The Price We Pay: What Broke Healthcare & How to Fix It | Dr. Marty Makary #038

Vital Veda Podcast Banner: Episode on the healthcare system

We need health care literacy to navigate in today’s society.

It is important for individuals to get an insight into the healthcare system to understand, at least the general components of it, to receive safe and appropriate medical treatment.

Dr. Marty Makary, one of the nation's leading experts on the healthcare system, shows how much of health care spending goes to things that have nothing to do with health and what you can do about it.

Dr. Makary challenges the healthcare system to remember medicine's noble heritage of caring for people when they are vulnerable.

Drawing from on-the-ground stories, his research, and his own experience, we explore price-gouging, middlemen, and a series of elusive money games in need of a serious shake-up.

Dr. Makary's work, including his book The Price We Pay, offers a roadmap for everyday civilians and business leader to get a better deal on their health care, and profiles the disruptors who are innovating medical care.

The movement to restore medicine to its mission is alive and well - a mission that can rebuild the public trust and save countries from the crushing cost of health care.

About Dr. Marty Makary

Dr. Makary is a New York Times bestselling author, Johns Hopkins surgeon and Professor of Health Policy.

His book The Price We Pay takes on the high cost of health care and reveals how individuals and businesses can get a better deal on their health care.

Described by Steve Forbes as “a must-read for every American” and a “deep dive into the real issues driving up the cost of health care” by Dr. Don Berwick, The Price We Pay is the “The Big Short” of American Medicine.

Makary is a frequent medical guest on NBC and FOX News and a leading voice for physicians, writing for the Wall Street Journal and USA today

Dr. Makary is a gastrointestinal surgeon and serves jointly as on the faculty of the Johns Hopkins School of Public Health.

He is an advocate for the re-design of medical care and studies innovations that improve health, reduce waste, and address the root causes of illness.

He currently serves as executive director of Improving Wisely, a national physician collaboration to reduce unnecessary medical care and is the founder of Restoring Medicine, an advocacy effort to help people who can’t afford their medical bills.

Dr. Makary has been elected to the National Academy of Medicine and named one of America’s 20 most influential people in health care by Health Leaders magazine.


In this Episode we Discuss:

The increase in medical complexities and sophistication and the increase of hyper-specialisations and sub-specialisations.

The Crisis of Medical Appropriateness

The prestigious John Hopkins Hospital conducted a study investigating what percentage of medical care is unnecessary.

21% was the average!

They asked a random group of physicians who broke it down in medications, diagnostic tests, surgeries and procedures.

When you have people in the industry saying that one fifth of all the services are unnecessary, that is a crisis!

The opioid crisis is one manifestation of the crisis of appropriateness.

10 years ago physicians in the US prescribed 2.4 billion prescriptions.
Last year (2018) it hit 5 billion.
Did disease double in the last 10 years? No, we have a crisis of appropriateness and inappropriate care.

Prescriptions opioids, which is one form of the medical error of over prescribing, was the number one cause of death in the United States in people under age 50.

We have the most medicalised generation in human history. At the same time we have the most sick

The most obese, the most hospitalised, the most medicated, the most procedurelised, the most diagnosed, the most disabled generation in the history of the world.

Revolutionising Medicine through the medical education system.

The problem with medical school are the exams.

Teaching regurgitation.

Medical error, if it were a disease, would rank as the third leading cause of disease in the United States

This study was published by Marty Makary and Michael Daniel from John Hopkins University.

Anti-microbial resistance is a public health crisis

This is a manufactured crisis within the healthcare system. From over prescribing, huge antibiotics in our food chain, in the air (glyphosate) and of course anti-biotics.

Stopping Covid-19 corona virus in its tracks.

Why “Stay At Home” is a ridiculous recommendation for corona virus Covid-19.

Covid-19 may just be the fifth seasonal corona virus (in addition two the other 4 corona viruses.

How has COVID-19 been as is going to be a catalyst for positive changes to this broken healthcare system.

The medical system taking advantage of the elderly

  • Part of it is the loss of the family unit.
  • A loved one joining a senior and helping to become a partner in medical care.
  • Connecting patients with loved ones is a key too much better outcomes.

Healthy Skepticism & Trust

  • Healthy skepticism - required for the modern healthcare system.
  • We are loosing our trust in doctors and public medicine.
  • Trust is essential. It brings in the ability for the patient to let go. Surrender.
  • Ayurveda is the opposite.
  • The incredible public trust is being threatened - patients tell doctors things they wouldn’t tell their spouse, within seconds of meeting them!
  • Patients are hungry for knowledge.

The true heritage and purpose of hospitals and doctors

Price Gouging Medicinal Services

Quarter million dollars to half a million dollars - for an air ambulance.

Air ambulances do save lives, but when they break their leg on a ski mountain with a quarter million dollar bill.

Keep in mind Uber and Lift and ground transportation can be sufficient if it is not emergency.
Plus! they will be at your home quicker than an ambulance.

There was one accident scene where one victim was there, and 7 air helicopters showed up on the scene to get the business.

Where do you think all this money is going that we pay for in health insurance premiums? It is essentially coming from you and all those that pay health insurance.

Price fluidity is proof of how price gouging is occurring. - Negotiating.

How can anyone accept a service without knowing the price first?

Airlines could argue they can't give us a price [in advance] because they don't know if there's going to be a delay or a cancellation, or you might consume a beverage. But airlines have built in the predicted risk into their prices.

Suing Patients

For unpaid bills. Predatory billing. Not happening in Australia.

Garnishing their pay checks.

Bullying on a scale that is unimaginable.

Doctors Know the Nudges

If you tell a woman in labour anywhere in a world that “a C-section might be safer for the baby,” 100% of women are going to say do the C-section.

If you tell a person anywhere in the word that you have bone on bone in your knee joint, 100% of people will say just replace it.

If you tell somebody that minimally invasive surgery to remove a cancer could spread the cancer because the gas can spread the cancer cells (which is a total myth) - guess what? 100% of people are going to say “don’t do it that way, cut me wide open.”

Doctors have learnt the nudges.

Most doctors do the right thing, but people need to be aware of the mass variations in the way things are done. And they need to know about the other lifestyle and alternative treatment options.

Ask your doctor about their individual C-Section Rates

If you tell a woman in labour anywhere in a world that “a C-section might be safer for the baby,” 100% of women are going to say do the C-section.

If you tell a person anywhere in the word that you have bone on bone in your knee joint, 100% of people will say just replace it.

If you tell somebody that minimally invasive surgery to remove a cancer could spread the cancer because the gas can spread the cancer cells (which is a total myth) - guess what? 100% of people are going to say “don’t do it that way, cut me wide open.”

Doctors have learnt the nudges.

Most doctors do the right thing, but people need to be aware of the mass variations in the way things are done. And they need to know about the other lifestyle and alternative treatment options.

The importance of vaginal delivery

  • Squeezes their lungs so they sponge the fluid better.
  • IT colonises their GIT with bacteria from the vaginal canal which establishes their microbiome composition for life
  • Reduces the amount of scarring and distortion associated with C-sections.

It is not doctors who are responsible for this.

Not one single person or entity is to blame.

Disrupting the healthcare industry with private healthcare facilities with market demanded transparency.

Who is actually paying for all these outrageous costs.
“O, my insurance company pays for it, all good!.”

Solutions

How can we possibly fix the healthcare system?

  • Disrupting the market place of the medical system to help create honesty in health care.
  • Silver linings of Covid-19 to help redesign processes in the medical system.
  • Clinics that are being transparent with prices.
  • Innovators and disruptors.

Actions patients can take:

  • Ask about prices before going ahead with a prescription or procedure.
  • Use GoodRx to check what prices of medication should actually be!
  • MDSave - estimated national average for procedures. Shop around for medical services. https://www.mdsave.com

Resources

Related Podcast Episode: Relishing The Play of Life w/ Integrity, An Open Heart & Curious Creativity | Pete Evans #056


Support The Show

Please leave me a comment below (I love to read every single one).


SHARE

Spread the word! Tell your family, friends, neighbors and all your social mates.

Share this episode on Facebook / Share this episode on Twitter


Subscribe


Please seek advice from a qualified practitioner before starting any new health practice.


Embracing Change Enthusiastically, Navigating Crisis & Nature’s Play | Gary Gorrow {Podcast #034}

When you embrace change enthusiastically, you have a say and influence in how the change occurs.

Look at this opportunity with great enthusiasm.

An opportunity to challenge the assumptions of everything.
Is the ever repeating known you are indulging in really the most evolutionary thing you can be doing?

A mass awakening is on the brink of dawning. But we need to get radical.
Get radical by radiating absolute bliss amongst the collective, in the streets, in the grocery stores.
Get radical by enthusiastically enjoying your self and having fun!

This is episode part 2 on how to navigate during crisis's and pandemics. View part 1 here.

About Gary Gorrow

Gary has earned a reputation as one of the best in the meditation field and is respected among his peers as a ‘teacher of teachers’.

He has worked with thousands of people from all walks of life and his services are sought after by some of the world’s leading companies.

Gary is passionate about empowering people with techniques that enable them to re-engineer their lives inside and out.

He is a practical and down to earth character who dedicates himself solely to working with people to maximise performance and success in their personal and professional lives.

In This Episode We Discuss

Is There Such a Thing as Right and Wrong

  • Right and wrong are relative terms and, therefore, nothing in existence can be said to be absolutely right the absolutely wrong.
  • Everything in creation is so intimately connected with every other thing that is not possible to completely distinguish existence of one thing from another.
  • In the state of cosmic consciousness, when individual mind gains the status of cosmic mind, they function on the high level of right life and naturally unaffected by the influences of wrong.
  • For those his consciousness is not raised to the level of cosmic consciousness, we must find an adequate criterion for right and wrong.

How to Deal With Frustration about Pandemic

The growing distrust about the narrative run by the mainstream media and its various agencies.

The Vedic View on this Pandemic

Universality and Diversity

The three realms to consider:

  1. Gross, relative, surface of the event.
  2. Subtle - is there a motive behind this? Was this a spontaneous event? Is there a ruling elite that are leveraging on this crisis?
  3. Transcendent.

The interplay of very contrasting forces at times.

Everyone lives and acts according to their level of consciousness.

The mixture of old and new souls on the planet.

Never denounce anything or anyone. That is a violent act.

Feeling more deeply into your own inner wisdom and sensibility.

Ignorant and dark forces are a catalyst for people to gain a greater perspective.

A condition that all humans suffer from: we all seek confirmation bias.

We tend to exclude everything that doesn’t confirm what we hold to be true.

In society we all benefit from rich and dynamic exchange of various view points.

Once an idea gets adopted by the collective. It somehow gets embedded into the belief systems.

What’s coming next in the playbook?

Questioning the system has become forbidden.

The truth is now irresponsible.

Almost as if it hangs a sign on the front door saying "free thinkers are not welcome here."

Rebellious nature

Gives a balanced perspective and not blindly accept things.

Honouring our individual nature and the flavour of our personality. Not ignoring it.

Bystanders

They know the truth but are choosing to ignore to some extent and take no action.

Why are gurus and spiritual leaders not speaking up? Only the medical profession.

The various ways and roles spiritual leaders can play and are playing during crisis and pandemic.

The Mental Gunas (Qualities / Mental Doshas)

  1. Sattva (purity)
  2. Rajas (stimulation)
  3. Tamas (inertia)

By increasing purity and lightness of being (sattva), we ultimately reduce the excess stimulation and irritability (rajas) as well as inertia and darkness (tamas). How to increase sattva hence reduce tamas and rajas.

What happened to the celestial beings who existed along side the humans, and then disappeared.

Realising Our Potential

We see only 1-2% of the visual spectrum and hear only 1-2% of the audio spectrum. So there is an enormous amount of information which we don’t perceive in our normal waking conciseness.

Vedic view is that there is a subtler level of creation which is the realm of these angelic divine beings, and also their opposite.

The mass awakening and permeation of divine beings that is near and upon us

(early May 2020).

Time for Radical Action & a Mass Awakening

Civil disobedience has to be this new fashion.

Get radical by radiating absolute bliss amongst the collective, in the streets, in the grocery store.

Get radical by enthusiastically enjoying your self and having fun!


Resources

  • “The masters of war” - song Bob Dylan wrote about the "money machine."
  • Peter Joseph - brilliant mind in regards to these matters of industrial economic systems.


Support The Show

Please leave me a comment below (I love to read every single one).


SHARE

Spread the word! Tell your family, friends, neighbors and all your social mates.

Share this episode on Facebook / Share this episode on Twitter


Please seek advice from a qualified practitioner before starting any new health practice.


Transforming Crisis Into Opportunity & Embracing Uncertainty | Gary Gorrow {Podcast #033}

How do you navigate through uncertainty?
How can you thrive whilst going through a time of radical change?

You may have gained a greater understanding and perspective on the medical reality of the germ that is Covid-19, thus do not fear it, however, whilst gaining perspective you may have been exposed to the dark truth and hidden agendas that are involved in this "plannedemic."

How do we interact with these evil and dark forces? How do we support the light, the positive and enlighten the collective?

If you retaliate against evil, you lower yourself to the level of the wrong.
Rather let the wrong be just a drop in the ocean of your virtue.

 And what really is the bigger picture behind all this?

Gary Gorrow is interviewed to share wisdom on the greater perspective view on all this.

About Gary Gorrow

Gary has earned a reputation as one of the best in the meditation field and is respected among his peers as a ‘teacher of teachers’.

He has worked with thousands of people from all walks of life and his services are sought after by some of the world’s leading companies.

Gary is passionate about empowering people with techniques that enable them to re-engineer their lives inside and out.

He is a practical and down to earth character who dedicates himself solely to working with people to maximise performance and success in their personal and professional lives.

In This Episode We Discuss

Biological fear chemistry

The problem with fear is that is shuts down our executive functions, compromises our immunity and ultimately disempowers us.

Questioning the programming of our culture.

Gandhi was powerful because he has the support of many people. A human empowered movement will be able to rewrite an entire system of humanity.

How to we react and relate to this evil or negative force of nature.

If you resist evil you must stoop to that level fo evil, and furthermore you are responsible for the evil influence you produce by retaliating.

If you retaliate you lower yourself to the level of the wrong. Rather let the wrong be just a drop in the ocean of your virtue. Let the impurities of the atmosphere find a refuge in the ocean of purity in your heart, in the unfathomable joy of your inner pure conscience.
~ Maharishi Mahesh Yogi, Science of Being and Art of Living

“Knowledge Eliminates Fear” - Rk Veda.

Knowledge means perspective.

Opposite forces are not opposed, but they are in relationship.

There is a connection between light and dark, good and bad, night and day. There has always been an interplay of opposites.

Heaven and hell, Dharma and Adharma, Health and Disease, Enlightenment and Ignorance.

Darkness is rising up and challenging the increase of consciousness.

The Four Yugas (Eras)

  1. Krita Yuga / Sat Yuga (The Sinless Age of Purity)

  2. Treta Yuga (When evil sprouted in the hearts of the men of the treta yuga).

  3. Dwapara Yuga (An age of conflict and men doubted the very nature of truth).

  4. Kali Yuga (The Age of Ignorance)

Raksas’s (Dark or Negative Forces)

Raksas's get their food and sustenance from manipulation and fears.

Show your love and appreciation for those dark forces. Salute them.

The gift of the dark: it comes to challenge. The darkness rises to prompt people to awaken and dive into action.

Appreciate the play of creation, light and dark, and realise it’s your role to be aware of those forces and love them.

Tactic: Fear Sensationalism

Get people into a state of hyper-arousal, get them to contract, and then you can have them.

But what about if people were able to become fearless. Then none of that would work.

Ignorance ain’t bliss. Ignorance is a disaster.

As people begin to look into that they start to feel so uncomfortable.

Fear is the poison to the soul and it dulls the light of the world.

Collective Relationships and Alliances

When you transcend the fear of wanting happiness only for yourself, and too much stressing on that and too much thinking about that, rather think of others needs and you’ll actually get more happy and more fulfilled.

Questioning the design of our living.

Working or spending the best part of your day in a building or institution.

Is that the best use of my life energy?

Now more than ever, it has never been better for a whole system redesign.

There’s a big correction. We are being asked to reassess.

We need more visionaries to lead humanity.

Collectively embracing radical change. Let’s not go back to how the world was, let’s create something new.

COVID-19 is a spiritual bootcamp everyone has been enlisted to.

Enjoy the show.

The importance of the mind.


Resources

  • “The masters of war” - song Bob Dylan wrote about the "money machine."
  • Peter Joseph - brilliant mind in regards to these matters of industrial economic systems.


Support The Show

Please leave me a comment below (I love to read every single one).


SHARE

Spread the word! Tell your family, friends, neighbors and all your social mates.

Share this episode on Facebook / Share this episode on Twitter


Please seek advice from a qualified practitioner before starting any new health practice.