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America Pays Double, Dies Younger (Full) · Solving America's Problems

• 0:00
  Alex: [appalled] In America you pay TWICE what any other country
• 0:03
  pays for healthcare, die four years younger, and still carry
• 0:06
  the highest obesity rate on EARTH.
• 0:10
  Yet last year UnitedHealthcare alone pocketed twenty-three BILLION
• 0:14
  dollars in pure profit—mostly by denying one out of every THREE
• 0:18
  claims that crossed their desk.
• 0:20
  [thoughtful] On this episode of Solving America’s Problems, Jerremy and Dave
• 0:24
  sit down with emergency-medicine-trained physician Dr. Amanda Holden and
• 0:28
  chiropractor Dr. Shawn Dill, two practitioners who walked away from
• 0:33
  the traditional system and built something radically DIFFERENT.
• 0:38
  They pull ZERO punches on why the incentives are upside-down,
• 0:42
  how the financial model keeps people sick on PURPOSE, and what
• 0:46
  actually happens behind the curtain when PROFIT is the real patient.
• 0:51
  Big Dave!
• 0:53
  What are we discussing in this episode?
• 0:57
  Dave Conley: In this week's episode of Solving America's Problems,
• 1:00
  we're tackling one of the deadliest failures in America, it's health.
• 1:04
  From sky high costs to shorter lives in an industry built for profit over patients.
• 1:10
  Joining us is dr. Amanda Holden.
• 1:12
  A nationally recognized leader in medical aesthetics, founder of Holden Timeless
• 1:16
  Beauty, and a co founder of Alpha Aesthetics Partners, where she's shaping
• 1:20
  best practices in education in the field.
• 1:23
  Also with us is Dr. Sean Dill, a chiropractor, entrepreneur, and business
• 1:27
  consultant who founded the Specific Chiropractic Centers, a franchise focused
• 1:32
  on high quality patient care, and co leads the Black Diamond Club, a network
• 1:36
  of supporting service based entrepreneurs.
• 1:39
  And that's this week on solving America's problems, America's sick care with
• 1:43
  Dr. Amanda Holden and Dr. Sean Dill.
• 1:47
  Jerremy Newsome: The American health care system isn't just
• 1:50
  broken, it's failing you.
• 1:53
  I've heard it called sick care system.
• 1:57
  we get, the more money they make.
• 1:59
  You're not a patient, you are a revenue stream.
• 2:03
  You and your baby are much more likely to die during birth in the U. S. than in
• 2:08
  Europe, most of Asia, 50 other countries.
• 2:13
  we spend twice as much as other nations on prescription drugs,
• 2:16
  hospital care, and insurance.
• 2:19
  Yeah, we live four years less.
• 2:22
  Meanwhile, UnitedHealthcare made 20.
• 2:25
  3 billion last year by denying one in three insurance claims.
• 2:32
  Pharma raked in 38 billion.
• 2:35
  five health insurance CEOs, they took home 75 million.
• 2:41
  So what's the cost of this system?
• 2:44
  one in 12 Americans carried over 10, 000 in medical debt, which is
• 2:49
  the number one cause of bankruptcy.
• 2:51
  are the fattest country in the world.
• 2:53
  Nearly half of us are obese.
• 2:55
  4 million Americans are morbidly obese.
• 2:58
  is someone that needs to lose more than 100 pounds.
• 3:02
  So how do we get here?
• 3:03
  More importantly, how the heck do we get out?
• 3:07
  My name is jeremy alexander newsom alongside me Daring
• 3:11
  and dashing dave conley today.
• 3:14
  We're joined by two powerhouse voices You aren't just diagnosing the failures in
• 3:19
  our system, they're working to fix them.
• 3:22
  Dr. Amanda Holden is a physician, entrepreneur, and the founder of Holden
• 3:27
  Timeless Beauty, where she blends medical expertise with business strategies
• 3:31
  to push the boundaries aesthetic medicine and patient centered care.
• 3:37
  also a vocal critic of the traditional healthcare system, having seen firsthand
• 3:42
  how it fails patients, even as a doctor navigating her own medical challenges.
• 3:48
  And then Dr. Sean Dill is a chiropractor, entrepreneur, and healthcare business
• 3:54
  strategist who built specific chiropractic centers, which is a
• 3:58
  franchise rooted in high quality patient care outside of the insurance systems.
• 4:03
  a thought leader in medicine, identical hormones, and alternative health models,
• 4:10
  advocating for cash based healthcare.
• 4:12
  Patient first approaches that cut out the bureaucratic middleman, Amanda, Sean.
• 4:19
  Thank you both for being here.
• 4:21
  Dr. Amanda Holden: Thank you so much for having us, Jeremy.
• 4:22
  We're I am so happy to be here.
• 4:25
  shawn dill: yeah
• 4:25
  yourself.
• 4:25
  I'm happy to though.
• 4:27
  Great to be here.
• 4:28
  Super excited because this is a very important topic for every
• 4:33
  human being on the planet.
• 4:35
  Not just Americans, but I know we're to fix America.
• 4:39
  But what a critical topic here for everybody who's listening.
• 4:43
  Jerremy Newsome: Yes.
• 4:44
  So we're going to start off with the power of a powerful one.
• 4:46
  Both of you left.
• 4:47
  I'm going to do this in air quotes.
• 4:48
  My listeners, the traditional system.
• 4:52
  What was the last straw that made you say, I'm done.
• 4:55
  I'll start with Amanda.
• 4:57
  Dr. Amanda Holden: I left during COVID and my coworkers, they needed
• 5:01
  shifts in the emergency department.
• 5:03
  So I'm board certified in emergency medicine.
• 5:05
  So I was there for the beginning, working in the disaster tents.
• 5:08
  And I really just.
• 5:10
  Gave up my shifts and turn towards cash based medicine and aesthetics because
• 5:16
  I believed more in what I could create than what I could give patients in the
• 5:20
  emergency department on a regular basis.
• 5:22
  We just weren't always giving them the diagnosis that they needed.
• 5:26
  You're sending them off for treatment and sometimes they have
• 5:28
  to wait for two to three months.
• 5:30
  to see a specialist and then they just circle right back to you.
• 5:33
  And I felt like I had done my time there.
• 5:35
  I was in emergency medicine for 12 years.
• 5:37
  And then I turned over to cash based medicine and I haven't looked back since.
• 5:41
  shawn dill: That's a fantastic question, and I'm sure that Amanda, a lot of
• 5:45
  people have this departure answer.
• 5:49
  I don't necessarily have a departure answer.
• 5:51
  I think that for me it's just a, it's a worldview.
• 5:55
  It's a way of thinking.
• 5:57
  Obviously my parents, not obviously, but my parents definitely subscribe
• 6:00
  to more of an allopathic approach when it comes to medicine.
• 6:04
  Leaves me with a lot of questions when we look at data
• 6:06
  today relative to say vaccines.
• 6:09
  As a child, I was fully vaccinated.
• 6:12
  then we wonder we see the big damage, but we don't really talk
• 6:15
  about what about minor damage.
• 6:16
  And so as a child growing up, middle school, high school, I
• 6:19
  began to wonder listen, is there a different way to approach this?
• 6:23
  And align myself with individuals that shared.
• 6:26
  More with this holistic mindset.
• 6:29
  My cousin was a chiropractor.
• 6:32
  I always loved that philosophy and just just segued right in.
• 6:36
  So I never had this big trauma or this dramatic thing that happened to me.
• 6:41
  really, for me was about finding alignment philosophically with
• 6:46
  a way of thinking and world.
• 6:49
  Then, of course, once I went to chiropractic college, began studying, went
• 6:52
  out into practice, my initial foray into practice was in the country of Costa Rica.
• 6:58
  So they didn't have, chiropractic was whatever I said it was
• 7:02
  Jerremy Newsome: Yeah.
• 7:03
  shawn dill: the age of 25 years old.
• 7:05
  I authored The law that regulates the practice of chiropractic
• 7:09
  in the country of Costa Rica.
• 7:11
  I've had the opportunity to testify on behalf of that philosophy, that mindset.
• 7:17
  And you know what I've found out is that find that there's a lot of opposition.
• 7:21
  You go to anybody and you say, listen, the body's a self healing organism.
• 7:25
  People aren't like, no, it's not.
• 7:27
  They're like, okay.
• 7:28
  nervous system is a master control system of the body.
• 7:31
  I haven't run into any opposition on that.
• 7:34
  And if we can keep your body functioning in the way that it is supposed to
• 7:37
  be, then as human beings, our natural default setting is to be healthy.
• 7:41
  I haven't run into people that are like, no, we were designed to be sick.
• 7:45
  So it's just a way of thinking that I've just always believed in practice.
• 7:50
  And I'm just so fortunate that I've found different modalities and ways to apply
• 7:54
  that in my life and in my family's life.
• 7:57
  Jerremy Newsome: That's a good that's a good quote right there.
• 7:59
  We weren't designed to be sick.
• 8:01
  Yeah.
• 8:01
  I love that.
• 8:02
  So cause it's Sean, you built something different.
• 8:05
  What's the biggest thing stopping other healthcare providers
• 8:09
  from doing what you did?
• 8:10
  shawn dill: I think it's like anything in life.
• 8:12
  There's a lot of fear.
• 8:13
  There's fear around, this is not how we do it.
• 8:17
  We've been told this probably since birth by our parents.
• 8:20
  There's a way that we do things.
• 8:23
  We get indoctrinated, not just in our healthcare philosophies, we get
• 8:27
  indoctrinated into spiritual philosophies.
• 8:29
  I know that you do a lot of work around education and of course, finance,
• 8:33
  but our belief systems are oftentimes instilled in us by our parents.
• 8:40
  If you were brought up in a world where for every ill for
• 8:44
  everything that goes wrong with us.
• 8:45
  There's a pill potion or lotion that we're always looking to the outside for
• 8:49
  the solution just becomes a worldview.
• 8:52
  That's the way that we observe the world.
• 8:55
  So if somebody comes along and challenges that belief system, then
• 8:58
  there becomes their interest in fear.
• 9:00
  So for healthcare.
• 9:01
  Providers.
• 9:02
  People say things like that's not going to work.
• 9:05
  I, and when you mentioned earlier, the specific chiropractic centers, I, my,
• 9:09
  the way that I practice chiropractic only focuses on the top two bones of the
• 9:13
  neck, only the top two bones of the neck.
• 9:16
  And so a lot of people even inside the chiropractic profession would
• 9:18
  say that's not going to work.
• 9:21
  Then you say, and we're going to charge cash.
• 9:23
  And one of the things that I think is unique about me is I had mentioned
• 9:26
  earlier that I practice in Costa Rica.
• 9:28
  They did not have insurance.
• 9:30
  So I don't know what that's like to receive third party reimbursement
• 9:35
  for something that I'm doing.
• 9:36
  So for me, again, that's just normal.
• 9:38
  That's how it functions.
• 9:40
  we have these limiting mindsets that stop us.
• 9:43
  And for me, the saddest thing is it stops us as doctors, as healers.
• 9:47
  From reaching the world that we were actually created to reach because we're
• 9:51
  operating inside of constraints that some other human being placed on us.
• 9:56
  Jerremy Newsome: Nice.
• 9:57
  That's a fascinating story, man.
• 9:58
  Thank you.
• 9:59
  And so for Amanda from you you've seen the system from both sides
• 10:03
  as a physician and a patient.
• 10:05
  What do you think is the most shocking disconnect between the
• 10:08
  patients like that happened behind the scenes and what actually happens?
• 10:13
  Dr. Amanda Holden: I think one of the most I would say one of the most shocking
• 10:16
  disconnects is that patients are referred out when they have a medical problem.
• 10:21
  So the minute you hit illness, you're referred down a path.
• 10:25
  And that path can take you anywhere from three months to six months to a year.
• 10:30
  And you might even not have the right diagnosis in the beginning, because you're
• 10:34
  just seen by one person that you trusted.
• 10:36
  And that person could have been in a hurry.
• 10:38
  They could have been diagnosing you with something that was incorrect.
• 10:41
  That with the restrictions that we have based on which company we're working for,
• 10:46
  sometimes you don't even have the freedom to order the right studies right away.
• 10:50
  Meaning you come in with a back injury and you've actually herniated a disc
• 10:54
  and it's compressing a nerve and you.
• 10:57
  are sent home to go do physical therapy.
• 11:00
  That's fine.
• 11:00
  But what if that person never aggressively follows back up to say it's not working?
• 11:05
  And then they said, they get an x ray down the line.
• 11:07
  They're told it's fine.
• 11:09
  Okay, everything looks okay.
• 11:10
  And they don't even get the MRI maybe for a year or two.
• 11:13
  And during that whole time they're suffering, their life has absolutely
• 11:18
  changed because now they're dealing with pain at home, which impacts
• 11:21
  whatever relationships they have.
• 11:23
  If they have kids now, they're not able to be there for their kids.
• 11:26
  And they're going with that original diagnosis of it's
• 11:29
  probably just musculoskeletal.
• 11:32
  I could repeat that over and over again with diagnoses that we give.
• 11:35
  And luckily I worked at a hospital where I had the freedom to order certain things.
• 11:39
  I was pushed, I got major pushback.
• 11:41
  If I ever tried to get an MRI on someone, we really have to.
• 11:44
  Create a story to get the right study in order for it to be validated on the back
• 11:49
  end, and then it gums up the emergency department, but doing the right thing.
• 11:53
  It's huge.
• 11:54
  And some people on the back end, especially say emergency, they just
• 11:58
  want to turn and burn patients.
• 12:00
  And they have numbers that they're trying to reach, so they just want to
• 12:03
  give a, give the basic diagnosis that will not get them in trouble medically
• 12:08
  and medical legally, and the patient will be sent out the door, and they'll
• 12:12
  be told to go follow up, and they, are lost to follow up, and they're
• 12:15
  suffering, one of the biggest disconnects.
• 12:16
  There are many, but that's one.
• 12:18
  Jerremy Newsome: Yeah.
• 12:18
  That's wild.
• 12:19
  So what you're alluding to, it sounds like there's some type of financial incentive.
• 12:23
  Do you mind, to the best of your knowledge, like how does the industry's
• 12:27
  financial model affect real patients?
• 12:32
  Dr. Amanda Holden: It's different per company that you work for.
• 12:35
  In, in the particular company that I worked for we had a quota.
• 12:39
  We were looked at on the backend with KPIs to see how many patients we saw
• 12:44
  per hour and the slower providers were actually criticized at meetings.
• 12:49
  And said, can't you speed up the process?
• 12:52
  There were high, higher quality things that we talked about.
• 12:54
  Did you document the EKG correctly?
• 12:56
  And we implemented a scribe program to speed us up.
• 12:59
  But the fastest providers, then we would look at, okay, how fast are they?
• 13:04
  How is their charting?
• 13:05
  And is that charting allowing us to be reimbursed the proper amount of money?
• 13:10
  What is our percentage of, Cash pay or never can collect, there's
• 13:13
  a whole mix on the back end of what you'll actually be reimbursed.
• 13:16
  So every five years our CFO was going to battle for what contracts
• 13:20
  would reimburse at the highest level.
• 13:22
  And then you'd see the providers that had the highest amount of
• 13:26
  patients simplifying charts.
• 13:28
  Not really ordering everything patients needed, and then having cases that
• 13:33
  bounced back to the next person on shift in 24 hours, like missing a head
• 13:37
  bleed because they didn't get a CT.
• 13:39
  That's unacceptable and so have to decide as a human, what am I
• 13:44
  going to do in these situations?
• 13:46
  Am I going to put up a fight?
• 13:47
  And am I going to put up a fight to the person that calls me out
• 13:50
  and said, we don't need this study?
• 13:52
  Or why did you order this study on this patient?
• 13:54
  And after a while, you learn to be really hard and fight back because
• 13:58
  you're fighting for your patients, but it wears on you, especially with the.
• 14:02
  the specialists that are on overnight and don't really want to be on or ever called.
• 14:08
  So people get worse care at night.
• 14:11
  Unless you have an amazing specialist on and an incredible
• 14:14
  ER doctor and people are tired.
• 14:17
  So that's when errors occur.
• 14:19
  Jerremy Newsome: That's wild.
• 14:21
  Were there KPIs on other things?
• 14:24
  Like how did everyone feel or were the, there were, okay.
• 14:29
  Dr. Amanda Holden: to hit all the marks.
• 14:30
  We had to not, we had to see a certain number of patients per hour.
• 14:33
  We had to document to get the highest reimbursement, and if we
• 14:37
  documented collectively to get a higher reimbursement than our goal
• 14:40
  was, then we shared a bonus together.
• 14:43
  we were paid hourly.
• 14:44
  Okay, we shared a bonus if we are collective documentation was higher
• 14:48
  than we thought we could get.
• 14:49
  So we focused heavily on documentation and making sure every bit of
• 14:53
  the documentation was there.
• 14:54
  And then we had patient satisfaction KPIs like the national provider scale.
• 14:58
  They that's how that you were rated as a hospital and as a group to stay it.
• 15:02
  Inside that particular company's organization as a contracted group.
• 15:06
  So we had great satisfaction
• 15:09
  Jerremy Newsome: Yeah.
• 15:09
  Dr. Amanda Holden: it was because we had a group that was handpicked
• 15:12
  and we all knew each other.
• 15:13
  We would take really good care of each other's patients but there were days
• 15:16
  where you got signed out patients from a provider that, doesn't do a good job.
• 15:21
  Now you're medically liable for that person and you have to almost
• 15:24
  completely rework them up during your shift and it slows you down, but.
• 15:28
  You come on, you're like, Oh I'm going to find something that's missing here.
• 15:31
  So we, those were our KPIs.
• 15:33
  They were satisfaction charting and patience per hour.
• 15:36
  And then also we're looking at how many people complain
• 15:39
  on the backend for wait times.
• 15:40
  And so it, the number of complaints that people get, and then if they're,
• 15:45
  there are lawsuits that pop up all the time, like valid and invalid.
• 15:48
  types of lawsuits.
• 15:49
  And then you're so stressed as an ER doctor having to deal with anything
• 15:53
  like that, even if it's something that's not really valid because you're
• 15:56
  fighting now a battle that have been completely out of your control and
• 16:00
  you're just named in the lawsuit.
• 16:01
  So lots of things to unpack there.
• 16:04
  Dave Conley: Yeah, the
• 16:05
  that could be, its own show.
• 16:06
  Because if you're,
• 16:07
  Jerremy Newsome: I
• 16:08
  Dave Conley: If you're measuring on how you're charting and how you're being
• 16:12
  billed, and that's what you're being held accountable for, by definition,
• 16:16
  you're gonna get more of that.
• 16:18
  That means you're going to over order, you're going to over diagnose,
• 16:21
  you're going to overmedicate, whether consciously or not, that's
• 16:25
  where you're gonna be rewarded
• 16:27
  Dr. Amanda Holden: let me just tell you this in emergency medicine in
• 16:30
  our oral boards and our, like our in person boards, you always start with
• 16:34
  IV O2 monitors and just having someone walk through the door and putting an
• 16:39
  IV in their arm, giving them oxygen.
• 16:41
  Not everybody gets oxygen to be honest, not at all.
• 16:44
  But putting them on the monitors, putting in an IV and giving them
• 16:47
  a bag of fluids, that's, that.
• 16:49
  Makes your chart at a higher rate of billing.
• 16:51
  I don't think that many people tried to do that, honestly, as emergency providers.
• 16:55
  Just to be completely frank with you, at least in my group.
• 16:58
  But I could see that being manipulated by certain people just because they know
• 17:02
  they're going to have a higher charge.
• 17:03
  I also flew on Mercy Air, and if we had to go out for a We knew that patient was
• 17:08
  being charged 15 grand just to go out on that flight, even if they called us off.
• 17:12
  If we land on site and transport them to the hospital.
• 17:14
  And some of those are the most critical patients you'll ever take care of.
• 17:18
  and then it goes up from there.
• 17:19
  But
• 17:20
  Dave Conley: But it's all.
• 17:21
  Dr. Amanda Holden: a 15 grand bill to start just by us landing on site.
• 17:24
  Here we go.
• 17:25
  Dave Conley: It's also how you get a 4, 000 bottle, a 4, 000 bottle of bag of
• 17:30
  saline that costs a dollar and a half.
• 17:33
  Dr. Amanda Holden: Yes it is.
• 17:35
  Dave Conley: Wow.
• 17:36
  Jerremy Newsome: And I was at his chiropractic office and they had
• 17:41
  five or six people there who had never had a chiropractic appointment
• 17:45
  or adjustment in their whole life.
• 17:47
  all of them actually said, Oh yeah.
• 17:49
  My parents told me to never to do that.
• 17:51
  And so obviously they ended up getting adjusted and everything was fine.
• 17:54
  They loved it.
• 17:55
  Why is there that perception that chiropractic is like
• 17:58
  a voodoo weird medicine
• 18:02
  shawn dill: I think it has a lot to do with what Amanda was saying.
• 18:05
  First, Let me state that think that the conversation is I want to make sure that
• 18:10
  we're not alienating the wrong people here Because the conversation really is taking
• 18:15
  a look at the United States medical system But not the United States medical doctors.
• 18:23
  think that there's very few doctors who got into their field because they were
• 18:28
  just trying to manipulate the system and keep people sick, however They are joining
• 18:35
  a system that is designed to do just that.
• 18:39
  But that was never their intention.
• 18:40
  And I can understand someone like Amanda's frustration being in there and thinking,
• 18:46
  listen, I signed up to help people and now I'm experiencing things that I didn't know
• 18:51
  it worked this way when I got into this.
• 18:53
  And then eventually if it becomes you, who's dealing with the health issue,
• 18:57
  it doubles down on that frustration.
• 19:00
  And because of that too, another thing I just want to.
• 19:02
  Point out there is that model is probably one of the world's greatest
• 19:08
  financial business models ever created.
• 19:10
  It is just absolutely brilliant from the standpoint it alerts
• 19:17
  up a prospect pool of a problem.
• 19:19
  And then it convinces the prospect pool to go on a journey.
• 19:22
  And it is a long drawn out journey.
• 19:25
  That starts with over the counter, accessing free information on the
• 19:29
  internet, self diagnosis, whether it's right or wrong, going into
• 19:34
  drugstores, trying a little bit of this or that until the awareness
• 19:38
  hits that you have a problem.
• 19:39
  And then you seek out a specialist, but in that case, the specialist
• 19:43
  is still the generalist.
• 19:44
  I'm going to go into my You know, my primary care provider who's going to
• 19:48
  set me on a path of trying some other nobody's going to just if I have a
• 19:51
  migraine and I looked it up on WebMD and I'm like, I have a migraine.
• 19:56
  Jerremy Newsome: of a tumor?
• 19:57
  shawn dill: They're going to
• 19:57
  Jerremy Newsome: Yeah.
• 19:57
  Yeah.
• 19:58
  Yeah.
• 20:00
  shawn dill: Migraine, not Imitrex.
• 20:02
  Then I go into my GP, they're not going to put me on Imitrex, so I'm on this path
• 20:08
  to getting to the ultimate solution that I think a lot of people would agree with.
• 20:12
  that model, here's where we want them to go, but they slow play
• 20:15
  that hand and listen every single stop You have to pay the provider.
• 20:19
  You have to pay the testing you have to pay but they put you on
• 20:23
  Either that or somebody's paying for it because it's not free.
• 20:27
  So it is a brilliant model that just I mean Imagine that once you bought
• 20:32
  a certain brand of car, you basically were never going to leave you.
• 20:35
  Oh, you bought a Ford.
• 20:36
  You're now going to own Ford for literally the rest of your life, right?
• 20:40
  Because they've trapped you in it.
• 20:43
  that also is an indictment on the model not the provider, sec
• 20:47
  the, to answer your question.
• 20:50
  other thing I want to make sure that everybody understands, because when it
• 20:52
  comes to this, We talk about research, search is huge, but people would say why
• 20:57
  is there no research on this or that?
• 21:00
  I will tell you again, it's because of the financial model that's at stake.
• 21:05
  we conducted a massive trial on a vitamin C and it's an efficacy
• 21:12
  for whatever, you name it.
• 21:14
  And we saw in the research that vitamin C is effective for the common cold,
• 21:21
  or maybe some people would argue even for cancer treatments in high doses.
• 21:25
  will there never be that Because at the end of the day, if we prove that's the
• 21:29
  case, nobody owns vitamin C. no way to monetize the outcome of the research.
• 21:36
  On vitamin C we would be researching that
• 21:39
  Jerremy Newsome: Yeah.
• 21:39
  shawn dill: end of the day, once we've proven that it's effective, then
• 21:42
  whoever owns the patent, they're going to be the beneficiary of the outcome.
• 21:47
  So you're not going to see research things on chiropractic supplements, natural
• 21:54
  herbs, remedies, essential or anything that people are out there what about that?
• 21:59
  We, there's no way to super monetize that into the billions of dollars.
• 22:04
  And so that's why, because nobody owns it.
• 22:06
  It's just, it's a naturally occurring thing that's available to everyone.
• 22:10
  inside of that realm, I think there's a lot of effort to say, Oh, don't do this.
• 22:15
  Oh, essential oils are a scam.
• 22:18
  Water's a scam.
• 22:19
  Whatever it is don't do that.
• 22:20
  Be afraid.
• 22:21
  Don't go to see your chiropractor.
• 22:23
  Because what it does is it diverts away from the true Opportunity that exists
• 22:29
  to monetize something else where what would we rather you get a chiropractic
• 22:33
  adjustment or get a 150, 000 disectomy?
• 22:37
  The choice is clear.
• 22:38
  So let's just steer people away from this option
• 22:41
  Jerremy Newsome: Yeah.
• 22:42
  Awesome.
• 22:42
  shawn dill: that they're coming into the better monetary option.
• 22:46
  And I think that it's a super sad thing.
• 22:48
  And listen, people could say all they want that's not the case.
• 22:51
  But again let's just go data wise.
• 22:53
  If we go objective data and then you yourself, let's go anecdotal data.
• 22:57
  We've all heard that from people like, Oh, don't do that.
• 23:00
  But you know what people there, people do say Oh, be careful of getting
• 23:03
  surgery when it comes to cutting you a human being, why is there not like
• 23:08
  a huge alarm, like never do that.
• 23:12
  We accept that far more than we would accept, trying some of these things that,
• 23:16
  and listen I, I love some people's point of view and I feel this way a lot about
• 23:21
  a lot of sort of the cutting edge stuff and longevity, peptides, supplements.
• 23:26
  It's not going to kill me, even if it doesn't work, but if I get, if I let
• 23:32
  you cut, my back, that, that could be, that could cause irreversible damage.
• 23:37
  And so I think that it's funny to our risk reward tolerance
• 23:41
  on healthcare is out of whack.
• 23:44
  And I think that it's easy to scare people not to do something.
• 23:47
  And it's easy to convince people to do something that has a high, a
• 23:51
  much higher risk equation for them.
• 23:54
  Jerremy Newsome: Yeah.
• 23:55
  So you taught, you said the word stats, right?
• 23:57
  So the U S spends two X per capita on prescription drugs, hospital
• 24:02
  care and insurance and physician services and anywhere in the world.
• 24:06
  And there's tons of places that have, quote unquote
• 24:08
  free or universal healthcare.
• 24:10
  Last year, Johnson, Merrick, and Pfizer had a combined net income of 38 billion.
• 24:16
  UnitedHealthcare, largest U. S. insurer, they cover 50 million people, they
• 24:22
  made 23 billion in profits last year.
• 24:27
  you said that it's a money game, but that's evidence of that.
• 24:32
  These big corporations are the ones that are spinning that wheel.
• 24:37
  And so if you had just a magical wand right now, what would be the very first
• 24:43
  brick or what'd be the first tool that you would begin to implement to make
• 24:47
  this a change of a Sean and then Amanda.
• 24:50
  shawn dill: That's a very buzzword equity.
• 24:52
  Let the people vote with their dollars.
• 24:55
  Listen, if you just level the playing field, let the population figure out where
• 25:00
  they want to spend and let them spend.
• 25:03
  If we took away third party payers, and in order to do that, we would have to
• 25:06
  develop some degree of equity among, amongst providers as far as cost is
• 25:11
  concerned too, because if we took away third party payers, it would then make.
• 25:15
  healthcare thing of, only exclusive high net worth individuals could access.
• 25:20
  So we've got to be conscious of that.
• 25:22
  But I think if we let people vote with their dollars, all of a sudden what
• 25:26
  works will rise to the top because people aren't going to spend their hard earned
• 25:30
  money on some scam fraudulent thing.
• 25:33
  And they're going to talk, they're going to research, and they're going
• 25:35
  to make more informed decisions about where they want to place their money.
• 25:39
  Listen, there's things like health savings accounts that do empower
• 25:43
  people to begin to make those choices.
• 25:45
  think an interesting thing, I'm not aware of any study on this, but I think
• 25:48
  a very interesting thing to do would be to look at where people who can
• 25:53
  control their health dollars, where they allocate their money, because I
• 25:57
  don't think it's the same places where the third party payers are allocating.
• 26:02
  Jerremy Newsome: All right.
• 26:02
  So vote with their dollars.
• 26:04
  Amanda, what's your take?
• 26:05
  Dr. Amanda Holden: My, my take is if we are continuing on with with coming
• 26:11
  from this third party and, or the approval of dollars coming from a third
• 26:14
  party like UnitedHealthcare and we're looking at free systems that, you look
• 26:19
  at the diversity of these two sides there is such a discrepancy in HMO
• 26:23
  and PPO insured people that, right?
• 26:26
  HMO is the HMO insured side of the care that we get at baseline.
• 26:31
  If you don't have the access and the money to pay for PPO or POS you would just
• 26:36
  miss out on the right type of doctors.
• 26:39
  A lot of the time.
• 26:41
  There are definitely high quality people that you can be assigned to,
• 26:43
  but the fact that you have to wait so long sometimes to see a primary for.
• 26:49
  Issues that you have or even general medical checkups.
• 26:52
  I feel like those can be pushed out longer if need be with an HMO.
• 26:55
  But the minute you have a problem, you just have a major block if
• 26:59
  you have an HMO versus a PPO.
• 27:01
  So somehow solving that issue where more people can get access to care faster
• 27:07
  and the right and to the right person.
• 27:09
  shawn dill: That's a great one too, Amanda.
• 27:11
  I would
• 27:11
  Dr. Amanda Holden: Thanks.
• 27:12
  shawn dill: in a poll looking at providers, asking
• 27:14
  providers, which do you prefer?
• 27:16
  HMOs or PPOs as a provider?
• 27:19
  It will be overwhelming.
• 27:20
  It'll be a landslide what they will choose.
• 27:23
  They'll go PPO because of the degree of management.
• 27:27
  When they brought up the term, when the term was coined, managed care.
• 27:30
  care.
• 27:31
  The problem is it's not the provider who's managing the care.
• 27:34
  And so even if you look at that, if you're a consumer and you're
• 27:37
  like, wow, the providers really don't like to operate there.
• 27:40
  Why?
• 27:40
  Because they're super handcuffed.
• 27:42
  What kind of care do you think that you're receiving?
• 27:45
  If your own provider feels handcuffed when dealing with you, that should
• 27:51
  just that to me should just tell you right there, if you're looking at
• 27:54
  healthcare plans, which one to pick.
• 27:57
  Dr. Amanda Holden: And I can tell you from firsthand experience when
• 27:59
  I called around to see specialist cash pay, they got me in immediately.
• 28:04
  If I tried to use my insurance, it was three to four months that I was waiting.
• 28:08
  Jerremy Newsome: whoa.
• 28:09
  Dr. Amanda Holden: blew my mind.
• 28:10
  So I learned quickly that I just decided to pay out of pocket and that
• 28:15
  the charge you get at a specialist is around three to 400 for one consult.
• 28:20
  Whereas would bill other people the third party payers a lot more and
• 28:25
  have to document a lot more in order to just see you and get reimbursed.
• 28:29
  And perhaps their reimbursement would be half of that.
• 28:32
  So it's very advantageous for cash based clients to come in.
• 28:36
  And it's honestly not that expensive when you're really going after a solution
• 28:40
  to a problem when you're cash based.
• 28:42
  That, that blew my mind,
• 28:43
  Jerremy Newsome: Yeah, that is.
• 28:44
  That's pretty wild.
• 28:44
  And so I'll bring up a personal situation right now.
• 28:47
  So me and my wife, we were having this debate on just
• 28:50
  simply not having our insurance.
• 28:53
  And just taking everything that we pay the insurance, which I think
• 28:56
  right now is like right under 2, 000 a month for the whole squad.
• 29:01
  Just taking that and putting it into Sean used the word HSA,
• 29:04
  which is health savings account.
• 29:06
  So taking all that money, because you all know this, but you can trade
• 29:09
  the stock market in an HSA as well.
• 29:11
  So that account can also grow over time, but ultimately the cost benefit of most
• 29:18
  people when they spend the insurance, the only only time it really ever kicks in
• 29:22
  my opinion, is if it goes to some tragic emergency situation that's really the
• 29:27
  only time that's even remotely valuable as far as your cost to reward benefit.
• 29:34
  So I guess the ultimate question is what's your hot take Amanda on us going
• 29:37
  either HSA or keeping our insurance?
• 29:40
  Dr. Amanda Holden: I would have a backup plan for the emergency
• 29:43
  with a very low cost insurance.
• 29:45
  And I would use everything else for the HSA and go fully with a concierge doctor.
• 29:50
  I pay to have a concierge doctor that I can, she's a friend of mine in San Diego.
• 29:55
  I can literally text her anytime I want to, I respect her privacy, but
• 29:59
  Jerremy Newsome: Yeah.
• 30:00
  Dr. Amanda Holden: is there for me.
• 30:01
  And it.
• 30:02
  approximately 500 a month individually to have her there for me.
• 30:06
  And then I get certain benefits by, going in annually and talking to her
• 30:10
  about, issues that I have or, but everything is done in an expedited
• 30:14
  fashion and it is absolutely beautiful.
• 30:16
  And if I get say covered through a company that I'm working with or
• 30:20
  my husband's, covered it, we, and we select the minimum coverage.
• 30:23
  Just for that backup plan in case we had that tragic emergency and then
• 30:27
  you went with a concierge doc model.
• 30:30
  I think that's the way to go
• 30:32
  Jerremy Newsome: That's, yeah, that's fascinating because.
• 30:35
  I don't think a lot of people, maybe some have heard, but concierge doctors
• 30:39
  is becoming a very popular thing.
• 30:40
  And for those who are listening, that, that's an option that a lot of
• 30:44
  people might not know about, right?
• 30:45
  Like you pay them a monthly fee, the doctor gets rewarded brilliantly.
• 30:50
  And then they're to your point, like we're normal people.
• 30:54
  So they spend a certain amount of money where they keep the the people
• 30:56
  are going to text them at four in the morning, to keep them away.
• 30:59
  But I think having that.
• 31:01
  That's an option.
• 31:02
  A lot of people don't even know that's a possibility.
• 31:04
  That's a fantastic model, in my opinion, for, for this system.
• 31:09
  Dr. Amanda Holden: The beautiful part about that too is that when you're
• 31:11
  with someone that's highly connected in the community, if you have a problem,
• 31:15
  you will be referred to the specialist and seen within a couple weeks.
• 31:18
  She just expedites care everywhere.
• 31:20
  And it's a beautiful thing because if I was going on an HMO model, I'd be waiting.
• 31:25
  Two months to see my primary care doctor, but I like to have the
• 31:28
  security of not having a million dollar bill potentially if there was
• 31:31
  a tragic thing that happened and I was admitted to had a traumatic accident
• 31:35
  Jerremy Newsome: Sure.
• 31:36
  Dr. Amanda Holden: for all this trauma surgery and spent,
• 31:37
  30 days in the hospital.
• 31:39
  So that's the way I think about it.
• 31:41
  Is having that insurance plan low pay.
• 31:44
  Jerremy Newsome: Yeah.
• 31:44
  No, it makes perfect sense.
• 31:46
  you have the same opinion?
• 31:49
  shawn dill: Yeah.
• 31:49
  And I don't want to.
• 31:50
  I don't want to derail this fantastic discussion, but I will put something out
• 31:54
  there for you to put a pin in because when you brought that up about the HSA,
• 31:59
  one of the things that I think would be very interesting if we took someone
• 32:03
  like you and your knowledge about.
• 32:05
  HSAs bring about some very interesting benefits.
• 32:09
  And in fact, I think that there is a lot to be said about having a
• 32:14
  discussion about how we can actually leverage our health to create wealth.
• 32:21
  So if I am being allowed because of a high deductible HSA account, I'm being allowed
• 32:27
  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.
• 32:35
  I can also leverage that growth it's in there.
• 32:39
  So I'm, if I'm just making this contribution on an annual basis, but
• 32:42
  also at the same time, very important.
• 32:44
  I have to be very conscious of my health because I can't, I'm not, I'm
• 32:47
  trying to not go in and use that money.
• 32:49
  Then at retirement age, there's a lot of magic that can happen there.
• 32:52
  So there could be some arguments that this would be a very healthy.
• 32:58
  And I think that people never consider an HSA even as an investment tool.
• 33:03
  They see it as this, some sort of weird insurance thing.
• 33:07
  But if you're like, look, this becomes a really good investment.
• 33:10
  If I'm not going to need to tap into that.
• 33:12
  Lifestyle, all of these things.
• 33:15
  Now I'm getting actually an investment premium for being healthy because I'm
• 33:20
  not having to use the money that I'm able to grow if I have some good strategies
• 33:23
  from people like you on my side.
• 33:26
  I wish that people would really teach people how to utilize these health
• 33:30
  insurance tools as investment tools and learn to leverage, really understand how
• 33:36
  you can create wealth by being healthier.
• 33:40
  I think that's a very interesting discussion that would that
• 33:42
  could and should be had.
• 33:44
  And yes, I 100 percent agree.
• 33:46
  I will say from personal experience, that's exactly what I do, of course
• 33:50
  in, in all of the stats and also.
• 33:52
  To be fair, while we really struggle, life expectancy, overall
• 33:56
  health quotients, we're number one in the world for emergencies.
• 34:00
  So if you're going to get shot in the United States.
• 34:02
  Like the likelihood that we save you in the United States, there's no better place
• 34:08
  to have a medical emergency than here.
• 34:11
  But listen, where we really struggle is on the day to day.
• 34:14
  Health care quotients are ratings of how healthy are we and all the things
• 34:18
  that you've brought up previous But listen, should we really be having to
• 34:22
  pay a lot of money because we're just disregarding our health No, let's place
• 34:27
  a premium where people can benefit financially being healthy The other
• 34:32
  thing to Amanda's point to which is I think that most people in the discussion
• 34:36
  like this don't really understand But we have a socialist health care situation.
• 34:43
  don't have any money and you go into a hospital, you're still
• 34:45
  going to be seen because listen,
• 34:47
  Jerremy Newsome: Yeah.
• 34:48
  shawn dill: have taken an oath you don't have any way to pay for it.
• 34:51
  So what happens is it just gets dispersed, right?
• 34:53
  So that's why the fees are so high amongst the other people who are
• 34:57
  paying, whether it's through insurance or out of pocket to cover that.
• 35:01
  And in all socialist healthcare countries that allow private practice, what Amanda
• 35:06
  described is a hundred percent true.
• 35:08
  So now You have this premium placed on the people that are paying out of pocket.
• 35:12
  You get in quicker, you get the better docs.
• 35:14
  The better docs leave the socialist system to practice in a private environment.
• 35:18
  Why would they stay there?
• 35:20
  Because they have a better financial incentive to go into private practice,
• 35:24
  in private practice meaning outside of the socialist system, the social pay.
• 35:28
  And So we have that here in the United States.
• 35:31
  We don't like to admit that, but that's what we have going all
• 35:34
  the way down to something like Medicare or HMO at the beginning.
• 35:38
  And then you have, Medi Cal and all of
• 35:40
  Jerremy Newsome: Yeah.
• 35:40
  shawn dill: Assistance programs.
• 35:42
  All the way up to then, PPOs and then rising to out of pocket.
• 35:45
  And then Amanda brought up concierge.
• 35:48
  So it's just who's practicing concierge.
• 35:50
  The super good doctors have figured out that I'm just going
• 35:54
  to privatize my practice, create a recurring revenue model,
• 35:58
  Jerremy Newsome: Yep.
• 35:59
  shawn dill: a limited number of clients and get amazing results.
• 36:03
  And it will be less work and more fulfilling to me because I'm
• 36:07
  working with people that I like.
• 36:09
  That's a socialist system that we've created here in the United States.
• 36:13
  Jerremy Newsome: Yeah.
• 36:14
  You nailed it.
• 36:14
  So two, two things on that.
• 36:16
  Number one health as well.
• 36:18
  That's so true.
• 36:20
  it sounds like you and I should chat about that.
• 36:22
  Cause I, I've never created a course in my whole life about that.
• 36:26
  And that would be very easy because there's an incredible amount of
• 36:29
  things you can do to your HSA.
• 36:30
  And to your point, if you're healthy, whatever your whole life, for the majority
• 36:34
  of the time, just a whole different tool money that you don't have access to that
• 36:40
  you wouldn't if you're paying an insurance policy, cause you're paying an insurance
• 36:43
  policy, just like a term life policy.
• 36:45
  If you don't die, all your money's gone.
• 36:50
  And to get an insurance policy after you don't die at 60 is really tough.
• 36:56
  and you already, all of you know that there's insurance policies
• 36:58
  that you can get that don't evaporate when you don't die.
• 37:00
  But to that point, that's another instrument that a lot
• 37:02
  of people aren't familiar with.
• 37:04
  Now, to address one of the second parts that you mentioned, you
• 37:07
  said, We do emergency care amazing, but the day to day, we suck at.
• 37:12
  I'm gonna do a quick little shift.
• 37:14
  Because I think this blew my mind.
• 37:18
  was at a Joe Dispenza conference, and this beautiful woman was sitting next to
• 37:21
  me, and I actually was telling her, this was probably April of last year Dave.
• 37:28
  Anyway, and so I told her, I want to do a discussion, I want to have
• 37:30
  a podcast called Solving America's Problems, and I was giving her this,
• 37:34
  vision of what this is right now.
• 37:36
  And she said, oh my gosh, if you can create a solution how many children and
• 37:43
  mothers die during birth in America.
• 37:46
  That would be incredible.
• 37:47
  And I was like, what are you talking about?
• 37:50
  Listen to this in Canada, you have eight deaths per a hundred thousand
• 37:55
  live births, for Norway three.
• 38:01
  U. S.
• 38:02
  maternal mortality rate is 18 deaths per 100, 000 live births.
• 38:09
  We are a magnitude above that, and that's obviously a day to day thing.
• 38:16
  I'll just ask this question.
• 38:17
  How the heck is that happening?
• 38:20
  Dr. Amanda Holden: I'm first wondering, is that death happening in the hospital?
• 38:23
  Is this hospital data or is it someone that didn't have great access to care?
• 38:28
  And it's happening pre hospital care like emergency medicine, medical
• 38:32
  services, and they just can't, it's already progressed so far that you've
• 38:36
  had a uterine rupture or the baby's breach or something's happened that
• 38:41
  wasn't caught in a hospital setting.
• 38:44
  there are many rural areas in the U. S. So I don't.
• 38:46
  I don't know if is that hospital based or not.
• 38:49
  And then where do you take it and drill it down to regions?
• 38:52
  I know when I worked in the emergency department up in a mountain community,
• 38:56
  I was the only person on for 24 hours.
• 38:58
  And if weather was bad, I could not get any flights off the
• 39:02
  mountain to a major obese center.
• 39:05
  So you're stuck with.
• 39:06
  Either an ER trained doctor who does not deliver many babies or you're
• 39:11
  stuck with some of these are staffed by just a internal medicine doctor
• 39:14
  that might have never been trained in emergency medicine or recently
• 39:18
  done OB that was like 40 years ago.
• 39:20
  And that's why that would happen in rural settings because you don't
• 39:23
  have OB staffing all the places.
• 39:25
  And then the pre hospital care component is so rough too, because there, there
• 39:29
  are just so many critical components of a birth that, that comes out normally,
• 39:34
  and women that, Survive that and I've seen a lot of babies born and I guess
• 39:40
  the we're talking about maternal, right?
• 39:42
  Not the child side.
• 39:43
  Okay, so you see a lot of preterm births as well where babies die preterm
• 39:50
  if it's before 24 weeks and that's horribly sad because people just
• 39:53
  Either don't know they're pregnant or don't have access to health care.
• 39:56
  So on both sides, they're definitely there's definitely digging around
• 40:00
  you could do to see where the targets could be for improvement in the U.
• 40:04
  S.
• 40:05
  Dave Conley: So I did the research on this and I put this in here
• 40:09
  and highlighted it specifically because it hurt my heart so much.
• 40:14
  The number one cause of maternal and infant mortality in the richest
• 40:19
  country on the planet is poverty.
• 40:24
  It is poor prenatal care of the mother.
• 40:27
  Medicaid is the insurance used for people who are at or below the poverty level.
• 40:34
  And 42 percent of U. S. births, 1.
• 40:38
  5 million every year happens under Medicaid.
• 40:43
  So that's, look, if you want to give birth in the United States and give
• 40:48
  birth to a live child and survive that birth, there are 50 other
• 40:53
  countries that do it way better.
• 40:55
  We are very low on this list.
• 40:57
  If you went to Chile or Uruguay or Egypt, you'll have better outcome.
• 41:03
  Jerremy Newsome: Yeah, that's wild.
• 41:05
  I think it's just some, it's some issue of a glaring, glaring oversight.
• 41:09
  Again, back to just what Sean said, just the day to day.
• 41:12
  The most basic pieces.
• 41:13
  Like we just have so much that are broken and I know you have
• 41:15
  something else to say, Dave.
• 41:16
  So go ahead.
• 41:17
  Dave Conley: Yeah, I just wanted to back us up a little bit.
• 41:18
  We've already talked about some really cool solutions around this.
• 41:22
  I want to talk a little bit about the problem.
• 41:25
  We, and I think it's really easy for me personally to demonize big pharma
• 41:31
  or demonize the insurance companies or big food, or, I think there's a
• 41:36
  lot of villains in this world that are stopping us from being healthy in
• 41:41
  the United States that other parts of the world seem to have figured out.
• 41:45
  But when we talked about obesity at the beginning of this,
• 41:48
  we are the fattest country.
• 41:50
  In the world, bar none, I had to think that there are 4 million
• 41:55
  people in the United States that have to lose over 100 pounds.
• 41:58
  I was one of those people.
• 42:00
  At 40 years old, I was smoking a pack of cigarettes a day, I was at a job
• 42:05
  that I hated, and I weighed 330 pounds.
• 42:07
  And it took me years to work through that and to get healthy, and I'll
• 42:13
  say everything was set up against me.
• 42:15
  I like, like it was, like being on all sorts of medications meant
• 42:19
  for people that were twice my age.
• 42:21
  It was that I was surrounded by poor choices of food.
• 42:25
  It was the food that was very addictive and hard to get away from.
• 42:29
  It was sedentary lifestyle, lifestyles and celebrating Sloth rather than health.
• 42:35
  So there were so many things going against me, but this is getting worse
• 42:39
  in the United States, not better.
• 42:41
  It's not lack of information.
• 42:43
  When you're fat, you're fat and you're unhealthy.
• 42:46
  Heart disease continues to be the number one killer in the United States.
• 42:50
  47 percent of adults have high blood pressure.
• 42:54
  Over 60 percent of Americans have type 2 diabetes, and for people who are
• 42:58
  listening to this, type 2 diabetes is the diabetes that you create.
• 43:02
  It's the, it's not the one you're born with or they have prediabetes.
• 43:06
  U. S. has the highest rate in diabetes and prediabetes
• 43:09
  anywhere in the developed world.
• 43:11
  Rates of kidney disease, 37 percent of Americans, guess what, that comes
• 43:15
  from diabetes and hypertension.
• 43:18
  Cancer rates.
• 43:19
  Since we have been measuring cancer, it has been continuously going down
• 43:24
  as the treatments have been getting better and better, except today.
• 43:28
  Today, cancer rates are going up for people under the age of 50.
• 43:34
  Actually, the youngest of us are getting breast cancer, colorectal cancers, and
• 43:40
  other cancers at extremely alarming rates.
• 43:44
  Normally Again, like obesity and diet, 60 million Americans are experiencing
• 43:52
  some form of mental illness and annually anxiety, depression, and
• 43:57
  particular prevalent the opioid crisis.
• 44:00
  You could just keep on going down this list of okay, that's not working.
• 44:04
  That's not working.
• 44:04
  That's not working.
• 44:05
  That's not working.
• 44:06
  Great.
• 44:06
  If you get shot in the United States.
• 44:09
  Fantastic.
• 44:10
  But what are we doing wrong?
• 44:14
  What's the villain here?
• 44:15
  What I did what's going wrong?
• 44:17
  Where's the problem?
• 44:19
  I see the results and it's not good, but where's the problem?
• 44:22
  Dr. Amanda Holden: I, I can, I will start by saying it is an education
• 44:27
  from the school level forward.
• 44:30
  I ha I volunteered to teach a nutrition program to students.
• 44:36
  In med school, they had nothing if people are not getting the proper education and
• 44:41
  nutrition in the public school system.
• 44:44
  I bet private does it a lot better, but if there isn't a standardized educational
• 44:48
  program when you are young to show you if you eat this and if you are obese and
• 44:54
  this is how you calculate what obesity means, you will have these diseases in
• 44:58
  the future and you will die earlier.
• 45:01
  If you don't know that, you can't make healthy choices about eating,
• 45:04
  about exercise, and there is a very basic layperson education that could
• 45:09
  be developed that touches children, so that if their parents fail on
• 45:13
  educating them, if the community fails, they still, they definitely
• 45:17
  get it, and they suddenly go to their adulthood life and do different things.
• 45:24
  Even I struggled with knowing all the things you can do both with
• 45:28
  diet and exercise with trainers.
• 45:30
  I think as humans we're always desperate for more information about
• 45:33
  how we could be healthier and that from the core is what is missing in
• 45:38
  education from elementary school on.
• 45:40
  Jerremy Newsome: Yeah.
• 45:41
  I think it was like two or three years ago.
• 45:43
  So my son was in sixth grade.
• 45:45
  he brought home a food pyramid the same one that we all had.
• 45:49
  That one.
• 45:50
  I was like,
• 45:50
  Dr. Amanda Holden: taught.
• 45:51
  Everywhere.
• 45:52
  That's literally all that's ever taught.
• 45:55
  How can people learn if they're just staring at a food pyramid and they
• 45:57
  don't know where to take it from there?
• 45:59
  And their
• 46:00
  Jerremy Newsome: right,
• 46:00
  Dr. Amanda Holden: are unhealthy.
• 46:01
  Jerremy Newsome: Yeah, exactly.
• 46:02
  And it is unfortunate and you're speaking to my heart because I do
• 46:04
  feel like the shift becomes, when everyone is aware that education fixes
• 46:10
  most of the problems down the line.
• 46:12
  Obviously it's not gonna be an immediate impact instantaneously, but once we
• 46:16
  start earlier and we teach going forward.
• 46:21
  And we revitalize the whole entire thing, right?
• 46:26
  The whole aspect of what we teach, how we teach and who teaches it.
• 46:31
  It definitely creates a huge impact in the future.
• 46:34
  Dr. Amanda Holden: What about the commercials we see too?
• 46:36
  We never see commercials about being healthy.
• 46:39
  And about what down the line.
• 46:41
  And just because no one would fund those.
• 46:43
  Types of things.
• 46:44
  Like
• 46:44
  Jerremy Newsome: Right.
• 46:45
  Dr. Amanda Holden: Super Bowl, you're seeing everything
• 46:46
  possible that's unhealthy.
• 46:48
  You
• 46:48
  Jerremy Newsome: Yeah.
• 46:49
  Dr. Amanda Holden: something that's reinforced on being healthy.
• 46:52
  That, that teaches people things.
• 46:54
  So public information and the channels that we get it, the streams that we
• 46:58
  get it from it's something that should be heavily invested in, I think.
• 47:03
  Jerremy Newsome: I agree.
• 47:03
  Sean, what do you think, man?
• 47:04
  Does it start in schools or is it somewhere else?
• 47:07
  shawn dill: It definitely starts in schools, but now we've
• 47:10
  opened up a whole can of worms.
• 47:12
  Jerremy Newsome: Oh yeah.
• 47:12
  shawn dill: I think some of this so definitely starting in
• 47:14
  schools as far as education.
• 47:16
  Dave was talking earlier about how someone's sociodemographics
• 47:22
  economics play into their health.
• 47:25
  I'm not sure if many people are aware that during the 1980s and nineties
• 47:31
  tobacco companies came under fire, Philip Morris, RJ Reynolds, but the
• 47:36
  eighties and nineties, during that period of time Philip Morris and RJ
• 47:40
  Reynolds acquired most of the major food companies in the United States that would
• 47:44
  include craft general foods, Nabisco.
• 47:48
  And so now you have the tobacco industry.
• 47:51
  Amazing at addicting people, taking over our food supply in a lot of ways.
• 47:57
  this super impacts people that are trying to eat necessarily on a budget.
• 48:02
  And so what we do is we have this, what's called hyper palatable
• 48:05
  foods, where we are literally now addicting our younger generation.
• 48:11
  So if you are in eighties, nineties, early two thousands, you love these things.
• 48:17
  You love these processed foods.
• 48:18
  So when they're like get off the processed foods That's very difficult because
• 48:23
  there's a lot of things in our food today that cause us to be addicted to that
• 48:28
  and very interestingly You mean and it's not lost on us that there is a different
• 48:33
  version of our food than if you go to europe so the ketchup is different.
• 48:37
  The jelly is different Uncrustables aren't even allowed to be sold in europe because
• 48:41
  a lot of our food doesn't even have Food in it, but listen, if you're on a budget,
• 48:47
  you've got to go and you've got to make your stretch your dollar and you're trying
• 48:50
  to feed your kids and you're sending them to school and they have their lunch and
• 48:54
  so you've got your lunchables in there and you've got whatever you're putting in
• 48:57
  there, but listen, it's not, that's not setting them up for success health wise.
• 49:02
  So we have an economic issue.
• 49:03
  We have a food supply issue.
• 49:06
  We have an education issue because.
• 49:09
  A lot of people don't realize that's not good for their children.
• 49:13
  I think that you look at fast food companies, but most fast food
• 49:17
  companies have a healthy line, but there's nothing healthy about the
• 49:20
  healthy line, but people are trying to make this conscious decision.
• 49:24
  They're like look, let me eat healthy.
• 49:26
  So I'm going to get the salad at McDonald's, right?
• 49:29
  Like I'm going to pick the best one.
• 49:32
  Chick fil a and then we start to break down.
• 49:34
  What's in your food?
• 49:35
  But then and I know that everybody here we want to save the world But then we
• 49:39
  bring in an interesting debate then that we'd have to talk about that The
• 49:44
  mere fact is listen just volume wise not everybody on this planet can eat
• 49:49
  organic We do not have the food supply to supply every man woman and child with
• 49:55
  organic Wholesome food, grass fed beef.
• 49:59
  We've, so now we get into this weird world where we're gluing meat together.
• 50:03
  We're making meat in a lab we're doing but listen, part of it is
• 50:07
  very altruistic because we're trying to feed an overpopulated world.
• 50:12
  The world wasn't designed to hold this many people and
• 50:15
  feed them with organic food.
• 50:17
  So yes, organic food.
• 50:18
  That's what I would choose to eat.
• 50:19
  And I've been blessed.
• 50:21
  That's what I, that's what I put into my body, but we can't feed
• 50:25
  everybody with organic food.
• 50:26
  And that's not a cost issue.
• 50:29
  That is.
• 50:31
  It's a production issue.
• 50:33
  And yeah, now we're into genetic modified foods to be able to grow food on land that
• 50:37
  really can't grow food on because we're trying to feed an overpopulated world.
• 50:43
  There are so many things that kind of cycle in and it's really hard to vilify
• 50:48
  the Whole thing you know when we have but we can't point out when we have
• 50:52
  tobacco companies, you know owning our food supply and then even today when
• 50:56
  we have Tech companies controlling a lot of these this country's farmland.
• 51:01
  That's an issue, right?
• 51:03
  And we're closing farms that are producing organic food and there's a
• 51:07
  lot of data out there about, all of these companies that have huge political
• 51:12
  lobbies that own patents on seeds.
• 51:15
  Like, how can you own corn?
• 51:18
  Some people do, and if you grow their corn, then you're subject to lawsuits.
• 51:24
  It's tremendous what's going on in the world.
• 51:27
  And I get it.
• 51:28
  Everybody look, we're all trying to profitable in our businesses and
• 51:31
  everybody wants to make a, make their dollars because they have, they want
• 51:35
  to create legacy for their families.
• 51:37
  And I know you guys teach on that a lot, but at some point we also have to
• 51:41
  consider what the end damage is and we have to find a balance with being out.
• 51:47
  with every man, woman, and child on the planet because they've got to eat too.
• 51:52
  Jerremy Newsome: Yeah.
• 51:54
  And what I also hear you saying to Sean is one of the things
• 51:56
  that makes us sick our food.
• 52:00
  And I know that there's a lot of people that probably that, that might sound
• 52:05
  surprising to, but it's a very small percentage of people what you put
• 52:10
  into your body, you get out, right?
• 52:12
  Food is fuel.
• 52:14
  if you're going to perform and you're going to optimize, you
• 52:16
  have to eat incredible food.
• 52:17
  But so it's a very interesting perspective that you have ultimately
• 52:20
  that, and again, I haven't heard it personally that we just couldn't.
• 52:25
  everyone eating the way that they should, right?
• 52:28
  They're the way that we, a lot of people feel they should.
• 52:31
  I appreciate you sharing that insight, Dave.
• 52:34
  Dave Conley: So if anyone here was starving their child
• 52:39
  You certainly, it would certainly be considered child abuse.
• 52:42
  If your child wasn't getting enough food yet, if your child is obese, leading to
• 52:50
  a certain lifetime of issues, possibly an early death because of obesity,
• 52:58
  It's not considered child abuse.
• 53:01
  Like what's going on here?
• 53:02
  What are the attitude?
• 53:03
  And today we also have these fat influencers or fat body positivity
• 53:07
  folks celebrating in poor health.
• 53:11
  It's celebrating slow suicide.
• 53:13
  So tell me about what you think the attitudes are in America about health.
• 53:20
  Dr. Amanda Holden: I think.
• 53:21
  A lot of people truly deep down inside want to be healthy, they want to be of a
• 53:26
  normal weight, they want to look in the mirror and love what they see so that they
• 53:30
  can reflect confidence and positivity.
• 53:34
  But I don't think that is what translates on the other side.
• 53:37
  I think that people are You know, stressed with full time jobs and caring for their
• 53:42
  families and being a great husband or wife, and they just don't find time for
• 53:46
  themselves once they get to a certain point, and they definitely don't find
• 53:50
  time to prepare the right meals for their kids when they're preparing that
• 53:53
  morning meal, because they only have so much time to prepare those things.
• 53:58
  I think that when health.
• 54:00
  a health crisis hits, they suddenly care.
• 54:03
  I had someone recently share with me that their their son was diagnosed
• 54:08
  with Crohn's and they went to many different specialists and finally found
• 54:12
  an 18 hour a day fasting diet that in 30 days completely cured their child.
• 54:18
  So now this child fasts 18 hours a day.
• 54:21
  Have we looked at fasting?
• 54:22
  Have we looked at reeducating people and the benefits of that?
• 54:25
  Have we looked at teaching people the right way?
• 54:28
  I, that's the hard part is so few people have access to this vital
• 54:32
  information of how do mitochondria like actually function the best?
• 54:37
  How does our body actually clear all those toxins?
• 54:40
  And there's.
• 54:41
  Tons of evidence that fasting is so beneficial, but do
• 54:44
  we ever talk about that?
• 54:46
  Unless you're in a wellness circle, right?
• 54:48
  And then you suddenly learn.
• 54:50
  So I think people want to look in the mirror and feel great.
• 54:53
  Like they want to reflect confidence everywhere they go, but they are tied to
• 54:58
  a life that doesn't allow them to do it.
• 55:01
  And they can't figure out the solution many times.
• 55:05
  Jerremy Newsome: It's fascinating.
• 55:05
  shawn dill: I 100 percent agree.
• 55:07
  I want to introduce yet another monkey wrench into the
• 55:10
  Jerremy Newsome: Throw it.
• 55:11
  Dr. Amanda Holden: love it.
• 55:11
  shawn dill: I also don't want to speak to the, plus size influencers
• 55:17
  because and I don't know.
• 55:20
  When Amanda went to to study in medical school, what the numbers were,
• 55:25
  but I will guess that normal blood pressure was different than it is now.
• 55:30
  Normal cholesterol was different than, why are we seeing all of these things change?
• 55:36
  I learned 120 over 80.
• 55:38
  Oh, if you're like one 21 over 80 Oh my God, we're in stage one, hypertension.
• 55:42
  Like how, why is that happening?
• 55:45
  And I will say this, I'm a big advocate of, I don't know what.
• 55:50
  Any of our normal is right.
• 55:53
  Like, how am I from the outside going to say what your optimal weight is
• 55:57
  or your optimal blood pressure is?
• 55:59
  I watch on social media, Jeremy's very active running, doing all these like
• 56:05
  very strenuous physical activities.
• 56:06
  I would just say, looking at that, his resting heart rate is way lower than
• 56:11
  mine because his body necessitates that.
• 56:15
  And I could.
• 56:16
  Probably look at his resting heart rate and be like, Whoa, wrong with you.
• 56:21
  It's too low because if I was comparing him against a nonactive individual
• 56:25
  of the same height, weight and age, I would think that Jeremy was the outlier.
• 56:31
  And especially that's how we come up with this, the
• 56:33
  Jerremy Newsome: Yeah.
• 56:33
  shawn dill: curve, that, what that does is it makes.
• 56:36
  Everybody on the extremes wrong.
• 56:39
  And so listen, there are some people that on the outside, you might look at
• 56:44
  them and their weight, their BMI might not meet the standards of the world, but
• 56:50
  to me, what's very important is what's going on the inside function is way.
• 56:56
  A more important than appearance.
• 56:58
  So if I'm looking at, testing on functional levels, if I'm looking at
• 57:03
  heart rate, variability, nervous system function, if I'm looking at blood labs and
• 57:07
  all of your biomarkers and all of that's.
• 57:10
  great, but your BMI is off.
• 57:13
  I don't know who am I from the outside to start like trying to,
• 57:16
  manipulate all of these things.
• 57:17
  And I think that's something very important for us to understand
• 57:20
  is that we have fallen into this world of what we call lab normal.
• 57:25
  are a lot of people who are inside of the lab normal range on a
• 57:28
  lot of things who are very sick.
• 57:31
  This is one of the things that super complicates our ability.
• 57:34
  To diagnose issues because these people go around from one provider to the next
• 57:39
  to the next and everybody's like you're normal and they're like but there's
• 57:42
  I am absolutely not I'm having this issue but they are lab normal which
• 57:47
  is not normal for them and so this is something too I just want to make
• 57:51
  sure that I don't want to condemn it.
• 57:55
  from an outside in perspective, because we must adopt a globalist
• 57:59
  approach and a holistic approach to healthcare and look at all elements.
• 58:03
  And I would dare to say, I don't think that there is any one thing
• 58:06
  that happens in the human body not impact something else, right?
• 58:10
  There's not
• 58:11
  Jerremy Newsome: Right.
• 58:11
  shawn dill: is just happening in a vacuum.
• 58:14
  is interrelated.
• 58:15
  We come from a time and age when at one point we didn't
• 58:18
  know what the tonsils were for.
• 58:19
  So we took them out.
• 58:20
  So it's we gain information.
• 58:22
  And I would also dare to say that today we probably understand,
• 58:26
  and this is up from what I would have said, maybe 10, 20 years.
• 58:30
  Go, but we probably understand around three to 5% of
• 58:34
  actually how the body works.
• 58:36
  Like we, there's so much that we just don't understand and that's what's great
• 58:40
  about, about our field of practice.
• 58:43
  The human body is mind blowing.
• 58:46
  Amazing.
• 58:47
  Like it's crazy that we are a lot.
• 58:49
  I have the day with the air that we're breathing, the pollutants that we put
• 58:53
  in our body, like all this, and somehow we're that resilient as a species.
• 58:58
  Absolutely incredible.
• 58:59
  And so I just want us to take a moment and honor and respect that
• 59:03
  and also understand for anybody in healthcare, just how difficult that is
• 59:08
  Jerremy Newsome: Yeah.
• 59:09
  shawn dill: unravel that and understand what's going on in a
• 59:12
  patient that's in front of you.
• 59:15
  Jerremy Newsome: Yes.
• 59:15
  So both of you being thought leaders and, creating content and providing
• 59:21
  so many things to people, random question, are there any AI tools that
• 59:27
  you have seen right now that are trying to make a dent or a positive impact?
• 59:31
  Yeah.
• 59:36
  Dr. Amanda Holden: I haven't used any just to be frank.
• 59:40
  shawn dill: I don't know of any that are on on the public market as of
• 59:42
  yet, but I am aware of a lot of.
• 59:44
  projects.
• 59:44
  One of my clients, I want to shout out Dr Rick Downs.
• 59:48
  One of the things that I hope will come to the forefront when it comes
• 59:52
  to health and wellness is sleep.
• 59:55
  How many people snore, right?
• 59:57
  That's just a common thing.
• 59:58
  Oh yeah, they snore.
• 59:59
  And the correlation Between snoring and alterations in your nervous system
• 1:00:04
  specifically in your sympathetic nervous system alterations and breathing people
• 1:00:08
  correlate Snoring with sleep apnea what that's doing to our bodies incredible
• 1:00:13
  But here's what's cool is that now we have all of these wearable devices
• 1:00:18
  that allow us to track your sleep So for many years when we talked About
• 1:00:21
  sleep technology and a sleep study that meant going to some strange place and
• 1:00:27
  sleeping hooked up to all these things.
• 1:00:29
  And how hard is it to get a good night's sleep and an accurate
• 1:00:33
  reading when you're in some strange, sterile sleeping environment and
• 1:00:36
  Jerremy Newsome: Yep.
• 1:00:37
  Dr. Amanda Holden: One thing, oh,
• 1:00:39
  shawn dill: on our fingers.
• 1:00:40
  We can basically conduct a full sleep study and even detect
• 1:00:45
  apnea through these devices.
• 1:00:47
  So AI, here's what I'm seeing being developed are the ability
• 1:00:51
  to take all wearable devices.
• 1:00:53
  So to me, this is super cool.
• 1:00:55
  It doesn't matter if you're on the whoop, the aura ring on.
• 1:00:58
  Apple watch or any of the others, Garmin, all of it but to be able to aggregate that
• 1:01:03
  data and now place have AI monitor and find alterations while we're functioning.
• 1:01:11
  So how cool is this?
• 1:01:12
  That you can receive an interruption, a text, an email that says,
• 1:01:16
  listen, we detected a problem last night with your breathing
• 1:01:21
  patterns while you were sleeping.
• 1:01:23
  Jerremy Newsome: Fascinating.
• 1:01:24
  shawn dill: not only that give you the recommendation of.
• 1:01:27
  Here's who you need to see as a provider, or maybe it's a simple, listen, try this,
• 1:01:32
  do this, and we'll continue to monitor.
• 1:01:35
  us to literally monitor millions of people on a regular basis.
• 1:01:39
  I think this is huge because we'll be able to have a preventative
• 1:01:42
  element to our healthcare and stop a lot of problems before they arise.
• 1:01:48
  However, Let's also just come back to, we're really close in this world of the
• 1:01:53
  longevity space to really being able to add a lot of years to human life.
• 1:01:59
  But that really complicates this overpopulation issue and feeding the,
• 1:02:03
  you see how like we're trapped in this like vicious cycle where We're, we've got
• 1:02:07
  this cool stuff and maybe I can detect it and I can save you and you can live
• 1:02:11
  longer, but then now you're living longer.
• 1:02:13
  So this is a double edged sword and a really good topic of discussion and debate
• 1:02:20
  Dave Conley: So I.
• 1:02:21
  Jerremy Newsome: it is.
• 1:02:22
  Dave Conley: I will say, the future is already here and I'm a nerd about
• 1:02:25
  this as far as AI goes and you already have the tools, if you're using
• 1:02:29
  chat GPT, if you're using Claude, if you're using Grok, if you're
• 1:02:32
  using them, you can already do this.
• 1:02:35
  In fact I feed all of my blood work done and I get my blood work done often through
• 1:02:40
  my doctor because he's a freak and as curious as I am, but also I've fed in four
• 1:02:47
  years of devices, from my aura ring for, four years of information on my sleep and
• 1:02:53
  my activity and heart rate variability.
• 1:02:55
  And I've fed in a data from a continuous glucose monitor.
• 1:02:58
  So I can get it really dialed in.
• 1:03:01
  see okay, what are supplements doing?
• 1:03:03
  What is exercise doing?
• 1:03:05
  What is sleep doing?
• 1:03:06
  What is a medication doing?
• 1:03:08
  What times of day, when I fast, when I don't fast and that's
• 1:03:12
  accessible right now, that doesn't even take that much money.
• 1:03:15
  So I can't even imagine.
• 1:03:17
  I think that kind of stuff that I have to do by hand is going
• 1:03:21
  to be increasingly commoditized.
• 1:03:23
  You already are carrying around.
• 1:03:24
  phone, with you day in and day out, it's already monitoring all sorts
• 1:03:28
  of things about your environment.
• 1:03:29
  I think the future is already here.
• 1:03:32
  Jerremy Newsome: It is.
• 1:03:33
  Yeah.
• 1:03:33
  Go ahead, Amanda.
• 1:03:34
  Dr. Amanda Holden: one thing that we've used in the clinics is a device called
• 1:03:37
  InMode or StyQ, and you stand on it the InMode you hold both hands, and it
• 1:03:42
  measures your muscle mass in each arm and each leg, and I'm doing, and it
• 1:03:47
  measures your fat, it tells you, spits out your visceral fat and your risk
• 1:03:50
  factors for everything in your body, and I had back surgery a year ago a
• 1:03:54
  spinal fusion, and my leg Muscle mass is significantly lower than my arms
• 1:03:59
  because of my functional limitations, and I'm working with a device right now
• 1:04:03
  to build my muscle mass, a functional medicine device to build my muscle mass
• 1:04:06
  and going back every four weeks to be measured to watch my muscle mass grow
• 1:04:10
  in things I couldn't do by myself.
• 1:04:13
  So there are technologies that are going to be out there to make us healthier
• 1:04:16
  and direct measurements that measure.
• 1:04:18
  Our exact muscle mass, our exact fat, and then stratify on the back end a
• 1:04:23
  report that I know it's coming soon because someone told me it is from this
• 1:04:26
  company and spit out a report of, all of your risk in all of these different
• 1:04:31
  areas just from standing on that device.
• 1:04:34
  And those devices aren't that expensive.
• 1:04:36
  So if those were integrated into traditional medicine,
• 1:04:39
  Jerremy Newsome: Wow.
• 1:04:39
  Dr. Amanda Holden: would have a much better evaluation of their patients
• 1:04:42
  and spit out a report on the back end.
• 1:04:45
  Jerremy Newsome: Fascinating.
• 1:04:45
  Dave Conley: And then Jeremy, you'll have the robots slap the
• 1:04:47
  Haagen Dazs out of your hand.
• 1:04:49
  Jerremy Newsome: Yes.
• 1:04:50
  Yes.
• 1:04:51
  So InMode, publicly traded company.
• 1:04:53
  If anybody wants to research any of it, ticker symbol I N M D. Sorry.
• 1:04:58
  So talking about another really interesting thing.
• 1:05:01
  There's an app called E A T O, and it's brilliant.
• 1:05:07
  So it's 25 a year.
• 1:05:09
  a photo of your plate and AI analyzes everything on it.
• 1:05:15
  Spits out calories, macros, micros, carbs, protein, all of it.
• 1:05:21
  It's really cool.
• 1:05:22
  And it's wildly accurate.
• 1:05:27
  it is really remarkable.
• 1:05:29
  You might have to make a few adjustments, but just something that if you like
• 1:05:32
  apps, I have tried it, I recommend it.
• 1:05:34
  It's really cool.
• 1:05:35
  As we start to slowly wrap up, and again, I, this has been so amazing.
• 1:05:39
  I just the fact that I'm around you two makes my heart happy.
• 1:05:45
  what specific questions should patients ask their doctors about
• 1:05:50
  cost and treatment alternatives?
• 1:05:53
  Dr. Amanda Holden: They should ask their doctors in with the
• 1:05:56
  diagnosis you're giving me, is there a way if I went outside of
• 1:06:01
  my insurance to expedite my care?
• 1:06:03
  and get better care for this specific problem.
• 1:06:06
  That would be number one.
• 1:06:08
  And how do I find the right specialist to treat this particular problem?
• 1:06:14
  Jerremy Newsome: Yeah.
• 1:06:15
  Dr. Amanda Holden: You shouldn't always just trust the answer of one person.
• 1:06:17
  You need to go out there and talk to specialist after specialist
• 1:06:21
  before you make a critical decision about your body once you get
• 1:06:23
  into a problem with your health.
• 1:06:26
  Jerremy Newsome: Yes.
• 1:06:27
  Love that.
• 1:06:27
  Awesome.
• 1:06:28
  Sean, what specific things can listeners do this week to take
• 1:06:33
  better control of their healthcare?
• 1:06:35
  shawn dill: week.
• 1:06:36
  Get sunlight, get movement.
• 1:06:40
  Put salt in their water so that they can be adequately hydrated, not table salt,
• 1:06:44
  but you need to put good salt in your water so you can get adequate hydration.
• 1:06:48
  And I love what Dave's saying, tracking your data.
• 1:06:52
  And I would start with sleep.
• 1:06:54
  Recovery is critical.
• 1:06:57
  we just want to get eight hours of sleep.
• 1:06:59
  that contain no deep sleep, no heart rate dip, no heart rate variability changes.
• 1:07:11
  Recovery sleep is absolutely critical.
• 1:07:13
  I think that's one of the things that can absolutely make a superhuman.
• 1:07:17
  Jerremy Newsome: Do either of you have awesome, easy tips to sleep better?
• 1:07:22
  shawn dill: One, I think tracking, right?
• 1:07:24
  So now you're what gets measured, right?
• 1:07:26
  You pay attention to it and that, that's what gets improved.
• 1:07:29
  To turn off all of your electronics, have a wind down routine.
• 1:07:34
  For the people that go, my mind's always racing.
• 1:07:36
  Yeah, but you were looking at your phone.
• 1:07:38
  three seconds ago, right?
• 1:07:39
  Like you so have a routine where we begin to allow your body to enter into
• 1:07:43
  that phase, control your temperature.
• 1:07:46
  Usually the 64 ish range is optimal for sleeping.
• 1:07:50
  A lot of people that they find that extremely cold.
• 1:07:52
  That doesn't mean you're not without a blanket.
• 1:07:54
  But if we can get that temperature drop, we can get that variability change enter
• 1:07:59
  into deep sleep and have great recovery.
• 1:08:01
  And listen, that's what's, what I love about this.
• 1:08:03
  We're moving into an age in this whole discussion today.
• 1:08:06
  about cost.
• 1:08:07
  We're moving into an age where people are beginning to create an awareness.
• 1:08:11
  There's a consciousness around the fact that sunlight is free.
• 1:08:14
  Water is for the most part free.
• 1:08:16
  We can get access to that.
• 1:08:18
  Going out and taking a 30 minute walk is free.
• 1:08:21
  You don't have to have a fancy gym membership or do anything crazy.
• 1:08:25
  They're getting great sleep is free.
• 1:08:27
  It's not buy this 500 thing and now you can It, we're beginning to
• 1:08:33
  realize that we've placed a premium on all of these outside in approaches.
• 1:08:37
  And I really love how we're becoming far more conscious and
• 1:08:40
  placing a premium on inside out.
• 1:08:42
  I also want to just say for me, philosophically, I honestly believe that
• 1:08:47
  the only way that the becomes sick is when we fail to adapt to our environment,
• 1:08:55
  either internally or externally.
• 1:08:57
  So there's a ton to be said about looking at the things that are going on outside.
• 1:09:01
  We're around our phones and we're around all of this, the types of energy, we're
• 1:09:05
  around pollutants, and we're We put bad things in our body and then our
• 1:09:09
  body on the inside is all screwed up.
• 1:09:11
  But if you sat and think and thought about it, every disease known
• 1:09:14
  to man is a failure of the human body to adapt to its environment
• 1:09:19
  either internally or externally.
• 1:09:20
  So if we de emphasize the external things that we want to put in
• 1:09:25
  to merely mask the symptoms.
• 1:09:27
  And emphasize having our bodies at full expression of our inborn
• 1:09:32
  potential, our ability to adapt.
• 1:09:35
  I honestly believe we can radically change the quotient of healthcare.
• 1:09:39
  We can radically change that because it's not, we're not
• 1:09:42
  looking for this big breakthrough.
• 1:09:43
  We're looking for a breakthrough that's here in our minds, not some
• 1:09:46
  new drug that's going to save us.
• 1:09:49
  Jerremy Newsome: Amanda, you got physically excited
• 1:09:52
  about that question too.
• 1:09:53
  So hit us with some sleeping tips.
• 1:09:55
  Dr. Amanda Holden: I, mine is, I simplify it so much and it's
• 1:09:58
  so much of what you just shared.
• 1:09:59
  I just say, stick to a routine, make sure you're going to bed at the same
• 1:10:04
  time each night to get your body's circadian rhythms used to that time.
• 1:10:08
  off your devices, put down social media.
• 1:10:12
  Put it like, turn it off, make it something you can't even reach for.
• 1:10:15
  Don't even worry about the text messages if they come in late.
• 1:10:18
  But you have to shut your mind down and allow the time to sleep
• 1:10:22
  and also lean into meditation.
• 1:10:24
  So I think those things make us feel a lot more refreshed.
• 1:10:28
  They're all free.
• 1:10:30
  It's very easy to do a 10 minute.
• 1:10:32
  Silence meditation throughout the day and feel very refreshed by
• 1:10:36
  just letting your thoughts bubble out and sitting with yourself.
• 1:10:39
  It makes you feel much more well rested doing that too.
• 1:10:42
  If you've had a hard night of sleep, you can even do that twice a day,
• 1:10:45
  but I say get into your routine, silence those phones and try to center
• 1:10:49
  yourself to get rid of the thoughts that are driving you crazy at night.
• 1:10:53
  I love to use the comm app.
• 1:10:55
  I'm a, I'm obsessed with sleep stories.
• 1:10:57
  So that helps me if I've had a whirling day it helps me calm down and just get
• 1:11:02
  into a story and drift off to sleep.
• 1:11:05
  So
• 1:11:07
  Jerremy Newsome: Not a funny story, not a funny joke.
• 1:11:08
  Funny.
• 1:11:09
  So I posted on Twitter a couple of months ago, I was like, only
• 1:11:11
  pansies use eye masks to go to sleep.
• 1:11:14
  gray.
• 1:11:15
  So I do, I mask, I have a nose strip, I do the whole thing.
• 1:11:20
  Cause everything you mentioned is 100 percent accurate and
• 1:11:23
  just having the ability to adapt and adjust and tweak sleep.
• 1:11:28
  Everyone sleeps, every human sleeps, every human eats.
• 1:11:30
  So if we can optimize the basics.
• 1:11:33
  We will become healthier.
• 1:11:35
  Well, Family, this has been awesome.
• 1:11:37
  This has been incredible.
• 1:11:37
  I just want to commend you both on answering so perfectly, so
• 1:11:43
  articulately providing really good insight and information.
• 1:11:46
  And I truly appreciate your time and energy.
• 1:11:49
  I think at this point, what we want to do is in closing, I want everyone to
• 1:11:53
  know that you can follow Amanda's work.
• 1:11:55
  and insights on healthcare and business reform at Holden timeless beauty.
• 1:12:01
  com obviously on Instagram at Dr. Is there a period in there?
• 1:12:06
  Yeah, doctor.
• 1:12:07
  Dr. Amanda Holden: dr. amanda.
• 1:12:08
  holden.
• 1:12:09
  Jerremy Newsome: Yeah, perfect.
• 1:12:10
  Thank you so much.
• 1:12:11
  And for my boy, Sean.
• 1:12:13
  For more info or information on Sean or free market healthcare solutions and
• 1:12:17
  entrepreneurial strategies, connect with him at the specific chiropractic centers.
• 1:12:24
  and follow him on Instagram at Dr. Sean Dill family We want to hear your stories.
• 1:12:31
  Have you had nightmare experiences with healthcare?
• 1:12:34
  You found a healthcare model that actually works.
• 1:12:37
  your thoughts.
• 1:12:37
  Tag us on solving America's problems, podcasts on Instagram.
• 1:12:41
  At solve USA pod on also formerly Twitter.
• 1:12:47
  you so much for listening.
• 1:12:48
  You're amazing.
• 1:12:48
  We appreciate your time and energy.
• 1:12:50
  Dave Conley: What'd you learn though?
• 1:12:51
  What did you learn?
• 1:12:53
  Jerremy Newsome: So what I, one of the things I learned from this broad
• 1:12:58
  conversation is I think for future episodes, we're going to get even more
• 1:13:04
  granular on solving very precise topics and discussions, maybe like emergency
• 1:13:11
  room health care or hospital treatment.
• 1:13:14
  Medicaid's going to be on the list.
• 1:13:16
  I also learned that both our guests are very well versed in this and they're
• 1:13:24
  obviously incredibly healthy people.
• 1:13:26
  I think both of them have so much knowledge on this particular topic.
• 1:13:32
  And ultimately, as we get more and more people that just truly care about
• 1:13:35
  the wellbeings of others, obviously ways that people can make profits.
• 1:13:39
  There's very easy ways for this to be a, currency circulating endeavor.
• 1:13:44
  But ultimately it doesn't have to be to big pharma or big food.
• 1:13:49
  can be to individuals, right?
• 1:13:51
  They mentioned concierge doctors and I have five or six people that I was
• 1:13:55
  like, just become a concierge doctor.
• 1:13:57
  Like you can probably make 40, 000 a month and work with, 30 people.
• 1:14:04
  And just, that's it.
• 1:14:06
  That's your job.
• 1:14:07
  You interact with those people.
• 1:14:08
  So that's another one of those micro gig economy feels.
• 1:14:13
  That's just available to a lot of the listeners out there because there's
• 1:14:15
  probably people out there that have medical degrees and medical licenses that
• 1:14:19
  also feel like they got burned in the medical space and healthcare space and
• 1:14:23
  they feel like they have nowhere to turn.
• 1:14:24
  there are plenty of individuals out there that do, that they do have a
• 1:14:28
  place to turn to and they do end up and eventually wanting to create that change.
• 1:14:34
  Dave Conley: I'm with you on that.
• 1:14:35
  I think the thing that, that became more clear to me on this.
• 1:14:39
  Episode was
• 1:14:41
  the medical providers aren't really there for you.
• 1:14:45
  They are.
• 1:14:46
  And they're not the insurance companies aren't really there for you.
• 1:14:50
  The big pharma, big food.
• 1:14:52
  They're not there for you.
• 1:14:54
  Jerremy Newsome: Yeah.
• 1:14:55
  Dave Conley: You have to be there for you.
• 1:14:56
  And all of those.
• 1:14:58
  institutions, all of those systems, all of those people in those systems,
• 1:15:02
  those are our tools and resources that you have to be knowledgeable
• 1:15:06
  about, that you have to work.
• 1:15:07
  You can't be the subject of those.
• 1:15:10
  You have to be the master of those.
• 1:15:12
  And I think too many people just forfeit their health and being.
• 1:15:19
  To these systems and these people and these institutions that don't have
• 1:15:26
  necessarily their best interest in mind because they have other masters,
• 1:15:31
  they have profits to make, they have other things that are going on.
• 1:15:36
  It's not that they're trying to kill you or that they're trying to keep you sick.
• 1:15:42
  It's just that the system doesn't really do a good job of balancing optimal
• 1:15:50
  outcomes for you as an individual and it is up to you to be at the center
• 1:15:54
  of this universe, not insurance companies, not medical providers,
• 1:15:58
  not big pharma, not agriculture.
• 1:16:01
  Those people are not at the center of the universe.
• 1:16:03
  You are.
• 1:16:05
  Jerremy Newsome: Yeah.
• 1:16:05
  I like that take.
• 1:16:06
  And it made my heart smile when Amanda said that the big initial shift that fixes
• 1:16:14
  a lot of these problems is education.
• 1:16:17
  me and you both know that listeners know that, but making those tweaks, making
• 1:16:21
  those adjustments, we are validated and aware that those are the actual problems.
• 1:16:27
  It starts with what we're teaching kids, how we're teaching kids,
• 1:16:31
  obviously the when are we teaching them?
• 1:16:32
  Where are we teaching them?
• 1:16:33
  How are we teaching them?
• 1:16:33
  Why are we teaching them?
• 1:16:34
  Who's teaching them?
• 1:16:35
  All those things need to be shifted, adjusted and changed.
• 1:16:38
  So listeners, appreciate you loving on this podcast.
• 1:16:43
  If you have not done it already where it's a reviewable podcast, click five stars.
• 1:16:52
  write up a review for us because allegedly it helps more people become aware of
• 1:16:55
  who we are and what we are trying to do and what we are impacting and creating
• 1:16:59
  and changing and shifting right now.
• 1:17:02
  This was another episode of Solving America's Problems.