 85 Degrees you know we can't guarantee there's not bacteria if view the hospital how in the hell is a rep supposed to drive an hour across town carry that equipment in their trunk put it into a surgical procedure wash it clean it take it off drive it to another hospital and the whole time it's sitting in a trunk that's literally 150 [ __ ] degrees there's so many people are just unaware that it's not what it is portrayed to be the environment is not as safe as it's portrayed to be trust but verify do your research do your homework don't take surgery lightly know that everything is a calculated risk and that's why I'm such an advocate for like preventative proactive care getting predictive prevent chronic disease if you want to stop the five chronic diseases that are killing people and running up Healthcare and causing bankruptcy let's start with not letting them [ __ ] develop in the first place what are those what are those five oh [ __ ] you got atherosclerosis heart disease all of it stems from metabolic disease cancer rates all of every single one of the big five killers of mankind go back to metabolic health and so when we were talking about how do we fix the Health Care System even uh neurocognitive decline second to age your biggest and smoking your biggest R if you don't if other than age and smoking the third biggest risk factor on any of the the big five is metabolic disease and and metabolic health so one of the things cie says is it's very easy to fix our health care System overnight we incentivize metabolic Health we drive metabolic Health if we really want to fix the root cause of all of these chronic diseases that are cascading and self-fulfilling prophecies let's just fix metabolic health and make that the focus of primary cares and make that the focus of our Healthcare institutions and in incentivize Humanity or Americans to have great metabolic Health how how do Americans compare when you look at other developed countries around the world from Healthcare outcomes oh we're ter I don't remember where we it's terrible I think we're like 60th or something on like uh I don't remember the I don't want to misquote that one but we're it's not good like the age of men and Japan their life expectancy is higher women all over the world their life expectancy is higher uh our cancer rates at alltime high all the thing our deaths of Despair at an all-time high it's the worst of almost all developed countries but we spend more than almost every Other Nation on our healthc care I mean it's just mindboggling but it's it's but it's not as dire it's not as impossible to fix as people are making it out to be it really all comes down to incentives like I said earlier like show me the incentives I'll show you the outcomes if we incentivize the average American and the average clinician in America to get proactive and predictive if we had a paradigm shift where people realized that their health insurance is more like car insurance it's there if you total the car it's there if something catastrophic happens but you should not be putting your like they're not going to rotate the tires change the oil and maintain the vehicle it's your job to take Sovereign Tre and accountability over your health it's your job to identify these things and I think the way of the future is large language models algorithm based medicine you know like the app we're launching at w well monitors you 24/7 ties into your wearables we've got a chatbot Allen that's an AI bot that literally answers any question pulls from your medical records and gets it right better than most clinicians annotates all of your calls loads all your questions in for whenever you get on a call with a doctor and it's all documented but that's not unique to us I think the world is headed that way and with algorithm based medicine I don't think in 5 years people will even go to a primary care I really don't I think you're going to have an app in your pocket that monitors your blood sugar your glucose all of your blood levels daily and it's not just a snapshot of you in time every six months or whenever you get time to go get your blood work done fasted it's literally swallow this pill in the morning five minutes before you eat that pill tells the iPhone or the app everything that's going on in your body and we can begin to project all cause mortality risk and and through that we can drive down chronic disease risk and so if we know like let's say we have your epigenetics and we know that epigenetics are the gun and then your lifestyle choices and decisions are the bullets that that you load the gun with and pull the trigger now we can track not only your epigenetics but also your active biomarkers but also your behaviors your exercise how many hours of sleep you're getting your deep sleep your Rim sleep your heart rate variability and we can begin to project out all cause mortality risk and the beauty of that is we can now begin to drive down those risk factors that's the future of medicine that's where this is headed how long do you think it is until we've got to a really comprehensive well put together AI uh I think in the next 24 months like I think in the next 24 months a lot of this will be executed in the next 24 months and it won't just be wased well I think there'll be dozens if not hundreds of companies and there's a Billionaire's arms race into this sector now there's so many billionaires getting into the space and putting money into the space and trying to figure it out and there's that component then there's the large language models and ai's ability to you know uh hack the genome down to different levels and so like one of my friends and mentors Dr Ian white he's brilliant like you would love him but he's actually a Brit too very good I like him already he's from Harvard uh and 22 years at the bench his theory is we share a common an ancestor with the Eternal jellyfish which lives over 5,000 years we share a common ancestor with the galpagos tortoise which lives over 200 years we share a common ancestor with the Greenland shark which has no cancer and lives over 600 years all of those black boxes are within our genetics with AI and large language models and Quantum Computing how quickly is a scientist going to crack that code somebody's going to do it and so my pitch is like you've got you know the Gary breas and the people saying we think you're going to live to be 150 I'm not that optimistic of that I think we can drive Health span like what Peter says and by driving healthspan we can indirectly potentially Drive lifespan and buy you enough time for somebody who's way smarter than me and you to crack that code and find that blackbox and then who knows what the future holds have you heard Peter diamand's term longevity escape velocity no it's what he's talking about so he's saying you know when you have this really exponential curve of healthc care uh improving insights longevity Health span extensions stuff like that you just need to stay alive long enough to be able to get to the escape Velocity bit it's like hands can be off the wheel a little bit more now because for every year that you're alive it makes living an additional however many days more likely then for every two years it's even more days and it compounds and compounds I can totally see that and that's that's that's that's I believe in that because I mean when Peter breaks it down and he talks about what's the difference between somebody who lives to be a centenarian and somebody who dies at the average human life expectancy in America which I think is like 72 for men now or something uh it's the onset of chronic disease and so if we get proactive and predictive in your 20s if we begin to use algorithm based medicine and all the analytic and tool sets we have and we're monitoring you 24/7 look I'm not going to get up in the morning and take 400 pills and do 3 hours of red light a day and live in a hyperbaric chamber like that's not sustainable for the average person but if we can give you small winds on the board slight adjustments in lifestyle that allow you to delay the onset of chronic disease what if I could quantify for somebody like my dad when I talk to my dad about was well he's like do I have to change my diet do I have to quit drinking well then [ __ ] that I'm not doing it right that's it yeah that's the mentality so I've got to give a guy like that little wins and I got to give him tangible measuring sticks and so it's like making statistically if I can just get 12 pounds of body fat off you quantifiably I can buy you five more years can we do that right but you got to give them the carrot and we haven't done a good job in healthcare of showing the carrot true bully and intimidate [ __ ] gamification is the key to pretty much everything yeah I mean look it's why money is the best game on the planet because you can literally exchange it between you and somebody that's in Thailand you know exactly everybody's got this one metric that means all of this stuff and what are we left playing with really when it comes to most people's understanding of why their health at wait maybe they understand how to do a BMI calculations because they know their height as well the small number of artists that have started using wearables like whoop or aura or whatever uh you know they maybe starting to do HRV hacking and stuff but still I CGM cgms are [ __ ] primitive at the moment like you know we're not tracking anything really that consistently and one of the things that's really important when it comes to gamification is the speed of the feedback loop if you do something that's good but you only find out about how good it is in 6 months time it's not that compelling if you do something that's good today and tomorrow you wake up and something's improved or it gives you a little high five virtual high five or score on the app or whatever he goes hey you know that you didn't eat chocolate last night and actually this morning your resling heart rate was this much lower or your blood sugar was this and if we keep going at this trajectory this is where you can expect to be and this long and oh my God I can see I can almost you're nailing it this you're getting me so pumped because this is it's so true we have to make health care fun we have to make it approachable we have to make it digestible it's got to be something that the Layman can understand and it can't be some scientist in a white lab coat dictating to you from a Pulpit why you're fat and chronically ill it's got to be winds on the board and and I talk about the faster we can get you a win on the board the better and I'll give you an example even with me I'm not a huge drinker but I'll drink wine or I'll go out and drink margaritas with friends and now that I track my sleep with the sleep eight or eight sleep whatever it is is like dude when I see the difference in my sleep it's it makes me not want and then now I take it a step further now I don't drink as much because I really enjoy seeing the results on my sleep but now I supplement and now I add the magnesium and the zinc and I try different supplements and I I I hate the term biohack but you try to like hack the system and go oh man now I found something now my sleep's at 98 and I got an hour and 45 minutes of deep sleep and then I realize my data my recall my my cognition my retention rate all of it goes up well yeah you're hiding Health behind a game right you're you're playing about with numbers on the screen but the underlying thing that you're working through because you could imagine a different app that tracked how much alcohol you had and gave you a high five every time you hit double digits or something you know you just got to gamify the right things yeah and unfortunately yeah making something painful today which gives you a reward Ward further down the line is really really hard and almost all Health decisions result in pleasure today pain tomorrow and the good health decisions are pain today pleasure tomorrow or Improvement tomorrow but it's not it's in six months time yeah eating a cookie right now tastes good not having a cookie right now feels like [ __ ] and you don't even lose any weight for you know six more months of non-cookie eating and that's why it's crucial to quantify it quickly and that's where I go to like so at the new uh the new waste well Clinic we have a dexa a V2 Max right if I have your dexo your V2 Max and your blood work I can within a very high statistical probability begin to build out an algorithm that will allow me to assess your overall health and your risk factor of chronic disease but it also allows me to gamify it and make it comparative to your your linear age to your biological age and I can combine all those people get jazzed up when they go man I'm 44 but my biological age is coming in at 34 and they go tell their buddies and they print screen it and they send it to their friends and then their friends and then it's but it's also reward systems Chris congratulations we saw on this date you started peptide therapy here's the Improvement we've seen in your HRV your Rim sleep your de whatever that quantifiable win on the board is it's about creating that dopamine response and that reward system and that Community even me like knowing all this it hijacks my brain like I I wear the uh I used to have [ __ ] I love woop but I also have a myone and I started wearing that when I trained Muay Thai because I was competing with Tim and to Tim Kennedy he's not even paying attention to me but I'm looking at what he's doing and I'm like I got to beat Tim's workout today I want to get I want to outscore him in caloric burn in um time in the Red Zone the green zone all the different zones whatever it is whatever the goal is of that week and it's this own game I've made in my own head does that make sense it's not a game for him a lot of people are obsessive about different things it's just about harnessing that Obsession to point it in the right direction yeah people can become obsessive about playing video games or smoking weed yeah or ruminating about the bad things that happened to them in their childhood or you know what [ __ ] fanfiction like whatever it is right there's lots of things that you can become obsessed about and that's fine you can become obsessed about lots of them and they're not going to damage you but you need to have a couple of pieces in place and uh yeah I think looking to video game design as a good rubric I mean just for clarity the video games industry is worth more than music TV and film combined together oh that's wild video games the video games designers understand human psychology more effectively than anybody else on the planet I had that is insane I had no I mean I know a PlayStation's going to be like $700 the next one that comes out but I guess computer gaming all the it it literally they when you look at the production level too though it's crazy now yeah but you know they've tapped into the fundamental need for humans to feel like they're making progress and have fast feedback loops MH right you can just I'm going to play this level I died I'll try again going to play this level I won oh yes let's go again we keep keep moving keep moving keep moving but as you said unfortunately with health it's not as exciting even when you intervene like that's where I go with peptides with testosterone with whatever it may be the the faster I can get you feedback on your trajectory the better right or course correct the better right maybe I pick up something's not going right that kicks back to the AI the AI algorithm makes a recomend a the clinician reviews that you get a text message we make an adaption m in real time not this come in in 6 months we'll see you down the road hear a bunch of meds there's no incentive for people to really dig into their health because for every step that they need to take for every time that they hit some sort of a barrier it's just demotivating and demoralizing and they forget you know everyone's got the day after you get better from being sick one of the first things that you want to do is like I this is you know I'm really going to I'm going to get my health together that's really so continuing to use those little lily pads for people to bounce off to use that motivation to keep them pushed forward so I guess you know that's great and that will be a wonderful world that was maybe very quickly moving toward right now what's your advice for how patients can advocate for themselves better what can they do to take control of their health care more and this podcast is an unlimited number of episodes on how to take control of your health but how do you choose a good doctor how do you the main thing is you know find a cash pay clinic in your area because I don't I'm I don't know of a lot of insurance-based plans that will allow you accessibility to True preventative care and it also limits the tools you have in your tool belt and so for a nominal amount of money you know anywhere and I don't want to say nominal for if you look at what you spend on a mattress if you look at what you spend on a car on a house you're not in that 24 seven for your entire life you've got one body 200 trillion to one are the chances you and I are here alive right now we won the lottery man this is our one shot don't put your body and your family's health in the hands of these Insurance Juggernauts and big Pharma take sovereignty and accountability over your health do a basic blood panel with somebody out there you mentioned function Merck I'm I'm wayss to well there's dozens of companies it doesn't have to be our my company there are dozens of companies if not hundreds interview them I tell people too don't just go sign up with some random Clinic think about how much you bid out a kitchen remodel that's your kitchen this is your body like don't blindly follow the first Yahoo that wants to put you on some hormone or peptide like or at least do the research and understand for yourself and the pathway to me that makes the most logical sense and this is future proof in your life you don't want these insurance companies to be digging through your underwear drawer because they're going to use the data and the data they capture to eliminate you deny delay and obstruct your ability to get care down the road or drop your coverage so in a way build your own life raft and my goal is to make this affordable for everybody and I think the way we do that is through technology and large language models and algorithm based medicine but the vision would be get proactive get predictive do a basic blood panel a comprehensive blood panel at least once a year use that to drive your health if you could afford you know $75 to get a dexa and a V2 Max and combine that with your blood work you have done more than 99.99% of society and in the right hands of a solid clinician or algorithm it can help guide you on the best path forward to prevent chronic disease and drive your health space and if you capture your health span like we said and delay the onset of chronic disease one of these brilliant people are going to come up with something somebody's G to solve the code what are you doing for v2 Max uh V2 Max is just the test and what are you doing to improve yours oh I train Muay Thai but I train Muay Thai and I try to uh maintain like I don't go into the red too often on my my zone and so I track all my heart rate but I try to keep at minimal uh an active cardio schedule cuz it's so so easy the reason I started training Muay Thai is before I just lifted and I got all the way up to like 190 you know I'm short like one I had dense muscle mass but I was bulky and I was tired when I'd go on a freaking one mile jog my cardio was trash and I'm like well this isn't necessarily healthy right cardiovascular health is just as important but lean muscle mass is important too right we know one of the biggest risk factors as we age is uh lean muscle mass and Bone mineral density and so we've got to protect that and so I I just try to pitch people on what Matthew mccon says like be active break a sweat every day it's about being better not perfect and knowledge is power the more data you have you don't have to be Brian Johnson and take 40 pills and track every single aspect of your life I don't think that's sustainable for most people not that what he's doing isn't working for him and that that may not be if you can do it go for it but for a lot of people it's about just being better you know Mak slightly better choices slightly better improvements and then showing the reward system that you and I were discussing and quantifying what that means for them in their trajectory of long-term Health [ __ ] yeah Bram let's bring this one home where should people go don't want to keep up to dat with all your stuff uh weighs the number two well uh and then my uh my personal is just Brigham dob b l r dude I appreciate the hell out of you thank you thank you for having me do you think that your algorithm on YouTube is a bit of a God is able to know things about you that you don't know about yourself well the YouTube gods have have selected this episode specifically for you bespoke so go and go and check it out