The Health Issues Everyone’s Talking About with Former U.S. Asst. Secretary for Health Joxel Garcia

On today’s Unemployable, we tackle the hard stuff: why cancer remains our biggest health challenge, why water quality may define the next global conflict, how outbreaks re-enter the U.S. (measles, dengue, bioterror), what COVID actually taught us, and where AI and genomics help—or create new risks. Along the way we talk access to care, compounding vs. brand-name drugs, GLP-1s (Ozempic/Wegovy), and the habits that really move the needle: sleep, strength, hydration, and walking with purpose. My guest is a former U.S. Assistant Secretary for Health and four-star admiral in the U.S. Public Health Service with leadership roles spanning MD Anderson’s Moon Shots, WHO, and federal response teams for anthrax and Ebola. It’s a masterclass in population health, plain talk, and what leaders should actually do next. Timestamps below. If this helps you think clearer and lead better, hit subscribe and share it with one person who needs it today. Disclaimers: This show is educational only. Nothing here is medical advice. Talk to your doctor before making decisions about screening, vaccines, medications, or treatment. 

Resources mentioned: • Joxel Garcia's books on Amazon • St. Jude Children’s Research Hospital • MD Anderson Moon Shots • CDC/WHO resources on vaccines & outbreaks

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00:00 Welcome and setup: cancer, water, and real risk 02:08 Biggest current U.S. health challenge 03:35 Inside MD Anderson’s Moon Shots 05:26 Childhood cancer progress vs. rising exposures 07:19 What’s in our water? Plastics, fluoride, pipes, reality 08:13 How water is regulated—and where it fails 11:39 Desalination, waste, and global scarcity 14:45 Anthrax and Ebola: lessons from the front lines 17:44 Borders, measles comeback, and dengue risk in the South 20:10 WHO, politics vs. real public health 22:28 AI, bio-risk, and lab evolution concerns 24:36 Ferronia Life: AI for women’s hormones (and men next) 26:00 Melanoma breakthroughs and how medicine learns 27:22 Genomics, privacy, and national security 30:06 COVID five years later: what worked, what didn’t 36:14 Vaccines, herd immunity, and flu trade-offs 39:53 GLP-1s (Ozempic/Wegovy) + behavior change that sticks 43:50 Daily fundamentals: walk fast, lift something, sleep 44:27 Why write children’s books about health? 48:40 “Golden Palms & Blue Skies” and leadership values 50:30 Culture notes: El Coquí and farm memories 50:42 Pharma, compounding, and access to life-saving meds 52:34 Cash-only cancer centers, fairness, and ethics 55:41 Organ trade realities and a hard ethical line 01:01:17 Ferronia details, contact, and scope 01:05:09 If I had to start a business in 30 days… 01:08:19 Fastball: one sentence to change a life 01:09:51 Closing #Unemployable #JeffDudan #PublicHealth #Cancer #Water #Biosecurity #Vaccines #Outbreaks #AIinHealth #Genomics #GLP1 #HealthLeadership #PreventiveHealth

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