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Dr. Nicole Safire
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Dr. Nicole Safire
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Dr. Nicole Safire
Welcome back to Wellness Unmass. I'm Dr. Nicole Safire and I am fresh back from Scotland where I was vacationing with my family. If you've never been to Scotland, this was our first time, let me tell you, it was lovely. You have to kind of like being outdoors. If you're not an outdoors person, maybe it's not for you, but we had an amazing time about seven hour flight home, which gave me ample time to read through the eight pages of the leaked make our Children Healthy Again strategy plan that came out of the hhs. So I thought that maybe we'd sit down and go through it. For decades we have watched rising rates of childhood obesity, diabetes, mental health struggles and and preventable chronic illness just in general. And behind the politics, behind the headlines and behind the spin, there is really a generation of kids who are suffering and they deserve better. I talked about this five years ago in my first book, Make America Healthy Again. Adults are sick, but our kids are even sicker. And they're starting out getting sick younger and younger. So by the time they're our age, they're going to be worse off than we are. So that's why I thought it was really important to break down this big strategy that is coming out of the RFK Jr HHS. Remember there was an executive order by President Trump earlier this year to the HHS Secretary RFK Jr. Saying I want to see what your plan is. What are we going to do to make our kids healthy again? Politico leaked this strategy. It was due out. The strategy plan was due out August 15th. They missed that deadline. Nothing came out. This is not the final version. This is just what was leaked. I gotta be honest though, if you were looking for some real zingers, you're gonna be thoroughly disappointed. Now listen, it's very easy to criticize from the outside looking in. Undoubtedly, I am certain a lot of time and effort went into writing this. There are some areas where I'm pretty sure chatgpt or GROK or something similar may have contributed significantly. I don't have one of those little programs where you can check and see. I think whoever put this together relied on doesn't read like someone with a scientific background wrote it at all. But that's not Uncommon usually. I don't know. I mean I would hope that someone who is qualified to talk about these issues is putting together this report, but I guess I would be ignorant to think that that happens probably especially in governmental agencies. It definitely doesn't read like someone did. So what they did was they identified four. They broke it down into four potential drivers behind the rise in childhood chronic disease that presents the clearest opportunities for progress. That's their words. They said poor diet, chemical exposure, lack of physical activity and chronic stress and over medicalization. So those are those four things for me. I would not that they put them in any sort of numerical order. These were just bullet points. I certainly think poor diet number one issue that needs to be addressed amongst our kids. I would then make that second one be the lack of physical activity and chronic stress that our kids are seeing these days. From there, I would say the over medicalization and chemical exposure. I certainly think these are issues, but I think that they are nowhere near as significant when it comes to the health of our children as poor diet and sedentary lifestyles and the chronic stress. So. But that's what they decided to break it down into those four things. And unfortunately the way that this strategy was written is very confusing. It's not very organized. I personally would have taken those four that they'd listed and then given, you know, have those be headers and then have bullet points below each one of those saying and this is how we're going to address it. They didn't do that. They just kind of flight of ideas started listing a whole bunch of things that they want to do. But when you're reading the way that they are listing the things that they want to do, it's actually kind of funny. I say funny. I don't know if it's so much funny haha because I mean when we're talking about the health of our children, I would like to see a little bit more of a plan in place then what was put forth. The reality is I don't know who wrote this. There's a lot of hyperbole in it. Maybe some words I wouldn't have used because they sound hyperbolic. Maybe a chatgpt, maybe an English or literary major added them. I'll give you some specifics. Well actually here's one. Right now they're talking about a task force that is going to be launched. They're like this task force is going to leverage collective expertise to catalyze transformative discovery in science and intervention strategies that provoke promote wellness, blah blah Blah, blah, blah. But I'm like, who wrote this? Catalyze the transformative discoveries in science. I mean, it just sounds. I mean, it's exciting. It sounds exciting. Um, but after reading through this whole thing, it kind of sounded like to me that they were like, I liken it this way. Imagine you are playing a sport. Let's go with basketball. I never played basketball. I'm only 5:1. They don't usually let shorties like me on the team. But let's say we're on a basketball team. We're all hyped up. It's a big game. The coach, he's like, all right, guys, huddle up, huddle up. This is the plan. And everyone just like goes silent because they're like, we need to hear what the coach is going to say. We need that game plan. And the coach is like, this is it. As soon as the buzzer buzzes or I guess do they buzz when you're supposed to start? As soon as it starts, just. Just do your thing. And then everyone just kind of like looks at, around each other like, I'm sorry, what was that? The coach is like, you know, just, you know, play some basketball. Yeah, no, no, no, coach, we've got that, we've got that. We're playing a basketball game. But what's the plan? What's the play? Give us the play by play. You know, where are we going? What positions are we in? No, no, no, we're going to figure that out. Just, just go on out there. Let's play. We'll figure it all out. Don't you worry. We'll figure it all out at some point. That's essentially how this strategy read to me. Again, this is not the final version, so maybe this was just a. That's missing a lot of information, but I don't know. So a couple of things right off the bat that they say they want to do is just put together a few more task force because, you know, these task force, that's what's really going to save the world. I can be critical of these task force mainly because I was on a CDC task force. I was on an advisory committee for breast cancer in young women. And it's something, obviously, I'm very passionate about my day job. While I do all oncologic imaging, breast cancer is what I specialized in or specialize in, not in the past tense. But I will tell you, we got very little done in the several years that we were on it. Not because there weren't smart people on it. In fact, we were all motivated, we were all very smart. We all had a lot to say. It's just that these task force and advisory committees, especially when they're under the federal umbrella, they just are not efficient and they don't really get things done. And that's, it's, that is a flaw of their system. So if we're going to have these task force, maybe I should come in and give some ideas onto how to make these task force actually have an impact. Because what the task force do is, all right, they're going to set a meeting. That meeting's going to happen in a few months maybe, and then maybe a few months after that you'll get a document about their recommendations. It rarely happens after just one meeting. They usually have a meeting to discuss. Then at the end of that meeting they're like, well, these are things we should follow up on. So then they have another meeting a few months later. And in that meeting they're like, okay, so we followed up on these, now what should we do about them? And now that takes a few more months for that to come out. And then by the time that they actually give their recommendations and they're like, this is what needs to be done. Another administration has taken over and it's all new people. And there is as though they didn't even exist in the first place. So whatever Maha wants to do right now, they better get cracking because four years comes real fast in the life cycle of the White House and the administration. One of the things that they were talking about right off the bat is, you know, they want to focus on a new whole person health approach to chronic disease prevention. This is the whole to catalyze transformative discovery science. But they're essentially saying, let's just look at more than what we've always looked at when it comes to approaching chronic illness. And they're talking about new research initiatives including the importance of sleep nutrition and the potential health benefits of select high quality supplements. I mean, I like that as the owner of a nutraceutical company, albeit I'm a very small nutraceutical company, but I love natural herbs. I created the whole line of Droprx because I like natural herbs. I believe in them and I believe in their role. So I think that's great. So I like to hear that because right now sometimes you can be deemed a charlatan when you talk about natural herbs, but the reality is, if they work for you, why not? The thing that bothers me a little bit when they start talking about some of this One of the big initiatives is they say, real world data platform. Now we had some headlines about this in the last month where they essentially said that they want to centralize a lot of the information when it comes out of healthcare system and other things. And how can they take all of that information to really look at, have a broad view of how sick people are? This seems very good. There are some concerns about patient security, privacy concerns, whether patients are consenting to having their data released to the government. They also talk a lot about the wearables data. You know, a lot of people are wearing those rings or those watches or whatever it is. People just love wearables. Here's the thing that I, I'm stuck on a little bit when I read these reports. Anything out of the HHS right now bugs me a bit in the sense that they talk about a lot of these electronic data platforms specifically using wearables. That raises red flags for me because surrounding RFK Jr there are a few people who directly financially benefit from a lot of these endeavors. The wellness supplements, the wearables, the digital platforms. It is the brother and sister duo, Callie and Casey means. Prior to RFK Jr. I hadn't ever heard of them, but I've heard of them a lot now because their names have been brought to the forefront. Callie Means used to work for the big food industry. I believe he is now. What is he like a special advisor to the government? I don't think he's actually a government employee, but he's like a special advisor. He certainly is amazing at PR. I mean he just puts out PR campaigns for RFK Jr and the HHS and everyone on board. He is a sleuth at social media. I mean if he ever wants to get into the world of being a social media guru, he's got it. Because if he wants talking points out there, he will push them. And he is really good at getting influencers and people to talk about it. And the reality is a lot of what he's talking about I am on board with. I agree with a lot of what he says. The issue I have is that Keith founded this company called Trumed and that on itself it's a good thing. I don't know it personally, but it's described as a health wellness platform designed to allow the HSAs, the FSAs or those tax advantaged spending on supplements, healthy food, exercise gear and just other wellness products. It also provide letters of medical necessity to qualify for purchases for those benefits. It seems like it does a good amount of those things now a Lot of the endeavors that RFK Jr. Is pushing forward in, like, this strategy would certainly fall in line here. So it would behoove them to make sure that they are very transparent with some of these disclosures. Taking that a step farther, Callie means sister is Casey Means. I have to always go slowly when I say their names because, you know, like moms, I did the same initials for my children to make it easy. Their parents clearly did the same thing. Callie and Casey. I like it. Casey Means, if you've heard that voice, she is the current nominee for surgeon general. Jeanette Neshwat was the original Trump nominee for surgeon general, but President Trump pulled her nomination, and in the moment, he appointed Casey Means. Now, I've been told by people in this circle that RFK Jr had always wanted Casey Means in that role. He's very close with Callie Means, I assume, and he was not happy with the Jeanette Nashua pick. And. And is that conjecture? Maybe. Except when everyone was being announced, all of the nominees were being announced for, like, the health stuff. Jeanette and Eshwat was the only one who didn't get a public congratulations by RFK Jr and I felt that was not very nice. I felt like, what are we back in high school? Are we in an episode of Mean Girls or Mean Guys? In this case, like, come on, just congratulate her. Geez. So when she was removed, I was not surprised. Not because she wasn't qualified, just I knew RFK didn't want her there. So Casey Means is there now. She has kind of her own stuff. People have been vocal about whether or not they want her in that role. I think one of the biggest things from the medical perspective is she never finished her medical training. She didn't finish her residency program, which means that, I don't know. I don't really know what her history is. I think she kind of has used the strategy of, oh, well, I didn't like the way that medicine was being done, and I wanted to focus more on health and wellness. That sounds like a beautiful spin. I mean, definitely aligned of what she and her brother decided to do with writing a book and, you know, going forth in that wellness space. Some people are reporting that she. She couldn't cut it. Maybe. I don't know why. Maybe she had a hard time mentally with it, physically. It's very arduous in residency. I don't know what it is. I don't know why she didn't finish. I can tell you that as a physician, if you're looking at the nation's doctor and that's what the Surgeon General is. The fact that she didn't finish her residency is a red flag for me because I am wanting medical professionals, just the general public, but medical professionals to respect the individual in this role. If she didn't finish her residency, I can tell you the majority of medical professionals are not going to respect the words coming out of her mouth. Now maybe that's old school thought and maybe we should be a little bit more progressive. But I'm just telling you that's the reality. And while that bothers me a bit, the piece about all of this that bothers me the most, the most is not even that. Even though that does bother me a little bit. She co founded a company called Levels. Levels is a company that sells glucose monitors and the subscription health apps. What are those? That's the wearables data. That's everything that RFK Jr constantly talks about and everything he puts forth. I think he mentioned wearables and real time data analysis in this 18 page report. Like no fewer than like, I don't know, 2, 3, 5, 17 times. I don't remember the exact number, but I kept circling it. I'm like, okay, I get it, I get it. You want everyone to wear wearables. He mentioned that about a couple months ago. He said his goal in the next four years is that every American is going to be wearing a wearable. And guess who's going to directly profit off that? Anyone who owns a company that's dedicated to wearables. And if the Surgeon general is coming out and saying, come on guys, put on a wearable and my company is right, here is where you should get it from. Obviously I think that, I mean, I can imagine this is going to come out in the nomination hearings. We'll see, I imagine. But to the credit of this report, I will tell you that many times throughout this they have talked about transparency, making sure that there are financial disclosures. But you know what? But here's the thing with financial disclosures. Yes, I'm going to disclose that I make money off of this. Well, we're still going to do it though. Isn't that still a conflict of interest? Yeah, it is. I mean, I think in the Senate confirmation hearings of RFK Jr. One of the things was that he was involved in some of the lawsuits for the vaccine injured and that he still could stand to, I think, receive money from some of those lawsuits. And so they're like, well, how can you be an unbiased person when it comes to vaccines if you're financially gaining from lawsuits against pharmaceutical companies. And I think what ended up happening is that he transferred that those funds or those monies like to his son. And I get it. That's great. It's no longer going into his bank account, but it's going into his son's bank account. This is, I have to read up on it for the details. I'm not entirely sure about those details, but if that's the case, that sounds very Bideny with the whole Biden family. And that's what conservatives criticize the Bidens of doing over and over and over again by just like shuffling money around. So we can't say it's okay for one group of people to do that and not everyone to do that. And I just don't think they should do that. I think if you are going to be in these leadership positions, I mean, it takes a lot to be a servant of the American people. And that's what it is. When you take these government jobs, you really have to divest yourself from these financial gains so that we can believe that you are an unbiased person. My opinion? You're listening to Wellness on Mass. We'll be right back with more.
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Dr. Nicole Safire
All right, I just want to move forward because I've just gone off on a total tangent. He certainly talks about pesticides and one of the things he says is, you know, again, I would have like it if it stayed in chronological order like foods, blah blah blah blah blah. But no, we're going to jump all over the place. And if it sounds like I'm jumping all over the place, that's because this. I'm just going to line by line of the strategy, and it certainly is jumping all over the place. So they talk about cumulative exposure to chemicals, most specifically, like the insecticides, fungicides, pesticides, everything that's on our produce and blah, blah, blah, all of that. Now, RFK Jr. Was way against this during his. When he had a presidential campaign and really just said that it has to go away. Now, this report is essentially just saying we're just going to do some more research on it and we're going to do research on how bad this may be. We're also going to do research on some alternatives, and we're also going to try and make it easier for especially small batch farmers to not use some of these harmful pesticides. So I think this sounds reasonable. I think he's going to be criticized because people are going to be like, no, you said no pesticides. We got to get them out. So. But, you know, you have a big agricultural lab lobby. You have, you know, a lot of people at the EPA who have done a lot of studies on this. I don't know what's going to happen there. I'm sure there's going to be some pushback there, but I also think that we have to work with our farmers to make sure that we are not putting them out of business. We also need to make sure that what we're consuming is safe for us. Absolutely. There has to be somewhere in between. So from there it jumps. Now we're jumping to autism because that's how this report reads. Shockingly, autism only has two and a half lines. Autism was like a huge thing for RFK Jr and then all of a sudden he's like, hhs is going to study root causes of autism, and that's it. Okay, all right, well, could you be more specific? Because autism rates have increased. Yes, I know they've increased because of increased diagnostic criteria. But there do seem to be more children with autism, just from my perspective. So what does this mean? Is he saying he's just going to give more money to the funding of it? Because in what are we. We had those, like, we had an Autism Cares act of 2014 that gave $1.3 billion to autism research. 2019 and 2020, between federal and private, I think there was about $424 million each year towards autism research. You know, the government paid about 85% of that. Yeah. So no, we've Been studying autism. There is the Combating autism Act of 2006 that gave $950 million. Autism Cares act of 2014 gave 1.3 billion more dollars. The issue is it's not that we don't have funding to study autism, it's that we don't necessarily have an idea of what's causing it per se, other than environmental exposures, toxins, genetics and others. So where do we go from here? And I think the biggest thing that needs to do is you need to have a data person. Vinay Prasad, who they have in the fda, is really good at looking at data. He has some socialistic views that I disagree with on some of his interpretation of data, but he's really good at looking at data. Someone needs to look at everything that's been studied on autism and point to we need to find out what hasn't been studied, if anything, or what conclusions can be drawn. I don't think more money needs to be thrown at this. I don't think we need to start at zero. We've spent over a billion dollars on it. We need to actually sift through the data, throw out the junk and look at what's already been studied and what conclusions could we draw. I think that's one of the most important things that need to do. And we need to have an autism czar. An autism czar. That's what we need to look at the data we have collectively up until this point, figure out if there are any conclusions that can be drawn and determine if there is a need in any specific area for autism. We don't need more money, we need an autism czar. That's what I'm calling for. It then goes on to vaccine injury. No surprises there. We know RFK Jr. Is talking about that. That's something he's been talking about for a very long time. He's definitely going to get some heat for this one because nowhere in this does it specifically say mRNA, which MRN vaccines are the ones that have been heavily disputed with the COVID vaccine. But I think a lot of people are going to say, but why aren't you saying MRNA vaccines need to be pulled and MRNA research needs to be stopped? Again, just like autism, the vaccine injury is of only three and a half lines. All they said is that they're going to investigate vaccine injuries with improved data collection. I don't really know what that means, but I will say that that's a good idea because the current system, the VAERS program, is a lot of it's just self reported. While VAERS helps in the sense that it can show some safety signals, you know, if a lot of people are reporting the same thing from happening, it can also be confounded with a lot of erroneous information that, you know, people are saying, well, I think this caused it, but it really didn't cause it at all. And so not only does it take time away from people who are evaluating the VAERS data, but it really, for other people who are having more rare side effects, it kind of gets drowned out or diluted amongst a lot of information. So I absolutely agree with an improved data collection and analysis. I know that RFK Jr has already talked about ramping up the new vaccine injury research program and the compensation models. COVID vaccine injuries are currently still funded differently than the other vaccine injuries. Covid vaccines should be lumped into that. I personally believe that the COVID vaccines as well as other vaccines should be coming with black box warnings with some of their side effects. You know, one of the biggest things that bothered me about the COVID vaccines early on we were told in the data was that it was extremely efficacious, over 95%, over 97%. Excellent. And that it was stopping transmission. So the moment that they knew it wasn't stopping transmission, the moment it became obvious that we were having so many breakthrough cases, that's when the thought of, or the conversation around mandating people to have these to slow the spread or stop the spread was like, obviously, well, that's not going to work. But the mandates continued and then they continued going down, down, down, down to adolescents, down to kids. And even without any reports of side effects, that just made no sense to me. It was plain to see, plain as day, that children were the least at risk. And so I started writing a lot on foxnews.com and speaking about it on TV and social media about like, we need to pump the brakes and I'm not sure we should be vaccinating the children. Then the safety signal started coming because people were vaccinating the children because colleges and everywhere else was mandating it. Myocarditis and everything else. And listen, I'm a mom of three boys. They were seeing it in younger men, younger boys. I was like, absolutely not. I know that they're going to do a deep dive into what happened there. At least I hope so. Why we weren't given that information, why we were shielded from it. Israel had the information, but at this point, I think that the warnings need to be on the box in big letters. This can be dangerous. For your children. But the problem is, if those black box, black box warnings are on the box for vaccines, the parents and the kids are not seeing those boxes. They're just in the pediatrician's office or in the CVS or wherever. And they're just like, okay, let's see your Covid shot. You may be sore afterwards, you may have a heartache afterwards, but they don't talk much about that. Moving on. He talks about this, actually, I found really funny. Hold on. Figure out. He has two separate things, like 10 pages apart, where we're talking about the dental oral hygiene. Oral hygiene of children, which is excellent. We are huge proponents of oral hygiene here in the Snapfire house. I think we brush our teeth multiple times a day. But in one of it, he's like, we are going to explore the fact that kids are still having cavities and bad oral hygiene and how this is affecting gut health. Because as we know, gut health affects your entire body. I talk about gut health all the time. My kids are mortified because I talk about gut a lot. So he's on this whole thing about, we have to do something about these cavities in these kids that's affecting their gut health. And then they're like, by the way, we gotta keep reviewing the health risks of fluoride and drinking water because we might take it out. Okay? He doesn't actually say they're gonna take it out, but because of comments he's made, states are already trying to remove fluoride from drinking water now, okay? Adding fluoride to drinking water has decreased cavities over the last century by like, 60 to 80%. Well, because we didn't have fluoride toothpaste back in the day, and people weren't really brushing their teeth back in the day. But Even still, the CDC points to data that's saying 25% of cavities in kids and adults are still decreased because of fluoride in drinking water. Here's where I get a little concerned. If you look at the data on fluoride in drinking water, and of course, I don't have all these numbers in front of me right now, but I studied this for a TV segment I did. They have a limit, because above a certain limit, there aren't consequences of those doses of fluoride. There's consequences when it comes to brain health and some other things. Brain and bones. We're just going to leave it at that, okay? Because this is not an overly medical discussion. It can affect the brain and bones, especially in young kids. So you have limits. You're like, you can't have this above this in your drinking water. Well, I was looking at the numbers in New Jersey, and again, I'm just going to give some random numbers because I didn't have them in front of me. But if at 1.6 it can affect your brain and bones, New Jersey is like, all right, we can't go over 1.2. Just can't do it. Too close to 1.6. Well, New Jersey's at literally at like 1.2. Like, really, you really are pushing that upper limit there. And so on top of that, it's like, okay, it's in the drinking water, but then we're also using fluoride toothpaste, and maybe we have fluoride mouthwash and all of these other things. So undoubtedly there are people out there getting too much fluoride. And maybe this really is contributing. Maybe people drink a lot of drinking water. Maybe this is contributing to some of the issues that we're seeing when it comes to brain health, especially in kids. My concern about removing fluoride in total from drinking water is specifically in the rural areas and underserved areas that maybe they don't have the same access to going to see a dentist or they're not brushing their teeth twice a day. So I don't know how I feel about removing fluoride in total, but I think maybe we should consider reevaluating those levels. But speaking of drinking water, moving on, in this report, they also talked about the levels of pharmaceutical in our water supply. I bet you didn't know this. This is actually quite astonishing and it's not new. What is it? 2002, there was this geological survey that showed 80% of sampled streams across 30 states contain detectable pharmaceutical compounds ranging from over the counter medications like Motrin, Pepcid to hormones, detergents, fire retardants, antibiotics, and prescription drugs. Then the Associated Press did an investigation of this in 2008, and they also detected trace levels of various pharmaceuticals, including painkillers, antibiotics, anti seizure meds, antidepressants, heart medications, sex hormones and steroids in the drinking water of 24 major metropolitan areas that would impact at least 41 million Americans. Well, that's. That seems bad. Could you imagine? We already know that there is documented ecological impact of our medications or whatnot in. In water. There was some study that they showed that fish that were exposed to estrogenic compounds, meaning estrogen, in the drinking water, which I just told you in that Associated Press, showed that it was There in these fish, they showed feminization like they were undergoing trans transformation. And they also had propranolol, which is a beta blocker which slows your heart rate. And all these affected their reproduction. Hello, we have a reproduction issue here in the United States too. And it's not just because people aren't going to bed together. It's because we have more infertility than ever before. Puberty ages are changing and I pointed to this saying, it's the things we eat, the waters we drink. All of this is affecting us because there's hormones, there's steroids, there's all this stuff in here. So they're saying, we're going to look at that. You know what, by gosh, I agree with that. They don't say how we're going to look at it, but they're bringing it up. And I appreciate that. We talk about air quality, making sure that pollution level is okay, which we know it's not, but that's okay. We're going to. They literally just said they're going to study the air quality impacts on children's health. I'm going to go with the air quality is negatively impacting our children's health. You're welcome. No grant needed now. What are you going to do about it? Microplastics, synthetics, same thing. We're going to study it. Yep. We've already had research that shows microplastics in people's brains. I don't think we need more money and time spent on the to say, you know what? Microplastics in our body is not good for us. We know, what are you gonna do about it? Then they go on to like the whole prescribing patterns and mental illness. And that was that fourth thing that they talked about, the fact that they think that kids are being over prescribed medications. And you know what, it seems like there are a lot of kids on Adderall these days. Now, is it the chicken or the egg phenomenon? Do more kids have attention deficit disorder, hyperactivity disorder, and so they're requiring the medications or are we over prescribing medications? Well, I think it's a little bit of both. I think that physicians, parents, teachers, they've just kind of broken that red tape of prescribing children medications these days. It is what once used to be stigmatized. And you do want to get away from stigma when it comes to treating, especially children. But I do think that, you know, the barrier for treating has just really been broken down a little bit too much now that is my opinion. So they talk about prescribing patterns and impact on mental health. Here's something that I don't like about this. They say we are going to consider prior authorizations. Like increasing prior authorizations of this to maybe combat over prescribing. Oh good God no. Please don't. Okay? From every doctor everywhere. The last thing we need are more prior authorizations. Okay? A psychiatrist who's been in business for decades doesn't need a nurse who never did a psychiatry rotation deciding whether or not that patient needs the medication. Okay? Especially because these prior authorizations are done by the insurance company and all the insurance company cares about is saving money. They will spend more money hiring people to do these prior authorizations because they don't want to commit to paying for that medication. It is awful. As a physician dealing with insurance companies and prior authorizations, I don't like that that was included in here. That I'm going to go with. Maybe ChatGPT wrote that because no medical professional would write that because that is stupid. I'm going to just hope that that's just not going to happen. That's just wishful thinking on my part. But who am I to say more? Coming up on Wellness unmasked with Dr. Nicole Safire.
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Dr. Nicole Safire
Looking at how are we going to get healthy foods to kids? And I love it because they're talking about removing junk food from snap. We heard that a few weeks ago from the food stamps programs. You know, making sure it's not covering soda and Some of these unhealthy foods. But my criticism of that was great. You're removing these foods. How are you getting healthy foods to these kids? That's one thing that's actually in this report. Now, there are no details, but they have some good. I mean, I say they have some good ideas. These are not novel ideas, but at least they're looking into it. It's a step in the right direction. I wrote it in my book five years ago. I could saved you some time and money of writing this little report thingy if you wanted to just read that. But it's okay. I like that you're talking about incentivizing grocery stores to go to underserved areas where we have food deserts. Talking about bringing healthy foods in these maha boxes of healthy food for SNAP recipients. All good things. Love it. Thank you. I'm very happy to see it. They bring up briefly childhood cancer, which does not fit in here at all. Again, this really does read like ChatGPT may have been a big assist on this. It just says childhood cancer cancer in AI. They were just going to develop an AI driven approach to harness the data and the tech. All right, cool. I'm more concerned about the childhood cancer rates. What are we going to do? What's interesting that they didn't mention here is the right to try legislation, because I can tell you when you talk about childhood cancer, you have to talk about the ability to right to try. And there is just a big shakeup at the FDA and because they didn't approve a medication, and maybe it's because that medication seemed to be quite dangerous for children and didn't really seem to work. But they were heavily criticized because President Trump has always been a supporter for right to try medications. Those medications where you have a rare disease and there's medications that aren't really proven safe or efficacious at all. But the company's like, well, I might as well just try. That's what right to try is. And so I'm surprised that they didn't mention that, but I guess I'm not surprised. They talk about something that's interesting, that they want to harness the data from the VA for kids to look essentially at a data sharing plan. They're saying that they're going to exclude personally identifiable information, you know, protecting patients privacy. But I don't know, this sounds a little if any of these people who are about, you know, consent and they care about their privacy, they might be a little concerned about how this is going to be used. Of course, we always have a concern about that and making sure it's not negatively used against them because insurance companies love to use things against people. All of a sudden you see artificial intelligence again and oh, what's that? Yep. Talking about real time monitoring with AI. What does that sound like? Wearables. Wearables and platform digital platforms. Sound familiar? Honestly, that's about it. They also mention infant formula, looking into it, wanting to be more aligned with the European way, which is much healthier. Our infant formula here in the United States is completely antiquated. It is unhealthy. Despite that, they love to say, oh, it's as good as breast milk. Absolutely not. Breast is best. And you know what, God bless this report because they say that kind of. They essentially say we're going to do everything that we can to try to increase breastfeeding rates here in the United States. And I am like awesome. I am all for this. And imagine they will. The last major thing I want to touch on is that they mentioned the Dietary Guidelines for Americans. This is essentially. They are going to replace that stupid food pyramid that we've been looking at for a few decades. Because the reality is that food pyram is so wrong. While when it was made it sounded good in theory, you know, to have whole grains, but unfortunately our whole grains that all of us tend to eat are these super ultra processed foods that turn into nothing but sugar and crap in our bodies. So hence why we're kind of fat and have a lot of inflammation. So they're going to do it. They haven't put it out yet. When I had talked to Dr. Marty Makary, the new FDA commissioner, he had mentioned this was coming down the pipe and was really excited about it. And I am also really excited about it. So we will see this as well. One more interesting note, they say that they're going to limit the direct marketing of certain foods to children. You know how if you turn on the TV or social media, like have bright colored candies and cereals and sodas and whatever it is to try and get kids attention, they're going to limit that. But interestingly, you know what they say about the whole direct to consumer when it comes to pharmaceuticals? We're just going to increase our oversight. We're going to increase our oversight on that. Don't you remember when RFK Jr. Was running for president? He was like, oh, it's bad. We have to get rid of direct to consumer. It's something we're going to do. And I was like, yeah, let's get Those stupid pharmaceutical ads off the tv. Because the last thing my kids need to see are the anti HIV meds and talking about, well, it can cause this, this, this, this, this, this, this, this. My kids are like mortified when they see this. Like, let's go. Nope, nope, that's not happening. I know. Big pharma, huge lobbyists. That was wishful thinking. I mean they pay a lot of money. A lot of people benefit from pharmaceutical ads. I get it, I get it. But so they say they're going to increase oversight and enforcement. So they essentially say if they break any of their rules that more penalties maybe Then they also say they are going to make sure they may increase the risk lists. I mean, have you seen one of these pharmaceutical ads? They're. So you may get. And we're going to go even longer. Okay, I think I'll have to stop watching television at that point. They go into a bunch more other things. They say that medical school, they should have classes on nutrition. Cool. I didn't have one in medical school. I think it's a good idea. Nothing wrong with that. They talk about the whole presidential fitness test. Great, get kids moving again. And that's really it. And so they talk about, oh, one of the things that they do say for all of this to make sure that people are healthier, specifically those on Medicaid, which is the government funded health care, they're going to be using fitness indicators and they gave an example of which fitness indicator it was going to be, VO2 max, which is essentially showing how well your cardiovascular system is working. What do you think monitors that? Do you think everyone's gonna go to the doctor to get their VO2 checked every now and then? No. Do you know what can monitor that? Yep, you guessed it, a wearable. I digress. Anyway, so that's about it. There's a lot of other things in here. Deregulating small businesses, especially for small farms. I hope they expand that to like the small businesses that make shampoos and soaps because for whatever reason, shampoo and soap is under the fda. When you have these small businesses, they are just crushed by the fda. So I really hope they deregulate some of that. That's not specifically mentioned in here, but I'm hoping that it will be. That's it. I'm really thinking that this is not the end of this report because it really kind of ends abruptly. There's no like. And in conclusion, this is what I think should happen. There's none of that. So maybe it was cut off. But I will say they essentially are giving two tasks to the Surgeon General, if and when we ever get one. The first one is screen time. The Surgeon General is going to launch an education and awareness initiative on the effects of screens on children. I like it. Again, as a mom of three, this is an issue. It's an issue. It's not just an issue for kids, it's an issue for adults. Our Surgeon General right now is pregnant, I believe, with her first child. So this is something she's going to be dealing with eventually when she becomes a mom. So I'm sure there are a lot of moms surrounding her who are going to be very excited to talk to her all about the consequences of screen time, and she is going to learn herself in the near future. The other initiative for the Surgeon General is that she is going to launch an education and awareness initiative on the impact alcohol, controlled substances, vaping and THC on children's health. Excellent. I am certain she's going to get a little bit of pushback on this one, mainly because I think, I don't know if it was in her book or it was an article. She talked about taking essentially an illegal substance here in the United States, a hallucinogenic. And she was saying that it just helped her get to a deeper place. I don't know if she said spiritually. I don't really know what she said, but I just think it's kind of funny. And I think people are going to give her a hard time on that, which is maybe, maybe she deserves it, maybe not, I don't know. But she has spoken out, I believe, in her book about the consequences of marijuana and some other things on just overall health. So I know she feels that way. And it'll be interesting. It's going to be. This can be real interesting. They really didn't mention opioids, like, at all. Despite the fact that three teens essentially die a day of opioids. They essentially just say maybe. The FDA is going to update oxycontin labeling to warn patients and consumers about the dangers of chronic use. Would have liked to see a little bit more about opioids, seeing as it is still a major, major issue in our communities. They do talk about educating schools a little bit about responding to overdoses, but I am much more interested in preventing the overdoses than just responding to them. So that's it. I will let you know if and when this final report comes out. To me, it's a big frickin nothing burger. It's kind of just more repetition of what we've already heard and at the end of the day you can put a million bullet points out. It's going to take a lot more to actually make some change, specifically some long lasting change. So I really hope we can get there. Thanks for listening to wellness en masse on America's number one podcast network, iHeart. Follow Wellness Unmass with Dr. Nicole Santa Sapphire and start listening on the free iHeartRadio app. Wherever you get your podcasts and we will catch you next time.
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The Clay Travis and Buck Sexton Show | Episode Date: August 19, 2025
Host: Dr. Nicole Saphier (filling in)
In this episode, Dr. Nicole Saphier offers a frank, in-depth analysis of the newly leaked, not-yet-finalized HHS strategy plan for childhood health: the "Make Our Children Healthy Again" strategy, initiated by Secretary Robert F. Kennedy Jr. in response to an executive order from President Trump. Walking listeners through the plan's main proposals, organization (or lack thereof), and political/financial undercurrents, Dr. Saphier critiques both the content and the process behind this high-stakes public health roadmap—with a blend of expertise, candor, and humor.
Timestamp: 02:58–07:40
Timestamp: 04:10–05:46
Timestamp: 07:00–10:11
Timestamp: 10:12–11:55
Timestamp: 11:56–17:00
Timestamp: 17:01–22:00
Timestamp: 27:34–29:55
Timestamp: 29:56–34:50
Timestamp: 34:51–39:55
Timestamp: 39:56–41:26
Timestamp: 41:27–44:11
Timestamp: 50:09–54:15
Timestamp: 54:15–56:45
Timestamp: 56:45–58:40
Timestamp: 54:17–55:17
Dr. Saphier approaches the episode with a blend of dry humor, frustration, and deep expertise. She is unimpressed with the plan’s format (“reads like ChatGPT wrote it”) but acknowledges some encouraging elements (push for healthy food access, new dietary guidelines, breastfeeding promotion). Her greatest criticisms:
Final assessment:
"Put a million bullet points out. It's going to take a lot more to actually make some change, specifically some long lasting change. So I really hope we can get there." (59:48)