America Pays Double, Dies Younger (Full)

Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Alex (00:00):
[appalled] In America you pay TWICE what any other country

(00:03):
pays for healthcare, die fouryears younger, and still carry
the highest obesity rate on EARTH.
Yet last year UnitedHealthcarealone pocketed twenty-three BILLION
dollars in pure profit—mostly bydenying one out of every THREE
claims that crossed their desk.
[thoughtful] On this episode of SolvingAmerica’s Problems, Jerremy and Dave

(00:24):
sit down with emergency-medicine-trainedphysician Dr. Amanda Holden and
chiropractor Dr. Shawn Dill, twopractitioners who walked away from
the traditional system and builtsomething radically DIFFERENT.
They pull ZERO punches on whythe incentives are upside-down,
how the financial model keepspeople sick on PURPOSE, and what

(00:46):
actually happens behind the curtainwhen PROFIT is the real patient.
Big Dave!
What are we discussing in this episode?

Dave Conley (00:57):
In this week's episode of Solving America's Problems,
we're tackling one of the deadliestfailures in America, it's health.
From sky high costs to shorter lives in anindustry built for profit over patients.
Joining us is dr. Amanda Holden.
A nationally recognized leader in medicalaesthetics, founder of Holden Timeless
Beauty, and a co founder of AlphaAesthetics Partners, where she's shaping

(01:20):
best practices in education in the field.
Also with us is Dr. Sean Dill, achiropractor, entrepreneur, and business
consultant who founded the SpecificChiropractic Centers, a franchise focused
on high quality patient care, and coleads the Black Diamond Club, a network
of supporting service based entrepreneurs.
And that's this week on solving America'sproblems, America's sick care with

(01:43):
Dr. Amanda Holden and Dr. Sean Dill.

Jerremy Newsome (01:47):
The American health care system isn't just
broken, it's failing you.
I've heard it called sick care system.
we get, the more money they make.
You're not a patient,you are a revenue stream.
You and your baby are much more likelyto die during birth in the U. S. than in

(02:08):
Europe, most of Asia, 50 other countries.
we spend twice as much as othernations on prescription drugs,
hospital care, and insurance.
Yeah, we live four years less.
Meanwhile, UnitedHealthcare made 20.
3 billion last year by denyingone in three insurance claims.

(02:32):
Pharma raked in 38 billion.
five health insurance CEOs,they took home 75 million.
So what's the cost of this system?
one in 12 Americans carried over10, 000 in medical debt, which is
the number one cause of bankruptcy.
are the fattest country in the world.

(02:53):
Nearly half of us are obese.
4 million Americans are morbidly obese.
is someone that needs tolose more than 100 pounds.
So how do we get here?
More importantly, howthe heck do we get out?
My name is jeremy alexandernewsom alongside me Daring
and dashing dave conley today.

(03:14):
We're joined by two powerhouse voices Youaren't just diagnosing the failures in
our system, they're working to fix them.
Dr. Amanda Holden is a physician,entrepreneur, and the founder of Holden
Timeless Beauty, where she blends medicalexpertise with business strategies
to push the boundaries aestheticmedicine and patient centered care.

(03:37):
also a vocal critic of the traditionalhealthcare system, having seen firsthand
how it fails patients, even as a doctornavigating her own medical challenges.
And then Dr. Sean Dill is a chiropractor,entrepreneur, and healthcare business
strategist who built specificchiropractic centers, which is a

(03:58):
franchise rooted in high quality patientcare outside of the insurance systems.
a thought leader in medicine, identicalhormones, and alternative health models,
advocating for cash based healthcare.
Patient first approaches that cut outthe bureaucratic middleman, Amanda, Sean.

(04:19):
Thank you both for being here.

Dr. Amanda Holden (04:21):
Thank you so much for having us, Jeremy.
We're I am so happy to be here.

shawn dill (04:25):
yeah
yourself.
I'm happy to though.
Great to be here.
Super excited because this is avery important topic for every
human being on the planet.
Not just Americans, but Iknow we're to fix America.
But what a critical topic herefor everybody who's listening.

Yes.
So we're going to start off withthe power of a powerful one.
Both of you left.
I'm going to do this in air quotes.
My listeners, the traditional system.
What was the last strawthat made you say, I'm done.
I'll start with Amanda.

I left during COVID and my coworkers, they needed
shifts in the emergency department.
So I'm board certifiedin emergency medicine.
So I was there for the beginning,working in the disaster tents.
And I really just.
Gave up my shifts and turn towards cashbased medicine and aesthetics because
I believed more in what I could createthan what I could give patients in the

(05:20):
emergency department on a regular basis.
We just weren't always giving themthe diagnosis that they needed.
You're sending them off fortreatment and sometimes they have
to wait for two to three months.
to see a specialist and then theyjust circle right back to you.
And I felt like I had done my time there.
I was in emergency medicine for 12 years.
And then I turned over to cash basedmedicine and I haven't looked back since.

shawn dill (05:41):
That's a fantastic question, and I'm sure that Amanda, a lot of
people have this departure answer.
I don't necessarilyhave a departure answer.
I think that for me it'sjust a, it's a worldview.
It's a way of thinking.
Obviously my parents, not obviously,but my parents definitely subscribe
to more of an allopathic approachwhen it comes to medicine.

(06:04):
Leaves me with a lot ofquestions when we look at data
today relative to say vaccines.
As a child, I was fully vaccinated.
then we wonder we see the bigdamage, but we don't really talk
about what about minor damage.
And so as a child growing up,middle school, high school, I
began to wonder listen, is therea different way to approach this?
And align myself withindividuals that shared.

(06:26):
More with this holistic mindset.
My cousin was a chiropractor.
I always loved that philosophyand just just segued right in.
So I never had this big trauma or thisdramatic thing that happened to me.
really, for me was about findingalignment philosophically with
a way of thinking and world.

(06:49):
Then, of course, once I went tochiropractic college, began studying, went
out into practice, my initial foray intopractice was in the country of Costa Rica.
So they didn't have, chiropracticwas whatever I said it was

Yeah.

shawn dill (07:03):
the age of 25 years old.
I authored The law that regulatesthe practice of chiropractic
in the country of Costa Rica.
I've had the opportunity to testify onbehalf of that philosophy, that mindset.
And you know what I've found out is thatfind that there's a lot of opposition.
You go to anybody and you say, listen,the body's a self healing organism.

(07:25):
People aren't like, no, it's not.
They're like, okay.
nervous system is a mastercontrol system of the body.
I haven't run into any opposition on that.
And if we can keep your body functioningin the way that it is supposed to
be, then as human beings, our naturaldefault setting is to be healthy.
I haven't run into people that arelike, no, we were designed to be sick.

(07:45):
So it's just a way of thinking thatI've just always believed in practice.
And I'm just so fortunate that I've founddifferent modalities and ways to apply
that in my life and in my family's life.

That's a good that's a good quote right there.
We weren't designed to be sick.
Yeah.
I love that.
So cause it's Sean, youbuilt something different.
What's the biggest thing stoppingother healthcare providers
from doing what you did?

shawn dill (08:10):
I think it's like anything in life.
There's a lot of fear.
There's fear around,this is not how we do it.
We've been told this probablysince birth by our parents.
There's a way that we do things.
We get indoctrinated, not just inour healthcare philosophies, we get
indoctrinated into spiritual philosophies.
I know that you do a lot of work aroundeducation and of course, finance,

(08:33):
but our belief systems are oftentimesinstilled in us by our parents.
If you were brought up in aworld where for every ill for
everything that goes wrong with us.
There's a pill potion or lotion thatwe're always looking to the outside for
the solution just becomes a worldview.
That's the way that we observe the world.

(08:55):
So if somebody comes along andchallenges that belief system, then
there becomes their interest in fear.
So for healthcare.
Providers.
People say things likethat's not going to work.
I, and when you mentioned earlier, thespecific chiropractic centers, I, my,
the way that I practice chiropracticonly focuses on the top two bones of the
neck, only the top two bones of the neck.

(09:16):
And so a lot of people even insidethe chiropractic profession would
say that's not going to work.
Then you say, and we'regoing to charge cash.
And one of the things that I thinkis unique about me is I had mentioned
earlier that I practice in Costa Rica.
They did not have insurance.
So I don't know what that's like toreceive third party reimbursement
for something that I'm doing.

(09:36):
So for me, again, that's just normal.
That's how it functions.
we have these limitingmindsets that stop us.
And for me, the saddest thing isit stops us as doctors, as healers.
From reaching the world that we wereactually created to reach because we're
operating inside of constraints thatsome other human being placed on us.

Nice.
That's a fascinating story, man.
Thank you.
And so for Amanda from you you'veseen the system from both sides
as a physician and a patient.
What do you think is the mostshocking disconnect between the
patients like that happened behindthe scenes and what actually happens?

I think one of the most I would say one of the most shocking
disconnects is that patients are referredout when they have a medical problem.
So the minute you hit illness,you're referred down a path.
And that path can take you anywhere fromthree months to six months to a year.
And you might even not have the rightdiagnosis in the beginning, because you're

(10:34):
just seen by one person that you trusted.
And that person couldhave been in a hurry.
They could have been diagnosing youwith something that was incorrect.
That with the restrictions that we havebased on which company we're working for,
sometimes you don't even have the freedomto order the right studies right away.
Meaning you come in with a back injuryand you've actually herniated a disc

(10:54):
and it's compressing a nerve and you.
are sent home to go do physical therapy.
That's fine.
But what if that person never aggressivelyfollows back up to say it's not working?
And then they said, theyget an x ray down the line.
They're told it's fine.
Okay, everything looks okay.
And they don't even get theMRI maybe for a year or two.
And during that whole time they'resuffering, their life has absolutely

(11:18):
changed because now they're dealingwith pain at home, which impacts
whatever relationships they have.
If they have kids now, they're notable to be there for their kids.
And they're going with thatoriginal diagnosis of it's
probably just musculoskeletal.
I could repeat that over and overagain with diagnoses that we give.
And luckily I worked at a hospital whereI had the freedom to order certain things.

(11:39):
I was pushed, I got major pushback.
If I ever tried to get an MRIon someone, we really have to.
Create a story to get the right study inorder for it to be validated on the back
end, and then it gums up the emergencydepartment, but doing the right thing.
It's huge.
And some people on the back end,especially say emergency, they just
want to turn and burn patients.

(12:00):
And they have numbers that they'retrying to reach, so they just want to
give a, give the basic diagnosis thatwill not get them in trouble medically
and medical legally, and the patientwill be sent out the door, and they'll
be told to go follow up, and they,are lost to follow up, and they're
suffering, one of the biggest disconnects.
There are many, but that's one.

Yeah.
That's wild.
So what you're alluding to, it sounds likethere's some type of financial incentive.
Do you mind, to the best of yourknowledge, like how does the industry's
financial model affect real patients?

It's different per company that you work for.
In, in the particular companythat I worked for we had a quota.
We were looked at on the backend withKPIs to see how many patients we saw
per hour and the slower providerswere actually criticized at meetings.
And said, can't you speed up the process?
There were high, higher qualitythings that we talked about.

(12:54):
Did you document the EKG correctly?
And we implemented a scribeprogram to speed us up.
But the fastest providers, then wewould look at, okay, how fast are they?
How is their charting?
And is that charting allowing us to bereimbursed the proper amount of money?
What is our percentage of, Cashpay or never can collect, there's
a whole mix on the back end ofwhat you'll actually be reimbursed.

(13:16):
So every five years our CFO wasgoing to battle for what contracts
would reimburse at the highest level.
And then you'd see the providersthat had the highest amount of
patients simplifying charts.
Not really ordering everything patientsneeded, and then having cases that
bounced back to the next person onshift in 24 hours, like missing a head

(13:37):
bleed because they didn't get a CT.
That's unacceptable and so haveto decide as a human, what am I
going to do in these situations?
Am I going to put up a fight?
And am I going to put up a fightto the person that calls me out
and said, we don't need this study?
Or why did you order thisstudy on this patient?
And after a while, you learn to bereally hard and fight back because

(13:58):
you're fighting for your patients, butit wears on you, especially with the.
the specialists that are on overnight anddon't really want to be on or ever called.
So people get worse care at night.
Unless you have an amazingspecialist on and an incredible
ER doctor and people are tired.
So that's when errors occur.

That's wild.
Were there KPIs on other things?
Like how did everyone feel orwere the, there were, okay.

to hit all the marks.
We had to not, we had to see acertain number of patients per hour.
We had to document to get thehighest reimbursement, and if we
documented collectively to get ahigher reimbursement than our goal
was, then we shared a bonus together.
we were paid hourly.
Okay, we shared a bonus if we arecollective documentation was higher
than we thought we could get.
So we focused heavily on documentationand making sure every bit of

(14:53):
the documentation was there.
And then we had patient satisfactionKPIs like the national provider scale.
They that's how that you were rated asa hospital and as a group to stay it.
Inside that particular company'sorganization as a contracted group.
So we had great satisfaction

Yeah.

it was because we had a group that was handpicked
and we all knew each other.
We would take really good care of eachother's patients but there were days
where you got signed out patients froma provider that, doesn't do a good job.
Now you're medically liable forthat person and you have to almost
completely rework them up during yourshift and it slows you down, but.
You come on, you're like, Oh I'm goingto find something that's missing here.

(15:31):
So we, those were our KPIs.
They were satisfactioncharting and patience per hour.
And then also we're lookingat how many people complain
on the backend for wait times.
And so it, the number of complaintsthat people get, and then if they're,
there are lawsuits that pop up allthe time, like valid and invalid.
types of lawsuits.
And then you're so stressed as an ERdoctor having to deal with anything

(15:53):
like that, even if it's somethingthat's not really valid because you're
fighting now a battle that have beencompletely out of your control and
you're just named in the lawsuit.
So lots of things to unpack there.

Yeah, the
that could be, its own show.
Because if you're,

I

If you're measuring on how you're charting and how you're being
billed, and that's what you're beingheld accountable for, by definition,
you're gonna get more of that.
That means you're going to overorder, you're going to over diagnose,
you're going to overmedicate,whether consciously or not, that's
where you're gonna be rewarded

let me just tell you this in emergency medicine in
our oral boards and our, like our inperson boards, you always start with
IV O2 monitors and just having someonewalk through the door and putting an
IV in their arm, giving them oxygen.
Not everybody gets oxygento be honest, not at all.
But putting them on the monitors,putting in an IV and giving them
a bag of fluids, that's, that.

(16:49):
Makes your chart at ahigher rate of billing.
I don't think that many people tried todo that, honestly, as emergency providers.
Just to be completely frankwith you, at least in my group.
But I could see that being manipulatedby certain people just because they know
they're going to have a higher charge.
I also flew on Mercy Air, and if we hadto go out for a We knew that patient was
being charged 15 grand just to go out onthat flight, even if they called us off.

(17:12):
If we land on site andtransport them to the hospital.
And some of those are the most criticalpatients you'll ever take care of.
and then it goes up from there.
But

But it's all.

a 15 grand bill to start just by us landing on site.
Here we go.

It's also how you get a 4, 000 bottle, a 4, 000 bottle of bag of
saline that costs a dollar and a half.

Yes it is.

Wow.

And I was at his chiropractic office and they had
five or six people there who hadnever had a chiropractic appointment
or adjustment in their whole life.
all of them actually said, Oh yeah.
My parents told me to never to do that.
And so obviously they ended up gettingadjusted and everything was fine.
They loved it.
Why is there that perceptionthat chiropractic is like

(17:58):
a voodoo weird medicine

shawn dill (18:02):
I think it has a lot to do with what Amanda was saying.
First, Let me state that think that theconversation is I want to make sure that
we're not alienating the wrong people hereBecause the conversation really is taking
a look at the United States medical systemBut not the United States medical doctors.

(18:23):
think that there's very few doctors whogot into their field because they were
just trying to manipulate the system andkeep people sick, however They are joining
a system that is designed to do just that.
But that was never their intention.
And I can understand someone like Amanda'sfrustration being in there and thinking,

(18:46):
listen, I signed up to help people and nowI'm experiencing things that I didn't know
it worked this way when I got into this.
And then eventually if it becomes you,who's dealing with the health issue,
it doubles down on that frustration.
And because of that too,another thing I just want to.
Point out there is that model isprobably one of the world's greatest

(19:08):
financial business models ever created.
It is just absolutely brilliantfrom the standpoint it alerts
up a prospect pool of a problem.
And then it convinces theprospect pool to go on a journey.
And it is a long drawn out journey.
That starts with over the counter,accessing free information on the

(19:29):
internet, self diagnosis, whetherit's right or wrong, going into
drugstores, trying a little bit ofthis or that until the awareness
hits that you have a problem.
And then you seek out a specialist,but in that case, the specialist
is still the generalist.
I'm going to go into my You know, myprimary care provider who's going to
set me on a path of trying some othernobody's going to just if I have a

(19:51):
migraine and I looked it up on WebMDand I'm like, I have a migraine.

of a tumor?

shawn dill (19:57):
They're going to

Yeah.
Yeah.
Yeah.

shawn dill (20:00):
Migraine, not Imitrex.
Then I go into my GP, they're not goingto put me on Imitrex, so I'm on this path
to getting to the ultimate solution thatI think a lot of people would agree with.
that model, here's where we wantthem to go, but they slow play
that hand and listen every singlestop You have to pay the provider.
You have to pay the testing youhave to pay but they put you on

(20:23):
Either that or somebody's payingfor it because it's not free.
So it is a brilliant model that justI mean Imagine that once you bought
a certain brand of car, you basicallywere never going to leave you.
Oh, you bought a Ford.
You're now going to own Ford forliterally the rest of your life, right?
Because they've trapped you in it.
that also is an indictment onthe model not the provider, sec

(20:47):
the, to answer your question.
other thing I want to make sure thateverybody understands, because when it
comes to this, We talk about research,search is huge, but people would say why
is there no research on this or that?
I will tell you again, it's because ofthe financial model that's at stake.
we conducted a massive trial ona vitamin C and it's an efficacy

(21:12):
for whatever, you name it.
And we saw in the research that vitaminC is effective for the common cold,
or maybe some people would argue evenfor cancer treatments in high doses.
will there never be that Because at theend of the day, if we prove that's the
case, nobody owns vitamin C. no way tomonetize the outcome of the research.

(21:36):
On vitamin C we would be researching that

Yeah.

shawn dill (21:39):
end of the day, once we've proven that it's effective, then
whoever owns the patent, they're goingto be the beneficiary of the outcome.
So you're not going to see research thingson chiropractic supplements, natural
herbs, remedies, essential or anythingthat people are out there what about that?
We, there's no way to super monetizethat into the billions of dollars.

(22:04):
And so that's why, because nobody owns it.
It's just, it's a naturally occurringthing that's available to everyone.
inside of that realm, I think there's alot of effort to say, Oh, don't do this.
Oh, essential oils are a scam.
Water's a scam.
Whatever it is don't do that.
Be afraid.
Don't go to see your chiropractor.
Because what it does is it diverts awayfrom the true Opportunity that exists

(22:29):
to monetize something else where whatwould we rather you get a chiropractic
adjustment or get a 150, 000 disectomy?
The choice is clear.
So let's just steer peopleaway from this option

Yeah.
Awesome.

shawn dill (22:42):
that they're coming into the better monetary option.
And I think that it's a super sad thing.
And listen, people could say allthey want that's not the case.
But again let's just go data wise.
If we go objective data and then youyourself, let's go anecdotal data.
We've all heard that frompeople like, Oh, don't do that.
But you know what people there, peopledo say Oh, be careful of getting

(23:03):
surgery when it comes to cutting youa human being, why is there not like
a huge alarm, like never do that.
We accept that far more than we wouldaccept, trying some of these things that,
and listen I, I love some people's pointof view and I feel this way a lot about
a lot of sort of the cutting edge stuffand longevity, peptides, supplements.

(23:26):
It's not going to kill me, even if itdoesn't work, but if I get, if I let
you cut, my back, that, that could be,that could cause irreversible damage.
And so I think that it's funnyto our risk reward tolerance
on healthcare is out of whack.
And I think that it's easy toscare people not to do something.

(23:47):
And it's easy to convince peopleto do something that has a high, a
much higher risk equation for them.

Yeah.
So you taught, you saidthe word stats, right?
So the U S spends two X per capitaon prescription drugs, hospital
care and insurance and physicianservices and anywhere in the world.
And there's tons of placesthat have, quote unquote
free or universal healthcare.
Last year, Johnson, Merrick, and Pfizerhad a combined net income of 38 billion.

(24:16):
UnitedHealthcare, largest U. S. insurer,they cover 50 million people, they
made 23 billion in profits last year.
you said that it's a money game,but that's evidence of that.
These big corporations are theones that are spinning that wheel.

(24:37):
And so if you had just a magical wandright now, what would be the very first
brick or what'd be the first tool thatyou would begin to implement to make
this a change of a Sean and then Amanda.

shawn dill (24:50):
That's a very buzzword equity.
Let the people vote with their dollars.
Listen, if you just level the playingfield, let the population figure out where
they want to spend and let them spend.
If we took away third party payers, andin order to do that, we would have to
develop some degree of equity among,amongst providers as far as cost is

(25:11):
concerned too, because if we took awaythird party payers, it would then make.
healthcare thing of, only exclusivehigh net worth individuals could access.
So we've got to be conscious of that.
But I think if we let people vote withtheir dollars, all of a sudden what
works will rise to the top because peoplearen't going to spend their hard earned
money on some scam fraudulent thing.

(25:33):
And they're going to talk, they'regoing to research, and they're going
to make more informed decisions aboutwhere they want to place their money.
Listen, there's things like healthsavings accounts that do empower
people to begin to make those choices.
think an interesting thing, I'm notaware of any study on this, but I think
a very interesting thing to do wouldbe to look at where people who can

(25:53):
control their health dollars, wherethey allocate their money, because I
don't think it's the same places wherethe third party payers are allocating.

All right.
So vote with their dollars.
Amanda, what's your take?

My, my take is if we are continuing on with with coming
from this third party and, or theapproval of dollars coming from a third
party like UnitedHealthcare and we'relooking at free systems that, you look
at the diversity of these two sidesthere is such a discrepancy in HMO
and PPO insured people that, right?

(26:26):
HMO is the HMO insured side ofthe care that we get at baseline.
If you don't have the access and themoney to pay for PPO or POS you would just
miss out on the right type of doctors.
A lot of the time.
There are definitely high qualitypeople that you can be assigned to,
but the fact that you have to wait solong sometimes to see a primary for.

(26:49):
Issues that you have or evengeneral medical checkups.
I feel like those can be pushedout longer if need be with an HMO.
But the minute you have a problem,you just have a major block if
you have an HMO versus a PPO.
So somehow solving that issue where morepeople can get access to care faster
and the right and to the right person.

shawn dill (27:09):
That's a great one too, Amanda.
I would

Thanks.

shawn dill (27:12):
in a poll looking at providers, asking
providers, which do you prefer?
HMOs or PPOs as a provider?
It will be overwhelming.
It'll be a landslidewhat they will choose.
They'll go PPO because ofthe degree of management.
When they brought up the term, whenthe term was coined, managed care.
care.
The problem is it's not theprovider who's managing the care.

(27:34):
And so even if you look at that,if you're a consumer and you're
like, wow, the providers reallydon't like to operate there.
Why?
Because they're super handcuffed.
What kind of care do youthink that you're receiving?
If your own provider feels handcuffedwhen dealing with you, that should
just that to me should just tell youright there, if you're looking at
healthcare plans, which one to pick.

And I can tell you from firsthand experience when
I called around to see specialistcash pay, they got me in immediately.
If I tried to use my insurance, it wasthree to four months that I was waiting.

whoa.

blew my mind.
So I learned quickly that I justdecided to pay out of pocket and that
the charge you get at a specialist isaround three to 400 for one consult.
Whereas would bill other people thethird party payers a lot more and
have to document a lot more in orderto just see you and get reimbursed.

(28:29):
And perhaps their reimbursementwould be half of that.
So it's very advantageous forcash based clients to come in.
And it's honestly not that expensivewhen you're really going after a solution
to a problem when you're cash based.
That, that blew my mind,

Yeah, that is.
That's pretty wild.
And so I'll bring up apersonal situation right now.
So me and my wife, we werehaving this debate on just
simply not having our insurance.
And just taking everything that wepay the insurance, which I think
right now is like right under 2,000 a month for the whole squad.
Just taking that and puttingit into Sean used the word HSA,

(29:04):
which is health savings account.
So taking all that money, becauseyou all know this, but you can trade
the stock market in an HSA as well.
So that account can also grow over time,but ultimately the cost benefit of most
people when they spend the insurance, theonly only time it really ever kicks in
my opinion, is if it goes to some tragicemergency situation that's really the

(29:27):
only time that's even remotely valuableas far as your cost to reward benefit.
So I guess the ultimate question iswhat's your hot take Amanda on us going
either HSA or keeping our insurance?

I would have a backup plan for the emergency
with a very low cost insurance.
And I would use everything else for theHSA and go fully with a concierge doctor.
I pay to have a concierge doctor that Ican, she's a friend of mine in San Diego.
I can literally text her anytime Iwant to, I respect her privacy, but

Yeah.

is there for me.
And it.
approximately 500 a monthindividually to have her there for me.
And then I get certain benefits by,going in annually and talking to her
about, issues that I have or, buteverything is done in an expedited
fashion and it is absolutely beautiful.
And if I get say covered througha company that I'm working with or
my husband's, covered it, we, andwe select the minimum coverage.

(30:23):
Just for that backup plan in case wehad that tragic emergency and then
you went with a concierge doc model.
I think that's the way to go

That's, yeah, that's fascinating because.
I don't think a lot of people, maybesome have heard, but concierge doctors
is becoming a very popular thing.
And for those who are listening,that, that's an option that a lot of
people might not know about, right?
Like you pay them a monthly fee, thedoctor gets rewarded brilliantly.
And then they're to your point,like we're normal people.

(30:54):
So they spend a certain amount ofmoney where they keep the the people
are going to text them at four inthe morning, to keep them away.
But I think having that.
That's an option.
A lot of people don't evenknow that's a possibility.
That's a fantastic model, in myopinion, for, for this system.

The beautiful part about that too is that when you're
with someone that's highly connected inthe community, if you have a problem,
you will be referred to the specialistand seen within a couple weeks.
She just expedites care everywhere.
And it's a beautiful thing because if Iwas going on an HMO model, I'd be waiting.
Two months to see my primary caredoctor, but I like to have the
security of not having a milliondollar bill potentially if there was

(31:31):
a tragic thing that happened and I wasadmitted to had a traumatic accident

Sure.

for all this trauma surgery and spent,
30 days in the hospital.
So that's the way I think about it.
Is having that insurance plan low pay.

Yeah.
No, it makes perfect sense.
you have the same opinion?

shawn dill (31:49):
Yeah.
And I don't want to.
I don't want to derail this fantasticdiscussion, but I will put something out
there for you to put a pin in becausewhen you brought that up about the HSA,
one of the things that I think wouldbe very interesting if we took someone
like you and your knowledge about.
HSAs bring about somevery interesting benefits.

(32:09):
And in fact, I think that thereis a lot to be said about having a
discussion about how we can actuallyleverage our health to create wealth.
So if I am being allowed because of a highdeductible HSA account, I'm being allowed
to put up to that deductible into my HSA.

(32:31):
depending on a lot of factors,but I can get that in tax free.
I can also leverage thatgrowth it's in there.
So I'm, if I'm just making thiscontribution on an annual basis, but
also at the same time, very important.
I have to be very conscious of myhealth because I can't, I'm not, I'm
trying to not go in and use that money.
Then at retirement age, there's alot of magic that can happen there.

(32:52):
So there could be some argumentsthat this would be a very healthy.
And I think that people never consideran HSA even as an investment tool.
They see it as this, somesort of weird insurance thing.
But if you're like, look, thisbecomes a really good investment.
If I'm not going to need to tap into that.
Lifestyle, all of these things.

(33:15):
Now I'm getting actually an investmentpremium for being healthy because I'm
not having to use the money that I'm ableto grow if I have some good strategies
from people like you on my side.
I wish that people would really teachpeople how to utilize these health
insurance tools as investment tools andlearn to leverage, really understand how

(33:36):
you can create wealth by being healthier.
I think that's a very interestingdiscussion that would that
could and should be had.
And yes, I 100 percent agree.
I will say from personal experience,that's exactly what I do, of course
in, in all of the stats and also.
To be fair, while we reallystruggle, life expectancy, overall
health quotients, we're numberone in the world for emergencies.

(34:00):
So if you're going to getshot in the United States.
Like the likelihood that we save you inthe United States, there's no better place
to have a medical emergency than here.
But listen, where we reallystruggle is on the day to day.
Health care quotients are ratings ofhow healthy are we and all the things
that you've brought up previous Butlisten, should we really be having to

(34:22):
pay a lot of money because we're justdisregarding our health No, let's place
a premium where people can benefitfinancially being healthy The other
thing to Amanda's point to which is Ithink that most people in the discussion
like this don't really understand But wehave a socialist health care situation.

(34:43):
don't have any money and you gointo a hospital, you're still
going to be seen because listen,

Yeah.

shawn dill (34:48):
have taken an oath you don't have any way to pay for it.
So what happens is it justgets dispersed, right?
So that's why the fees are so highamongst the other people who are
paying, whether it's through insuranceor out of pocket to cover that.
And in all socialist healthcare countriesthat allow private practice, what Amanda
described is a hundred percent true.

(35:08):
So now You have this premium placed onthe people that are paying out of pocket.
You get in quicker, youget the better docs.
The better docs leave the socialist systemto practice in a private environment.
Why would they stay there?
Because they have a better financialincentive to go into private practice,
in private practice meaning outside ofthe socialist system, the social pay.
And So we have that herein the United States.

(35:31):
We don't like to admit that, butthat's what we have going all
the way down to something likeMedicare or HMO at the beginning.
And then you have, Medi Cal and all of

Yeah.

shawn dill (35:40):
Assistance programs.
All the way up to then, PPOs andthen rising to out of pocket.
And then Amanda brought up concierge.
So it's just who's practicing concierge.
The super good doctors havefigured out that I'm just going
to privatize my practice, createa recurring revenue model,

Yep.

shawn dill (35:59):
a limited number of clients and get amazing results.
And it will be less work andmore fulfilling to me because I'm
working with people that I like.
That's a socialist system that we'vecreated here in the United States.

Yeah.
You nailed it.
So two, two things on that.
Number one health as well.
That's so true.
it sounds like you and Ishould chat about that.
Cause I, I've never created acourse in my whole life about that.
And that would be very easy becausethere's an incredible amount of
things you can do to your HSA.
And to your point, if you're healthy,whatever your whole life, for the majority

(36:34):
of the time, just a whole different toolmoney that you don't have access to that
you wouldn't if you're paying an insurancepolicy, cause you're paying an insurance
policy, just like a term life policy.
If you don't die, all your money's gone.
And to get an insurance policy afteryou don't die at 60 is really tough.

(36:56):
and you already, all of you knowthat there's insurance policies
that you can get that don'tevaporate when you don't die.
But to that point, that'sanother instrument that a lot
of people aren't familiar with.
Now, to address one of the secondparts that you mentioned, you
said, We do emergency care amazing,but the day to day, we suck at.
I'm gonna do a quick little shift.
Because I think this blew my mind.

(37:18):
was at a Joe Dispenza conference, andthis beautiful woman was sitting next to
me, and I actually was telling her, thiswas probably April of last year Dave.
Anyway, and so I told her, I wantto do a discussion, I want to have
a podcast called Solving America'sProblems, and I was giving her this,
vision of what this is right now.
And she said, oh my gosh, if you cancreate a solution how many children and

(37:43):
mothers die during birth in America.
That would be incredible.
And I was like, whatare you talking about?
Listen to this in Canada, you haveeight deaths per a hundred thousand
live births, for Norway three.
U. S.
maternal mortality rate is 18deaths per 100, 000 live births.

(38:09):
We are a magnitude above that, andthat's obviously a day to day thing.
I'll just ask this question.
How the heck is that happening?

I'm first wondering, is that death happening in the hospital?
Is this hospital data or is it someonethat didn't have great access to care?
And it's happening pre hospital carelike emergency medicine, medical
services, and they just can't, it'salready progressed so far that you've
had a uterine rupture or the baby'sbreach or something's happened that

(38:41):
wasn't caught in a hospital setting.
there are many rural areasin the U. S. So I don't.
I don't know if is thathospital based or not.
And then where do you take itand drill it down to regions?
I know when I worked in the emergencydepartment up in a mountain community,
I was the only person on for 24 hours.
And if weather was bad, I couldnot get any flights off the

(39:02):
mountain to a major obese center.
So you're stuck with.
Either an ER trained doctor who doesnot deliver many babies or you're
stuck with some of these are staffedby just a internal medicine doctor
that might have never been trainedin emergency medicine or recently
done OB that was like 40 years ago.
And that's why that would happenin rural settings because you don't

(39:23):
have OB staffing all the places.
And then the pre hospital care componentis so rough too, because there, there
are just so many critical components ofa birth that, that comes out normally,
and women that, Survive that and I'veseen a lot of babies born and I guess
the we're talking about maternal, right?
Not the child side.

(39:43):
Okay, so you see a lot of pretermbirths as well where babies die preterm
if it's before 24 weeks and that'shorribly sad because people just
Either don't know they're pregnantor don't have access to health care.
So on both sides, they're definitelythere's definitely digging around
you could do to see where the targetscould be for improvement in the U.

(40:04):
S.

So I did the research on this and I put this in here
and highlighted it specificallybecause it hurt my heart so much.
The number one cause of maternaland infant mortality in the richest
country on the planet is poverty.
It is poor prenatal care of the mother.

(40:27):
Medicaid is the insurance used for peoplewho are at or below the poverty level.
And 42 percent of U. S. births, 1.
5 million every yearhappens under Medicaid.
So that's, look, if you want to givebirth in the United States and give

(40:48):
birth to a live child and survivethat birth, there are 50 other
countries that do it way better.
We are very low on this list.
If you went to Chile or Uruguay orEgypt, you'll have better outcome.

Yeah, that's wild.
I think it's just some, it's someissue of a glaring, glaring oversight.
Again, back to just what Seansaid, just the day to day.
The most basic pieces.
Like we just have so much thatare broken and I know you have
something else to say, Dave.
So go ahead.

Yeah, I just wanted to back us up a little bit.
We've already talked about somereally cool solutions around this.
I want to talk a littlebit about the problem.
We, and I think it's really easy forme personally to demonize big pharma
or demonize the insurance companiesor big food, or, I think there's a
lot of villains in this world thatare stopping us from being healthy in

(41:41):
the United States that other parts ofthe world seem to have figured out.
But when we talked about obesityat the beginning of this,
we are the fattest country.
In the world, bar none, I had tothink that there are 4 million
people in the United States thathave to lose over 100 pounds.
I was one of those people.
At 40 years old, I was smoking a packof cigarettes a day, I was at a job

(42:05):
that I hated, and I weighed 330 pounds.
And it took me years to work throughthat and to get healthy, and I'll
say everything was set up against me.
I like, like it was, like beingon all sorts of medications meant
for people that were twice my age.
It was that I was surroundedby poor choices of food.

(42:25):
It was the food that was veryaddictive and hard to get away from.
It was sedentary lifestyle, lifestylesand celebrating Sloth rather than health.
So there were so many things goingagainst me, but this is getting worse
in the United States, not better.
It's not lack of information.
When you're fat, you'refat and you're unhealthy.

(42:46):
Heart disease continues to be thenumber one killer in the United States.
47 percent of adultshave high blood pressure.
Over 60 percent of Americans have type2 diabetes, and for people who are
listening to this, type 2 diabetesis the diabetes that you create.
It's the, it's not the one you'reborn with or they have prediabetes.
U. S. has the highest ratein diabetes and prediabetes

(43:09):
anywhere in the developed world.
Rates of kidney disease, 37 percentof Americans, guess what, that comes
from diabetes and hypertension.
Cancer rates.
Since we have been measuring cancer,it has been continuously going down
as the treatments have been gettingbetter and better, except today.
Today, cancer rates are going upfor people under the age of 50.

(43:34):
Actually, the youngest of us are gettingbreast cancer, colorectal cancers, and
other cancers at extremely alarming rates.
Normally Again, like obesity and diet,60 million Americans are experiencing
some form of mental illness andannually anxiety, depression, and

(43:57):
particular prevalent the opioid crisis.
You could just keep on going downthis list of okay, that's not working.
That's not working.
That's not working.
That's not working.
Great.
If you get shot in the United States.
Fantastic.
But what are we doing wrong?
What's the villain here?
What I did what's going wrong?

(44:17):
Where's the problem?
I see the results and it's notgood, but where's the problem?

I, I can, I will start by saying it is an education
from the school level forward.
I ha I volunteered to teach anutrition program to students.
In med school, they had nothing if peopleare not getting the proper education and
nutrition in the public school system.

(44:44):
I bet private does it a lot better, butif there isn't a standardized educational
program when you are young to show youif you eat this and if you are obese and
this is how you calculate what obesitymeans, you will have these diseases in
the future and you will die earlier.
If you don't know that, you can'tmake healthy choices about eating,

(45:04):
about exercise, and there is a verybasic layperson education that could
be developed that touches children,so that if their parents fail on
educating them, if the communityfails, they still, they definitely
get it, and they suddenly go to theiradulthood life and do different things.
Even I struggled with knowing allthe things you can do both with

(45:28):
diet and exercise with trainers.
I think as humans we're alwaysdesperate for more information about
how we could be healthier and thatfrom the core is what is missing in
education from elementary school on.

Yeah.
I think it was liketwo or three years ago.
So my son was in sixth grade.
he brought home a food pyramidthe same one that we all had.
That one.
I was like,

taught.
Everywhere.
That's literally all that's ever taught.
How can people learn if they're juststaring at a food pyramid and they
don't know where to take it from there?
And their

right,

are unhealthy.

Yeah, exactly.
And it is unfortunate and you'respeaking to my heart because I do
feel like the shift becomes, wheneveryone is aware that education fixes
most of the problems down the line.
Obviously it's not gonna be an immediateimpact instantaneously, but once we
start earlier and we teach going forward.

(46:21):
And we revitalize thewhole entire thing, right?
The whole aspect of what we teach,how we teach and who teaches it.
It definitely creates ahuge impact in the future.

What about the commercials we see too?
We never see commercialsabout being healthy.
And about what down the line.
And just because no one would fund those.
Types of things.
Like

Right.

Super Bowl, you're seeing everything
possible that's unhealthy.
You

Yeah.

something that's reinforced on being healthy.
That, that teaches people things.
So public information and the channelsthat we get it, the streams that we
get it from it's something that shouldbe heavily invested in, I think.

I agree.
Sean, what do you think, man?
Does it start in schoolsor is it somewhere else?

shawn dill (47:07):
It definitely starts in schools, but now we've
opened up a whole can of worms.

Oh yeah.

shawn dill (47:12):
I think some of this so definitely starting in
schools as far as education.
Dave was talking earlier abouthow someone's sociodemographics
economics play into their health.
I'm not sure if many people are awarethat during the 1980s and nineties
tobacco companies came under fire,Philip Morris, RJ Reynolds, but the

(47:36):
eighties and nineties, during thatperiod of time Philip Morris and RJ
Reynolds acquired most of the major foodcompanies in the United States that would
include craft general foods, Nabisco.
And so now you have the tobacco industry.
Amazing at addicting people, takingover our food supply in a lot of ways.

(47:57):
this super impacts people that aretrying to eat necessarily on a budget.
And so what we do is we have this,what's called hyper palatable
foods, where we are literally nowaddicting our younger generation.
So if you are in eighties, nineties, earlytwo thousands, you love these things.
You love these processed foods.

(48:18):
So when they're like get off the processedfoods That's very difficult because
there's a lot of things in our food todaythat cause us to be addicted to that
and very interestingly You mean and it'snot lost on us that there is a different
version of our food than if you go toeurope so the ketchup is different.
The jelly is different Uncrustables aren'teven allowed to be sold in europe because

(48:41):
a lot of our food doesn't even have Foodin it, but listen, if you're on a budget,
you've got to go and you've got to makeyour stretch your dollar and you're trying
to feed your kids and you're sending themto school and they have their lunch and
so you've got your lunchables in thereand you've got whatever you're putting in
there, but listen, it's not, that's notsetting them up for success health wise.

(49:02):
So we have an economic issue.
We have a food supply issue.
We have an education issue because.
A lot of people don't realizethat's not good for their children.
I think that you look at fastfood companies, but most fast food
companies have a healthy line, butthere's nothing healthy about the
healthy line, but people are tryingto make this conscious decision.

(49:24):
They're like look, let me eat healthy.
So I'm going to get thesalad at McDonald's, right?
Like I'm going to pick the best one.
Chick fil a and thenwe start to break down.
What's in your food?
But then and I know that everybody herewe want to save the world But then we
bring in an interesting debate thenthat we'd have to talk about that The
mere fact is listen just volume wisenot everybody on this planet can eat

(49:49):
organic We do not have the food supplyto supply every man woman and child with
organic Wholesome food, grass fed beef.
We've, so now we get into this weirdworld where we're gluing meat together.
We're making meat in a lab we'redoing but listen, part of it is
very altruistic because we're tryingto feed an overpopulated world.

(50:12):
The world wasn't designedto hold this many people and
feed them with organic food.
So yes, organic food.
That's what I would choose to eat.
And I've been blessed.
That's what I, that's what I putinto my body, but we can't feed
everybody with organic food.
And that's not a cost issue.
That is.
It's a production issue.

(50:33):
And yeah, now we're into genetic modifiedfoods to be able to grow food on land that
really can't grow food on because we'retrying to feed an overpopulated world.
There are so many things that kind ofcycle in and it's really hard to vilify
the Whole thing you know when we havebut we can't point out when we have
tobacco companies, you know owning ourfood supply and then even today when

(50:56):
we have Tech companies controlling alot of these this country's farmland.
That's an issue, right?
And we're closing farms that areproducing organic food and there's a
lot of data out there about, all ofthese companies that have huge political
lobbies that own patents on seeds.
Like, how can you own corn?

(51:18):
Some people do, and if you grow theircorn, then you're subject to lawsuits.
It's tremendous what'sgoing on in the world.
And I get it.
Everybody look, we're all tryingto profitable in our businesses and
everybody wants to make a, make theirdollars because they have, they want
to create legacy for their families.
And I know you guys teach on that alot, but at some point we also have to

(51:41):
consider what the end damage is and wehave to find a balance with being out.
with every man, woman, and child on theplanet because they've got to eat too.

Yeah.
And what I also hear you sayingto Sean is one of the things
that makes us sick our food.
And I know that there's a lot of peoplethat probably that, that might sound
surprising to, but it's a very smallpercentage of people what you put
into your body, you get out, right?
Food is fuel.

(52:14):
if you're going to perform andyou're going to optimize, you
have to eat incredible food.
But so it's a very interestingperspective that you have ultimately
that, and again, I haven't heard itpersonally that we just couldn't.
everyone eating the waythat they should, right?
They're the way that we, a lotof people feel they should.
I appreciate you sharingthat insight, Dave.

So if anyone here was starving their child
You certainly, it would certainlybe considered child abuse.
If your child wasn't getting enough foodyet, if your child is obese, leading to
a certain lifetime of issues, possiblyan early death because of obesity,

(52:58):
It's not considered child abuse.
Like what's going on here?
What are the attitude?
And today we also have these fatinfluencers or fat body positivity
folks celebrating in poor health.
It's celebrating slow suicide.
So tell me about what you think theattitudes are in America about health.

I think.
A lot of people truly deep down insidewant to be healthy, they want to be of a
normal weight, they want to look in themirror and love what they see so that they
can reflect confidence and positivity.
But I don't think that is whattranslates on the other side.
I think that people are You know, stressedwith full time jobs and caring for their

(53:42):
families and being a great husband orwife, and they just don't find time for
themselves once they get to a certainpoint, and they definitely don't find
time to prepare the right meals fortheir kids when they're preparing that
morning meal, because they only haveso much time to prepare those things.
I think that when health.
a health crisis hits, they suddenly care.

(54:03):
I had someone recently share with methat their their son was diagnosed
with Crohn's and they went to manydifferent specialists and finally found
an 18 hour a day fasting diet that in30 days completely cured their child.
So now this child fasts 18 hours a day.
Have we looked at fasting?
Have we looked at reeducatingpeople and the benefits of that?

(54:25):
Have we looked at teachingpeople the right way?
I, that's the hard part is so fewpeople have access to this vital
information of how do mitochondrialike actually function the best?
How does our body actuallyclear all those toxins?
And there's.
Tons of evidence that fastingis so beneficial, but do
we ever talk about that?

(54:46):
Unless you're in a wellness circle, right?
And then you suddenly learn.
So I think people want to lookin the mirror and feel great.
Like they want to reflect confidenceeverywhere they go, but they are tied to
a life that doesn't allow them to do it.
And they can't figure outthe solution many times.

It's fascinating.

shawn dill (55:05):
I 100 percent agree.
I want to introduce yetanother monkey wrench into the

Throw it.

love it.

shawn dill (55:11):
I also don't want to speak to the, plus size influencers
because and I don't know.
When Amanda went to to study inmedical school, what the numbers were,
but I will guess that normal bloodpressure was different than it is now.
Normal cholesterol was different than, whyare we seeing all of these things change?

(55:36):
I learned 120 over 80.
Oh, if you're like one 21 over 80 Oh myGod, we're in stage one, hypertension.
Like how, why is that happening?
And I will say this, I'm a bigadvocate of, I don't know what.
Any of our normal is right.
Like, how am I from the outside goingto say what your optimal weight is

(55:57):
or your optimal blood pressure is?
I watch on social media, Jeremy's veryactive running, doing all these like
very strenuous physical activities.
I would just say, looking at that, hisresting heart rate is way lower than
mine because his body necessitates that.
And I could.
Probably look at his resting heartrate and be like, Whoa, wrong with you.

(56:21):
It's too low because if I was comparinghim against a nonactive individual
of the same height, weight and age, Iwould think that Jeremy was the outlier.
And especially that's howwe come up with this, the

Yeah.

shawn dill (56:33):
curve, that, what that does is it makes.
Everybody on the extremes wrong.
And so listen, there are some peoplethat on the outside, you might look at
them and their weight, their BMI mightnot meet the standards of the world, but
to me, what's very important is what'sgoing on the inside function is way.

(56:56):
A more important than appearance.
So if I'm looking at, testing onfunctional levels, if I'm looking at
heart rate, variability, nervous systemfunction, if I'm looking at blood labs and
all of your biomarkers and all of that's.
great, but your BMI is off.
I don't know who am I from theoutside to start like trying to,

(57:16):
manipulate all of these things.
And I think that's something veryimportant for us to understand
is that we have fallen into thisworld of what we call lab normal.
are a lot of people who are insideof the lab normal range on a
lot of things who are very sick.
This is one of the things thatsuper complicates our ability.
To diagnose issues because these peoplego around from one provider to the next

(57:39):
to the next and everybody's like you'renormal and they're like but there's
I am absolutely not I'm having thisissue but they are lab normal which
is not normal for them and so thisis something too I just want to make
sure that I don't want to condemn it.
from an outside in perspective,because we must adopt a globalist
approach and a holistic approach tohealthcare and look at all elements.

(58:03):
And I would dare to say, I don'tthink that there is any one thing
that happens in the human bodynot impact something else, right?
There's not

Right.

shawn dill (58:11):
is just happening in a vacuum.
is interrelated.
We come from a time and agewhen at one point we didn't
know what the tonsils were for.
So we took them out.
So it's we gain information.
And I would also dare to say thattoday we probably understand,
and this is up from what I wouldhave said, maybe 10, 20 years.
Go, but we probably understandaround three to 5% of

(58:34):
actually how the body works.
Like we, there's so much that we justdon't understand and that's what's great
about, about our field of practice.
The human body is mind blowing.
Amazing.
Like it's crazy that we are a lot.
I have the day with the air that we'rebreathing, the pollutants that we put
in our body, like all this, and somehowwe're that resilient as a species.

(58:58):
Absolutely incredible.
And so I just want us to take amoment and honor and respect that
and also understand for anybody inhealthcare, just how difficult that is

Yeah.

shawn dill (59:09):
unravel that and understand what's going on in a
patient that's in front of you.

Yes.
So both of you being thought leadersand, creating content and providing
so many things to people, randomquestion, are there any AI tools that
you have seen right now that are tryingto make a dent or a positive impact?
Yeah.

I haven't used any just to be frank.

shawn dill (59:40):
I don't know of any that are on on the public market as of
yet, but I am aware of a lot of.
projects.
One of my clients, I wantto shout out Dr Rick Downs.
One of the things that I hope willcome to the forefront when it comes
to health and wellness is sleep.
How many people snore, right?
That's just a common thing.
Oh yeah, they snore.
And the correlation Between snoringand alterations in your nervous system

(01:00:04):
specifically in your sympathetic nervoussystem alterations and breathing people
correlate Snoring with sleep apnea whatthat's doing to our bodies incredible
But here's what's cool is that nowwe have all of these wearable devices
that allow us to track your sleep Sofor many years when we talked About
sleep technology and a sleep study thatmeant going to some strange place and

(01:00:27):
sleeping hooked up to all these things.
And how hard is it to get a goodnight's sleep and an accurate
reading when you're in some strange,sterile sleeping environment and

Jerremy Newsome (01:00:36):
Yep.

Dr. Amanda Holden (01:00:37):
One thing, oh,

shawn dill (01:00:39):
on our fingers.
We can basically conduct a fullsleep study and even detect
apnea through these devices.
So AI, here's what I'm seeingbeing developed are the ability
to take all wearable devices.
So to me, this is super cool.
It doesn't matter if you're onthe whoop, the aura ring on.
Apple watch or any of the others, Garmin,all of it but to be able to aggregate that

(01:01:03):
data and now place have AI monitor andfind alterations while we're functioning.
So how cool is this?
That you can receive an interruption,a text, an email that says,
listen, we detected a problemlast night with your breathing
patterns while you were sleeping.

Fascinating.

not only that give you the recommendation of.
Here's who you need to see as a provider,or maybe it's a simple, listen, try this,
do this, and we'll continue to monitor.
us to literally monitor millionsof people on a regular basis.
I think this is huge because we'llbe able to have a preventative
element to our healthcare and stopa lot of problems before they arise.

(01:01:48):
However, Let's also just come back to,we're really close in this world of the
longevity space to really being ableto add a lot of years to human life.
But that really complicates thisoverpopulation issue and feeding the,
you see how like we're trapped in thislike vicious cycle where We're, we've got
this cool stuff and maybe I can detectit and I can save you and you can live

(01:02:11):
longer, but then now you're living longer.
So this is a double edged sword and areally good topic of discussion and debate

Dave Conley (01:02:20):
So I.

it is.

I will say, the future is already here and I'm a nerd about
this as far as AI goes and you alreadyhave the tools, if you're using
chat GPT, if you're using Claude,if you're using Grok, if you're
using them, you can already do this.
In fact I feed all of my blood work doneand I get my blood work done often through
my doctor because he's a freak and ascurious as I am, but also I've fed in four

(01:02:47):
years of devices, from my aura ring for,four years of information on my sleep and
my activity and heart rate variability.
And I've fed in a data froma continuous glucose monitor.
So I can get it really dialed in.
see okay, what are supplements doing?
What is exercise doing?
What is sleep doing?
What is a medication doing?

(01:03:08):
What times of day, when I fast,when I don't fast and that's
accessible right now, thatdoesn't even take that much money.
So I can't even imagine.
I think that kind of stuff thatI have to do by hand is going
to be increasingly commoditized.
You already are carrying around.
phone, with you day in and day out,it's already monitoring all sorts
of things about your environment.

(01:03:29):
I think the future is already here.

It is.
Yeah.
Go ahead, Amanda.

one thing that we've used in the clinics is a device called
InMode or StyQ, and you stand on itthe InMode you hold both hands, and it
measures your muscle mass in each armand each leg, and I'm doing, and it
measures your fat, it tells you, spitsout your visceral fat and your risk
factors for everything in your body,and I had back surgery a year ago a
spinal fusion, and my leg Muscle massis significantly lower than my arms

(01:03:59):
because of my functional limitations,and I'm working with a device right now
to build my muscle mass, a functionalmedicine device to build my muscle mass
and going back every four weeks to bemeasured to watch my muscle mass grow
in things I couldn't do by myself.
So there are technologies that are goingto be out there to make us healthier
and direct measurements that measure.
Our exact muscle mass, our exact fat,and then stratify on the back end a

(01:04:23):
report that I know it's coming soonbecause someone told me it is from this
company and spit out a report of, allof your risk in all of these different
areas just from standing on that device.
And those devices aren't that expensive.
So if those were integratedinto traditional medicine,

Wow.

would have a much better evaluation of their patients
and spit out a report on the back end.

Fascinating.

And then Jeremy, you'll have the robots slap the
Haagen Dazs out of your hand.

Yes.
Yes.
So InMode, publicly traded company.
If anybody wants to research any ofit, ticker symbol I N M D. Sorry.
So talking about anotherreally interesting thing.
There's an app called E AT O, and it's brilliant.
So it's 25 a year.
a photo of your plate and AIanalyzes everything on it.

(01:05:15):
Spits out calories, macros,micros, carbs, protein, all of it.
It's really cool.
And it's wildly accurate.
it is really remarkable.
You might have to make a few adjustments,but just something that if you like
apps, I have tried it, I recommend it.
It's really cool.

(01:05:35):
As we start to slowly wrap up, andagain, I, this has been so amazing.
I just the fact that I'm aroundyou two makes my heart happy.
what specific questions shouldpatients ask their doctors about
cost and treatment alternatives?

They should ask their doctors in with the
diagnosis you're giving me, isthere a way if I went outside of
my insurance to expedite my care?
and get better care forthis specific problem.
That would be number one.
And how do I find the right specialistto treat this particular problem?

Yeah.

You shouldn't always just trust the answer of one person.
You need to go out there and talkto specialist after specialist
before you make a critical decisionabout your body once you get
into a problem with your health.

Yes.
Love that.
Awesome.
Sean, what specific things canlisteners do this week to take
better control of their healthcare?

week.
Get sunlight, get movement.
Put salt in their water so that they canbe adequately hydrated, not table salt,
but you need to put good salt in yourwater so you can get adequate hydration.
And I love what Dave'ssaying, tracking your data.
And I would start with sleep.
Recovery is critical.

(01:06:57):
we just want to get eight hours of sleep.
that contain no deep sleep, no heart ratedip, no heart rate variability changes.
Recovery sleep is absolutely critical.
I think that's one of the things thatcan absolutely make a superhuman.

Do either of you have awesome, easy tips to sleep better?

One, I think tracking, right?
So now you're what gets measured, right?
You pay attention to it andthat, that's what gets improved.
To turn off all of your electronics,have a wind down routine.
For the people that go,my mind's always racing.
Yeah, but you were looking at your phone.
three seconds ago, right?
Like you so have a routine where webegin to allow your body to enter into

(01:07:43):
that phase, control your temperature.
Usually the 64 ish rangeis optimal for sleeping.
A lot of people that theyfind that extremely cold.
That doesn't mean you'renot without a blanket.
But if we can get that temperature drop,we can get that variability change enter
into deep sleep and have great recovery.
And listen, that's what's,what I love about this.

(01:08:03):
We're moving into an age inthis whole discussion today.
about cost.
We're moving into an age where peopleare beginning to create an awareness.
There's a consciousness aroundthe fact that sunlight is free.
Water is for the most part free.
We can get access to that.
Going out and taking a30 minute walk is free.
You don't have to have a fancy gymmembership or do anything crazy.

(01:08:25):
They're getting great sleep is free.
It's not buy this 500 thing andnow you can It, we're beginning to
realize that we've placed a premiumon all of these outside in approaches.
And I really love how we'rebecoming far more conscious and
placing a premium on inside out.
I also want to just say for me,philosophically, I honestly believe that

(01:08:47):
the only way that the becomes sick iswhen we fail to adapt to our environment,
either internally or externally.
So there's a ton to be said about lookingat the things that are going on outside.
We're around our phones and we're aroundall of this, the types of energy, we're
around pollutants, and we're We putbad things in our body and then our

(01:09:09):
body on the inside is all screwed up.
But if you sat and think and thoughtabout it, every disease known
to man is a failure of the humanbody to adapt to its environment
either internally or externally.
So if we de emphasize the externalthings that we want to put in
to merely mask the symptoms.
And emphasize having our bodiesat full expression of our inborn

(01:09:32):
potential, our ability to adapt.
I honestly believe we can radicallychange the quotient of healthcare.
We can radically change thatbecause it's not, we're not
looking for this big breakthrough.
We're looking for a breakthroughthat's here in our minds, not some
new drug that's going to save us.

Amanda, you got physically excited
about that question too.
So hit us with some sleeping tips.

I, mine is, I simplify it so much and it's
so much of what you just shared.
I just say, stick to a routine, makesure you're going to bed at the same
time each night to get your body'scircadian rhythms used to that time.
off your devices, put down social media.
Put it like, turn it off, make itsomething you can't even reach for.
Don't even worry about the textmessages if they come in late.

(01:10:18):
But you have to shut your minddown and allow the time to sleep
and also lean into meditation.
So I think those things makeus feel a lot more refreshed.
They're all free.
It's very easy to do a 10 minute.
Silence meditation throughout theday and feel very refreshed by
just letting your thoughts bubbleout and sitting with yourself.

(01:10:39):
It makes you feel much morewell rested doing that too.
If you've had a hard night of sleep,you can even do that twice a day,
but I say get into your routine,silence those phones and try to center
yourself to get rid of the thoughtsthat are driving you crazy at night.
I love to use the comm app.
I'm a, I'm obsessed with sleep stories.
So that helps me if I've had a whirlingday it helps me calm down and just get

(01:11:02):
into a story and drift off to sleep.
So

Not a funny story, not a funny joke.
Funny.
So I posted on Twitter a coupleof months ago, I was like, only
pansies use eye masks to go to sleep.
gray.
So I do, I mask, I have a nosestrip, I do the whole thing.
Cause everything you mentionedis 100 percent accurate and
just having the ability to adaptand adjust and tweak sleep.

(01:11:28):
Everyone sleeps, every humansleeps, every human eats.
So if we can optimize the basics.
We will become healthier.
Well, Family, this has been awesome.
This has been incredible.
I just want to commend you bothon answering so perfectly, so
articulately providing reallygood insight and information.
And I truly appreciateyour time and energy.

(01:11:49):
I think at this point, what we want todo is in closing, I want everyone to
know that you can follow Amanda's work.
and insights on healthcare and businessreform at Holden timeless beauty.
com obviously on Instagram atDr. Is there a period in there?
Yeah, doctor.

dr. amanda.
holden.

Yeah, perfect.
Thank you so much.
And for my boy, Sean.
For more info or information on Seanor free market healthcare solutions and
entrepreneurial strategies, connect withhim at the specific chiropractic centers.
and follow him on Instagram at Dr. SeanDill family We want to hear your stories.

(01:12:31):
Have you had nightmareexperiences with healthcare?
You found a healthcaremodel that actually works.
your thoughts.
Tag us on solving America'sproblems, podcasts on Instagram.
At solve USA pod on also formerly Twitter.
you so much for listening.
You're amazing.
We appreciate your time and energy.

What'd you learn though?
What did you learn?

So what I, one of the things I learned from this broad
conversation is I think for futureepisodes, we're going to get even more
granular on solving very precise topicsand discussions, maybe like emergency
room health care or hospital treatment.

(01:13:14):
Medicaid's going to be on the list.
I also learned that both our guests arevery well versed in this and they're
obviously incredibly healthy people.
I think both of them have so muchknowledge on this particular topic.
And ultimately, as we get more andmore people that just truly care about

(01:13:35):
the wellbeings of others, obviouslyways that people can make profits.
There's very easy ways for this tobe a, currency circulating endeavor.
But ultimately it doesn't haveto be to big pharma or big food.
can be to individuals, right?
They mentioned concierge doctors andI have five or six people that I was
like, just become a concierge doctor.

(01:13:57):
Like you can probably make 40, 000a month and work with, 30 people.
And just, that's it.
That's your job.
You interact with those people.
So that's another one ofthose micro gig economy feels.
That's just available to a lot of thelisteners out there because there's
probably people out there that havemedical degrees and medical licenses that

(01:14:19):
also feel like they got burned in themedical space and healthcare space and
they feel like they have nowhere to turn.
there are plenty of individuals outthere that do, that they do have a
place to turn to and they do end up andeventually wanting to create that change.

I'm with you on that.
I think the thing that, thatbecame more clear to me on this.
Episode was
the medical providersaren't really there for you.
They are.
And they're not the insurancecompanies aren't really there for you.
The big pharma, big food.
They're not there for you.

Yeah.

You have to be there for you.
And all of those.
institutions, all of those systems,all of those people in those systems,
those are our tools and resourcesthat you have to be knowledgeable
about, that you have to work.
You can't be the subject of those.
You have to be the master of those.
And I think too many people justforfeit their health and being.

(01:15:19):
To these systems and these people andthese institutions that don't have
necessarily their best interest inmind because they have other masters,
they have profits to make, theyhave other things that are going on.
It's not that they're trying to kill youor that they're trying to keep you sick.

(01:15:42):
It's just that the system doesn't reallydo a good job of balancing optimal
outcomes for you as an individual andit is up to you to be at the center
of this universe, not insurancecompanies, not medical providers,
not big pharma, not agriculture.
Those people are not atthe center of the universe.

(01:16:03):
You are.

Yeah.
I like that take.
And it made my heart smile when Amandasaid that the big initial shift that fixes
a lot of these problems is education.
me and you both know that listeners knowthat, but making those tweaks, making
those adjustments, we are validated andaware that those are the actual problems.

(01:16:27):
It starts with what we're teachingkids, how we're teaching kids,
obviously the when are we teaching them?
Where are we teaching them?
How are we teaching them?
Why are we teaching them?
Who's teaching them?
All those things need to beshifted, adjusted and changed.
So listeners, appreciateyou loving on this podcast.
If you have not done it already where it'sa reviewable podcast, click five stars.

(01:16:52):
write up a review for us because allegedlyit helps more people become aware of
who we are and what we are trying to doand what we are impacting and creating
and changing and shifting right now.
This was another episode ofSolving America's Problems.

All Episodes

Episode Transcript

Popular Podcasts

Stuff You Should Know

Dateline NBC

The Burden

.css-15opob5{left:0;position:absolute;top:0.8rem;} All Episodes

.css-14f5ked{margin:0;word-break:break-word;display:-webkit-box;-webkit-box-orient:vertical;box-orient:vertical;-webkit-line-clamp:2;overflow:hidden;}America Pays Double, Dies Younger (Full)

Episode Transcript

Popular Podcasts

.css-r6mb8g{margin:0;word-break:break-word;display:-webkit-box;-webkit-box-orient:vertical;box-orient:vertical;-webkit-line-clamp:1;overflow:hidden;}Stuff You Should Know

Dateline NBC

The Burden

All Episodes

America Pays Double, Dies Younger (Full)

Stuff You Should Know