The Corruption Of Healthcare & The Poisoning Of Our Food System | Dr. Marty Makary

[@JoshTruff]

Dr Mike has slowly gone from a neat youtube channel to one of my favorite voices in media. Thanks for these

[@NSA.]

👍

[@han.nah.]

Accurate! I was just thinking while listening to this podcast that Dr. Mike is one of the only medical voices I trust.

[@tommo5884]

So many deaths from dihydrogen monoxide!!! Yet farmers spray it on their crops! This madness has to stop!

[@cdegeare]

Dr. Mike pushing back on Dr. Makary's cursory statements is important & refreshing. It's incredible that someone from John's Hopkins can be so reckless when he speaks. It's great that Dr. Mike understands and insists on nuance in a conversation, especially when dealing with such important matters. Thank you, Dr. Mike, for showing that binary speaking/thinking is not helpful & can, in fact, be hazardous.

[@suzanneemerson2625]

“John’s Hoskins” 😂 😂😂😂😂😂

[@cdegeare]

​@@suzanneemerson2625, thanks

[@donnamanning1975]

He’s not going to fit an entire book into one interview. I bought the book to read. That’s the real takeaway. Educate your end instead of expecting anyone else to do it. We can hear them but you still need to look into the facts. The problem is it’s science and its dynamic.

[@Justanotherconsumer]

@@donnamanning1975the problem is that this guy doesn’t know the science, he just wants to sell books.

[@cdegeare]

@@suzanneemerson2625 thanks

[@Rabaheo]

"bills are negotiable, a lot of people don't know that." Ok, I can know that, but that doesn't translate into Knowing what the average price Should be, what I can negotiate to, or having the time off work to go commit myself to more labor to argue with people. I don't have the knowledge or the time and energy. I don't feel like the consumer should be responsible for self advocating against the industry, and especially not if they've been through a health issue major enough to require a hospital's intervention.

[@Bradimoose]

After you get in a car accident on a road trip with a brain injury, you are expected to make sure the anesthesiologist is in your network before they give you drugs when you're in a coma. After they're done with the emergency operation, you can negotiate how much an IV, brain surgery and physical therapy is. That is, assuming you can keep your job and health insurance.

[@SlateBlueC4t]

Wtf is this system, guys. I'm horrified after reading your stories.

[@mowglinhazel8731]

And you shouldn't have to haggle for healthcare, it's not a used car! Any haggling that happens should be between the insurance company and the hospitals and not the patient

[@14s0cc3r14]

You don’t need to know any of those things, none of those give you negotiating power. Your power is to not pay and be as annoying as possible to collect from. Then you just offer them more than what a debt collector would offer them to take on your debt.

[@JobethGurgenc]

​@@14s0cc3r14Absolutely. But how do we figure out how much a debt collector will pay?

[@redfeather7986]

My first appointment with my PCP she said, "I don't know." She looked a little nervous but I was so excited. So many doctors prior to this made up answers, and I knew she would be great to work with

[@hdusten]

After years of searching for a diagnosis on some of my own issues. I ended up in a "teaching hospital" where I believe Drs just behave differently. I was given all the tests I've had before and then sat down for 1.5hrs with my (new) PCP and she said "Alright, we don't have any solid evidence of what is going on - but if your willing to work with me I'm willing to learn with you to help". After 9yrs in the system I just literally broke down. 3yrs later and we have made significant progress. I essentially have Post Viral Onset Autoimmune Disease and I got this long before it was being researched deeply because of C19. Anyway, Drs need to remain teachable and humble at all times - it should be the literal first words of the Hippocratic Oath.

[@redfeather7986]

@@hdusten That's an incredible story!! It always feels strange to congratulate someone on getting a diagnosis...but you worked so hard to get it! Glad you finally got answers but so sorry it took so long! I know you've been through it when a doc talks to you like a human being and it feels like someone finally understands. Thank you for commenting this, from one autoimmune warrior to another❤❤

[@JAston-vu3gl]

@@hdustenmost PCPs would love to spend 90 minutes with their patients. In the current system, that's virtually impossible for a huge majority of clinicians.

[@hdusten]

​​@@JAston-vu3gl I 100% agree, people can tell when a Dr emotionally wants to do more but just can't - due to any number of factors and I think this should be communicated more. I really don't think this will be solved until data driven personalized medicine becomes a reality in the world. I really only think AI is going to be able to do this at scale. We're humans, we progress (on the whole) so we're going to get there. At the end of the day I wanted to share that you should never stop searching. While I'm not cured or healed by any stretch. I am now in what feels like a human relationship with my clinician. I cannot tell you have many Drs just said there's nothing wrong, it's in your head, seek psychiatric help, etc. It can really destroy your resolve. So in short, don't give up.

[@hdusten]

​@@redfeather7986 😊 Sending that energy right back to you!

[@LisaLittleAlien]

We need to make healthy food affordable! Processed, unhealthy food is cheap. Fresh, good food is so expensive!

[@teamrgvbodybuilding1772]

Unprocessed food is actually usually less expensive when you see what you get out of it, BUT processed food is more convenient

[@erynlasgalen1949]

That is because of the limited shelf life of unprocessed foods. It will always cost more.

[@ordersquid38]

That’s realistically impossible

[@Kristinapedia]

@@teamrgvbodybuilding1772 CORRECT!!! It's MUCH cheaper for real food than "fake" food!! People just don't know how to shop!

[@lbean6039]

It’s less expensive to eat healthy if you’re eating foods that satiate you.

[@vectorwolf]

My mom got very ill, was in the hospital for a couple of weeks. Unfortunately, she died in hospice care after a couple months. A month after that, the hospital just casually dropped a $3000 bill on me for the surgery she'd had that ultimately didn't help (because her insurance died when she did and they refused to pay the hospital). I contested it and the hospital ultimately dropped the charge, but that was a hell of a thing to have to deal with on top of the death of a parent.

[@al-qasimfoods7219]

So sorry for ur loss it must have been so hard for u

[@TheRareDeer]

Im here to talk man

[@BEARSshorts114]

​@@TheRareDeeropp

[@ACaliangel91]

I’m so sorry for your loss. I thought the medical debt dies with the patient 😮

[@vectorwolf]

@ACaliangel91 it does, that's why they dropped the charges. It's just that her Medicare went away immediately so the bill came to the house for the full amount.

[@katie42496]

Cackling because so far as I've been listening I've been able to clock every talking point as it comes up that I know Dr. Mike is gonna call him out on and I've been right every time

[@mikesmicroshop4385]

Yep too bad that Dr. Mike is mostly overthinking all of it! He is just like most people in the food, drug, and Government who think we the population are idiots.

[@alexandernoe1619]

​@@mikesmicroshop4385 He is not wrong.

[@MsDebRod]

I'm thinking the same thing as I'm listening to this, almost to the point of arguing. It's very frustrating to me.

[@Nazani]

@@mikesmicroshop4385 Firstly, the population are idiots. Half the country is about to vote for a fascist and thinks vaccines are evil. Secondly, give a SINGLE example of Dr. Mike overthinking something instead of pointing out an objectively incorrect statement that Dr. Marty made.

[@theradicalginger3060]

That has certainly never been Dr. Mike's stance he doesn't think we're idiots ​@@mikesmicroshop4385

[@brendasears9650]

Poverty absolutely prevents a huge proportion of people from making healthy food choices. Mike's big rock analogy must be considered when making changes for the vast majority of people.

[@TheSwauzz]

Impoverished people have access to social programs that give them discounted or even free food that is a part of the balanced diet programs the government has.

[@ashtinpeaks9972]

This is not true anymore. Yes for some cases, but you are seeing people on the daily going to fast food in poverty. Take mcdonalds for example. If you spend 6$ at mcdonalds you could meal prep 4-5 meals for the SAME PRICE. Its not about price ifs about easiness. Easy stuff to microwave is unhealthy.

[@annjames1837]

Have a garden. Can your food. My grandparents were poor but always had a bountiful garden and lived long lives

[@maggie6152]

​@@annjames1837 Ah, yes, the mythical apartment garden.

[@jgabraham4913]

@@annjames1837 So they had enough money for a decent property. And they had the time and energy to maintain a garden. By today's standards, that's an unbelievable luxury--at least for people who are just starting out in today's economy.

[@FishareFriendsNotFood972]

LOVE how much Dr. Mike pushes back, it creates better answers and conversation

[@Justanotherconsumer]

Kinda have to when it’s basically mommy blogger nonsense.

[@ronpotier9082]

I have high standards for subscribing to a channel, and this video exceeded all of my standards. I was taught so many wrong things in several areas, and strong roadblocks thrown up in most of the rest that I was frozen in what I should do to take care of myself. Even Dr. Makary was starting to throw up roadblocks, but you shut that down quickly and got him to admit and reword his responses. I corrected one issue in my life that has led me to try to be healthier, and it seems like it's been me against the world trying to unlearn all of the bad things I have been taught while finding practical answers. Thank you Dr. Mike. You've stated that you are not the best or smartest doctor, but after watching a few of these videos I think you are one of the most effective.

[@mugflub]

Dr. Mike, you are a gift to humanity and the world of medicine. You REALLY get it when it comes to critical thinking, the nuances of health and medicine, and how to educate without coming across as someone with all the answers. I hope you do this for a long, long time.

[@mikesmicroshop4385]

Yes Dr. Mike there are a LOT of Dietitians still teaching the food pyramid! I just sat through a session with my Mom listening to the Dietitian covering exactly that subject!

[@suzanneemerson2625]

My mom’s nursing home proudly fed their patients a diet based on the food pyramid. I couldn’t get them to change it. She died earlier than she needed to.

[@MSRDinMS]

Your mom was unwell already

[@mikesmicroshop4385]

@@MSRDinMS Most likely, they hastened her death by feeding her a diet that is causing almost 90% of all the degenerative diseases in the US today!

[@wVr_Vrtistry]

Thank you Dr.Mike for upholding scientific and medical integrity no matter what and for being a voice of reason in social media and on youtube. I love your funny stuff but I value these interviews greatly. I've learned a lot. Dr.Makary definitely seems to have become blind to his biases and the confirmation bias obvious in how he selectively quotes research. Also, the absolute GALL to say "I cover it in my book" when Dr.Mike points out that he neglected to address the serious health consequences and contraindications for hormone replacement therapy is mind blowing.

[@angelicadrobnynuffieldheal7263]

This comment is exactly IT 👏🏻🔥

[@JAston-vu3gl]

The more I listen to Dr Mike, the more his own biases become glaringly obvious. He's no more immune to this than any of his guests.

[@ItsJennNotJenny]

I​@@JAston-vu3glI feel like it's rightful skepticism more so than bias tbh

[@judithwood6419]

Something else I found out that you don’t need three meals a day. Doctors kept telling me if any of the day eat three meals a day eat three meals a day eat three meals a day. Three meals a day is too much food for me. I’m happy with two sometimes one meal a day. I only eat when my body tells me you’re hungry. Other than that, I don’t eat if that means I only eat one meal a day or nothing then I don’t find out that’s better and it makes me happier. Trying to follow doctors advice make me unhappy.

[@victoria256r]

The fact that nobody talks about censored book called 23 Former Doctor Truths by Lauren Clark really gets to me. Always loved people like Lauren, they open our eyes

[@kengineer12]

This podcast speaks volumes to me. I’m currently in college researching and going to school for industrial engineering to become a healthcare process improvement specialist. I want to work with nurses, doctor, scientists, and admin, to help patient care and lower the costs of this system. It’s my goal to understand why this happens and how to reduce the waste as well as help patients & medical professionals along the way. Thanks so much, Dr. Mike, for hosting such an amazing speaker!!

[@mariaa9981]

Great job Dr. Mike I loved the way you framed and asked those uncomfortable questions. Not everyone has the privaledge to buy all organic or go to an institution like John Hopkins. Life for the most isn’t like that that’s why you have to always consider SDOH when providing care or health education.

[@laurafulenwider3553]

Dr.Mike, I’m a teacher and listening to you was such a joy because of your critical thinking. You have an amazing mind and the way it works to look at things where you can see the details but not focus on the details at the expense of the big picture. Something your counter part had a bit of a struggle with. I would love to know if you could identify HOW to teach this next generation to get there in their thinking process because what we need in the future to create positive change are people asking the right questions in the right way (aka respectfully) instead of shouting the unimportant details to create more mistrust and fear.

[@angelicadrobnynuffieldheal7263]

So glad someone commented on this aspect, I completely agree . 🙏🏻

[@Jessgitalong]

Ditto

[@Sparky1128]

Dr. Mike's podcasts just keep getting better!! He asks the hard questions!! We need more doctors like Dr. Mike!!

[@redfeather7986]

I'm chronically ill and disabled. 3 of my meds are liquid and come in single use plastic vials. I use about 14 of these vials a day to continue living. I've had people ask me if I feel guilty for contributing to waste, if I'm worried about microplastics. But I wouldn't be able to live without them

[@GamerGrrls]

You should see the waste that comes with being a T1 diabetic on an insulin pump. We have to change our sites every 2-3 days (there is one company that came up with a 7 day site but it hasn't gained traction). My pump company has an applicator that you use instead of a throw away one with other pumps BUT there's still so much plastic. I do feel bad about the waste but like you, without it I couldn't live.

[@redfeather7986]

@@GamerGrrls Oh yeah that's such a good example! Especially when infections can have more severe consequences compared to non-diabetics. Changing the site and keeping the equipment clean are a necessity...but we can still not enjoy how much packaging is needed. They can both be true and I'm so thankful for modern medicine ❤

[@lukesmith3488]

You should witness the amount of medical waste a normal sized hospital generates in a day.

[@redfeather7986]

@@lukesmith3488 oh for sure!! I used to do a lot of wound care in geriatric rehab. Even one of my patients for the whole day wouldn't compare to someone hospitalized😅

[@dreamersmith3924]

​@@GamerGrrls This is what I came to say. Medtronic is horribly wasteful!! I hear one state was going to ban a certain kind of sterilizer for medical supplies because it causes cancer, guess what major diabetes supplier was on that lawsuit to stop it........

[@leeway3739]

Our insurance changed because of work, and we had to switch doctors, so I went to my new doctor for a general check up and establish myself as a patient. Got a bill for $300 for that. I tried to fight it, because a general check up was included in our insurance, but it was considered a "new patient" exam which was not covered. In the end they would not budge on what was covered and we had to pay another $300 when my husband went in for his first check up! It was so disheartening and felt like such a scam, especially when our insurance changed back to the old one a year later. Things like this is why I hardly ever go to the doctor unless I am actually hurt or sick enough to warrant it, since I never know how much money I'm going to get screwed out of!

[@TheSwauzz]

I'm baffled how this happened without you being aware of the cost beforehand. I make appts and the cost of them is given to me by the various clinics before I ever step foot in the door.

[@leeway3739]

@@TheSwauzz Most places I've been, the medical offices and billing are separate entities so they don't know the cost without contacting billing, who then needs to contact the insurance and blah blah blah. That takes awhile, and I didn't think I needed to double check the price on a general physical exam!

[@margaritasaborio4475]

Wow. I've heard a lort, but this is just beyond unbelievable. You cannot get care without that first appointment; therefore you did not have a choice, but paying $300 to provide information that they can get from your medical records anyway.

[@margaritasaborio4475]

Did you have to pay again to establish care with your previous provider?

[@ev25zv]

@@margaritasaborio4475 Most insurance has a copay for a doctor's visit, so pretty much everything (outside of labs, EKG, etc.) is covered for that visit under the copay. However, some insurance plans do not have a copay and only have a deductible, and the patient is responsible for the entire cost of normal visits up until the deductible is reached, at which point the insurance will kick in. It's likely that this is what plan this person had

[@epsfilms213]

Dr Mike, you are one of the best channels I have ever come across! It is so interesting to hear about all of the things you have done such as flying in a fighter jet or when you saved that guy on the plane! Thanks for the information in this video and keep up the awesome work!

[@paulettez6142]

Dr. Mike, you appear to be a better doctor than most I've been to (with the exception of my family practice/OB doctor). I am about 30 pounds overweight, enough that I am on blood pressure meds. My blood work is pretty normal, but my cholesterol and blood sugar is at the high end of normal. My family practice doctor never talks about food or nutrition, no doctor has ever mentioned the dangers of highly processed foods and sugar. I have had to learn all of this by myself by reading and listening to podcasts. I am now on the path to cleaner eating, eliminating sugar, intermittent fasting, exercising in order to lose weight. I know that if I was at my ideal weight I wouldn't need meds.

[@ronda176]

Same here. I had a doctor tell me he doesn’t mention weight, diet or exercise because he figures people know they’re overweight and don’t want to be nagged about it. Then he mentioned they surveyed patients and it showed people actually want their doctor discussing their weight. Many people assume if their doctor isn’t talking about it then it must not be that bad.

[@Marie-s6g]

We need more people like this telling us truth! Just finished reading 23 Former Doctor Truths by Lauren Clark. Its fascinating what they hide from society.

[@victoria256r]

Thanks for sharing that

[@victoria256r]

im checking it out right now

[@Namalama268]

Who are "they"?

[@test1122lol]

​@@Namalama268 The same "good guys" that wrote our "history" books about them beating the "bad guys"...

[@ch535]

Saw this comment and first couple replies verbatim earlier by another bot with 1.7k likes. Report and move on.

[@GregoryJValenzuela]

For what it’s worth I thought the nuance was understood but maybe not stated clearly or outright at times. I appreciate seeing how much you care about the trust that people put into you and what you say. With these things in mind, I thought your conversation got hung up at times in the effort to account for possible misunderstandings or the nuance of a topic possibly escaping a listener. In short, I think this was a great interview and I appreciate that you value honesty and forthrightness. I don’t think you were at any risk of losing integrity or trust in this discussion.

[@blingpup21]

Thank you for pushing back and displaying a high level of intellectual honesty and integrity.

[@bkou-1]

I just finished my undergrad in nutritional sciences and am currently an MPH student & dietetic intern planning to become a dietitian. Watching this and the interview with Marion Nestle has been so interesting and I think it’s so important to talk about health and food in this context. I would love to see you interview a registered dietitian and get their views on the food industry, the general health of the world, diet culture, social medias impact on nutritional advice, etc. !!!!

[@Tatertotrocks]

I second this suggestion! Would love for him to have a dietitian come on

[@Paula-fd6lj]

I was going to go into dietetics and finally decided on nursing. I just remember back then my research told me the meat and dairy industry controlled a lot of what was printed on the dietary recommendations. The entire system of Healthcare seems to be corrupt.

[@tommo5884]

So many deaths from dihydrogen monoxide!!! Yet farmers spray it on their crops! This madness has to stop!

[@LesterTriscuit]

I like how he is so concerned with the take away/practical take away. So thoughtful and shows that he actually cares

[@damon-burton]

Great conversation with Dr. Makary. His insights into the complexities of the healthcare system are both enlightening and alarming. I particularly appreciated his emphasis on the importance of critical thinking and questioning authority.

[@starfishgurl1984]

Absolutely fascinating conversation! I grew up learning a lot about foods from my mom because she’s a historic landscape designer who got her start in gardening in college and knows a lot about plants and harmful chemicals so she taught my siblings and I from a young age using our vegetable garden what makes sense to be organic and what doesn’t and how to incorporate vegetables into meals to have a more balanced diet and save money and I’m grateful for that education every day because it’s one I never learned in school but it’s definitely had a positive impact on my health.

[@tommo5884]

So many deaths from dihydrogen monoxide!!! Yet farmers spray it on their crops! This madness has to stop!

[@sharrymallory329]

I am a Registered Dietitian who provides nutritional assessment and counseling for WIC. I am hoping peanut butter will be added for younger age groups for WIC participants. Changes happen slowly! I regularly counsel moms to incorporate pt butter and eggs in their infants' diet. Thank you so much for highlighting importance of Dietitians in the health care team! 🎉

[@jessd0223]

Food scientist here 🙋🏼‍♀️ Can we please stop saying food scientists are designing foods to become addicting? I promise I’m not getting paid enough to do that, nor do I benefit at all from making a product that is difficult to stop eating. What we do is design a product based off of a current trend (flavor, health, etc) and send it through consumer testing for feedback on whether or not they like it and we make changes based on feedback. That’s it. Dr. Mike hit on it perfectly, it’s more the amount of highly palatable foods we’re consuming and less on the “poison” of our food supply. Our real issue is that as a society, Americans consume on average 3500 cals/day and only have 20min of activity. Thats really the core of all the health issues we’re currently experiencing. Amish people (using their example), European countries, etc all have access to ultra-processed foods but don’t see the same obesity issues because culturally they don’t eat as much of them. Lastly, my husband is a plant scientist working in consumable agriculture. He specifically worked in organic crops and sprayed them more than conventional crops with organic pesticides. I don’t say that to scare anyone, but just a fact. Again as Dr. Mike said, it’s probably more important that we’re eating fruits and vegetables and worry less about residue and buying organic (for now). Thanks for coming to my TED talk.

[@misake]

For organic foods, the farm it came from could be organic, but the one next to it may not be. So the chemicals can go into the water table and go into the organic farm. So organic food can still have those same chemicals. My uncle sued his neighbour because of this issue, and he lost because the neighbour was only putting the chemicals on his own property.

[@aboynamedjayy]

Organic food is no more healthy than conventionally grown and is massively overpriced and just straight marketing.

[@michelleespino9814]

And even when it’s organic that doesn’t necessarily mean it’s better. They use pesticides as well, only the pesticides are derived from nature. It’s tough to eat healthy.

[@GhostCorvid20]

There's no evidence that organic produce is healthier than non-organic produce

[@foolishlyfoolhardy6004]

​@michelleespino9814 yep, and that have been known to overdo it with "organic fertilisers" because they're natural and so surely must be okay for the environment 🙄 They do also tend to get less yield per portion of land and per volume of water used. (Things like organic cotton use a horrendous amount of water. Not that non organic doesn't, but it does at least use less) And there is no nutritional benefit regardless. Yes there are things that traditional farming needs to do better. Crop rotation, just for one, should be standard practice, and is in places, but somewhere like America where only one crop is incentivised (like corn in massive swaths of the country) it isn't. Not to mention glaring animal welfare issues in organic farming, but I won't go into that.

[@Justanotherconsumer]

Organic is promoted by the people who brought you the “Got Milk?” and “Pork: The Other White Meat” marketing. It has nothing whatsoever to do with health, it’s about sales and marketing.

[@ChelseaATea]

These types of conversations bring me hope, as I feel that a lot of us have lost the ability to work in reality, which is shades of grey, rather than black and white, which is what has taken a hold of a lot of our social media and thus how people interact. So thank you for this, it's refreshing, educating, and pushes back against the black and white thinking that seems to have pervaded out society today.

[@tommo5884]

So many deaths from dihydrogen monoxide!!! Yet farmers spray it on their crops! This madness has to stop!

[@sanpo87]

Hey Dr. Mike, great podcast. I normally never respond to these video's since i'm not from the US. Honestly though, whatever solution you guys talk about will probably never work for a single reason: The government has set zero to few rules for the entire health care industry and as such, the entire industry will try to find the limits of profitability. Until people see that health care is incompatible with a for-profit system, it will never change and the only loser is the customer. Health-care should be a critical service, that should be regulated as such

[@annahappen7036]

Well said

[@angelachouinard4581]

I had to take year of economics for my accounting credential and learned the principle of elasticity. A product or service that is elastic means you can fid a replacement. If oranges become too expensive you switch to apples. Health care is inelastic. Whether you need a tetanus shot after stepping on a nail or a triple bypass, that's what you need. You cannot substitute. The alternative is no care if you can't pay and in many cases no care means death.

[@ilhaamfoster4617]

Damn....that took a dark turn real fast ​@@angelachouinard4581

[@christinarosejewelry2061]

yes!

[@cynderellylastname6060]

And this is precisely why people tend to just ignore nutrition and healthcare advice. There's too much inconsistency. Someone like me with a chronic health issue that causes all the symptoms of a heart attack, I'm told by every doctor to call the hospital and when I get there, I'm asked why I came to the hospital again. Obviously I eventually figured out how to manage the conflicting advice, but that's just one example. We're told to limit our fat intake but we're also told that not having enough fat on our bodies is unhealthy. It's a balancing act and I think sometimes people decide to just shut down instead.

[@teamrgvbodybuilding1772]

@cynderellylastname6060 yes, nutrition is actually a balancing act. And many people just don't want to learn. It's pretty straight forward in most cases, but it gets more complicated when you have a disease that requires tailored nutrition. For that you're supposed to go to a Registered Dietician, preferably one that works with people who have that issue.

[@thegreatacolyt1277]

Yeah

[@Goldiibug]

​@@teamrgvbodybuilding1772 finding the registered dietician that your insurance covers and is accepting new patients is also incredibly difficult. Our current health care system wants patients who are an easy fix; slap a band-aid on it. If you're anything more complex they say they don't know and push you along to the next specialist which feeds the for-profit system.

[@vectorwolf]

The one rule in nutrition that isn't going to ever change is 'all things in moderation'. Thirty years ago, cholesterol was demonized. Then it was fat. Then carbs and sugar. None of these things are going to kill you, it's the overconsumption that's bad (plus modern man's tendency to lack 'organic' exercise... that is, getting out in the environment and being active, rather than the unnatural repetition of gym exercise). All you have to do is follow the money; the artificial sweetener and organic produce markets are multi BILLION dollar industries... the more money they make, the less you can trust what they tell you.

[@TheMELLOWcheese]

@@vectorwolf I wouldn't just say overconsumption, its also about the nature of the food you're consuming. Table sugar is obviously going to be bad for you, but that sugar is not functionally the same as consuming the sugar in fruit. The best simple advice I could give is eat real food and avoid artificial foods.

[@CuriousJS]

I actually really appreciated this interview with Dr. Marty Makary. I love being informed and thus able to make my on decision. Thanks for this interview!

[@tommo5884]

So many deaths from dihydrogen monoxide!!! Yet farmers spray it on their crops! This madness has to stop!

[@elt9912]

Yes yes yes to all of this! I’ve been saying and teaching this for years. Our healthcare system has sooo many problems but biggest thing was discussed overall that should resonate with everyone are the simple concepts of process improvement: the amount of waste/gaps in our healthcare system, and figuring out the larger root causes to fix this broken system

[@annab9487]

This is my favourite podcast. Thanks dr. Mike. Keep up the good work.

[@jonathantran7102]

Please dr.Mike, never lower the intensity of your podcasts and the awesome discussion that comes with it. If you need to take more breaks please do, but this is awesome and so refreshing to hear in the online medical space

[@ruthcanty450]

Would love to see Doctor Mike sit down with Dr Mary Claire Haver and talk about women's health and menopause

[@jonathantran7102]

I really love it when both parties are open to each other's suggestions and able to have questions for each other and think about nuances and overall impact. Dr Mike is actually very good at being an online doctor surprisingly, being able to understand the consequences of saying that a therapy is good without mentioning any of the downsides. I agree, that even if it's in a book, how many people hearing that are actually going to buy the book and also read up on the consequences of that therapy? Not very many, and Dr Mike has spot on and saying that the vast majority of people are definitely going to just go to a clinic and get this prescribed to them.

[@kristiinalynne8938]

I hope Dr Mike gets well versed in menopause hormone therapy and the current status of things when a woman goes to their GP. A full discussion on ALL options is not happening right now in most cases and what is being discussed is plain wrong (SSRIs being recommended instead of MHT for example). Just because MHT is “having a moment” right now does not mean it should be seen with skepticism. Women are now as well versed if not more than their GP on this topic right now, not just from Instagram influencers but through review of studies and reading literature. Please believe your perimenopause patients Dr Mike!

[@kadenkalt4331]

Hey Dr. Mike! This has been one of your best videos. I think y’all are discussing very important things. You brought up so many issues that I think the average American deals with when it comes to our health. I’m an ER nurse so I’ve been in healthcare. It has gone in such a different direction drastically even just the years I’ve been in it. I think a lot of us get pulled in so many different directions that causes so much confusion when it comes to “holistic or functional medicine”. Anyway, this podcast episode was a breath of fresh air to know I’m not alone in some of my thinking. Thank you!

[@sourbonez]

This was one of the best conversations for me. I love how you always go back to what is practical because it doesn’t matter how smart we are if we can’t communicate to the patient/client/public and produce real change. And as a dietitian, we know how to treat fatty liver with diet! We know how to treat rosacea with diet! Medical nutrition therapy is our whole thing. So doctors: ask your dietitian; add a dietitian to your team.

[@kerryjustine]

Dr. Mike, thank you for this thoughtful interview. It's hard to find a rational clinical voice on the internet these days and it is so refreshing to hear your logical approach. No disrespect for Marty, he's a smart guy and very engaging but does speak in buzz-worthy talking points and mild sensationalism at times. Your integrity and rational thinking are a breath of fresh air.

[@TheCookiecupcakes]

Dr. Marty Makary gives me hope, we need more doctors like this.

[@JamieNeith]

your voice is so valuable in this time, thank you for all of. the work you are doing, truly.

[@roser2268]

Love these podcasts, best play for my morning drives

[@paulatorres3227]

Getting back to basics is so important in most things in life. Learning and questioning is very important

[@NPJPKelso]

22:30 Thank you so much for calling out that organics still have pesticides!!

[@aileenstirling9979]

Also appreciate your guest listening and then calmly responding to your points - really appreciate conversations like this .

[@byuftbl]

My “I will die on this hill” about health and nutrition is MODERATION IN ALL THINGS. Like, have a burger now and then, it’s fine, but don’t eat them all the time either. Have some candy now and then, but not every day. Eat normal portions, you don’t have to starve but you don’t have to have large sized meals. Just balance things.

[@Justanotherconsumer]

But where is the middle? A moderate amount of fireworks in your diet, for example, is still not advisable.

[@rachelst-germain7896]

@@Justanotherconsumer Are fireworks food?

[@Justanotherconsumer]

@@rachelst-germain7896 Same question could be asked about a lot of unhealthy stuff. “Moderation” isn’t an answer. There are some things that just shouldn’t be in the diet and there are some things where an apparently immoderate amount is a good thing (leafy greens usually). “In moderation” is great for experts who actually have a good understanding of what is a healthy amount but American culture normalizes some really unhealthy behaviors so “moderation” of the SAD is not healthy.

[@Meatball29743]

@@JustanotherconsumerDr. Gunthry fan? lol

[@John-tr5hn]

That's what they said about slavery back in the day too.

[@reestacio8482]

The fact check at the end of the podcast was really helpful since it can be difficult remembering all the topics and takeaways that were discussed. Thank you for that. I hope this will be done for future podcasts.

[@elizabethalvarado2605]

I think Dr. Makary was very honest, open and educated. We need more doctors like him! I also like how both Dr.’s here respectfully discussed differences as well and the things they agreed on.

[@ANGELBABY_57]

23:57 I love your work, Doctor Mike! I am grateful that you are upfront with us and teach the truth and not watered-down truth mixed with lies so keep on keeping on I got your back bro!

[@Capatron1]

Excellent discussion and could not have been ended in a more appropriate tone. Doc, I would like to get some content on sleep apnea and treatment outcomes. I am fairly young (25) and use cpap therapy. While it has been great to treat symptoms, I don't know if there's any side effects or risks that I should be aware of. Particularly for long term usage as i am likely to be using it for the rest of my life (1.68m 55kg at the time of diagnosis) Thanks again for teaching all us.

[@Nomusicincluded]

Part of me admires people who can speak so confidently about topics they clearly aren't experts in. I have over a decade of experience in agriculture and still won't give a conclusive answer on most topics because the reality is that in agriculture everything depends on so many factors there is no simple single answer. If someone gives you a simple answer, find someone else for information.

[@tommo5884]

So many deaths from dihydrogen monoxide!!! Yet farmers spray it on their crops! This madness has to stop!

[@drlichenliao1187]

Eating organic as much as possible if one is able to get them is surely very healthy.I have few herbs in my garden which I use them fresh for my cooking is surely healthy.Totally avoid junk food at any cost.Regular use of ginger & garlic in your cooking is extremely imp.Excellent video.

[@Justanotherconsumer]

“Organic” as a labeling scheme is pure marketing and has very little reliable relation to health. Eating fresh fruits and vegetables is great. Using them as flavors instead of loading up on fats and salt and sugar is great. Buying organic is, unless it’s a specific situation where you know the specific industry, probably a waste of money.

[@ElytraTalk]

Thank you Doctor Mike for shedding light on these problems.

[@jonathantran7102]

Oh man, I LOVE the fact check at the end, so informative, and a great summary of what to take away from the podcast, thanks dr.mike!

[@elijahmandeville8475]

I honestly can’t state how much I love these, Dr. Mike. I just want to say that I so appreciate the spread of much needed information!

[@annadavis2547]

The wellness visit with Medicare has me shaking my head. In an age group that is most likely to have unknown medical issues, the wellness visit focuses on dementia but does little to no health exam. I feel like this insurance has a vested interest in our demise.

[@Normal-mom]

And the insurance companies are being funded by pharmaceuticals too. So there’s that

[@av8r22]

I listened to this yesterday and it was probably one of the most influential discussions ever! Thank you so much Dr M!

[@hkandm4s23]

.... never heard of this guy but the way he says "chemicals, toxins and gmo's..." tells me a lot. Everything is chemicals. Many "natural" things are lethal. If all food was grown organically with no gmos or pesticides, many in the world would starve. His points are a conversation for the rich. The obesity epidemic, the lack of cooking fresh whole foods is caused by lack of time money and energy from people struggling to make ends meet. Poor mental health and massive stress is at the core of most health problems, not pesticides and 'toxins'.

[@Justanotherconsumer]

Yeah, he’s way outside his area of expertise. Surgical oncology and public health are different enough that he may as well be giving his opinion on nuclear power plants.

[@JKHTX]

Pretty sick society where entertainers get paid so much

[@carrieann5714]

@@Justanotherconsumer he actually holds a masters in public health, too.

[@TheMELLOWcheese]

There is no shortage of obese people with money. Poverty is absolutely part of the problem but it is far from the only problem.

[@AO2437.]

Yes, water is a chemical, there was a great add saying that on the underground a while back… EVERYTHING’s a chemical

[@moni7992bay]

I appreciate the way you bring perspective of others to the conversation when you ask questions to clarify the topic.

[@jasperzatch610]

I dont know how much longer ill make it rn, but im glad i get to listen to your podcasts to help distract from all this pain

[@tommo5884]

Stay strong, make the most of every day. The small things like a bit of sun on your face in the morning, or a hot cup of tea, can change the world when things are hard. Wish you the best!

[@samanthapentz3347]

You're not alone! Whatever you're going through, seek help and community and know that God is with you always ❤

[@aghatchett4783]

Dr. Mike, I know a lot of people have benefited from ozempic but what about those who have been treated with it and have struggled with severe anxiety and depression since? Is that side of it being studied more?

[@Call_me_mum302]

Retired Nurse here, I left hands on nursing (hospital, etc) because healthcare had become such a cesspool of greed and unimaginable lack of care. This was more than a decade ago. Also, please doctors, make a point of training in nutrition. All these autoimmune disorders that are an epidemic, could be widely controlled by the right diet. If you can afford to eat said diet. @doctormike thank you for this video

[@Call_me_mum302]

Having now finished the vid you covered my comments, thank you❤

[@TheSwauzz]

"All these autoimmune disorders that are an epidemic, could be widely controlled by the right diet" This statement is misleading..

[@Call_me_mum302]

@@TheSwauzz I could have worded it better thanks for your input

[@Normal-mom]

RN here too. What are you doing for work now? Looking to leave bedside

[@Call_me_mum302]

​@@Normal-mom I worked as both a case manager and then a medical policy writer. Good luck!

[@justsomecatwithsunglasses1011]

Keep.Making.Quality.Content.Doc

[@dorevabelfiore]

Great interview with Marty Makary. Thank you for engaging in deep nuanced conversation and thank you for the fact check at the end. Please keep up these valuable conversations!

[@MINISTRMOM83]

I find Dr. Mike to represent the establishment and the official party lines of the APA and the ACFP. I relate more to Dr. Marty's perspective that medicine has gotten so many things wrong over the years and advice and treatments need to be constantly reevaluated.

[@andrewo.9412]

I wish he would do a sit down with Ken Berry. Definitely nutrition needs to change. Just the thousands of reports alone from carnivore/keto folks is interesting.

[@bethanyg1029]

So I live in Amish Country, and I would dispute them not buying processed foods. I regularly see them at Aldi buying lots of chips, bread, snacks … all kinds of processed foods. So I don’t think it’s accurate to say they are not consuming junk food. But it is accurate to say they are more active, and they are generally not obese.

[@TehKhronicler]

This was a really cool conversation between two very clearly knowledgeable doctors passionate about good medicine. Mostly in the middle of the video, Mike seemed a bit touchy on this one, lots of needless interruptions seemingly spawned by a combo of ego and justified frustration, though it created a fun back and forth with lots of good topics touched on. At times it seemed a bit disrespectful, or like Mike was being extra reactive and zealous, and poking a bit too much, but Marty didn't seem too bothered and maintained his integrity the whole time while also owning his own miscommunications. Not hating, just noticing the vibe, love the channel. I actually love when there's respectful bits of antagonism that nobody involved handles immaturely, some of the best conversations happen then. Mike's getting pretty good at it already, we appreciate that you have no patience for disinformation.

[@jenniferornelas1127]

Regarding the functional med providers. I've noticed as a Pt and a medical staff, that my pcp doesn't have the time to ask me questions nor me to ask questions, whereas functional med doctors take at least 90 minutes per pt. Mine asked questions about my hoshimoto's and just in general that my pcp has never asked me, nor would i think to ask. If my pcp had the time, knowledge, ect I never would've gone to a functional med provider.

[@ItsJennNotJenny]

If you think about it, or course a functional medicine practitioner is spending a lot of time with their patients because they pay a lot of money out of pocket and owning their own practice vs more solid evidence based medicine practices that have to work with insurances and larger entities. If we could have more primary care providers practicing we would have less overload per pcp which would help some of that. It's such a hard thing to tackle, and many providers are educated but because they have such a short window of time and overload, some of it doesn't get addressed.

[@savannahmorse6789]

Hi can you please talk about TMS therapy, and specifically the predatory and corrupt “therapists” and/or facilities that try to sell it to people simply looking for help with mental health. I feel it is important for people to know before being trapped into it.

[@ACB2000]

Great minds! Such a miracle to have easy access to these brilliant thoughts. Men like Dr. Mike give me hope for positive change in an imperfect system🎉

[@bathroomsushi8419]

Yup our healthcare system is beyond broke. I suffered a seizure and in my state you have to be 90 days free to maintain or get a license, but wait. You gotta wait four to six months to be seen by a neurologist to get paperwork filled out. So that extra time only criminalizes you because in my state not being able to drive is a direct impact to quality of life. It would help if there was a separation between healthcare and other avenues in life. This roadblock only impacts your trust in your doctors and healthcare further diminishing your overall health. Those that have constant roadblocks become non compliant after time.

[@MauraCole-c5l]

After 40 yrs of Disability, COVID, autoimmune response, Lipidemia/Venous Disease, Spinal degeneration, my body started to have “Food intolerance issues”. I had to go on a strict low histamine meal plan alone. I couldn’t get a doctors appointment fast enough with the slow obstruction of managed primary care. I did all the research myself from KZbin Doctors and have been healing my own digestive gut. I have an gastroenterologist appointment in a few weeks. I would itch from head to toe after I ate anything. Now, I have a very strict, no junk, no sugar, no processed foods, no dairy, minimal grains, no fermented foods. I am losing weight fast and have no cravings. I can’t even tolerate the idea of eating junk or sugar. Once you clean your system, your brain and digestive system resets.

[@SerenaLaturnas]

Ugh I love it when Dr. Mike pushes back on something 😍 LOL literally got called jaded haha. I mean he isn't wrong with what he said either... when I hear a doctor say all the benefits of hormone replacement therapy it literally makes me think " hmmmm I wonder if I need that.." or "why have I never be told this before..." .. but I'm also the type of person who will do a deep dive on the topic first and then go and talk to a doctor about it. 😅

[@jenv6846]

Dr Mary Claire Haver and her book, The New Menopause, is a great HRT starting point. I was anti-HRT until I read her book and started understanding what’s really happening with my body.

[@andrewo.9412]

Some of the functional medicine docs that do that actually do way more extensive tests. Docs do it too.

[@brieb777]

So much of this can be echoed in the educational system. It’s broken and antiquated as well. Great interview Dr. Mike 👏🏼

[@heidibeilstein6459]

I worked as a cnc2 or and they brought in string analysis to eliminate “steps” nursing took in pre op for efficiency and scoured all the pick tickets for anything not being charged for that could be “unbundled” brought in business ops managers rather than nursing managers yadda yadda

[@chefbruno3889]

They do still teach the food pyramid, my niece went through culinary school and that's still the base of nutrition education for people feeding people

[@kaoutar6776]

Omg a new video on Monday and it's a long podcast, I'm so lucky today 😊😊

[@DaPokeBoss]

Dr. Mike is one of the FEW doctors I’ve seen on social media who talks like a nutrition scientist. He gets it!

[@jojo_rose341]

I love having a sweet treat sometimes after dinner and my friend told me to start eating dark chocolate instead of ice cream or milk chocolate etc and I found that dark chocolate is a lot more satisfying. When I did eat something higher in sugar I kept wanting more and it drove me nuts cuz I wasn't being satisfied like I was with the dark chocolate where I could eat 1 or 2 squares from one of those 60% coco baking bars and I didnt feel like going back for more.

[@popcornyumm]

60% isnt dark I thought?

[@suzanneemerson2625]

Try going for a higher percentage of cocoa. 60% isn’t enough. Best dark chocolate starts at 70%.

[@akoba1520]

This conversation is sooo interesting as a teacher, who constantly needs to make judgement calls about what to have discussions about in class and why

[@cindz4618]

Dr. Mike, can you have a nutrictionist for an in-depth discussion or indications for further individual research ? Great discussion today. Lots of questions are still open to further research. I appreciate some of your clarifications at the end as i wasn't too convinced by some comments made - although of course I am no expert. Really enjoyed this conversation. More please!! 😊

[@kalenanichol8375]

Hi Cindz, I think you mean a dietician? Dieticians are board certified and have specific qualifications, but the term "nutritionist" does not translate to formal education as it is not regulated.

[@brewinbrosef]

I appreciate Dr. Mike's audacity to say things that challenge what the interviewee is saying. Many people wouldn't.

[@mugflub]

So many of these health influencers love to vilify and stir up rage as a way to get attention and engagement. I appreciate Mike pushing back and promoting a reasonable, level-headed approach.

[@monicagrorud2225]

He’s Russian, it’s in their blood.

[@Justanotherconsumer]

Fear sells.

[@cheezywizard5292]

Dr. Makary came and spoke at Liberty last year and this year, and he’s an amazing and intelligent guy.

[@sj4267]

Probiotics have been the best thing I've tried for regularity and digestion that I've tried, but you have to do your research to get the right ones. Just like supplements, most are rubbish.

[@brih98]

as a future registered dietitian it makes me so happy seeing nutrition being talked about like this!!!

[@tommo5884]

So many deaths from dihydrogen monoxide!!! Yet farmers spray it on their crops! This madness has to stop!

[@meaganbee1]

The homeostasis of information should be your channel name! 😂 You do such a fabulous job of remembering the end user of your product is (generally speaking) a person with no medical or health training and that there is so much nuance required when discussing such topics. Keep up the great work!

[@bhsbull17]

This warmed my heart so much. Thank you, thank you, thank you Dr. Mike. 🙏

[@CptVein]

The TLDR of this whole conversation is that Dr Mike is a much better doctor than most, but he doesn't realize it. He doesn't understand he's an exception in the system. And if his collegues do the same, they are also exceptional. My doctor prescribed penycilin for an infection, even tho I am allergic to it. A few years ago, before Ozympic was a thing, he just alluled to me taking a shot to lose weight. Since then, the only thing he's done is refer me to a nutritionist, which admitedly is a good thing.

[@abbycloud668]

Though I understand his objective, I feel like Dr. Mike’s attempts to sum up dietary advice into one or a few lines limited the conversation on a few occasions around 41:00 and it seemed like he rushed skeptical assumptions. Of course I appreciate his ability to push back and ask questions

[@HannahHoffmanMusic]

I think the problem with "calories in, calories out" is that we don't have much control over how many calories our body burns. We only control how many calories we consume. When we eat calories that come from sugar, our insulin spikes, telling our body to store those calories as fat. That does not happen to the same degree when we eat calories from protein and fat. And so, 100 calories of rice is going to slow down the metabolism more than 100 calories of chicken will.

[@frankspark]

Many fruits and vegetables are sprayed with pesticides etc. continuously so it is not something you can just wash off. I like Dr. Mike as he does not just agree to everything and is extremely knowledgeable with a unique touch of common sense.

[@alishakeke6078]

I agree with everything Dr Makary is saying. We need to eat more Whole Foods again

[@tommo5884]

So many deaths from dihydrogen monoxide!!! Yet farmers spray it on their crops! This madness has to stop!

[@Miquel_ruano98]

As someone that used to work for a healthcare company that was super strict about only limiting appointments to 15mins almost made me quit and get out of athletic training. Then they would get mad at me when my care is longer. Hated the feeling that the company viewed patients as a number first and not as a person