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Navigating a Complex Healthcare System

As Nir Barzilai & I discussed in podcast episode #204, one of the foundational lessons we can take away from studying centenarians — those who have lived to the age of 100+ — is that if you want to live longer, you have to live longer without chronic disease, not live longer with chronic disease.

Unfortunately, this is not how our current healthcare system is structured. Our current healthcare system is primarily geared toward helping you live longer once you develop chronic disease. As Allan Sniderman and I discussed, even the tactics geared toward prevention — such as the 10-year risk assessment for cardiovascular disease — are simply implemented much too late.

This, of course, is the opposite of the approach I take with my patients. Below is a collection of content discussing why early disease prevention is critical and how to be your own advocate in a complex healthcare system.

This audio clip is from ask me anything (AMA) episode #19, originally released on January 18, 2021. If you’re not…

To the general public, the trial-and-error process of science and medicine may erode confidence, but without it, we’d have no science and medicine at all.

This video clip is from episode #58 – AMA with sleep expert, Matthew Walker, Ph.D.: Strategies for sleeping more, sleeping…

“People don’t just die from disease, they die from the care itself.” —Marty Makary

“To me, the takeaway for us, as physicians or people who want to have an extra five years of life or 10 years of life… is nothing matters more than prevention of chronic disease. And by the way, you don’t get to prevent it once you have your heart attack. Secondary prevention is not prevention.” – Peter Attia, M.D.

This audio clip is from AMA #14: What lab tests can (and cannot) inform us about our overall objective of…

This video clip is from episode #185 – Allan Sniderman, M.D.: Cardiovascular disease and why we should change the way…

In this “Ask Me Anything” (AMA) episode, Peter and Bob take a deep dive into zone 2 training. They begin…

“People die much more miserable than they need to because they haven’t dared to look at this thing called death before it’s too late.” —BJ Miller

One of the most common questions I encounter, in one form or another, is “How can I find a good…

“Metabolic health really matters. It is the common thread that links all of these chronic diseases.” — Peter Attia

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