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2022-02-11 - Interview Dr. David Sinclair - REVERSE AGING: What To Eat & When To Eat To INCREASE LONGEVITY: Difference between revisions

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2022-02-11 - Interview Dr. David Sinclair - REVERSE AGING: What To Eat & When To Eat To INCREASE LONGEVITY (view source)

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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 57:04
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 57:04
| reverse aging we might actually truly reprogram the body this is so exciting hey youtube if you like this video
| reverse aging we might actually truly reprogram the body this is so exciting hey youtube if you like this video
|}
=== When To Eat ===
{| style="padding-top: 1em;"
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 57:09
| you're gonna love the next one so most of the books that have come out are about what we eat and that's important
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 57:17
| but what we started doing was asking people when they eat and as you know nighttime eating is
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 57:23
| common yes but that's a real problem and when we got delved into the science and
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 57:29
| it's really new science we found out that circadian rhythms you know your metabolism goes up and down as
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 57:36
| the day goes through and it the your metabolism is highest in the morning and
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 57:42
| lowest in the evening so if you've got a normal blood sugar in the morning by the end of the day you're pre-diabetic yeah
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 57:49
| and so you in fact produce fat when you eat at the end of the day yeah so what we learned from
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 57:56
| this new science was that when you eat is really important and you want to eat
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 58:01
| when the sun is out so if you need a light bulb like these lights to eat you shouldn't be doing it
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 58:07
| there you go well it's fascinating because it's such a such a controversial area i remember when i was at canyon ranch we were advising people not to eat late at night
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 58:13
| and we found that these studies that showed that if you ate 2 000 calories throughout the day
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 58:19
| you actually burned more calories and didn't gain weight whereas if you ate them all at dinner you would actually
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 58:24
| gain weight same calories right so and in fact there's been a great study from spain
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 58:30
| where they took people who were trying to lose weight women who were trying to lose weight and they had them eat before
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 58:36
| 3 p.m their biggest meal you know spain the biggest meal is at lunch time so they ate their biggest meal before 3 p.m
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 58:43
| or after 3 p.m yeah the group that ate before 3 p.m lost 25 more pounds wow
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 58:50
| over the 16 weeks 25 more huge difference so here's here's a
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 58:55
| question you know we we hear now a lot about time restricted eating intermittent fasting fasting and making
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 59:01
| diets uh because that's like basically like skip breakfast right and and what you're saying is that may not be right
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 59:07
| or well the deal you want to skip is dinner so in fact uh and in fact one of the
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 59:13
| parts of the plan is cook at dinner but eat it in the morning so in fact we don't want you to
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 59:21
| spend extra time cooking in the morning so a lot of things should be cooked in the evening i have dinner for breakfast
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 59:27
| have dinner for breakfast and breakfast for dinner if you will how do you reconcile that with the whole intermittent fasting thing well in fact
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 59:33
| you want to eat you know time restricted period so 10 a.m is when i have
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 59:38
| breakfast and then i have my biggest meal around 1 30. and then very little salad at 6 30. so it's changed my way of
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 59:47
| eating you know it used to be i mean this is this is you know can i tell you something without anyone hearing it
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 59:54
| maybe so my wife used to get these great
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 59:59
| raisin cinnamon breads at one of the local bakeries right and i when she
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:00:05
| brought it home you know she'd come home at seven with a with the bread i would go through the entire i would eat the
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:00:12
| entire loaf oh by the time i mean you know whatever nice snack right that's my
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:00:17
| late evening midnight and so she would have to hide it well now she doesn't have to do it she
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:00:23
| can bring it home and i don't even feel hungry for it yeah so in fact it really
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:00:28
| when you once you change it changes your hunger pattern too so can you talk more about the research
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:00:33
| behind this because this thing is a you know i think we we know that that you know if you eat before bed your metabolism slows down you gain weight
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:00:40
| and all the hormones are different right so what what have you learned recently about this emerging science it sort of
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:00:45
| teaches us that we should be you know not eating late so there's a whole raft of science and some of it is you know in
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:00:52
| animals mice that eat during their active period as opposed to just before their inactive period they lose weight
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:00:59
| compared to it fruit flies they fly better they don't develop fruit flies are actually the
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:01:06
| best model of heart disease we have in humans
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:01:14
| there are people who do this full-time obviously and it turns out if you eat
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:01:20
| more just before your sleep period the fruit flies if they eat 24 hours a day for example they develop heart failure
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:01:28
| whereas the ones who eat in the beginning of their active period for us 10 a.m
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:01:33
| they don't they end up living 30 percent longer so it is a form of intermittent
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:01:39
| fasting if you will so we have some rules if you will what are the rules one is eat only when the
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:01:45
| sun is up eat more early less later i already talked about breakfast for
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:01:51
| dinner and and dinner for breakfast stop stereotyping foods yeah so my favorite breakfast food now is salmon burgers
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:01:58
| with some sweet potatoes and broccoli which is really i love it and so yeah so
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:02:03
| you know i'm i usually have a salad with a little salmon on it for dinner but that's really i i've changed the way
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:02:10
| i've eaten so what has that done to you i you know this is this is i was
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:02:15
| actually thinking about that this morning i have more energy i have the energy of
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:02:21
| someone who's 30 years younger i know chase them down the hall but it is true
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:02:27
| but but it is it is you get more energy and you feel you know it's like a new life a new
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:02:32
| lease on life you feel really energized it's it really to me i was a skeptic going into this i
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:02:39
| thought uh what the heck i'm just gonna uh if you will ruin my schedule you know
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:02:44
| by eating more in the morning and not skipping i used to skip breakfast you know and would eat lunch and then dinner
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:02:50
| is an intermittent fast if you will yeah um and if you will get ketogenic well
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:02:55
| this gets you ketogenic without having to sacrifice anything you know by eating
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:03:00
| if you will more in the morning and less in the evening you you when you eat in alignment with your metabolism
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:03:07
| you gain that tremendous advantage it's like you crack the code for health and
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:03:13
| weight loss so why why why does the this work in terms of your metabolism why is it
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:03:19
| sort of better to eat in the morning what what is happening from your circadian rhythm what happens is you
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:03:25
| become insulin resistant during the day so insulin i for for for those listening
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:03:31
| um who aren't docs insulin is like a postman or the fedex delivery man who
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:03:37
| takes glucose from your blood and puts it into your cells yeah if you have more glucose staying in your blood which is
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:03:44
| what happens when you eat at night you turn it into triglycerides that's fat but you also denature your proteins
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:03:51
| or or if you will stick a glucose on your protein so hemoglobin a1c which we
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:03:56
| measure for diabetes it's just a hemoglobin with a sugar in the a1c position which is very inflammatory very
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:04:03
| inflammatory and if you will so it does it with a lot of proteins like the proteins that are the grout proteins
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:04:09
| holding endothelial cells holding your blood cells together in your blood vessels or your artery cells so if you
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:04:16
| weaken those when blood pressure comes down you get small tears that's when you put in the ldl cholesterol and get
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:04:22
| atherosclerosis so it's really you know you've pointed out in a number of your
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:04:27
| books that insulin is a major factor and and you really um taught me that way
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:04:33
| back when yeah when you were at canyon ranch yeah um if you will so in fact when you look at that it is
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:04:41
| we become insulin resistant we change our insulin it's as though there's a hanging
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:04:47
| off your liver so think of a clock on your liver and when that when that clock
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:04:52
| hits whatever it is 7 or 8 p.m it says come on in i'm going to make triglycerides and when it doesn't it
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:05:00
| says go into the muscle cells go into the brain cells be productive so it's i
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:05:05
| i look and i look at my my image i have two images i think of one is a light
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:05:10
| bulb if you if you're eating and you have to eat by a light bulb you shouldn't be eating and the second one
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:05:16
| is hard in the winter you have to eat like before four o'clock only if you're in cleveland
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:05:22
| if you're at the equator you could be later right and and um but yeah if you're if you're in alaska real
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:05:29
| problem but anyway um but pretty much just starve all winter
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:05:35
| like the bears do so they they may do it right but in any case and the second image is of a clock hanging off the
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:05:41
| liver because your insulin levels and your insulin resistance changes as the
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:05:47
| day goes on so that's really that's really the the the science in the book in addition to
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:05:54
| we found a lot of things out about what you eat for um certain situations like
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:05:59
| what should you eat on a first date oh um and what should you eat now you don't have to go on any first dates right
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:06:08
| and no little things that stick in your teeth but anyway the the the so the book is
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:06:15
| filled with 30 scenarios like that but the real basis the real plan
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:06:20
| is how do you switch from eating at night to eating in the morning so that you can in fact eating while the sun is
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:06:27
| out eating less early more unless later more early
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:06:32
| and in fact not stereotyping food so you don't have to clean out your pantry you can change
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:06:39
| by what's in your pantry now so in terms of the whole intermittent
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:06:44
| fasting craze because it's a big craze now everybody's doing it talking about it a lot of science about how it
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:06:50
| actually helps reverse a lot of the aging phenomena um helps with weight loss and and uh could this be done
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:06:56
| within that framework in other words could oh it's got to be done within i think it should be done within that framework so that you could have like a
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:07:02
| late breakfast early dinner and still be in the intermittent fasting so you give your body 12 to 16 hours to not eat yeah
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:07:08
| you want 14 or 15 or 16 hours that you're not eating that's right so it's a good thing walter wongo
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:07:16
| you had him on on your pharmacy if you will i'm going to i
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:07:21
| actually i haven't had him yet oh he's wonderful yeah he i had a schedule but he he did a lot of these studies on
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:07:27
| intermittent fasting in periodic intermittent fasting fasting mimicking diet he calls right but it really is
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:07:34
| calorie restricted five days a month yes and so he really did those studies
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:07:40
| accidentally but there are a lot of people who've looked at time different studies
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:07:46
| and shown that that again whether it is the spanish study there's a study you know i don't know how um the
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:07:54
| people at the peterborough brigham get people to go and not look at a clock or tv if you will just
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:08:02
| netflix for 20 days and they feed them but they get them in a if you will they
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:08:07
| get a group of people who who will metabolic ward yeah who will eat whenever they tell them to eat
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:08:14
| and again they showed that the people ate the same calories if you eat 70 of
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:08:19
| your calories for breakfast versus 70 for dinner you lose weight when you eat them for breakfast and you gain weight
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:08:26
| when dinner who would do that and and it doesn't depend on you know it is the
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:08:31
| chronobiology so right so the whole idea of calories is all being the same doesn't
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:08:36
| really work and even when you eat the calories matters more almost sounds like well when you eat them really matters
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:08:42
| and we were really you know i we were really surprised and so we road tested
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:08:48
| it with a bunch of people you know you know the publisher and the editor are pretty stiff critics and they rarely
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:08:54
| re the editors will read the book for you know grammar etc and flow but they
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:09:00
| actually went on the diet and lost weight you know and so so uh we've got friends at national geographics who are
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:09:06
| much thinner now now the whole issue of rhythm is what you're talking about because
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:09:12
| in biology most of us and doctors ignore rhythm and yet we know that people who
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:09:17
| have sleep cycles that are disrupted through various kinds of night shift work are much higher risk of heart disease
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:09:24
| and death we know that that a lot of your hormones and biology is driven on a biological clock and it with a light
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:09:31
| bulb and with the evidence of screens and with our kind of 24 7 life and being engaged we don't actually
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:09:38
| live in a rhythmic way anymore we don't wake up with the sun and go to bed with the sun we don't eat in a rhythmic way
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:09:43
| and that's what you're talking about is getting back to a certain rhythm that is essential for health right you got a little place in your brain 20 000
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:09:50
| neurons out of whatever it is 10 trillion or 1 trillion neurons in your brain i don't even know but it's a lot
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:09:56
| of brain counting but there are only 20 000 of them that
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:10:03
| do the rhythm that do the chronobiology and that really make it and that really
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:10:09
| makes a difference to sleep yeah it really makes a difference to health and it and we were surprised it makes a
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:10:15
| difference to your metabolic rate and whether you develop heart disease whether you develop obesity or what you
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:10:21
| call diabetes yeah is really um we get diabetic if you will at least
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:10:27
| pre-diabetic as the day goes on yeah um so you think i don't want to be a diabetic don't eat at night yeah i think
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:10:34
| that's really true so what what is the perfect day look like in terms of an eating plan so you know i the the perfect day is
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:10:41
| probably um close to what dr croupane does who
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:10:46
| is the co-author on this micropayne who worked at consumer report
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:10:52
| was their food guy for a number of years and now is the the medical guy the chief of medical staff
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:10:58
| at the dr oz show he really embodies this so if you will he
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:11:04
| will cook he's a foodie so he loves food and he cooks at night so he will often
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:11:10
| have for breakfast and he has it at 10 a.m much like i do his avocado toast so
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:11:17
| you like avocado toast it's whole wheat bread 100 whole grain and avocado and
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:11:23
| then he'll eat his biggest meal and he'll cook something special for lunch at dinner
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:11:29
| but he's he's developed a whole group of recipes are gonna be on our website
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:11:34
| winway.com he's developed a whole group of recipes where you cook at night and
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:11:40
| and just can eat in the daytime without even re-thermalizing without even reheating um but so he he does and so
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:11:48
| it's salmon and not sure i like cold salmon burgers they're really good until you try them
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:11:54
| don't knock it but in fact salmonberry but he doesn't eat he he cooks a uh walnut crusted
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:12:00
| salmon or a pecan crusted salmon at lunch and then he'll eat almost nothing
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:12:06
| he'll have just a little salad um and some wine at dinner so he he loves wine
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:12:13
| but that's his dinner you know glass of wine is is his full 20 of calories
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:12:20
| so he does like red wine so that will be his dinner and then he'll do it again
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:12:26
| but he will cook something different every day i'm very stable so you ask me
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:12:32
| i have si i cook four salmon burgers at dinner i will eat one at dinner
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:12:37
| usually two at breakfast and one at lunch and then i'll have you know something vegan at lunch and addition so
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:12:44
| that's that's a typical on a on a weekend i'll have a at
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:12:49
| dinner this is crazy right now having egg white veggie omelet at 4 p.m is the last meal so that's the only thing i
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:12:56
| change on weekends if you will so i love what i you know you've got to love what you eat speaking of your routine you're
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:13:02
| you're going strong you're 72 you you never stop i don't even know how you do it i know you always have a cup of
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:13:08
| coffee in your hand coffee if you're fast metabolized it makes you younger yeah it's impressive
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:13:14
| so how how do you live your life what's your routine that allows you to stay so vibrant and looking young and barely
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:13:21
| having any gray hair at 72. well the key is having a great partner so my wife is
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:13:26
| magnificent wonderful and so that's the what i consider the key is
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:13:32
| having friends and i saw a beautiful quote that you gave on on an article that was about you and how you live to
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:13:38
| be wanted to be 100 is you wake up every morning and you kiss your wife that's exactly right
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:13:43
| first thing that's a very good thing um so great partner and that helps me manage
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:13:49
| stress so i do do six minutes of deep breathing morning and night as my
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:13:55
| meditation if you will so that's part of my life no no tobacco obviously but then um if
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:14:02
| you will i i don't go to bed you can look at my pedometer i don't go to bed i don't know if you can catch it on
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:14:09
| so bill is a superb cameraman i don't know if he can catch this but this is yesterday you see i just made ten
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:14:15
| thousand look at that this is the day before i just made ten thousand there you go the day before i don't go to bed
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:14:20
| without ten thousand so if i'm close i get ten thousand steps and you you basically have a desk i've seen it in
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:14:26
| your office where you're on a treadmill on the phone on conference calls where you're doing your work it's like the slow treadmill you're just gonna walk
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:14:32
| all right so i can i can if you will i i um
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:14:37
| right at 1.7 miles per hour two degrees i type at 1.8 i read at 1.9 and you can
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:14:45
| do conference calls at 3.3 miles per hour so i do that routinely so you might be breathing heavy
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:14:52
| well the problem on that is is if you're doing that is if you forget you're on
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:14:59
| the treadmill which if you get an excited part of the conference call and want to you know say something important
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:15:06
| and you forget you're on the darn thing you get flipped out pretty fast so you gotta have a kind of a chair at the end
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:15:12
| of the treadmill to catch you but so i i get to do my passion during the day
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:15:18
| which is helping cleveland clinic employees and cleveland clinic patients and cleveland clinic if you will we
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:15:24
| spread it wide to our communities and other companies get healthy so i get to do the wellness program i get to see
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:15:31
| patients a couple days of the week in executive health and in the premier program which i love doing um and then i
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:15:37
| get to spread this and get to do shows like yours which you know it's as good as it gets to be with you here well you
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:15:44
| really you really love what you do and one of the joys of being at the cleveland clinic
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:15:50
| is that the other people are so good i had a patient last week who had a rare disease
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:15:57
| and believe it or not there's a guy who specialized who knew more about that than anybody else in the world and
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:16:03
| that's typical if you find a person with a problem you can find someone who knows
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:16:08
| more about that and has dealt with that more than just about anyone else so it's a joy to be here and you know i refer
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:16:15
| you patients too when they get too complex you get them that's right i i worked at canyon interference which is a
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:16:21
| health resort so i used to call myself a resort doctor the doctor of last resort
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:16:26
| so one of the things you've done which is remarkable is to come into a place which is one of
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:16:33
| the best hospitals health care systems in the world but it's focused on acute care like the sickest of the sick
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:16:39
| and you said wait a minute you know with the leadership of toby cosgrove his former ceo
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:16:44
| that we need to rethink health care and we need to rethink how we're going to deal with our own employees because now
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:16:50
| there's 100 000 employees and families as part of cleveland clinic that are self-insured 109 000 but who's counting
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:16:56
| you're always good with the numbers and the the remarkable thing is you you took a problem that seemed insoluble
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:17:02
| which is dramatically rising health care costs within businesses and companies and organizations like cleveland clinic
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:17:08
| and with very difficult to change behaviors like diet and exercise smoking stress and you
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:17:15
| implemented a program here which is a really a national example of what can be done around creating wellness and
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:17:20
| organizations so can you share a little bit about how they came about and what you did in the results that happened as
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:17:26
| a result of that because i think it's an inspiration well you couldn't do it without great leadership so toby
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:17:31
| cosgrove and now tom micholovich who is into it even more have been the leaders
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:17:37
| and they kept if you will the financial guys at bay for a while because it took a while
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:17:43
| for this to show a return on investment so we we knew from the medicare database
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:17:49
| studies that we did that if you did five behaviors you decrease your risk of
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:17:56
| chronic disease over the rest of your life from age 40 to 50 for the rest of your life by 90
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:18:03
| and since 80 percent of all medical costs are due to management of chronic disease you can
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:18:10
| really change that so we went to our employees and toby said just pay them if
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:18:15
| you will we're capitalist society pay them to stay healthy as well as make some environmental changes and culture
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:18:22
| change so we made the culture change which is really important um so we're down from
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:18:29
| 15.4 percent of people smoke to under 5 we're down we're in fact
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:18:35
| 43.6 of our employees now have if you will that what we call six normals we change
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:18:43
| the behaviors into if you will outcome measures that we could measure by and the
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:18:49
| employee would go with a piece of paper to the primary care physician and say
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:18:54
| where am i on these six normals and then his blood pressure blood sugar blood pressure blood sugar or hemoglobin a1c
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:19:01
| body mass index ldl cholesterol cotinine which is tobacco end products
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:19:07
| and then are they managing asthma we've learned that managing stress is more important when we've worked with other
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:19:13
| corporations so we're bringing that in now but in fact if you get those six normals in the nurses health study you
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:19:19
| decrease chronic disease by 90 percent in the swedish men's study by 87 percent
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:19:26
| but only one percent of the swedish men did it and only four percent of nurses did it worth forty three point six percent
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:19:33
| if you how did you do that it wasn't me you know it was the employee health plan team bruce rogan
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:19:39
| and paul turpleweck and david you did you guys did something unusual you actually gave people financial
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:19:45
| incentives right in other words they got more money back from their health insurance in other words they had to pay the premium well in the obamacare which
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:19:52
| we you and i and dean ornish lobbied on together um and we we hit oh we hit 66
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:19:59
| senators you know republicans democrats we got everyone if you're well covered in and the point was
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:20:05
| that if you have money if you can reduce your premiums by 30 percent we're now at
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:20:11
| 1440. goes back to a family of four if they get six normals they save that they
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:20:17
| work at cleveland clinic for 30 years it means 200 000 extra retirement wow so it's a huge amount of money if you will
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:20:24
| it that doesn't even include co-pays and being healthier and not having to take time off etc
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:20:29
| but in fact more productive more productive in fact yes the whole thing um
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:20:34
| but we did it by focusing on those six normals normal blood pressure normal ldl
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:20:41
| cholesterol normal body it isn't even normal body mass index it's just not in the obese
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:20:47
| range um no cotinine greater than secondhand smoke etc but you offered smoking
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:20:53
| cessation programs weight loss programs exercise classes yes so so there's memberships i mean there was a lot of
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:20:58
| things that seem to be a cost center but actually end up saving what hundreds of millions of weeks
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:21:05
| the cfo will say we have not spent i have to put it in we have not spent
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:21:10
| 665 million so far 168 million in the last year for the 101
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:21:16
| 000 and that doesn't include the employees have gotten well over 100 million i calculated around 200 million
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:21:23
| in reduced premiums in addition so it's a win-win for everybody less the
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:21:28
| organization pays less and and the government if you will we're healthier so we can serve other people
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:21:35
| with more vigor and in fact it it is um you know i'll say one one funny thing
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:21:41
| when we were writing the uh the book what to eat when um it's hit me we don't
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:21:46
| serve meals after 3 p.m in most of our restaurants we do it perfectly when we
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:21:52
| it's true i went over to the new food emporium i was like i want to have dinner i'm like there's nothing left i'm like you know they stop at 3 p.m so it
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:21:59
| works but in fact that wasn't we didn't know about that at the time but in fact um so by motivating the employees and
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:22:07
| giving them programs we are saving you know if you just replaced our nurses
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:22:13
| and didn't have to when they're not sick so we have reduced the what we call unexpected sickness
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:22:21
| days from 1.07 to 0.77 that 30 that .3
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:22:28
| if all you did because we got so many nurses that would pay for the entire program
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:22:33
| um we and that says us docs and administrators are useless so all it is
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:22:38
| is replacing the nurses so in fact um over time the program
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:22:44
| i mean it's a huge pay for itself and so we've spread it so one of the companies
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:22:50
| we spread it to is another healthcare organization that took 11 of their hospitals and didn't do it and 10 that
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:22:56
| did it they're saving 32 percent in the 10 that did do it they can't actually believe this is not a no-brainer why
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:23:02
| isn't this being done all across the country in various organizations how easy was it to to convince those um senators even after
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:23:11
| we convinced them yeah a bunch wouldn't vote for it even well they said you're right well they were into it i think it
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:23:16
| just got on the cutting room floor you know so so in fact um there is a great benefit to this for
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:23:23
| society if we did this if medicare did this for everyone in america you
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:23:30
| could pay every medicare recipient the same percentages did it for medicare you
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:23:36
| know 69 participate and 43.7 percent get normal you could give
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:23:41
| every medicare recipient 2 000 more per year huge amounts more than 10
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:23:48
| of their average take home for the medicare population and
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:23:53
| save the government between three and 400 billion a year so what you're advocating is exactly what we should do
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:24:00
| you and i know that if you will um and uh so as you know i'm science based and so
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:24:06
| that's what uh the amazing the data's there the data's there okay so knowing everything you
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:24:12
| know and being in this space for a long time if you could change something in
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:24:18
| terms of health healthcare or environment or society and you were king for a day and you had autocratic power
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:24:23
| it could do anything you wanted what would be the thing or things that you would focus on to make the most difference
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:24:29
| i'd focus on getting people voluntarily as we do giving them big enough incentives you
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:24:35
| know the rand study on wellness says incentives doesn't work except
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:24:41
| there's an asterisk i think it's on page 36 which says unless they're large well
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:24:47
| health care costs enough that we can make you know you flat instead of causing if
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:24:53
| you will income inequality if you stop having an increase in in medical costs
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:24:59
| you all of a sudden make income much more equal because the lower level employees get
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:25:04
| much more that benefit if you will so in fact i would say let's offer large
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:25:11
| incentives and have a cultural revolution like we had in world war ii
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:25:16
| everyone pitched in in world war ii to help the country win we should in fact all pitch in to have
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:25:24
| everyone stay healthy and that reduces our budget deficit tremendously
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:25:30
| if you do it for just imagine veterans and medicaid as well as medicare and all the government employees you have a
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:25:37
| tremendous budget if you will dividend that you can then make society much better so that's
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:25:44
| what i would do and i'd close all the restaurants after 3 p.m so pay people to be well pay people to be well yeah and
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:25:51
| you you because of medical costs you know we could shut down a number of the cleveland clinical hospitals well we uh
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:25:58
| we were talking about this uh in terms of a project we're working on a cleveland clinic and other people around the country of food pharmacies where you
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:26:04
| actually give people free food three meals a day two meals a day whatever
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:26:10
| and you see possible by eighty percent than diabetics right now no no
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:26:16
| food is so key in both what the avoiding the sugar the
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:26:22
| making and making sure that you don't have simple carbs added syrup simple if you will sugar sugar yeah and
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:26:29
| also making sure you eat early enough when you eat is important because you become free diabetic as the day goes on
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:26:36
| so you're absolutely right you know pharmacy is a great name for a podcast
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:26:41
| i'm envious as heck if you loved that last video you're going to love the next one check it out
|-
| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:26:47
| here if we don't sleep the hinge gets very loose on the seesaw
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:26:53
| like stress stress stress exhaustion stress stress exhausted it kind of bangs back and
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| style="min-width:4em; color: grey; text-align: right; padding-right: 1em; vertical-align: top;" | 1:26:59
| forth and it gets harder to surf this seesaw
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