Latest / Single Payer Health Care / Single Payer Radio Blue Zones Dr. Don Henderson 07-15-2026
Transcript
- 0:00Speaker 1: Hello, and welcome to Single Payer Radio. I'm Paul Hoppey,
- 0:04broadcasting from the Haburn Building in Louisville on the WFMP
- 0:08one oh six point five Forward Radio Community network, where news,
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- 0:16seven days a week if using opinions expressed on our
- 0:19show or those of the speakers and not the station.
- 0:22Single Pair Radio is produced by Kentuckians for single payer
- 0:25Healthcare in conjunction with physicians for a national health program.
- 0:30We produce this program because we believe healthcare is a
- 0:33human right. We advocate for a national, not for profit,
- 0:36publicly funded single payer healthcare system, commonly known as Medicare
- 0:41for All. It would cover dental vision, hearing, prescriptions, mental health,
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- 1:02And remember, this is an all volunteer radio station and
- 1:05relies on your ideas and donations to keep us on
- 1:07the air. For today's show, I'd like to take a
- 1:10moment to remind you that on November fifth, we're going
- 1:13to have what may be the most consequential election in
- 1:16our lifetime. It could very well be that the survival
- 1:20of our democracy's at stake. So be prepared to vote
- 1:24and encourage others to do the same. Once again, doctors
- 1:27Mike Flynn and Gene Shavely joined me as co hosts
- 1:30with their special guest. Let's get started.
- 1:33Speaker 2: Doctor Flynn, this is Michael Flynn, retired surgical oncologist from
- 1:39the Surgery Department at the University of Louisville. Let me
- 1:43begin with the usual disclaimer. Any comments I make represent
- 1:47my personal views and do not represent the views of
- 1:52the Department of Surgery or of the University of Louisville.
- 1:55Speaker 3: Jane, this is R. J.
- 1:57Speaker 4: Shavely. I amn't retired role surgery from Cambellsville, Kentucky, and
- 2:03anything I say do I represent the University of Louisville
- 2:07or Taylor Rational Hospel in Cameelsville, Kentucky.
- 2:13Speaker 2: So our topic today is something that I had almost
- 2:18no knowledge about before this was was scheduled, and I've
- 2:23been listening to a podcast or too, so I could
- 2:26learn something about it. So we could have an intelligent conversation.
- 2:30We have a special guest. The topic is blue zones.
- 2:34I'm not going to try to define it anymore than
- 2:38saying that these are locations in different parts of the world,
- 2:42at least that's my understanding of it, where Pete, where
- 2:45there's a somewhat larger component of the population that lives
- 2:51to be one hundred years old or older. Our special
- 2:56guest is Don Henderson. Don has been on this program two,
- 3:01three or four times. The last two programs he discussed
- 3:06private equity in healthcare with US and artificial intelligence in healthcare.
- 3:12Speaker 3: He is on the.
- 3:13Speaker 2: Faculty of the Lake Erie College of Osteopathic Medicine in Bradenton, Florida,
- 3:19and is a Doctor of Health Administration. He also has
- 3:25an MA in Healthcare Administration and the Bachelor of Arcs
- 3:28and Economics and Government. So Don, thank you for coming on.
- 3:33We're all looking forward to an interesting conversation, and as
- 3:38we have done in the past, we're going to give
- 3:40you an opportunity to make whatever comments you'd like to
- 3:44make for as long as you'd like to make them,
- 3:47and then Jane will begin the conversation. So Don, again,
- 3:51thanks for coming on, and the floor is yours.
- 3:55Speaker 5: Well, thank you all for having me today, and I'm
- 3:57very excited to talk about this topic, which is blue zones,
- 4:01and I hope that the listeners will bring something out
- 4:05of this that they might be able to use in
- 4:07their own personal health journey. I thought I might start
- 4:12out today, if it's okay, just talking about just health
- 4:15in general, and then just a short definition of what
- 4:20blue zones actually are so that the readers can get
- 4:23some context for what we're going to talk about.
- 4:25Speaker 3: Is that okay, Yes, that sounds excellent, Okay.
- 4:28Speaker 5: Well, I wanted to start out today to talk about
- 4:30what is the definition of health? And we teach healthcare
- 4:35administration here at the Leecom Medical University, and the World
- 4:40Health Organization defines health as a state of complete mental, physical,
- 4:45and social wellbeing and not merely the absence of a
- 4:49disease or infirmity. And this definition goes all the way
- 4:54back to nineteen forty eight and it talks about the
- 4:57philosophy of a shift from a purely medical treatment model
- 5:01to a more holistic view of well being in health.
- 5:04And I would argue there's a spiritual component as well,
- 5:06which we can certainly talk about more later on the
- 5:12origins of blue health. Go back to the year twenty
- 5:14twenty six years ago where there was a French professor
- 5:18of demographics, doctor Michael Poulane, and he was studying demographics
- 5:23and he noticed that an area of Sardinia, which is
- 5:26an island off the coast of Italy, had a very
- 5:29large number of people who lived to be over one
- 5:32hundred years old with relatively good quality of life. Beginning
- 5:36in two thousand and four. Four years later, his work
- 5:39was adopted and expanded upon by a gentleman by the
- 5:42name of Dan Buttener, who was a fellow of the
- 5:45National Geographic Society. So the National Geographic Society sponsored him
- 5:50on a research project to go and study other areas
- 5:54of the world where this phenomenon is also occurring. So,
- 5:58in addition to the island of sar Dan identified an
- 6:02additional four areas, which for which he coined the term
- 6:06blue zones. So may I go ahead and tell you
- 6:09a little bit about these other blue zones besides.
- 6:11Speaker 3: Sardinia, Yes, yes, please, Okay.
- 6:15Speaker 5: So Sardinia is a relatively small island that has a
- 6:19largely rural and agricultural population. One of the other identify
- 6:25areas that Dan Buttner identified was a part of the
- 6:28south of Japan known as Okinawa, and Okinaw is a
- 6:32series of three islands off the coast of southern part
- 6:35of Japan. The average lifespan in Japan in the United
- 6:38States is eighty five years, which is seven which is
- 6:43eight years greater than the US a average lifespan of
- 6:47seventy eight years, so the eight years differences is significant.
- 6:52In addition, another area was identified which is called the
- 6:56Nkoya Peninsula and I've actually been there. That's an area
- 7:00western Coasta Rica, largely surrounded by water and islands. There's
- 7:05also another island called the Island of Acaria, Greece, which
- 7:09was named after the Greek legend of Icarus who flew
- 7:12too close to the Sun if you remember that story,
- 7:15And that's an island, relatively isolated island in Greece. And
- 7:19the final area was lom Molando, California, which is a
- 7:23medium sized city located in the mountains about sixty miles
- 7:28of east of Los Angeles. So, based on his study
- 7:33beginning in two thousand and eight, going into twenty ten,
- 7:37he began to publish this. There have been several National
- 7:40Geographic Society television specials, so he has become known as
- 7:45the Guru of the Blue zones.
- 7:50Speaker 2: Done from my limited experience listening to podcasts. They benefits
- 7:59are I guess of living in a blue zone or
- 8:03combination of diet, exercise, social interaction, intellectual stimulation, and genetics.
- 8:11Can you kind of break these down for us and
- 8:14our listeners or put them together in some sort of priority.
- 8:18Speaker 3: Zone or are they all equally important?
- 8:22Speaker 2: I just never quite understood exactly how social interaction would
- 8:28be better or less important than diet.
- 8:32Speaker 5: Yeah. Well, first of all, I want to say that
- 8:34I am not a physician, so I don't really plan
- 8:37to speak about any kind of medical expertise, but I
- 8:40can quote studies that have been done. Probably we might
- 8:45want to start out with talking about what the public
- 8:49health side of this is, because you know, there is
- 8:53a science known as public health in the United States,
- 8:57and so through the years, the people that do public
- 9:01health have determined the prevalence of different factors that determine
- 9:07eventual physical health, morbidity, mortality. So there are five areas
- 9:12that public health talks about. So I'm going to give
- 9:16you the rough percentages, and please don't quote me on
- 9:20this specifically, but about thirty percent or almost a third
- 9:25of your health and eventual longevity revolves around individual behaviors
- 9:30such as your diet, your activity, your smoking or whether
- 9:33you smoke or not, and the other daily lifestyle choices
- 9:37that you make. The social determinants of health account for
- 9:41about twenty five percent. And there was a very famous
- 9:45public health study that was done in the city of Louisville,
- 9:47right where you guys are at that talked about the
- 9:50fact that people that had higher income and higher education
- 9:54and higher employment status actually lived on average about eleven
- 9:58years old from one side of the city of Louisville
- 10:01to another. So we can find that study and quoted
- 10:04if we want to, but that was done by the
- 10:07public health director in the county there in Louisville at
- 10:09the time, very famous public health study. Genetics and biology
- 10:14account for about twenty five percent, which are inherited traits,
- 10:18biological factors. Medical care. I'm sorry to tell you this
- 10:21because I know you guys are physicians, but organized medical
- 10:25care accounts for only about ten percent of eventual public
- 10:29health status, although obviously you cannot live without good medical care.
- 10:34And finally, the environment accounts for about ten percent. So
- 10:37I hope those numbers add up to one hundred percent.
- 10:40That environment would be the air, the water, quality of
- 10:42your housing, quality of your physical surroundings, and that includes
- 10:46even public safety. So I hope that was a quick
- 10:50and kind of a quick and succinct summary of what
- 10:53public health believes at this time.
- 10:58Speaker 4: Yes, now you mentioned social and having good friends and
- 11:08a social environment, and also spiritual environment and spiritual belief.
- 11:16Can you elaborate a little bit more on.
- 11:18Speaker 3: That, right?
- 11:20Speaker 5: So I thought we might, you know, I thought we
- 11:21should start with sort of the public health definition of
- 11:24what brings community health together. And there are lots of
- 11:27communities that have taken this knowledge and apply it. You know,
- 11:32one of the communities I'm familiar with is Tallahassee, Florida,
- 11:35which is the state capital down in the south, and
- 11:39they didn't use blue zones, but they used a very
- 11:41similar philosophy to improve the quality of the life there.
- 11:45There are large sections of Tallahassee that have lower income
- 11:48and disadvantage people, so they don't you don't necessarily need
- 11:51to adopt blue zones. But let me let me talk
- 11:54about the four main things of blue zones, if that's
- 11:57okay to talk about how that's been a opted and
- 12:01then tied to these air blue zone areas around the world.
- 12:05So the first area is the freedom of movement and
- 12:09the environment. So blue zone communities, when they studied them,
- 12:14they found that they are very condensed environments where people
- 12:19use foot transport or walking as the primary mode of
- 12:22getting around versus automobiles. In fact, many of these areas
- 12:25are poor areas when people don't even have automobiles, so
- 12:30they use constant, low intensity physical activities such as walking, gardening,
- 12:35and doing household chores and they have to do that
- 12:37to survive. So then diet, you guys mentioned diet and nutrition.
- 12:43Diets are very heavily plant based, relying on beans, rice, greens,
- 12:49and nuts. Meat is not eating every day, it's consumed lightly, sparingly.
- 12:55The third item is outset and mindset, which gets back
- 12:58to what you were talking about Dutch, such as knowing
- 13:01your reason for waking up in the morning. It's associated
- 13:04with added life expectancy. This includes for the elderly, assigned
- 13:09task giving them something to do, nurturing their passions and hobbies,
- 13:13veneration of the wisdom of the elderly, and frequent social activities.
- 13:19That also includes downshifting after work for those people that
- 13:22are working. The residents actively manage and reduce stress through
- 13:25daily rituals such as napping, praying, or enjoying a happy
- 13:29hour which is also known as wine at five, which
- 13:32I find funny, but they have moderate alcohol consumption that's associated.
- 13:37And then finally, something that you also alluded to is
- 13:40community and social connections, and that includes belonging to spiritual
- 13:45faith based community which which provides a consistent support and
- 13:50sense of longing. And that also includes loved ones coming
- 13:55first with multi generational households, keeping aging parents and grand
- 14:00parents nearby, committing to a life partner and a testing time,
- 14:05and love in their children. So all that is kind
- 14:08of elaborate, but those are the components of the blue
- 14:10zone philosophy.
- 14:13Speaker 2: How much of an issue is genetics in this? And
- 14:17the reason I'm asking is my parents lived until their
- 14:22late eighties. My father smoked. He had a watch that
- 14:28had an alarm that went off at four o'clock in
- 14:30the air afternoon, which was time to get the first drink.
- 14:34And from a dietary standpoint, they almost never ate vegetables.
- 14:38He called them rabbit food. So my question is how
- 14:47did these people live so and they never exercised.
- 14:51Speaker 3: How did these.
- 14:52Speaker 2: People who were doing all the wrong things last that long?
- 14:56Speaker 5: Well, yeah, I grew up in rural Kentucky too, out
- 15:00in Campbellsville, and you know, there are a lot of
- 15:04things that play against that, I would argue. You know,
- 15:07for example, most of the people that I knew when
- 15:10I was growing up lived on farms and they and
- 15:12they did a lot of physical activity, and they they
- 15:17did have faith based communities, and they did have social structures,
- 15:22which we've lost a lot of that now, Doctor Sharvey,
- 15:25you wanted to also make a comment.
- 15:27Speaker 4: Oh yeah, just give you an example. My mom and
- 15:34father had a group that they played cards with at
- 15:38least once a week. And these were five or six
- 15:42very close friends that they dealt with at least once
- 15:46a week, sometimes more, and they were very loyal to
- 15:51each other. They didn't always agree on everything, but they
- 15:54were still good friends. And that it's different now there
- 16:01are a lot of people and who don't have that
- 16:05type of social interconnection. The same way with small towns.
- 16:11Not only small towns, but cities who have faith based
- 16:15communities that they people interact with and a lot of
- 16:20these people have something that they do to help others
- 16:25practically every day when they get up in the morning,
- 16:28they have something to do and they have meaning to
- 16:34their life rather than just sitting around watching TV or
- 16:39something like that.
- 16:40Speaker 5: Yeah, so I think I think there are a lot
- 16:42of variables in play here. And you know, one thing
- 16:47we can't deny is that these people in these in
- 16:50these blue zone communities live ten ten years longer than
- 16:53the rest of us. And I don't know about you,
- 16:55but I'm kind of getting up there in years and
- 16:57I'd like another ten years of healthy existence. But we
- 17:01really can't say which of the factors have the have
- 17:05the biggest impact. I don't think anybody can determine what
- 17:09those variables are. But when you put them all together,
- 17:12all of the four or five components that I just mentioned,
- 17:16you lived ten years longer. So I think it's I
- 17:20think it's a philosophy. I don't think I think it's
- 17:23almost a I hate to say this, but I think
- 17:24it's almost like a pseudoscience. It's not a it's not
- 17:27a hard science. It's more of a philosophy when you agree,
- 17:30because that acknowledges that that health is more than the
- 17:35absence of infirmity. It's a spiritual, it's a social it's
- 17:39a mental health thing, don't you think.
- 17:41Speaker 4: Oh, Mike asked a question if just a few minutes
- 17:45ago about genetics, and I looked that up and I
- 17:47was surprised. Supposedly genetics the only place about a twenty
- 17:52percent role in this. Now, I think some of the genetics,
- 17:58the genes hasn't change, but we've interfered what those genes do.
- 18:03For example, just think of all the people you know,
- 18:06including myself, who've got a stint in the left hantario
- 18:11descending artery, and forty years ago, if somebody had a
- 18:18clot and a heart attack, they would be dead. Now
- 18:21I know multiple people. I know two people within the
- 18:25last month who've had an event with chest pain and
- 18:32had a stent placed in that artery and they're now
- 18:35essentially back to normal and only overnight stay in the hospital.
- 18:41These type of things are certainly intervening with our health
- 18:50what's happening to his health was and also increasing our longevity.
- 18:55But the interesting thing is, even though the America is
- 18:59spending over five trillion dollars a year and and the healthcare,
- 19:08our life expectancy is still below a lot of other
- 19:15developer countries like Europe and Japan and South Korea, Australia.
- 19:21So we're doing some things incorrectly. I think some of
- 19:26those things are smoking, not enough exercise, not eating the
- 19:33right type of food. We eat a lot of processed foods,
- 19:40and obesity is a huge problem in America. It's also
- 19:46driving up the cost of health. On the leading causes
- 19:50of the increased healthcare costs and in the last few years,
- 19:57and particularly last year, is the these new drugs that
- 20:01we can use for diabetes and also weight loss, and
- 20:05they're great drugs, but they're extremely expensive.
- 20:09Speaker 2: Well, we also have a dysfunctional healthcare system where a
- 20:12large proportion of the population either doesn't have any healthcare
- 20:17coverage or has only got limited healthcare coverage because of
- 20:22the cost of it. And it's going to get worse
- 20:26after this so called big Beautiful Bill was passed by
- 20:30the ideologic Neanderthals in the legislature, the national legislature.
- 20:36Speaker 4: Well, Kentucky just starting next month, the second of August,
- 20:42they're cutting Medicaid back four point five percent, and then
- 20:47Kentucky over the next ten years will probably lose over
- 20:53twelve billion dollars worth of benefits just for Medicaid a loan,
- 21:00So don you want to make a comment about that
- 21:04and how it's going to affect hospitals, And then you've
- 21:08had a lot of experiences in rural hospitals, and how
- 21:11are you approaching that issue in your school for teaching
- 21:17future administrators.
- 21:19Speaker 5: Yeah, that's a tough question. You know, I keep I
- 21:22stay up in touch with our with our newsletters and
- 21:27trade journals and healthcare and that sort of thing. And
- 21:30you know, there are largely we think we talked about
- 21:33this in a previous session podcast, but you know, there's
- 21:38probably twenty or thirty percent of the hospitals in the
- 21:41United States that are sort of on the ropes. The
- 21:44latest the number that keeps getting thrown out is seven
- 21:48hundred and fifty to eight hundred hospitals that are primarily
- 21:51rural will probably close. And so again trying to switch
- 21:58this over to a blue zone discussion, you know, the
- 22:00question is if the cutbacks are going to need to occur,
- 22:05then what can communities do. And one of the things
- 22:09I was going to mention is that the Blue Zone
- 22:12Project was formed, but then it was acquired as a
- 22:16not for profit subsidiary. Now the California Adventist Health System,
- 22:22which is a religious based health system, starting in twenty ten.
- 22:26So although the Blue Zone program does not operate for profit,
- 22:31it does charge fees to municipalities and other sponsors to
- 22:36promote and then certify communities as Blue zones. So more
- 22:40than eighty communities across the United States have signed up
- 22:43and paid the fees to establish and maintain a Blue
- 22:47Zone designation. So I can't solve the problem of royal
- 22:51hospitals today, and I regret all of the cutbacks that
- 22:55are occurring. But one thing that communities could do is potentially,
- 23:00you know, they have to do this, and as I said,
- 23:03I think it's more philosophy than a science, but they
- 23:06have to decide they want to do something to improve
- 23:10healthcare in their community. We know that the great majority
- 23:14of health status is not determined by organized medicine. So
- 23:18then the question is what can they do? And every
- 23:22community's got to face that decision, whether it's a county
- 23:25or whether it's a city, whether it's a region. And
- 23:29I do have some data that I would like to
- 23:32share later about the Collier County, which is one of
- 23:35the counties in Florida that has adopted the Blue zone
- 23:39designation when you feel the times.
- 23:41Speaker 2: Right, Well, DoD let me ask you, because this is
- 23:46something I didn't realize. Now, what can you explain what benefit?
- 23:51Just for the sake of discussion, we live in Jefferson County.
- 23:55Speaker 3: So if they went to the.
- 24:00Speaker 2: This blue Zone organization that's run by the Healthcare system
- 24:04in California and paid them a fee to be designated,
- 24:09do they have to prove something or do they just
- 24:12pay the fee and then they can get the title.
- 24:15Speaker 5: I think they pay the fee to the consultants, but
- 24:18the consultants basically work over a period of months. I
- 24:22don't think it's a for profit enterprise. I don't want
- 24:24to try.
- 24:24Speaker 2: To No, I understand that. But still they're paying a
- 24:29fee to get a title if you like, or a
- 24:32designation you don't need.
- 24:35Speaker 5: You don't need to again, going back to Tallahassee, because
- 24:38I'm very familiar. I've been to Tallahassee numerous times for
- 24:41legislative reasons. But you don't have to do it with
- 24:44the blue zone designation. It's just that some communities choose
- 24:49to adopt that philosophy and pay the fees, and they
- 24:54don't get the blue zone designation easily. It takes three
- 24:58to five years. So it's not something that people have
- 25:03to do. It's something that different communities around the country,
- 25:07and they're scattered out. There's places in the Midwest, places
- 25:10in California, places in the East. They have bought, they
- 25:14have drank the kool aid that that would be the
- 25:16right term, and they have decided that this philosophy is
- 25:20something that they want to adopt as a community.
- 25:24Speaker 2: Well, what specifically, aside from drinking the kool aid, what
- 25:28specifically do they have to do to justify that designation.
- 25:34Speaker 5: Well, I'll jump in if it's okay, if I jump
- 25:38into Collier County, which is located.
- 25:40Speaker 3: In Sure, whatever way you need to answer that is fine, Okay.
- 25:45Speaker 5: So this program in Collier County, which is the city
- 25:47of Naples and the surrounding area. This program, the Blue
- 25:51Zones program, was started ten years ago by a physician,
- 25:55doctor Alan Weissu. I know personally he's a pulmonologist, but
- 25:59at the time he also was the CEO of the
- 26:02Big Community Hospital in Naples Community Hospital, and he he
- 26:06learned about the blue Zone philosophy, he studied it, and
- 26:09then he made a pitch to the county commissioners that
- 26:13they should adopt the Blue Zone program. And as we mentioned,
- 26:17there are a number of components. I think there's nine
- 26:20or ten philosophies that the community adopts. So it basically
- 26:29involves the community members sort of like taking a pledge
- 26:31that they will engage. And there are things that there
- 26:35are specific things which we don't have time to go
- 26:38in today, but the Blue Zone people's basically become like
- 26:41health coaches and they will explain what's worked, you know,
- 26:44because we've got eighty other communities that are doing this,
- 26:47so there's a lot of data on what works, what
- 26:49doesn't work. But I'll give you the results and then
- 26:53we can talk about how they got there. So since
- 26:56twenty fifteen to the present time, which is ten plus years,
- 27:00Collier County has reported a fifty nine point one percent
- 27:03drop in tobacco usage. It has one of the lowest
- 27:06rates of tobacco usage in Florida in the country. The
- 27:11Residence Report Improved Mental Health Status. The surveys have shown
- 27:16a seventeen percent reduction in stress and a four percent
- 27:21decrease in depression, with seventy nine percent of the population
- 27:25feeling that they are in a state of improved mental health.
- 27:29The county received a reduction in chronic illness of twenty
- 27:34three percent, in obesity and a twenty eight percent drop
- 27:38in poor nutrition, and that was even before ozempic was invented.
- 27:43Twenty percent of the residents began exercising regularly at least
- 27:47thirty minutes a day, three times a week. One thing
- 27:50that I can attest to because I visited Naples is
- 27:53that the entire downtown area was reconfigured to make it
- 27:57more pedestrian and bike friendly. So there are expanded sidewalks,
- 28:04there's a lot of traffic circles that have been put
- 28:09in place of lights. They're safer pedestrian crossings. And there
- 28:14was also over seven hundred and eighty local restaurants, schools,
- 28:18and workplaces became Blue Zone approved by altered their environments
- 28:24to make healthy choices easier, such as modifying their menus,
- 28:28encouraging walking, providing bike cracks. So some of that's fairly
- 28:35easy to quantify. Something maybe a little bit harder, I
- 28:39will say. One thing about Collier County is a very
- 28:41wealthy county with high income people. Most people know that
- 28:46Napoles is one of the richest retirement areas, but like
- 28:49most areas. They also have lower income folks as well,
- 28:52but it was something the community and the county commissioners
- 28:56got behind and decided to do. I hope that at
- 28:59least answer part of your questions.
- 29:01Speaker 2: Well, that's interesting because some of that stuff is going.
- 29:04Speaker 3: On here in Louisville.
- 29:06Speaker 2: I don't know that anybody's trying to get a blue
- 29:08zone designation, but we've got more bicycle lanes the sidewalks,
- 29:14and they're adjusting that, making some some of the main
- 29:19streets two way instead of one way in order to
- 29:23cut down on the speeding and accidents that go on there.
- 29:28So that's very it's very it's a good answer, thank you.
- 29:32Speaker 3: Yeah. I think that.
- 29:35Speaker 5: My own belief is that you don't have to pay
- 29:37any money to the blue zones people. Although you know, coaching,
- 29:42why does anybody have a coach, whether you're playing sports,
- 29:44whether you're practicing medicine, you know, you have a mentor
- 29:48you have a coach. Is it worth the investment of
- 29:52hiring a full time coach to coach you to improve
- 29:56your performance. Only the community as a whole can answer
- 30:00that question. I don't think that blue zones is ripping
- 30:03people off. I think they're covering their costs because it
- 30:07is a not for profit health system that sponsors this.
- 30:10But they're also certainly not free, so you know, you
- 30:15have to make your own choice.
- 30:17Speaker 4: Well, one of the interesting things is that it's becoming
- 30:21more and more more interesting is exercise. And I don't
- 30:27mean exercising like an athlete, but Susan and I recently
- 30:33have started going to exercise about the last nine months,
- 30:44and we have our exercise coach and we do it
- 30:49about three times a a week and it makes you
- 30:54feel better. And the Europeans have done some really interesting
- 30:58studies with depression. They found that they had one group
- 31:05who took the ordinary medication for nature depression, and then
- 31:10they had another group. They got them involved in an
- 31:13exercise program, and the long term results were the same
- 31:18the people who took the medication and the people who
- 31:22did the exercise. The people of the exercise depression did
- 31:28as well as the ones who took the medication.
- 31:31Speaker 5: Yeah, I think you've got to go back to the
- 31:34to the science of public health and what they call
- 31:37the built the built environment, that's what they call it
- 31:40in public health circus circus. So let's talk about the
- 31:43city of Minneapolis. Minneapolis is considered the number one city
- 31:48in Minnesota for both the overall state of health as
- 31:52well as the quality of medical care, so they don't
- 31:55really cut corners up there. And the whole city of
- 31:58Minneapolis has been designed to be bike and walking friendly.
- 32:04And the way they get around it snows a lot
- 32:06up there, but the way they get around it is
- 32:08they have a lot of tunnels, so all the buildings
- 32:11are connected with tunnels underground so that you don't need
- 32:14to use public transport. You can walk or you can bike,
- 32:18and there actually are separate bike lanes and walking lanes
- 32:22that are separate from traffic from automobile traffic. So that's
- 32:28just part of the idea. But the whole idea is
- 32:30that cities and communities need to be redesigned so that
- 32:34people can live their life and go about the activities
- 32:37of daily living without having to get in a car.
- 32:41And then once you do that, then naturally, over time,
- 32:45people will walk more and they will socialize more because
- 32:48they're not trapped in their own watching TV or being
- 32:52on the internet. So, once again, I would not call
- 32:55this science, I would call it a philosophy.
- 32:57Speaker 2: Well done. I don't know if you know the answer
- 32:59to this, but I want to ask the question anyways,
- 33:03what kind of quality of life does an individual have
- 33:09who is one hundred years old or older. I mean,
- 33:13it's not like are going to be running marathons and
- 33:17things like that, or swim elo. What's his name, Dick
- 33:20van Dyke apparently swims in the pool every day, So
- 33:24I mean, I guess there's I'm just kind of curious.
- 33:28Is there any I've got any information about the quality
- 33:33of life of you know, people who are over a
- 33:35hundred or one hundred plus years old.
- 33:38Speaker 5: Well, I think you have to go back to those
- 33:40rural communities such as Okinawa. I recently went to Japan
- 33:45to visit my daughter who lives there in a rural
- 33:48community outside of Tokyo, and you will see elderly people
- 33:52walking around. The communities are very compact. You can walk
- 33:57and get from point A to point B. You will
- 33:58see elderly people out walking. They seem to be enjoying themselves.
- 34:04I've been to the Decoya pennsil Peninsula in western Costa Rica.
- 34:07Very few people can afford cars there. They're out walking,
- 34:10they're socializing. I've never been to Greece or Loma Linda, California,
- 34:14so I can't really say I've never been to Sardinia.
- 34:18But it's the built environment, it's the socialization, it's the
- 34:21spiritual side. And I would say that people living in
- 34:24those communities, yes, they do get out, they do walk,
- 34:28and I can't really argue, you know, talk about their
- 34:31mental health or their quality of life. But it's not
- 34:35unusual to see people that look to be in their
- 34:37nineties out walking around in Japan. I just saw that
- 34:40a few months ago when I was there.
- 34:42Speaker 4: Down there a lot of adventaged hospitals in Florida, Which
- 34:47been your impression of them? And are they different than
- 34:52other hospitals.
- 34:53Speaker 5: I think that they definitely incorporate the spiritual element into
- 34:57everything that they do. Act they had talked about I
- 35:02had an Adventist hospital that was close to the hospital
- 35:05that I was running a few years ago, and they
- 35:07actually even talked at their hospital about the idea that
- 35:10if you use the Avenue Hospital, you live to be
- 35:13one hundred, you know, So they were thinking about that
- 35:17even then. And many of the practices of the Adventists
- 35:21Seventh day Adventist religion are fitting right into this blue
- 35:25zone philosophy. For example, they don't they don't eat meat.
- 35:29They believe very much in spiritual wellness, they believe in
- 35:33physical fitness. So I think this is a very good
- 35:37match for the Avenue Health System, and the and the
- 35:42and the and the health system is close closely tied
- 35:44to their medical mission. They are building retirement communities all
- 35:49over Florida, and they are really not only talking the talk,
- 35:53but walking the walk about trying to make a significant
- 35:57improvement in the health status not only for their fishers,
- 36:00but before the community as a whole.
- 36:03Speaker 4: Let me just explain some people may not know about
- 36:08Seven Day Advents. They're a Christian group. The only difference
- 36:12between them and most other Christian groups is that they
- 36:17celebrate the Sabbath on Saturday, the traditional Jewish Sabbath, and
- 36:24they worship on Saturday instead of the first day of
- 36:28the week on Sunday. And they do have some very
- 36:35strong ideas about not drinking and smoking and and there
- 36:40are a close group of people who who socialize a
- 36:46lot together. And the ones I've known is have been
- 36:51extremely very good Christians and good people to know. Uh myke,
- 37:00you remember the radiation therapist I'm trying to think of
- 37:05his name, who was at Loyal was one of the
- 37:07first the radiation therapists, and he came to Campbellsville and
- 37:13did radiation therapy for a while before he moved back
- 37:16to California.
- 37:17Speaker 3: Oh yeah, I remember who it is. I can't remember
- 37:20his names.
- 37:21Speaker 4: Yeah, yeah, he was the Seven Day advant He provided
- 37:27great service for us for a long period of time
- 37:31and really played a big role in getting our role
- 37:35Cancer center in Campbellsville, which really changed cancer treatment for
- 37:43us because we had lots. We essentially solved the disparity
- 37:49of care between rural and urban areas because we were
- 37:53able to provide most of the care for cancer patients
- 37:56locally and we equalized cantric care. And we're still doing
- 38:03that and doing a great job.
- 38:05Speaker 3: Well.
- 38:05Speaker 2: Don One of the podcasts that I listened to, there
- 38:11had been a discussion about a concern that there were
- 38:16commercial interests getting involved in the blue zone issue and
- 38:22the designations. And this was not the Seventh Day Adventist,
- 38:28not for profits, but this apparently where again I'm speaking
- 38:32out of ignorance as much as anything else. So my
- 38:36question to you is are there issues going on with
- 38:41for profit interests getting involved in the whole designation and
- 38:47the blue zone activities.
- 38:49Speaker 5: Yeah, I have no knowledge of that. I mean, I
- 38:52know the ave in the cell system. They're good people.
- 38:56They really truly believe that the work that they do
- 39:00improves the health of the community, and so I can't
- 39:04say anything negative. I would be very surprised.
- 39:07Speaker 3: You know. The only the only way that could if.
- 39:09Speaker 5: It's one hundred percent owned by the by the health
- 39:12system in California. The only way that could occur is
- 39:14if some kind of a license was, you know, some
- 39:17kind of commercial arrangement. But I'm I'm I'm not aware
- 39:20of that, and I would be surprised if that was
- 39:22the case.
- 39:23Speaker 4: You know, Low Melenda is their lead hospital and medical
- 39:27school and they I really do advance medical care there
- 39:32and they've been doing that for a long period of time.
- 39:35Low Molenda plays a significant role also in global healthcare.
- 39:42They have been involved in Packs, a group of of
- 39:51hospitals and physicians in Africa which have trained of Africans
- 39:59to acts in Africa. In the last twenty years, they've
- 40:03trained over one hundred general surgeons to stay and work
- 40:09in Africa and they are involved in multiple different countries
- 40:13in training not only general surgeons but thrastic surgeons. Cardiothrastic surgeons,
- 40:23pediatric surgeons and head next surgeons and or peak surgeons.
- 40:27They've made a great contribution to global surgery, and a
- 40:32lot of this has been led by Seven Day Adventists
- 40:36and using the facilities and the help from Low Molinda.
- 40:44Speaker 2: Well a number of we talked about this at our
- 40:47last program on mission trips to the Third World countries.
- 40:51A lot of religious organizations have established working areas in
- 40:57different countries and Third World countries, and as it was
- 41:02pointed out, one of the main benefits of doing this
- 41:06is training the local physicians and having them stay in
- 41:11their country to practice medicine or surgery or whatever the
- 41:16specialty that they were involved in.
- 41:19Speaker 4: Don One of the things that's about the Blue Zones
- 41:22is that I read about that they emphasized was close
- 41:26friendships of a lot of the people and who are
- 41:32they recognized and the people who lived in these original
- 41:37five Blue Zone areas had close friendship with people that
- 41:42they talked to every day and that they had a
- 41:46close relationship with. I think this for some extent, we've
- 41:53lost a lot of that in America, particularly among men.
- 41:59There's a problem with men's socializing and having close friends
- 42:04and this led to some isolation and loneliness and also
- 42:12mental illness. You want to comment a little bit about that.
- 42:16Speaker 5: Well, not from the clinical side, but certainly I would
- 42:18agree with the comment about that the social component is
- 42:23very important. And so you know, in the Blue Zone
- 42:29literature they talk about having a tribe, right, that there's
- 42:33a tribal In other words, you cannot human beings are
- 42:37not really set up to not They're set up to
- 42:42thrive in a community and to not thrive if there
- 42:44is no community, and they call it a tribe, whatever
- 42:47term you want to use. Those are kind of natural
- 42:51in smaller, smaller town environments because you know, I partly
- 42:55grew up in a small town in Kentucky, and everybody
- 42:58knows everybody when I When I went down the street
- 43:01as a child, they used to go out and visit
- 43:04all the different establishments they I would be at my
- 43:07grandmother's jewelry store, and then they'd send me out into
- 43:09the road to get rid of me until sundown, and
- 43:13I would go around and visit other merchants and walk
- 43:16through the streets, and everybody everybody not only knew me,
- 43:22but they knew what I was doing and where I
- 43:25was going and if I got out of line, they
- 43:27would report it. You know, So that tribal thing is
- 43:32a real need for human beings, and the question is
- 43:35how can we bring that back. I would say people
- 43:39generally are tired of just being on the internet all
- 43:42the time, and they look for opportunities to socialize. I
- 43:47think it's a natural human emotion and we you know,
- 43:51maybe we've hit bottom. It needs to come back the
- 43:54other way, depending on needs to swing back. And there
- 43:58are different ways to accomplish it. You can accomplished in
- 44:01a church, in a religious environment. You could accomplish it
- 44:04in many different ways. But I would I would certainly
- 44:10try to prescribe that if somebody in this listening feels
- 44:14like they've been isolated, I feel that that's not good
- 44:17for you, and you need to think about what you're
- 44:20going to do to try and increase your socialization, especially
- 44:23as you age out.
- 44:25Speaker 3: Now.
- 44:25Speaker 2: We talked about this in an earlier program a couple
- 44:28of months ago with the doctor Iden, and the topic
- 44:33of the program was screen addiction, and it dealt with
- 44:38just those things you were talking about don the addictions
- 44:41to the screen of your computer, your cell phone, and
- 44:45how this is an issue that has a developmental impact
- 44:50on the brain, especially of children and adolescents. And one
- 44:57of the sort of outcomes of the discussion was that
- 45:00that there needs to be a limitation to the screen
- 45:05access to older children, well all children and adolescents until
- 45:11they get to be into their their late teens in
- 45:15early twenties, when the brain where they impact or the
- 45:20effect of all of these the screen addiction and the
- 45:23isolation does affect the brain and the ability to socialize.
- 45:33Speaker 5: Yeah, and I think I think it gets back. You know,
- 45:35obviously there's a lot of water that's under under the
- 45:38bridge that we can't go back and retrieve because this
- 45:41is this has all occurred in the last twenty years,
- 45:44all of the screen addiction and stuff. But you know,
- 45:47now the question is what do we what do we
- 45:49do going forward? And so ultimately people have to be
- 45:55adopted or adopt themselves into a tribe. And that's why communities,
- 46:00smaller communities especially are you know, religious is important, but
- 46:07any kind of a tribal type of activity and loyalty
- 46:12to a tribe and identifying with the tribe will do
- 46:17maybe not as well as being part of a church.
- 46:19So I just think that the long term people that
- 46:24want to promote the entire concept of holistic health have to,
- 46:29you know, work in their environment, work in their communities.
- 46:34A big part of this is discussing this and making it,
- 46:37making it public knowledge, like you guys are doing here today,
- 46:41letting people know that the solution is not necessarily organized medicine.
- 46:46The solution is a whole societal review that's going to
- 46:50have to happen in communities like Naples and like Loma Linda.
- 46:55They've got to start thinking about what the pathway forward
- 46:58is going to be. Because we can't just keep treating
- 47:01the the medical outcomes. We've got to do some preventative work.
- 47:07So this is part of the preventative opportunities.
- 47:10Speaker 2: That we have. Well, that's exactly what the screen addiction
- 47:14program what he was recommending. I've got two grandsons that
- 47:19are that are nine and five, and I've talked to
- 47:23my daughter about this, and they they restrict their their
- 47:27activities in front of televisions and cell phones and and
- 47:32I think some of the issues that are going on
- 47:34in the Jefferson County school system where they're I'm not
- 47:38exactly sure where they are with this, but there's some
- 47:40discussion about limiting access of children in schools, middle school,
- 47:47primary school, middle school, and high school.
- 47:51Speaker 3: While they're in school.
- 47:53Speaker 2: And and you know, one of the other recommendations was
- 47:56this that doctor Iden had was that until they're in
- 48:02their late teens in early twenties, they should have a phone,
- 48:06but a phone that allows you to communicate with your
- 48:09friends or your parents, but doesn't allow you to get
- 48:12on the internet or get onto TikTok or some of
- 48:15these other some of these other things that are actually
- 48:21designed to increase the risk of screen addiction.
- 48:25Speaker 5: Well, that would be a good, a good first step.
- 48:27Speaker 1: You know, I've been thinking about my own my own
- 48:30self during this discussion, and I consider in my retirement,
- 48:34I'm an older person, and I consider myself a social activist,
- 48:37and consequently I'm involved in a lot of different activities.
- 48:41And what I find is that these these social activist
- 48:45groups that I've belonged to. Of course, single pair of
- 48:48healthcare is one of them. Doing this volunteer radio station
- 48:52is another. But I'm often placed in people in my
- 48:55age group. Those are the people who inhabited the inhabit
- 48:59these organizations, and they tend to be older, but they're
- 49:02they're very engaged in social activity. And I think in
- 49:06a way, I consider the people who do this that,
- 49:09at least that I know, to be sort of tribal.
- 49:13This is our tribe, and not only do we function,
- 49:16but we flourish in it. I know lots of old,
- 49:19older people that they interact with that are very engaged.
- 49:22They're very alert, They're on the go all the time.
- 49:25So I think I think there's something too that that
- 49:28tribalism that helps out in this.
- 49:31Speaker 2: Well. I wonder if you're still going to be around
- 49:33here when you're one hundred years old.
- 49:36Speaker 1: Well, you know I told you before, Well, I don't
- 49:38want to be.
- 49:39Speaker 2: I'm gonna I'm gonna try to hang around not long
- 49:42to see if you're gonna make it.
- 49:44Speaker 1: But isn't it true though we all know people out
- 49:47in the you know, out in our lives that are
- 49:50like that. We know the ninety year olds that are
- 49:52still driving a car, they're still very active. Some of
- 49:55them still even play golf.
- 49:57Speaker 4: It's it's very interesting that when we got to Dollywood
- 50:03yesterday afternoon about five o'clock, almost all the Belman are
- 50:08senior citizens and they enjoy what they're doing. I talked
- 50:12to one guy who restoring our car. And he was
- 50:16retired a railroad man, and he said he retired for
- 50:20about two months and he was just driving him nuts.
- 50:23So he got this job at Dollywood and he's very,
- 50:27very happy, and he meets a lot of people and
- 50:33he finds fulfillment in his job. And I think that's
- 50:38really important for people who are retired to get involved
- 50:42in some type of activity, they have to be careful.
- 50:47I have a happy to get involved in too much.
- 50:50But if you wake up in the morning you got
- 50:53something to do. I seem to do be happier and
- 50:58I seem to be able to get things done by
- 51:00better than if I'm just sitting around doing nothing.
- 51:02Speaker 2: Yeah, this is a really good conversation, and I hope
- 51:06our listeners are enjoying this and appreciating what we're saying.
- 51:12Speaker 1: You know, there's another another thing I just read in
- 51:14a recent study about people who live in the blue zones.
- 51:17This one's specifically done in Sardinia. But they take pleasure
- 51:24in doing what they're still able to do, and they're
- 51:27not that concerned about the thinking no longer do so
- 51:30that makes them feel better. But in our culture, if
- 51:34you think about it, we're always driven to do things
- 51:37that are beyond our current age group. You know, you
- 51:41even see the TV ads of the older people ziplining
- 51:45and climbing mountains. The fact is we're not able physically
- 51:49to do those things anymore, but we continue or led
- 51:52to believe that we can, and we try and inadequate
- 51:55or not successful. I know older people that I hear
- 51:58it all the time. All they talk about is what
- 52:01they used to be able to, but they don't focus
- 52:03on what they can do and try to get their
- 52:05enjoyment in fulfillment out of those things.
- 52:08Speaker 2: Well, don one more one more question about the blue
- 52:12zones that I'd learned listening to one of these podcasts,
- 52:17and there there seemed to be, at least in some areas,
- 52:21some concerns about the accuracy of identifying a blue zone
- 52:26with you know, different records of life, life records and
- 52:33family records and you know, things like that. Is that
- 52:37much of an issue? Again, it was, as I said,
- 52:41I listened to a number of these podcasts so that
- 52:43we could have some intelligent conversation, and this was one
- 52:48of the things that came up that I thought was
- 52:50an interesting observation.
- 52:53Speaker 5: Well, I think, you know, again, trying to look at
- 52:57the scientific side of this. I think that blue zone
- 53:00can be transitory, right because everything, everything is in a
- 53:05state of constant motion. You know, you've got a dynamic
- 53:08system there that all of these variables are playing into
- 53:12whether your community could, if you paid the money, be
- 53:16designated as a blue zone or not. Now I'll tell you,
- 53:19I spent a week and a half in Japan, and
- 53:22I'm concerned because you can see that obesity is going
- 53:27up in Japan. You can see that they're eating a
- 53:30lot of bad food. They've unfortunately the American corporations have
- 53:34got them hooked on fried chicken. They're eating fried chicken
- 53:37all the time, at least once or twice a week
- 53:39there most most Japanese people eat something called kage, which
- 53:43is fried chicken, and it's become part of the staple diet.
- 53:47So this is the this is the thing. Even in
- 53:51these communities that are the blue zones, whether you pay
- 53:54to get the blue zone designation or not, you can
- 53:57lose many of the factors that are are associated with
- 54:03better health. And so I don't know if I'm really
- 54:07answering your question or not, but this is a content,
- 54:10this is something that needs a constant state of maintenance
- 54:14and a and a concerted effort by the whole community
- 54:19to try to improve. Over time, you can backslide, you
- 54:22can go the wrong way. And as I said, I'm
- 54:25concerned about Japan and some of these other areas, as
- 54:28they become more developed, more tourists move in, more American
- 54:31lifestyles come in, we could we could wind up, you know,
- 54:37maybe making the health situation worse.
- 54:42Speaker 4: Donnaston is also true that the Japanese drink quite a
- 54:46bit of alcohol.
- 54:48Speaker 5: I I didn't see that.
- 54:49Speaker 3: I didn't see that.
- 54:50Speaker 5: I have no idea, you know, I'm only a tourists,
- 54:53so I don't I think, I think, but it's you know,
- 54:56alcohol consumption is obviously a factor in a and negative health,
- 55:01So excessive consumption. So whatever community you're in, you got
- 55:07to watch that. And I lived near the Villages, which
- 55:12is a very infamous or famous community that's in central Florida.
- 55:16And when I used to go out, and I was
- 55:19working in the hospital at the time, people would start
- 55:22drinking at eleven o'clock in the morning, you know, and
- 55:25they would be out socializing and drinking. The socialization part
- 55:29was good, but the drinking was bad. Right, So every
- 55:33community has got to watch this and put as many
- 55:36of these factors in place as possible if they can.
- 55:41Speaker 2: Okay, guys, one more thing quickly, we're at we're at
- 55:45the four minute level. So Gene, maybe one more question
- 55:49and then Don we're going to give you an opportunity
- 55:51to make whatever final comments should Mike and then and
- 55:55then Paul's going to take us out.
- 55:57Speaker 4: Let me like just one comment. Interesting that consumption of
- 56:01alcohol in America has gone way down. I know I
- 56:08have a friend who owns a vineyard in Norland, California,
- 56:11and hey, can you sell its grapes now? And there's
- 56:14been several brewery uh distilleries in Kentucky that have gone bankrupts.
- 56:20So that's very interesting. Don you want to make a
- 56:24final comment?
- 56:26Speaker 5: Yeah, I think we just want to recap what the
- 56:28blue zone philosophy is. Again, I'm not going to try
- 56:30to call it a science, but let's talk about the philosophy.
- 56:34You know, if you if you believe in the blue zones,
- 56:37you've got to improve your physical activities and put away
- 56:41the put away the automobiles and use walking and a
- 56:45low intensity physical activity on a routine basis. Uh, You've
- 56:50got to change your diet and nutrition to be more
- 56:54plant based with whole grains, greens and vegetables, nuts, and
- 56:59cut down on your meat consumption. You have to have
- 57:02a purpose in life. You have to know your reason
- 57:05for waking up, and that's associated with added life expectancies.
- 57:10You've got to de stress and downshift if you're working
- 57:14to manage stress and reduce stress through daily rituals. And
- 57:19you've got to have a tribe, you've got to belong,
- 57:22put your loved one first, and maybe even consider joining
- 57:26a faith based community. So just wanted to wind up
- 57:29with that and as much of that that you can
- 57:32incorporate into your life. I think it's associated with certainly
- 57:35a happier life, happier life, better health status and who
- 57:39knows me you may live to be one hundred.
- 57:41Speaker 2: Well, don I want to thank you again for coming
- 57:44on and this is really an excellent program and I
- 57:48hope our listeners enjoyed as much as I have.
- 57:51Speaker 1: That's all for today, Thanks for tuning in and join
- 57:54us next time for Single Payer Radio.