Wednesday, August 17, 2011

The New Wellness Culture


Went to the "2011 Veggie Fest" in Naperville because a trip to downtown was cancelled by a "Half-Marathon" occuring at the same time. I remember reading about it and wondering if it would be like a glorified sunday farmers market or smaller. As we approached from the highway, I could see major road barricades and a mass of people being controlled with police direction across a major off ramp. First I thought, must be an accident or concert....then a realized they were all headed to the "Veggie Fest". According to one of the vendors, (a cosmetic dentist and previous patient of mine) 10,000 people were expected for this 4th annual get together. I was amazed to see a cross generations, not just the tail end of the baby boomer generation (booyaaa!!) but young college kids, young families, a few retirement age folks; Indian, Asian, African Americans and "other" all walking around really taking advantage and interest in open tent lectures, vendor stands, food sampling tents, yoga (booyaa again!) Chiropractor tents......there was one MD tent. The Md/doc had a sign over this table reading "Ask the Expert" ....no other pamphlets, give aways, hand outs....pretty drab compared to the flashy and informative tables of alternative medicine counterparts at the next tables. And he wasnt busy...kinda looked bored.

All this is a statement that the call for better health is being asked by the community and answered by the community (at least a small percentage). In my opinion, healthcare reform will not be able to move anything faster than snails pace. I appreciate that "Obama Care" has made some initial steps to change the paradigm. But with the polarity of the government, it will take a heathcare catastrophy to make a significant inroad to change. (Just like the automotive industry bailout!...rescue at the last minute and socialize it). Nothing wrong with socialized medicine: it is working for Europe while our way is failing-along with our health) People have placed too much reliance on govenment to "get them healthy" .....like the guy who comes in after 40 years and says "fix me doc...just dont make me change my hours, diet or free time.....and by the way, I am not a pill taker and dont believe in psychiatry".

What prompted me to discuss?... Chicago Mayor Rahm Emanuel announced this morning new plans to "Incentivise" (......actually-Penalize) city workers to lose weight, lower cholesterol and lower blood pressure. An article in the Sun-Times called it -"Carrot and Stick approach".

http://www.suntimes.com/news/metro/7105643-418/city-workers-might-have-to-shape-up-under-new-wellness-plan.html

Just so happens my partners at First Health Associates and I have been working on a sustainable plan for lifestyle change just because of the way our weight loss graduates over the last 3 years are still maintaining a hunger to seek out more change even with the great gains they have made. All have been able to lose weight, most have been able to get off medicines, some have been able to change their family members and friends......every single one has been empowered to understand the concept that the power for successful change was inside all this time, just took education/guidance to plan a way to bring it out. The "incentive" we give people in the current program is/are the graduates from the previous programs. We have a growing "wall" of success stories to our program "The Largest Losers". I believe in what Dean Ornish said at my AZCIM fellowships conference......"Fear based medicine that uses the threat of future heart attack or cancer is not a sustainable motivator for change......its about the Joy of Living"....when our team is able to help in making a single change....our patients feel better, it empowers them to embrace the next opportunity to make another change. Small, high value, "daisy-chained" steps to lifestyle change are more sustainable than the "all in" decision to change everything at once. (although some of my Vata patients need this)....either way, we are ready to support all with conventional, alternative and ancillary healthcare.

A small percentage of Chicago's city employees drive 2/3rds the total healthcare costs around 5 chronic illnesses that could be managed with lifestyle change. The US population is the same way, an average of 6000 dollars spent per citizen per year and we are ranked close to the bottom of the list of world countries for being healthy. The good news is that with what I witnessed at The Naperville Veggie Fest, a small percentage of the population is taking their health into their own hands and showing great success at initiating a lifestyle change that is sustainable. I believe in the next decade, we will incentivize the rest of the community to break free of the status quo and instead of Dying Longer-experience the true Joy of Living. I feel in my heart we can grow this from a club, to a culture to a Wellness Generation....just takes the one step at a time.