Staying Healthy: The Real Healthcare Reform Kirk Hamilton PA-C Prescription 2000, Inc. Health Associate Medical Group

1. Staying Healthy:The Real Healthcare ReformKirk Hamilton PA-CPrescription 2000, Inc.Health Associate Medical Group

2. The Problem The Okinawan Paradox • Remarkable Aging Living the Elder’s Way Versus The Western Diet & Lifetsyle and the Chronic Disease Epidemic Emerging in Okinawa • It’s your lifestyle NOT your genes http://www.youtube.com/watch?v=lxFxLttsCzw

3. 15 Leading Causes of Death in 2009 National Vital Statistics Report, March 16, 2011, vol. 59, No. 4, page 5http://www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_04.pdf • 1 Diseases of heart………….......................................................598,607 • 2.Malignantneoplasms..........................................................568,668 • 3 Chronic lower respiratory diseases .....................................137,082 • 4 Cerebrovascular diseases ....................................................128,603 • 5 Accidents (unintentional injuries) .......................................117,176 • ??? Adverse drug reactions .................................………………. > 100,000 • 6 Alzheimer’s disease……..........................................................78,889 • 7Diabetes mellitus ..................................................................68,504 • 8 Influenza and pneumonia .....................................................53,582 • 9 Nephritis, nephrotic syndrome and nephrosis......................48,714 • 10 Intentional self-harm (suicide) ..............................................36,547 • 11 Septicemia .............................................................................35,587 • 12 Chronic liver disease and cirrhosis ........................................30,444 • 13 Essential hypertension and hypertensive renal disease .......25,651 • 14 Parkinson’s disease.................................................................20,552 • 15 Assault (homicide)..................................................................16,591 • . . . All other causes ....................................................................471,455 Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics

4. Why Are Chronic Diseases (CDs) Such A Big Problem? • Chronic diseases [heart disease, diabetes, cancer, etc.] • 7 of 10 deaths US; 6 of 10 world-wide; China 8 of 10 • 75% of U.S. health care expenditures (HCE) are for CD • In 2009 HCE 17.6% of Gross Domestic Product (GDP) • In 2019 HCE 19.3% (GDP) https://www.cms.gov/NationalHealthExpendData/25_NHE_Fact_sheet.asp • In 2035 HCE 31% (GDP) http://www.cbo.gov/ftpdocs/102xx/doc10297/Chapter2.5.1.shtml • In 2040 HCE 34 % (GDP) http://www.whitehouse.gov/assets/documents/CEA_Health_Care_Report.pdf • In 2080 HCE 46% (GDP) http://www.cbo.gov/ftpdocs/102xx/doc10297/Chapter2.5.1.shtml

5. Causes of CDs • WHO risk factors – poor diet, physical inactivity, tobacco use • CDC (U.S.) risk factors – poor diet, physical inactivity, tobacco & alcohol use

6. Can We “Beat” Chronic Diseases? • WHO Says – “if the major risk factors for chronic disease were eliminated at least 80% of heart disease, stroke and type 2 diabetes would be prevented and 40% of cancers” U.S. Dietary Patterns

7. Causes – U.S. & World-Wide • Urbanization – westernization • Processed foods, manufacturing, marketing, transportation • Increased meats; added fats & oils; calories sweeteners; decreased total grains - increased refined grains; (U.S. cheese increase) • Low nutrient density & high caloric density • Increased calories > 500 cal per day 1970-2000 • Reduced physical activity

8. Real Causes of Chronic Disease? …U.S. Dietary Patterns Over The Last 100 Years…

13. Source: USDA/Economic Research Service, Food Availability Data

19. Results of U.S. Dietary Patterns • 500 extra calories per day from 1970-2000 • 3500 calories per week = 1 pound per week! • Low nutrient density • High caloric density • Low fiber and bulk • Increased in bad fats • > 70% of U.S. population is overweight • ↑calories + ↓nutrients = ↑inflammation = ↑in CHRONIC DISEASES

20. What Drives Chronic Diseases In U.S. Besides Bad Lifestyle Habits?

21. Our ‘Disease-Care’Model • Incentives - let disease happen; treat it; then pay for it! • No incentives to prevent disease – none! • Capitalism is about selling as much as you can whether it is good or bad for you! (but capitalism can be the solution too…) • Truth – 1 of anything won’t harm you BUT…Think of all the food ad $$$$...Its not about selling one of anything!

22. Who Pays for Your Bad Habits? • Small business example – my workplace • Health premiums increasing 10-20% / yr • My health premium age 54 - $590 • At age 55 - $725 • I do not have a chronic disease • On no medication • Who am I paying for? Others my age with CDs that are preventable and reversible! • Business switched to Kaiser • We are all in this together

23. “New Attitude” • When we build a new hospital, cancer or transplant center we fail! • Needing more nurses is failure! • Needing more specialists is a failure and prescription for bankrupting our economy • Donating to a society over and over again for a chronic disease (heart, diabetes, etc.) that says “Take your medicine, watch your diet and donate to us” is going to bankrupt us and make people sicker! • Relying on health insurance makes us sicker not healthier!

24. Goals of Healthcare Reform • Educate the public on what are chronic diseases (CDs) • Educate the public on the societal impact of CDs • Educate the public on the lifestyle causes of CDs (5 dietary patterns, inactivity) • Educate the public that CDs are preventable and reversible by diet and exercise. • Prevent and reverse chronic disease • Create incentives for health professionals to keep people well. • Create incentives (or penalties) for people to stay well. • Preserve the environment and ecosystems • Reduce unnecessary human and animal suffering

25. NUTRITION CONCEPTS

26. Diet Basics -Everyone Agrees • Unprocessed • High in nutrient density • Low caloric density (CD) • Controls the glycemic response • Reduces insulin • Anti-inflammatory • Lots of vegetables

27. Whole Grains

30. Diet’s Effects on the Planet • David Jenkins, MD, PhD, DSc – inventor Glycemic Index; Dietary Portfolio – control glycemic response; preserve the environment and other species; plant-based; fruit, vegetables, legumes, nuts & seeds • Loren Cordain, PhD – Paleo Diet – 50-60% animal foods; fruit, vegetables, nuts & seeds – “Unsustainable” for 7 billion people.

31. Staying Well Preventing & Reversing Chronic Disease

32. Proven Solutions to Chronic Diseases From Healthy Aging Populations & Scientific Literature “Blue Zone” Principles • Daily physical activity • Unprocessed food diets • Diets high in plant food, small amounts of animal foods (optional) • Social connection • Daily purpose

33. Secret of Long Life In OkinawaA Model of Real HealthCare Reform http://www.youtube.com/watch?v=ZwX9Ll19cX0&feature=player_embedded

34. “Why I Am Glad Bill Clinton Got Heart Disease!” – He is the ‘Living Answer’ to Healthcare Reform • Former President Clinton switches to a plant-based diet even though he had: the best insurance; best doctors; best medicines; a 4 way bypass and stents for heart disease reversal and weight loss (the best ‘Disease Care’)– Interview with Wolf Blitzer (2:27 minutes) http://www.cnn.com/video/#/video/us/2010/09/21/intv.clinton.blitzer.weight.loss.cnn?hpt=C2 • From omnivore to vegan: The dietary education of Bill Clinton (32 seconds) http://www.cnn.com/2011/HEALTH/08/18/bill.clinton.diet.vegan/index.html • Dr. Sanjay Gupta Reports: The Last Heart Attack (42 minutes)…and the real answer to healthcare reform • http://sanjayguptamd.blogs.cnn.com/2011/08/29/sanjay‐gupta‐reports‐the‐last‐heart‐attack/

35. Why Being Healthy is Being Patriotic? • Patriotism and Being Fat? Anthony Bourdain interviewed by Keith Olbermann (6:17) http://current.com/shows/countdown/videos/anthony-bourdain-sounds-off-on-the-u-s-obesity-epidemic • Save government money • Help government get out of debt • Reduce business healthcare costs • Improve worker productivity & competiveness • More money for our veterans

36. How Do You Change Behavior? • Common sense, with facts? • Personal example? • Fear? • Reward? • Success breeds success? • Support people? • Set system to follow?

37. Staying Healthy in the Fast Lane9 Simple Steps to Optimal Healthand Real Health Care ReformFor You, Your Country, The WorldKirk Hamilton PA-CPublished July, 2011Prescription 2000, Inc.

38. My Mantra9 Simple Steps to Optimal HealthTRIAD Wellness Program3 Phases x 3 Steps

39. 1. EAT whole, unprocessed foods (90 percent or more as plant food, if not all plant food).2. EAT at least half your food intake asvegetables.3. ELIMINATE all dairy products or eat off the Basic Elimination Diet (BED) for at least one month. TRIAD Diet Program

40. 4. DO a half hour minimum of dailyaerobic exercise.5. DO strength training (circuit training) fifteen to thirty minutes, three to four days per week.6. DO flexibility training (tai chi, yoga, Pilates, stretching) ten to sixty minutes daily. TRIAD Exercise Program

41. 7. BEthankful for five minutes morning and evening. 8. SITquietly for fifteen to sixty minutes daily.9. IMAGE your ideal health and life daily for five to fifteen minutes. Think about what you want, not about what you don’t want. Write it down. Picture it! TRIAD Mind-Body Program

42. Thank You! • Please visit Prescription2000.com Social Media – • www.Facebook.com/kirkhamilton.author • www.Twitter.com/kirk_hamilton • www.youtube.com/user/StayHealthyTodayShow • www.youtube.com/thesloppyvegan • Staying Healthy in the Fast Lane – 9 Simple Steps to Optimal Health and Real Healthcare Reform • Staying Healthy Today Interviews (audio/print) with archives • Staying Healthy Today with Kirk Hamilton (E-health letter) • Expert Pearls • Educational Handouts • Educational Links