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The Rubin Report
We Can No Longer Ignore the Ugly Truth About Healthcare | Dr. Mehmet Oz
00:33:38
Dave Rubin of "The Rubin Report" talks to Dr. Mehmet Oz about fixing America's broken healthcare system; why Medicare's enrollment age must be changed; cutting costs while improving quality care; reducing medical errors and reforming prior...
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- [00:00]
T-Mobile Representative
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- [00:28]
T Mobile Foreign.
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Dave Rubin
Me is legendary television and real life doctor turned administrator for the Centers for Medicare and Medicaid Services. My friend, Mehmet Oz. Doc, how are you?
- [00:48]
Mehmet Oz
Professor Rubin, good to see you. How have you been?
- [00:51]
Dave Rubin
I'm doing all right. I have to say. You look well. So obviously there, whatever you people are doing over there, you are you testing things on yourself? What's going on?
- [01:00]
Mehmet Oz
Well, mostly I have to say it's because I have just started the best job of my life and I've had some pretty good jobs. I love heart surgery. It's very fulfilling. Hosting the show was a blast, as you know, because you're hosting one. But the beautiful thing about CMS is CMS stands for Centers for Medicare Medicaid Services. So basically we pay the bills for the social safety net around healthcare issues. And when you're doing that, you're working with the really smart people, mission aligned. Everyone wants to be in this space, whether they forget it sometimes they do or not. They came into this field because they think they can make healthcare better for America and they realize the scale of the challenge. And so when you get up in the morning, you work your tail off with people that really care deeply about these issues. I get to learn a lot about why the system's not functioning better. And most importantly, I get to fix the biggest problems.
- [01:48]
Dave Rubin
So I want to get into some of the problems and some of the solutions. But in some sense, relative to what you just said there, do you feel like this was the obvious next step in your career, that eventually if the government would have gotten something a little bit right to say, get Donald Trump to be president and then bring in a guy like Bobby Kennedy to start focusing on health, that you would have ended up exactly where you are right now?
- [02:11]
Mehmet Oz
Well, let me quote my campaign manager when I called him to tell him that we had obviously talked a lot about this possibility in the past and I said, this is President Secretary Kennedy just offered me to run cms. He said it's just like we drew it up now. He said he said that facetiously because you could never drop anything like this. But if I had to envision my life at this age after having learned the things that I have and overcome the challenges and the failures that I've experienced, this is exactly the kind of position you'd want someone like me in. I think it's a great job for somebody who's been a heart surgeon already. So you've actually been in the trenches practicing medicine. I've talked publicly on national television for years about the things that I thought mattered the most, that folks should be on folks radar screen. But at some point you actually have to get into the government to address some of the long standing challenges. And if it was easy to do or happened already, unlike many debates that we have in healthcare, there's a bipartisan belief that it's a moral obligation of government, as Hubert Humphrey said, to take care of those living in the dawn of life, which is the children, those in the twilight of life, the elderly, but also those living in the shadows. That's actually in marble. As you walk into our government building where Secretary Kennedy and I spend our time, and I remind everyone of that, because you can believe anything you want. You may have a different way of getting to these issues, but we have to deal with these problems. And if they were, you know, if they were easier to codify, if they were simple, straightforward financial remedies, there aren't. And we know that because even the most precious programs we have, and these are special, we've had massive increases and expenses. And these expenses take a toll on the nation. You know, every time we have healthcare expenses increasing 3 to 4% faster than the economy, you're putting a drag on the economy. You have to examine why that's happening, especially when, despite that investment, despite the fact, David, that we have twice as much money spent per capita on people in America for healthcare, at minimum, I mean, usually it's three to four times more than any other country. We're still falling behind other countries in our life expectancy. And the number three cause of death in America is a medical error. So my approach has been as a clinician, starting off with quality. The most expensive thing we do in America in our healthcare is give bad quality care. Because when you give a bad operation to somebody, you pay somebody to do a bad job, so they're not very, you know, competent. You then pay someone good at the job to fix the Bad job, which is expensive and you have to fix the complications and long term issues. So you have many reasons why you've wasted everyone's money and you've hurt someone in the meantime. So let's get it right the first time. Be better at the quality we offer. And I think that's the actual salvation of the US healthcare system. We're so innovative, so courageous, and are willing to take chances to find better ways that we will be able to discover paths to better quality care, including prevention of illness, which is Secretary Kennedy's primary goal. That will actually reduce dramatically our expenses.
- [05:14]
Dave Rubin
That's actually exactly what I wanted to ask you next. How much do you guys, or do you at all work in conjunction with each other? And I'm talking about you and Secretary Kennedy because he's focused obviously on getting the food dyes out, getting us eating better, getting the air and the water quality be better. All of those things which then obviously those things, when they're not right, lead to the problems that you're addressing. Are you guys like, do you have a weekly meeting where you're like, if you can fix this, then 20 years from now we'll be able to fix this? Or is it just sort of, oh, we'll see where it goes and then, and then I'll deal with it after.
- [05:47]
Mehmet Oz
Secretary Kennedy is like a brother. As you know, we spend time together. You know, we've talked about this publicly many times. A vacation together. It's not just me, by the way. Jay Bhattacharya who runs nih, Marty Macari running fda. We spend a ton of time together. I was with Secretary Kennedy today for an hour, then I spoke to Jay for a while based on that meeting. And the reason I bring this up, it's not just because it's a fun, happy, go lucky group. Bobby's called us renegades because we were all basically canceled during COVID for different reasons. But we weathered that storm and we weren't daunted by it. So nothing's going to stop us. And we talk continually because that's how you break the barriers down. What are the most harmful things in the government, especially if it's big government, Federal government is the silos. So if I want to figure out, and this just takes autism as an example, if the Secretary says we need to find out what's causing autism because the President is anxious, angry and frustrated that we haven't gotten better answers in America before his time as president even, it's just been going on for years. We've been realizing it, but we haven't answered it. So he wants an answer. Secretary Kennedy wants an answer. So how do you do that? Well, one way is to go to where the data is. Where's the data? It's at cms because I'm taking care of the patients, right? I'm paying the bills, so I know what happens. But I'm not a researcher. Jay Bhattasharya at the nih, he's a researcher. Well, I have to give him access to the data. Historically, that wasn't easy to do. And so you give the NIH researchers access to the data, you let them share it with the cdc, who's supposed to be giving policy advice on what to do with different causes of toxins in the environment, et cetera. And then you get the FDA involved because they're looking for new solutions to these problems. Now you actually have people joining at the hip, getting this job done, and you're actually moving in the same direction. And the brute force of that can break down barriers that allow us to get things done that couldn't be done in prior administrations. Now, I gotta say what really helps this process is we actually like each other. So if so. But it matters. Think about this. If you're, you know, if you're going after something and someone says something that, you know, you don't understand, which happens, by the way, I don't get upset about it. I say, well, geez, you know, he must have a good reason for saying that. Let me find out. And guess what? When I call up, there is a good reason, usually. And if there's not, they say, I should have told you about this. And we move on. There's bigger fish to fry than the internecine battles that so often hinder government agencies from flowing seamlessly towards the future.
- [08:04]
Dave Rubin
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- [08:54]
Mehmet Oz
Let's map out this week's amazing destinations and travel tips.
- [08:58]
Will
Honestly, Will, I didn't plan any trips, but I did switch to T Mobile with their new Family Freedom offer.
- [09:06]
Mehmet Oz
That's not the itinerary we're following.
- [09:09]
Will
Well, I'm departing from AT&T and embarking on a new journey with T Mobile. They paid off my family's four phones up to $3200 and gave us four new phones on the house.
- [09:22]
Mehmet Oz
Bon voyage.
- [09:24]
T-Mobile Representative
Introducing Family Freedom. Our lowest cost will switch our biggest family savings all on America's largest 5G network. Visit your local T Mobile location or learn more@t mobile.com FamilyFreedom up to $800.
- [09:38]
Per line via virtual prepaid card typically takes 15 days. Free phones via 24 monthly bill credits with finance agreement eg Apple iPhone 16128 gigabyte $829.99 Eligible trade in eg iPhone 11 Pro for well qualified credits end and balance due. If you pay off earlier, cancel contact T Mobile.
- [09:51]
Dave Rubin
So to that point, how much of what you're doing is kind of clearing out the brush of the broken system before you and the people that came in before you. I hope you don't mind. You know, a few months before, after Trump had been elected, but before he was sworn in, you hosted a small event at your house with Bobby Kennedy and Jordan Peterson and a few other people. And I was lucky enough to be there. And one of the things that Bobby said was that he had never been around. So many people had his phone ringing so much from literal millionaires, billionair tech innovators, medical specialists saying, hey, I just want to work for the government for free. I just want to do what I can to help. Which you're sort of alluding to here. But how much of what you do is that you've still got to just break through the broken system that exists in the first place.
- [10:37]
Mehmet Oz
So that evening that you mentioned was one of several that we had there. And thank you for coming because you spoke beautifully at it. But if you remember, Sly Stallone, walk.
- [10:44]
Dave Rubin
Thank you. Yeah, I. I will never forget. I told you, I don't get starstruck. That is the only time in my life, I think.
- [10:51]
Mehmet Oz
So Sly walks in because she cares about America and You know, as he will often say about himself, his talent is in acting and screenwriting and telling stories. He doesn't like the story we're telling ourselves. And the issues we've had in the past is that we have not overcome our biggest obstacle, which is nihilism. And it's not so much the brush and the failures and the obstacles of past administrations, is that we many times don't believe we can get it done. And what you realize when you come into government is you actually have remarkable resources to get things done. You've got to be persistent. You got to fight every single day. Which is why I caution everybody in the Maha movement don't think we're going to fix this overnight. In fairness, this battle will be waged for the rest of our lives, and we're going to have to fight every single day in and outside of government to get it done. I say this because I want people to have reasonable expectations, but we will prevail. This administration is already dramatically shifting the way things are done to make it easier for the right things to happen. But we have to fight for the right things every single day. And I am confident that. And you know, you've got a lot of people who have been waiting for this moment inside of government and outside. They may say that very clearly, because a lot of people, I think, are federal workers. They're just paying, you know, the bills, they're collecting the hourly wage and moving on. It's not true. These folks have. They feel for the first time, unbridled. They wanted to do these things. They came to government to make the changes we're talking about in this administration. President Trump, with his flurry of executive orders and very clear, powerful personality on these topics, says, go out and fight the battle. You know, you got air cover. Go make a difference. Now, folks on the outside historically sat around and thought, geez, government's not doing their job. I have all the answers. But, you know, if you're not in the game, don't complain about it from the outside. This government says you have a generational opportunity to come help. And there are people that Secretary Kennedy's mentioned that both of us have witnessed. I mean, people who made tens, hundreds of millions of dollars on healthcare programs, who gave it all up to come into government. And my argument is, if you made a hundred million dollars off of Medicare, you could save the American taxpayer billions of dollars, because you know where the game's played, you know where the bodies are buried, and we've got wonderful people who did just that. And that actually gives us confidence because now you can have the people in the private sector working with folks who understand how government functions and together you come up with some very innovative ideas and stuff gets done. Just follow the flurry of releases of information from government and the media attention. These are not small time items, like seismic shifts in the way that we want to pay doctors and hospital systems and the way we want to work with insurance companies. So volunteered, with a little bit of urging from us, volunteered to deal with prior authorization, which is the single most the detested part of the process of getting healthcare these days, you know, and you've got the average doctor spending 12 hours a week trying to answer questions for insurance companies. None of which, by the way, seems to benefit the patient. They came together on their own because they saw us coming down the pike and they said, oh, hold, hold on, tiger, before you start taking draconian actions against us, let us fix our own shop. We know we shouldn't do this. We don't like the way it's working. And guess what? God bless these guys. We'll see if they follow through on it. But they've given us the deadline at the end of this year to deal with a problem that was going to take years for us to address. Those are the kinds of chase changes at the pace we want that we're used to seeing in the private sector. Now let's apply it to the public sector.
- [14:21]
Dave Rubin
What was their argument originally for having to go to your primary care physician if you had a specialist problem, so you had a growth on your arm? What was the original argument? Or was it just this is what the insurance companies want us to do and clearly that's part of the game and that's what we're going to do. What was the doctor's argument? I mean, was there an argument?
- [14:40]
Mehmet Oz
Oh, there's an argument and this is what I've learned also. There's, there's, in any maladaptive situation, there was originally an adaptive reason for it. This is true in family dynamics, personality disorders. It's also true in government. Right. So here was the problem. If I go right to a specialist who's paid to operate on me, guess what they're going to do? And they would operate massively more than they needed to, 20% more oftentimes than was required. They prescribed medications because they were the ones that were being advertised on television, not because they're the best ones for you. They put on skin grafts, for example, skin substitutes for ulcers that maybe didn't need it. Or they use a lot more than they needed, or they use the most expensive brand because they get paid 6% of the cost of the product. So all of a sudden you see businesses that used to be doing hundreds of millions of dollars do tens of billions of dollars, and that's because there was no mechanism of controlling this. So prior authorization initially came in just to say, hold on, tiger, can we just make sure that they really need this? It was done to protect the whole system, including the patient. It got weaponized. Insurance companies, not all of them, but some definitely stalled on purpose, thinking, you'll go away if I make it hard enough for you, the doctor won't do it. That's the use of these tactics. That is unethical, should be criminal, and it's certainly maladaptive. But the industry knows that. And once they're, you know, they're being caught. Remember, there was, you know, there was a horrible murder last year of an industry executive by an assassin who used that excuse to murder this poor man. So. And a lot of Americans celebrated that assassin, which is reprehensible. And so you see these things happening after a while in this, she says, okay, this is not working for anybody anymore. So let me just take this as an example, David, because the audience will get this. So the way it works with prior authorization is you've got, let's say, 15,000 different things that could happen to a patient. Right? And I'm going to pick 3,000 things that are the most important problems that I'm going to try to ask extra questions about called prior authorization. Well, insurance company next to me, my neighbor insurance company, they have the same belief, but they don't ask the same 3,000 procedures. They ask a different 3,000 procedures, and so on and so forth. So the poor doctor is sitting there thinking, every patient I see has a different reason why an insurance company blocks it, even though there are different insurance companies with different rules. Our argument is it ought to be like a credit card. When I put my credit card in to get money, I don't have to wait two weeks to find out if the bank has money. Tell me immediately. Now, how did that happen? All the banks got together behind the scenes, and they agreed they have to have a rules engine, a system to decide whether Dr. Oz is money in the bank or not. It doesn't matter which bank I'm getting money from, what vendor I'm going to, what country I'm in. Just the same rules that can be done quickly, and it allows the credit card to be immediately adjudicated so the vendor knows. Whoever I'm buying shoes from knows that minute that I have money in the bank and it's done. Everyone's happy. We want the same thing to happen with prior authorization. Reduce the number of rules, focus on the ones that make the most sense. Get rid of all the issues you're complaining about that don't really matter that much, just to make it simpler. And then tell the doctor and the patient immediately in the moment moment, whether it's okay or not. Well, they have the ability to do that, and they're committing to do that change. And I think if it works, we'll see. We're gonna audit it and they're gonna publicize it when they do it. And we're watching. Secretary Kennedy and I did a big press conference just to make sure everyone was clear what the rules were. But if this works, it's a fantastic example of government using the power to convene, to bring people together and say, we want you to be meek. Now, David, you know what the word meek means, right? Cause in the Bible, it speaks about meek inheriting the earth. When I was a kid, I always thought meek meant weak. I bet you there's some listeners now who believe what I used to believe. It turns out that's not the word meek's meaning. Meek means that you're a strong, powerful person with a sharp sword, and you decide on your own to sheathe that sword, put that sword away, and not use it, because you got something big to do with your friends. And so all of the other competitors and people would normally slice your head off, put their swords away. You sit in the room and you figure out the answer. That's what the insurance industry has done. We have similar argument discussions now with many other sectors of the U.S. health economy. All of them know we got a broken system. And we've sold the same thing to all of them, which is you have a nimble way of doing this because you know your business. Figure it out. Because if you don't, we're coming in there with a sledgehammer and acting on behalf of the President and Secretary Kennedy. We're going to make change happen. But wouldn't you want to do it on your own?
- [19:07]
Dave Rubin
Right. I love the element of this, that in some sense, a lot of them did want to do the right thing or did want to do it in a better way, but the conditions weren't there to do that. And it seems like you guys are just setting a better set of rules and not lopping their head off with the sword. But saying, hey, come to the table. Rent is way up and it feels like everything costs more. These days when money's tight and options are limited, Kickoff gives you a simple, affordable way to build real credit without getting buried in high interest credit card debt. No credit check, no interest, just five bucks a month. And yes, it works.
- [19:36]
Mehmet Oz
Works.
- [19:37]
Dave Rubin
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- [20:23]
Mehmet Oz
Let's map out this week's amazing destinations and travel tips.
- [20:27]
Will
Honestly Will, I didn't plan any trips, but I did switch to T Mobile with their new Family Freedom offer.
- [20:35]
Mehmet Oz
That's not the itinerary we're following.
- [20:37]
Will
Well, I'm departing from AT&T and embarking on a new journey with T Mobile. They paid off my family's four phones up to $3200 and gave us four new phones on the house.
- [20:50]
Mehmet Oz
Bon voyage.
- [20:52]
T-Mobile Representative
Introducing Family Freedom. Our lowest cost will switch our biggest family savings all on America's largest 5G network. Visit your local T Mobile location or learn more@t mobile.com FamilyFreedom up to $800.
- [21:06]
Per line via virtual prepaid card typically takes 15 days. Free phones via 24 monthly bill credits with finance agreement eg Apple iPhone 16128 gigabyte 82999 Eligible trade in eg iPhone 11 Pro for well qualified credits end and balance due if you pay off early or cancel contact T Mobile what.
- [21:19]
Dave Rubin
Would you say is the biggest misconception about Medicare and Medicaid? We hear Medicare Medicaid all the time. Obviously the big beautiful bill and cuts to this and illegals getting this. I mean what if you just said what is the bumper sticker thing that people are confused by or are the real benefits that we don't understand? Let's try it both ways.
- [21:39]
Mehmet Oz
Medicare and Medicaid were created 60 years ago this week. 60 years ago there was this dream, this vision that you could provide a social safety net for folks who were being left out of the healthcare system. As I touched on earlier, this is especially prevalent in young kids. 53% are born to either they're in poverty or near poverty. So they get covered by Medicaid or chip, which is the children's health insurance. You have older folks who lived a long life but maybe for whatever reason didn't accumulate much in savings. They get left out. We have to provide older folks with healthcare. They need it. And you don't want people dying destitute because you couldn't do a hernia operation on them. And then you have folks who for one reason or another are living in those shadows that Hubert Humphrey spoke about. That's who we were trying to protect. Over the decades there has been slippage. There has been for on purpose or by accident, rules made and changed and expectations that altered and that that didn't actually allow the programs to work the way they're supposed to. So you asked me for the big takeaway. One of the big takeaways are don't think about health expenses as an expense or, but think about them as an investment. If we use these dollars correctly, we will return Americans to their optimal health. It's a hand up we're giving people, not a handout. If they're healthy, they'll work better, longer, and all that translates to remarkable growth of our economy. I'll give you a number. Take the average 61 year old today, which is the, by the way, average retirement age. So the average person born in 1964 is retiring this year. Remember, Medicare doesn't start till 65, so they're retiring early. If you get that age group just that one year to work three more years to age 64, just that one age. Everyone is 64, born in 64 is going to work another three years. That's worth $1 trillion to the US economy. Think about that. Basically we can close our debt by just getting people to work a little longer. And if they're healthy, they might want to do that. That's the opportunity that health care offers us. I'll give you one concrete example. The work requirement that there was so much fighting over.
- [23:48]
Dave Rubin
Yeah.
- [23:48]
Mehmet Oz
Now when Medicaid was created, it never dawned on anybody's mind, never crossed their mind that they would be offering free health insurance to people who are able bodied but not working years later as part of The Affordable Care Act. Under President Obama, there was a decision made to allow able bodied members of the American population to join Medicaid. It was supposed to be transient. You get on it, you get off it. Now it's become basically a trap where you have situ, you know, you have generational unemployment. That's easy because you get health insurance for not doing anything. No one asks you to do anything, no one even asks you if you made money. You just sit there and collect the health insurance.
- [24:27]
Dave Rubin
And it was basically, it was basically you're in between jobs. In essence. It was just, it was supposed to be.
- [24:33]
Mehmet Oz
But it's become that you never have to work now. The guy next to you, the apartment next to you, slipping burgers all day long, making $20,000 a year, exhausted, right? But you get the same life that he does. The poverty level, $16,000. There's no real difference by the way, that level. So why bother working? So what we said was you need to engage your community. You have agency over your future. You may not know that, but that's your God given power, is to make a difference in the world. You were not put on the planet to watch 6.1 hours of television or leisure time, which is the data by the way, for able bodied people on Medicaid who aren't working. So what we said was, and this shouldn't be controversial is we want you to go get an education, go volunteer somewhere, go get a job or at least help take care of kids. I mean do something. And guess what? Most Americans, when given that option, will take the deal. They'll go out and try to change the world. That's why I believe that the benefit of the work requirement will get more people into the workforce and get people to start to change their life for the better. When Clinton, President Clinton had welfare reform, the last major effort of this nature was in the late 90s under, in his administration. It worked. People actually started getting more jobs. And so we wanna do the same kind of adjustment. Take out the fraud, waste and abuse and get people back in the job place. Because we have twice as many jobs as Americans willing to do them right now. So this to me is an example of a strong willed President taking on a massive challenge, doing the right thing for the American people. Bobby Kennedy was 100% supportive. We fought night and day through Congress and I to applaud the Republican congressmen and senators. They made brave moves knowing they're going to be people taking cheap shots at them, but knowing also that they were put in Washington to make those Brave choices.
- [26:23]
Dave Rubin
Did you hear any sane counter arguments to that?
- [26:27]
Mehmet Oz
The sane counter argument offered by some is you can't pull it off. You're not going to be able to tell if somebody's actually trying to get a job or not. And, and in response, I'll say this is more about whether you believe America could be competent again. And we have already doing two pilots. 91% of patients on Medicaid have smartphones. These two pilots use smartphones. All you do is tell us where you work. That's it. Underneath that, it tells you what kind of payroll provider you have. You'll allow us to ask, and within five to seven minutes, we have every bit of information that you might think of about how much money you earned last year. And here's the better part. If we build it right, maybe we can also point you at new job opportunities based on your skill set. So we can actually be supporting employment agencies within states. This is a kind of bold measure that instead of sitting around whining about how the system's going bankrupt, remember we spent 50% more on Medicaid in the last five years. 50% more. We were sinking the system. You get people who are able bodied off their couches, off the video games, into the workforce. You're helping everybody. And now the system can actually stretch enough to take care of the people for whom Medicaid was originally design. The young, the old and the infirmed.
- [27:39]
Dave Rubin
What do you think is the biggest change you want to see in American's health? And that's a little more of Bobby's department, but obviously you're dealing with the repercussions of that. But as a doctor, I mean, what's the thing that you want to see us do writ large that would actually change our longevity and our ability to be walking when we're 87 instead of in a wheelchair and all that?
- [28:02]
Mehmet Oz
David, you always ask the important question, so let me give you two answers if it's okay, because your answer the question.
- [28:08]
Dave Rubin
I get one per interview. I get one right per interview.
- [28:10]
Mehmet Oz
Get it out of the way. Well, you know, as you probably know, having hosted shows for many years, I was always told, and I think it's good advice, that every interview is about one question, one fundamental question. Everything else basically leads up to it. I think this is a fundamental question in this interview because ultimately, to make health care affordable for the American people, the American people have to be healthier. It's a partnership, it's a shared responsibility. So the predictable answer is lose weight because obesity. And remember, we're twice as heavy as Europe, 10 times heavier than Japan. And so a lot of our healthcare expenses, the diabetes, hypertension, the heart disease, the brain disease, the kidney failure, it's driven the impotence for the Viagra lovers out there. Much of it's driven by obesity. So. And there are things that work. Another paper came out showing that processed foods are a major driver beyond anything else we've talked about. Eat real food, food that comes out of the ground, looking the way it was harvested, that food you can live with. And we are looking aggressively, and Secretary Kennedy's driven this for making sure that SNAP programs, which are food stamps, that they are selectively supportive of healthier foods, that we don't serve children in schools, junk food and train them and their palates, addict their palates to the kinds of junk food, sugary material that doesn't have any nutritional benefit and cons them into thinking that's real food. So that's the obesity answer. But I'll tell you, the real challenge that I think we're gonna have to, as a people get our arms around is the mental health issue. And I'm not talking about a little bit of, you know, of, you know, I get depressed when bad things happen to me. You know, that's, that's part of life. And the mental resilience to get through that. There is a deep seated disconnect that makes people feel unmoored, atomized, separate. And the number one problem they really have is loneliness. And when you're a lonely person trying to get health access or be healthy, it's hard because you don't have a backup system. There's no one nudging you along, giving you confidence, forgiving your trespasses. There's no reason for you to think that you're connected. And we are hardwired to be in community. And so when you feel on the outside, getting you on the inside to get the care you need to take the medications you should manage or stop eating that junk food. You know, if you don't have any friends in life, the only tool you have to use is the one at the end of your arm, which is called a fork. And so you start using that. And that's a pathology that we have to address head on. Those two issues are related. If you look at people who are really overweight, there's often underlying emotional element that's not being addressed. If we can get that problem systemically addressed, and maybe AI will help with this by connecting the people in ways that, you know, that doesn't replace human connection. Obviously that's, you know, that's precious and God given and important. But there might be times when we can be next to you and nudge you and say, you know what? Call your sister. Don't be such a schmuck putz. Go make a phone call. I know she did XYZ wrong, but she's your sister. You know, make up and life's too short. And those kinds of interactions might be helping in the future.
- [31:12]
Dave Rubin
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- [32:23]
Mehmet Oz
Let's map out this week's amazing destinations and travel tips.
- [32:27]
Will
Honestly, Will, I didn't plan any trips, but I did switch to T Mobile with their new Family Freedom offer.
- [32:35]
Mehmet Oz
That's not the itinerary we're following.
- [32:38]
Will
Well, I'm departing from AT&T and embarking on a new journey with T Mobile. They paid off my family's four phones up to $3200 and gave us four new phones on the house.
- [32:51]
Mehmet Oz
Bon voyage.
- [32:53]
T-Mobile Representative
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- [33:07]
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- [33:20]
Dave Rubin
Is that the tricky part for you that on the food side it's kind of direct what the answer is. As you said, eat foods. Foods and fruits and vegetables that come from the earth. It's pretty clear on the psychological side or depressing depression side, the government coming in and saying call your sister feels like a whole other thing. And you're right, AI will probably play some element but there's just a strange role of government issue there that feels different. Then okay, we'll create the conditions. So the potatoes are actually potatoes.
- [33:48]
Mehmet Oz
Yeah. Well, this is one of the realities of helping administer a program like cms. A very expensive part of of care is people who are having trouble getting out of their own way. Life's difficult as it is. They don't have transportation, they don't have the finances, they can't take time off from work. They're barely holding on to a job. And we're telling them prioritize your health health and they are prioritizing their kids health. And that's why we have a role to play here. You know, I'll just crutch on my medical background. I would never operate on a patient who came to the office without a loved one unless I got to speak to the person that I argued would be there for them after the surgery. I'd say it by the way, many different ways but ultimately I'd say, listen, when you get through this heart operation, which is a life and death operation, I need to celebrate with somebody. It's like, who am I going to call and high five with to make sure that everyone knows you survived? And if they say I don't have anybody in the world, no one cares about me, well, that's a problem because someone does care about you and that you do matter. And if you don't believe that's the case, then I'm not going to take you to the operating room because we're going to do this together. This is not a, this is like a pro am tournament. I get to operate every single day. But you're only going through heart surgery hopefully once. I can't have you functioning at half speed. And oftentimes it's having that really deep discussion which again, as a doctor, remember the word doctor means doctor. A teacher, right? But it also means physician, physics, science, but mostly it means medicine, which is about healing and community and connection. So if I'm going to be that last part, the artsy part of it, I've got to get you to believe in things that maybe you haven't thought about. And I'll give you an example. People will literally kill themselves for their kids. They'll give up everything. They won't take care of their body, their mind, any part of their world to sacrifice it for their kids. And I have many times been forced to tell folks, patients, remember, your kids are not going to treat themselves the way you treat them. They're going to treat themselves the way you treat yourself. So you take care of your kids, they're going to take care of their kids, but they're not going to care for themselves. So you better foster yourself. Your kids are gonna model themselves up to what you do for yourself. That doesn't mean leave your kids unguarded and unprotected. You can obviously not gonna do that. But every once in a while, make sure everyone knows that you're there for yourself and you're there for them. And it's feasible to do both those things at once.
- [36:12]
Dave Rubin
Well, Doc, I can't believe I'm gonna say this, but in retrospect, I think the Senate race turned out just fine. Cause you're doing what you're supposed to be doing, and John Fetterman's the last sane Democrat. So it all worked out. And I'm thrilled that you' that event that you had at your house, I left there feeling like, wow, we really could turn this stuff around. And you were let, you add your board there, and you were really asking everybody the exact questions that now you're answering right now. So I'm just thrilled for everything you're doing. It's amazing. And I got to shake Sly Stallone's hand. That's as good as it gets.
- [36:46]
Mehmet Oz
God bless you. Take care of yourself.
- [36:48]
Dave Rubin
Good to see you, Doc.
- [36:49]
Mehmet Oz
Bye. Bye.