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This is where I was going earlier with the insurance stuff you’ve got to start thinking of your insurance your health insurance as managed care they are there to manage chronic disease maximize profits right turn left onto Gibb signs for sentrum what do I mean by that think of
It like car insurance your car insurance is there when you wreck the car your car insurance is not there to rotate the ches change the oil and make maintain the car Dana White had an amazing quote I will never go to a Primary Care again in this country and he even
He articulated it without even knowing he’s articulating it and he’s not even a healthc care guy and Dana saw it and so well it’s based on his own personal recovery the way his b when when Gary Brea started working with him he was you know really overweight pre-diabetic
Really up and now continue for 2 kilm fantastic what’s crazy to me is like the red light bed what it’s done to his face it’s crazy like his face looks 10 years younger it’s nuts well a lot of people don’t understand like that and again huberman did a phenomenal job I
Can’t remember the exact podcast but he Dove deep into the and this so when when these primary cares or your doctor out there says red light therapies they don’t know what they’re talking about it’s been around since 1905 a guy want to know Nob prize for
Using it to treat a disease State I can’t remember all of it all butcher it so I won’t even try but the gist of it is there was just a study done in Orthopedics that red light therapy helped reduce osteoarthritis better than steroid injections and the other treatment
Options that they’re using in the marketplace in Orthopedics today and and it’s not Fufu pseudo science huberman breaks it down and explains it through using red lights there’s long wave and shortwave right and the long wave pierces through the epidermis into all of the tissue in your body all the way
To the cellular level all the way to your cells spurring cellular turnover and increasing ATP which is cellular energy and so it gives your body The energy needed to heal itself um it reduces inflammation uh it helps with neuropathic pain uh it helps with skin tone skin complexion it helps with
Eyesight um but again these are things that typically aren’t talked about in traditional medicine well like I said I know it works I I know it works because I’m a part of it yeah and what’s what’s fascinating is the ability to maintain because everyone’s worried about getting
Old and getting decrepit but if you’re not seeing any decline as you age in your ability to maintain your physique your endurance your energy levels we haven’t done this before like this hasn’t been something on a large scale that human beings have participated in while they were going
Through this process of degeneration the natural degeneration that most people most people experience well they get old it’s it’s a it’s such a multitude you asked me too last time what what uh you asked me about low testosterone and what what could have caused it and I look at that and I go
It’s everything right like there’s another when we get back to red light red light or or not red light uh green blue light can increase testosterone levels right not only can they will you get it from sunlight so what what you found is if you stand in the sun 30
Minutes a day it drastically improves testosterone levels again huberman goes into this too on a different podcast much he breaks it down I don’t remember the exact specifics but it’s the gist of it is if you have low testosterone okay are you inflamed what is your diet are
You working out are you lifting weights are you getting getting sleep are you getting sunlight uh are you eating good protein sources these are all just basic questions that we could ask and dive into to help patients optimize their hormone levels but what happens if if
Like for me I was up at 4:00 a.m. to go get into the operating room I stood in the operating room and would come out and it’d be dark again I didn’t see the light of day for freaking like 13 years like literally and so I look back now
And I’m like well of course because what happens is if you don’t get sunlight your body U upregulates melatonin and melatonin reduces testicular function and drives down testosterone and they believe it’s because we evolved like essentially being when we were cave dwellers we would in the winters in the
Cold time of the year our our rhythms would change with the environment and we would go and be more indoors that wasn’t the best time to breed or procreate and so in the spring in the summer when there’s more sunlight you’re in the sun more and your melatonin level deregulates your testosterone level
Upregulates and all of a sudden you’re fertile and and same thing with women women are impacted by this as well um women have testosterone too so if they’re not getting enough sunlight it can kill their sex drive uh it can mess up their hormone levels well women have more testosterone than they have
Estrogen I know a lot of people don’t realize that isn’t that wild yeah it’s it is wild it’s the primary sex hormone for both sexes yeah it’s it’s uh it’s nuts so he he gets hubman gets into all that Academia there’s tons of studies on
This so and and all I think the main reason it’s not adopted more often is you’re they’re just in the insurance model right they they use the tool that’s in their tool belt and if that’s not a tool in my tool belt then I’m not
Going to talk about it and I don’t have time to do it and uh and that’s where I see large language models and an evolving Market allowing patients to get that education on their own they don’t have to wait to talk to a doctor right I will have a team of academics right
There at your fingertips proactively analyzing everything about you and I would tell you another I talked about predictive proactive personalized all that another one would be private private you do not want this data in the hands of insurance companies listen to what Gary Breco is telling you he worked
For the big insurance companies he worked to assess your all cause mortality risk and the risk profile to the insurance company right and so if you if let’s just say in a in a miracle world all the sudden uh Blue Cross Blue Shield rolls out a large language model
To streamline your experience and they want to tie into your wearables the last person you want digging through your underwear drawer is the insurance company because they’re going to use it to limit your care to limit what they cover and to kick you off a plan right
They’re going to know when the chronic disease is coming and they’re going to charge you when they know they can monetize you and then as soon as you reach a state where they can and that’s the dangerous side of these large language models and that’s the dangerous
Side of the tool and so a a sword in the right hands is you know one thing and a sword in the wrong hands is a whole another thing Jesus I wonder if they are trying to do that I wonder if these insurance companies are they’re for sure going to
Roll that out yeah if they’re not already and that’s the problem like when you have an insurance based model and that’s where I would tell you maintain the car outside of the system right and the insurance-based large language models are going to ensure that you stay on these treatments because that’s where
They’re profitable correct so there’s the insurance company and then we we broke this down last time then there’s the pharmacy benefit manager Pharmacy benefit managers are middleman between the insurance companies and big Pharma okay and they were put in place to negotiate the price of pharmaceutical drugs for the average American because
So many drugs were coming into the marketplace the government couldn’t get to and decipher what drugs make sense what drugs don’t make sense what should we cover what should we not cover so they allowed Pharmacy benefit managers to do that within a decade the big insurance companies went out and
Acquired Pharmacy benefit managers within a decade from that date the pharmacy benefit managers began to negotiate rebates to themselves not discounts to the patient in 300 M slide right on to spit Ain okay so yeah that’s that’s where I’m was trying to go with this when I talked
About 244 million in fraud um in the state of Ohio how where’s the fraud and and the answer is the margins are made in the mystery the more confusing the insurance companies can make it and the more conduted they can make it the more profits they can make they have only a
Handful of levers they can pull to make money so let’s go over that they can raise your co-pay they can raise your deductible they can raise your out-of pocket expense that’s one lever they can drive down the price of a drug that they buy at a wholesale price point they can
Mark up the coverage of your care for your employer okay and then they tier price all the pharmacy benefit manager gives a tier pricing that tier pricing is not based on what drug is best for you it is based on what drug is best for their financials and so they prioritize drugs
In a tier pricing in 200 M slide right onto spit Ain misnomer to the American people that a tier one drug is the best drug and slide right onto spittor grub and then turn right onto Further tour four drug is not as good right but the truth is a
Tier four drug is not as profitable because there’s a lesser rebate and so so let’s say let’s go back to the insulin example the average price of this insulin is $381 is what the Senate uh finance committee found $381 on I can’t remember if it’s santae I
Think was their uh was their price out of that the pharmaceutical company got less than $40 so that remaining $20 something dollars stayed at the pharmacy benefit manager okay Pharmacy benefit managers are making B billions upon billions of dollars a year they decide what gets covered what goes on your insurance plan
What your co-pay is what your deductible is and they can move any lever at any time so examples let’s go back head Northeast on lier towards spit p1s right the uh the weight loss diabetes medic turn left onto schay and guser then turn right onto schl fer guser
Those are showing up on insurance plans as tier four with a really high price tag when you look at that you go man wouldn’t insurance companies want to get rid of that because it’s cost them a lot no turn right onto sh fera then turn right to stay on sh
Fera they’re showing that the price of a glp1 is $1,300 they never paid 1300 turn right to stay on FASA they paid a fraction of that but then they go to the patient and they say hey this is a tier four drug you have a 50% co-pay on this truck
$500 in 500 M continue straight onto arish trer okay so they made their money there they made their money off the rebate from Big Pharma then they come the patient pays more than they actually are paying for the drug correct that is what happens on most drugs and that is
Why compounding pharmacy and that’s but even if they don’t let’s say it’s a drug that you think is covered okay maybe maybe the the pharmacy benefit manager got it wrong a drug entered the market they didn’t know it was going to be a blockbuster they miss miss miscalculated how this was going to
Play out they have lever after lever they can pull okay high margin drugs they’ve gone out and B bought pharmacies so they own mail order pharmacies and they so what they’ll do like when I own pharmacy Blue Cross Blue Shield they literally said they owed me over a
Million dollar for one month of shipping out drugs I’d already shipped all the drugs to their patient I’d already done everything they come in and say yeah we’re not going to pay you we don’t think you collected the co-pays or deductibles okay we did here’s all the
Records I can show you continue straight on to arish trer soon can you get an auditor out we want to cooperate like we’re a small company we need this money uh it’s 3 months before we can get to you okay and then they begin to make it
So hard for you to survive in their insurance model and then you’ll be sitting there and a couple months later knock on the door hey man H tough out there for these small pharmacies you know we’re looking to acquire phes just like in 200 M you will arrive at your
Destination right they’ve gobbled up the lifeblood of America they’ve put all the sharp right onto Kaiser tra then turn left onto carbook in 150 M make a uturn Pharmacy’s Head East on Aisha towards Canon gash business they now own most of these big Juggernaut pharmacies so even
If CVS says we only made $10 off that prescription what did the pharmacy benefit manager make okay or what is the pharmacy your mail order pharmacy making lever after lever after lever then the last part of it is my buddy who has Ms he his his MS treatment I think is
$14,000 a month we just met I have 260 something employees across both organizations we met with the insurance company they’re raising our rates because they claim they paid $14,000 a month for his drug right he had a huge out- of- pocket burden sharp right onto kaisera then turn left onto Carl’s
Brooker drug but was happy because he thought well hey man it was going to be 14 and I only had to pay X turn left onto Carl’s Brooker trod Del mared they never paid the 14 because they negotiated a rebate on the back end and then they turn around and they mark
Up my insurance plan for all my employees every year year after year it is a profit driven system not a patient outcome driven system and so that’s that’s all I’m trying to hammer home with patients when you say why don’t you take insurance because insurance is the
The Crux of the problem you cannot operate in that ecosystem and provide quality care you can your clinicians talk a lot of clinicians don’t know like a lot of clinicians don’t even know about Pharmacy benefit managers the the only reason I know is because I’ve been in every turn right onto Carl
Grillenberger Str then turn left onto Morena of this business and I and then I would get into it and I go oh oh God that’s why that was happening okay now I get it now I get the magic trick I understand what you’re doing here how you’re moving and shifting profits and
Monetizing disease States so think about this if I can monetize your diabetes why would I cure or head north on hin alasa melasa then slide right onto hin alasa your diabetes right and and I know if I’m a big wig at United or Sigma that you’re
Going to switch jobs in 3 years and by the time that diabetes leads to metabolic disease and a Cascade effect that puts you in a hospital that costs me more money you’re somebody else’s problem or if I can stall it long enough you’re the federal government’s problem
And so every aspect of Health Care is focused on that slide right onto hin leasa on that on on that time frame um another terrible example of surgery and this is honest to God I talked to my buddy who’s a president at an orthopedic company he told me he was sitting down
With a surgery center about joints and there’s a new joint that they have and it’s more expensive but the efficacy data of the long-term benefits on it astronomically outperform the other joint that this hospital system was using he sat down with the CEO of the hospital and he said here’s the data uh
5 years out here’s what we’re seeing da d d d da the CEO said I don’t give give a what happens 5 years out swear to God he this is a call I had yesterday he said he looked me in the eye rum and he
Said if you told me that this joint will last at least 90 days and it’s cheaper that’s all I care about oh my because all of their data and records and accountability are only on the first 90 days once you’re out of that 90day and you’ve done your your little review and
All that you’re off again and you’re no longer a monetizable patient and so too when we talk about primary cares and what’s happened the same thing withes where they’ve been gobbled up by insurance companies if they’re in the insurance model is the same thing that happened with primary in 500 M turn left
Onto Vine TR and gusa the day of a primary care being independent and a free thinker is over they’re employed by Hospital Systems major conglomerates have gone out and bought up the primary care practice while why because now they have the patient population if I can get you at
The primary care level then I can control the referral of where that Primary Care sends you as we profiteer off your disease State okay so you go to a primary care let’s say let’s just walk through the same example I gave earlier a methylfolate test they never run that
Test right there’s genetics the methylfolate test tells me my genetics but there’s epigenetics the choices I make every day impact which jeans turn on and which jeans turn off if nobody ever has a conversation with me in my 30s about my hormone levels about getting into the sun about eating right
And you push me towards chronic disease because you wrote me a prescription to treat a symptom and now I go through this system and I get cancer that Primary Care is going to refer me to an oncologist and that oncologist is is part of that same system right and most people don’t know
This 65% of an oncologist income comes from chemotherapy from the markup they’re making off your chemotherapy 65% and I I attached that link turn left onto Vine TR Anda to uh where it it talks about this so all I’m getting at is Russell bran said this and he was spot on another guy
Who’s not a clinician but understood what’s going on here if we make things about profits and quarterly earnings and big business and not patient outcomes don’t be shocked when we get phenomenal quarterly earnings and piss poor patient outcomes in 300 M 65% 6 and I attached the link just so
We’d have it so they have a financial incentive so this is an article where they were trying to in uh the insurance companies were trying to incentivize them to use a generic in this instance because this is one of those issues where there’s no rebate and no way for
The insurance company to monetize it turn right on to neutral grain breaks down how much money these guys 65% of an oncologist income comes from that wow this is incredible um and and so I I say all this again because I don’t think that a clinician’s to blame I don’t
Think that they’re continue for 4 kilomet operating in the system that they’re given they’re playing with the plane field that’s been set before them and the rules of the game that have been set before them but when patients say why would I go to Peter AA why would I
Go to Gary Brea why would I go to way toell why would I go to a cash pay Clinic you will not get these treatment modalities and you will not have these conversations and you will not do that deep dive so in a dream world what I’m envisioning as we build this
Multi-disciplinary institute here in Austin and we open these facilities across the country is a lot of the care will be virtual and will be managed from the comfort of your own home driven by large language models that are tying into your wearables and all those things we talked about earlier but we first
Have to establish a Baseline what do I mean by that if if budget was no constraint and you could afford $11,200 I would say you come in you do a dexa you do a V2 Max those two data sets alone allow us to calculate your all cause mortality risk I know how much
Visceral fat you have I know how much subcutaneous fat you have I know how much lean muscle mass you have on your left quad versus your right quad I know your bone mineral density then we add in a V2 Max test if if you can be in the
Top 25% of V2 Max you reduce all cause mortality by 400% okay so now you combine that with a dexa now you combine that with a gut biome now you combine that with a gene test where we know what genes you have what are your genetics now we can help
Guide you on how to prevent epigenetics how to prevent and and use epigenetics to prevent disease States from chronically manifesting and we can truly get proactive and predictive we can truly prevent chronic disease when you said living to be 106 or 112 whatever you said petera talks about this too the
Difference between somebody dying at the average human life expectancy and making it to be a centenarian the only difference is the onset of chronic disease so today can we stop or slow the progression of chronic disease and buy Brilliant Minds like David Sinclair like Ian white you know the my himself cell
Buddy um who’s our chief science officer can we buy them time to see if they can unlock the code because when Ian breaks it down and I definitely want to get into stem cells I don’t know how far in we are um we’re good okay cuz when Ian breaks down hey when
You start talking this isn’t me talking like I’m I’m trying to learn like a sponge from people who are way smarter than me like I’m just I’m a simpleton just trying to make it and figure it out but when Ian breaks down that we share a common his theory is
This in the world of biology we share a common ancestor with species that live 400 years the Greenland shark lives 400 to 600 years with no cancer we have a jellyfish that lives eternally in the ocean it lives over 5,000 years it can regenerate we have salamanders that can
Regenerate limbs we have uh galopus tortoise that lives over 200 years we share a common ancestor with those species and what that means is within our genetic makeup within our code we have the code to access those traits how do we find those black boxes and activate them right and so for me
When I talk about you know optimists are usually successful pessimists are usually right like I’m optimistic the future’s bright the opportunity is there we can do this like we there’s so so much opportunity but the first step is to get proactive to take yourself out of
The system to do the data because we can’t improve what we don’t measure so if you were to come in and establish that Baseline that I was talking about earlier we now have a full comprehensive analysis of where you started the day you started treatment the only test I
Hadn’t got to yet is an EEG so for me we do uh Shane introduced me Shane Dorian introduced me to wave Neuroscience super Co cool company um they’re using artificial intelligence again it’s a tool right can be used for good or bad the example of where AI can be used for
Great things is they use artificial intelligence to analyze an EEG and to put it into a report that a Layman you know Neanderthal like me can understand so they they scanned my brain I was able to look at this report and tell how my neurons are firing where my neurons are
Misfiring how my neurons are losing uh bandwidth from the posterior of my brain to the prefrontal cortex of my brain okay why is that important that that woman we talked about earlier that may have anxiety or depression that’s another tool to assess that we know that it has an 80 over an
80% success rate way more efficacious than any SSRI which has been debunked and proven to be to uh way more than any of these anti-depressants anti-anxiety meds and it’s a permanent fix we we we scan your brain waves and then from from there we can use a
Technology called mert which is a magnet and the AI will give you a Precision approach to rewiring your brain so he uses a magnet to pull those firing neurons down the correct path and so let me quantify it and give you how an example of how it works for me my brain
So the human brain has variances some brains are moving as slow as 6.5 Hertz you know top tier is 13 Hertz um and that’s how fast you can analyze data and so if if there was a Red Dot and I flashed it up on a screen and I flash it
Once everyone will see that as long as they’re above 6.5 Herz if I flash it twice really fast anyone below 9.5 htz they won’t be able to make that signal connect to the prefrontal cortex to assess that it flashed twice does that make sense okay so the posterior of my
Brain moves at 12.5 HZ that’s a really fast brain relative to the average population but by the time it makes it to the front of my brain I’m moving at 9. 5 Herz why it’s years of sleepless nights stress anxiety uh epigenetics diet nutrition head trauma uh these athletes with concussions so they’re
Using it mainly to treat athletes with depression from concussions and brain injuries and we can’t fix the anatomical issues of the brain but we can help those neurons fire appropriately and maximize the delivery in 400 me turn right onto marburg’s dress in withth of the signal and so through
Brain mapping we’re able to create a Precision plan where that magnet is literally tuned to the frequency of my brain and is able to drive that 12.5 Hertz all the way from the posterior turn right onto marienberg St to the prefrontal cortex have you done
This yeah what did it do for you uh I haven’t I haven’t gone through the training yet yeah we just got the equipment at was continue on marburg’s dress for 2 kilom last week are you going to do it for yourself oh yeah oh yeah cuz I’m at
9. I mean sorry 12.5 and at the prefrontal I’m at 9.5 okay that’s almost a 20% Improvement in brain cognitive function and so when I love the the idea of human optimization like I love helping people but like refining people who are already studs that’s fun I I immediately think what about they
They’re using it a lot with highle operators they already signed all these government Department of Defense contracts and they’re using it for Navy Seals uh for snipers for people who have to make split-second decisions under high pressure environments you want that neuron firing all the way through I
Would imagine be good for comedy thing I I immediately thought of Tony hinchliff because sarcasm is a sign of a of of a really uh powerful prefrontal cortex so I was interested in like somebody who’s like an improv roaster type oh he’s the best out of yeah yeah I’d love to find
Out what how has bre we’re gonna have it at the clinic uh it’s actually gonna arrive tomorrow I it it’s sick I want what’s going on in my brain it’s it’s amazing so for me the other thing I found out is I have a I don’t want to
Call it anomaly I have a a rare type of brain um less than 15% of brains have uh a prefrontal cortex that can fire at the same speed as the posterior is what they were telling me so I could maximize I’m not maximizing my brain’s potential and
Then I go to okay when we talk about the four horsemen diabetes uh atherosclerosis uh uh cancer and then the last one’s neuro neuropathic decline uh Alzheimer’s and and neurod degeneration when we begin to use these tools and allow AI