{"id":9532,"date":"2018-01-29T08:01:24","date_gmt":"2018-01-29T14:01:24","guid":{"rendered":"https:\/\/wholehealthchicago.com\/?p=9532"},"modified":"2021-08-01T22:00:48","modified_gmt":"2021-08-02T03:00:48","slug":"best-piece-financial-advice-youll-ever-receive-stay-healthy","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2018\/01\/29\/best-piece-financial-advice-youll-ever-receive-stay-healthy","title":{"rendered":"The Best Piece of Financial Advice You\u2019ll Ever Receive: Stay Healthy"},"content":{"rendered":"\n<p>The title of this piece should be in quotation marks because that advice is not my own. Based on my ineptness, I never give financial advice to anyone. Stock tips? I\u2019m a <a href=\"https:\/\/en.wikipedia.org\/wiki\/Cumaean_Sibyl\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Cumaean Sibyl<\/a> in reverse. If ever money or finance come up in conversation, people who know me head for nearest exit in order to cut their losses.<\/p>\n\n\n\n<p>This financial advice came from a patient, quoting her business school professor\u2019s graduation speech: \u201cStay healthy. Stay very healthy.\u201d<\/p>\n\n\n\n<p>The professor probably assumed he was preaching to the converted. By the time most people finish a postgrad education, they usually know that a majority of the potential health issues they\u2019ll confront are caused by unhealthful lifestyle choices. If you\u2019re in a position to hire a new MBA who smokes or has cheeseburger breath, don\u2019t bother. She was probably at the bottom of her class.<\/p>\n\n\n\n<p>What I hope my patient\u2019s forward-thinking professor conveyed, and am fearful he did not, is that once you enter the healthcare system as a consumer, whether as a casualty of unhealthful lifestyle or the recipient of a bad draw of the illness cards (diseases like MS or ALS can occur in those with the most pristine health habits), prepare for the sticker shock of your life.<\/p>\n\n\n\n<p><strong>Three guidelines for interacting with the US health system<br><\/strong>I\u2019ll add a corollary to the professor\u2019s advice. The healthcare system in the US today is so dysfunctional&#8211;currently providing us with mediocre service (I\u2019d rate it a C-) at egregiously inflated prices&#8211;that I suggest three rules:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Learn the finances of the system.<\/li><li>Question authority.<\/li><li>Get multiple opinions not only from other MDs, but also from so-called alternative practitioners as well.<\/li><\/ul>\n\n\n\n<p>In 1906, Irish playwright George Bernard Shaw had finished his play \u201cThe Doctor\u2019s Dilemma.\u201d Being a man of strong opinions, he was prone to writing prefaces to his plays that were occasionally longer than the plays themselves. <a href=\"https:\/\/ebooks.adelaide.edu.au\/s\/shaw\/george_bernard\/doctors-dilemma\/preface.html\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Click here for the play\u2019s preface<\/a> and to see evidence that little has changed in 112 years. Most Westernized countries solved many of the issues Britain faced in 1906, and we still face today, by creating single-payer health systems.<\/p>\n\n\n\n<p>According to Michael Wolff\u2019s book <em>Fire and Fury<\/em>, just after winning the election President Trump opined \u201cWhy can\u2019t Medicare simply cover ev<a href=\"https:\/\/www.cnbc.com\/2018\/01\/05\/trump-asked-why-cant-medicare-simply-cover-everybody.htm\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">e<\/a><a href=\"https:\/\/www.cnbc.com\/2018\/01\/05\/trump-asked-why-cant-medicare-simply-cover-everybody.htm\" target=\"_blank\" rel=\"noreferrer noopener\">rybody?\u201d<\/a> Sadly and perhaps predictably, the notion was promptly swept under the Congressional rug and repealing Obamacare became the Republican idee fixe.<\/p>\n\n\n\n<p>I\u2019ve written many Health Tips on this topic, most recently <a href=\"https:\/\/wholehealthchicago.com\/2017\/12\/11\/pigs-at-a-trough-2\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u201cPigs at a Trough,\u201d<\/a> which embodies my view of the entire system, from insurers (both health insurance and disability insurance) and virtually all health care providers to the most astonishing <a href=\"https:\/\/www.thefreedictionary.com\/goniff\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">goniffs<\/a> on the planet, Big Pharma.<\/p>\n\n\n\n<p>Over the next several Health Tips, I\u2019m going suggest some tactics so that you don\u2019t fall victim to a system driven, as one person remarked in a Health Tip comment, \u201cby greed, waste, and inefficiency.\u201d<\/p>\n\n\n\n<p>I\u2019ll mainly focus on insurance, primary and specialty care, hospitals, surgery, and pharmaceuticals, including some patient experiences I\u2019ve heard over the years.<\/p>\n\n\n\n<p><strong>Three quick anecdotes<br><\/strong><u>I recently had as a new patient an MD anesthesiologist<\/u> from a well-respected hospital. I said, \u201cI\u2019m kind of embarrassed to ask this, but if anyone would know the answer it would be you. In your professional opinion, what percentage of surgical procedures are probably unnecessary?\u201d<\/p>\n\n\n\n<p>\u201cOh, maybe half,\u201d he replied. (Right in line with the George Bernard Shaw preface mentioned earlier.)<\/p>\n\n\n\n<p><u>I remarked to a highly respected orthopedic surgeon (not a back surgeon)<\/u>, \u201cThere seem to be more back surgeries than ever. Here at WholeHealth Chicago, with two chiropractic physicians and three acupuncturists, we see a lot of patients with back issues, but only a tiny percentage ever need surgery. What are the actual criteria for proceeding with back surgery?\u201d<\/p>\n\n\n\n<p>\u201cTwo criteria,\u201d he said. \u201cDoes the patient have good insurance and does the patient have a back.\u201d<\/p>\n\n\n\n<p><u>New Big Pharma crime of the week<\/u>. Rheumatologists prescribe high doses of ibuprofen (Motrin) for rheumatoid arthritis, sometimes as high as 800 mg three times a day. A dose like that can give you stomach ulcers, increase your risk for heart attacks and strokes, and cause chronic kidney disease. To reduce the stomach risks (but not the other risks), doctors recommend taking Pepcid (famotidine) with each ibuprofen.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.goodrx.com\/ibuprofen?drug-name=ibuprofen\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">The cost for 90 tablets of 800-mg ibuprofen is $12<\/a> (even without insurance) and for <a href=\"https:\/\/www.goodrx.com\/famotidine?drug-name=famotidine&amp;form=tablet&amp;dosage=40mg&amp;quantit y=90&amp;days_supply=&amp;label_override=famotidine\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">90 tablets of famotidine about $17<\/a>. Note that if you click these links, Walgreen\u2019s generally has the highest \u00a0price.<\/p>\n\n\n\n<p>Horizon Pharma, whose specialty is finding cheap orphan drugs and then price gouging (the same business model as that created by currently incarcerated <a href=\"https:\/\/en.wikipedia.org\/wiki\/Martin_Shkreli\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Martin Shkreli<\/a>), has released Duexis, which is dosed at one tablet three times a day.<\/p>\n\n\n\n<p>You could take your daily three doses of 800-mg ibuprofen along with the three 40-mg famotidine tablets and your out-of-pocket expense would be about $29 a month.<\/p>\n\n\n\n<p>Or your doctor could write you a prescription for Horizon\u2019s Duexis, in which the two drugs are combined into a single pill you take three times daily. The difference is that <a href=\"https:\/\/www.goodrx.com\/duexis?drug-name=Duexis\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">90 tablets of Duexis cost $2,400<\/a>.<\/p>\n\n\n\n<p>With a healthcare world as dysfunctional as this, follow the MBA prof\u2019s advice and stay healthy. At the same time, start to learn more about how the system operates.<\/p>\n\n\n\n<p>Be well,<br><em>David Edelberg, MD<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The title of this piece should be in quotation marks because that advice is not my own. Based on my ineptness, I never give financial advice to anyone. Stock tips? I\u2019m a Cumaean Sibyl in reverse. If ever money or finance come up in conversation, people who know me head for nearest exit in order [&hellip;]<\/p>\n","protected":false},"author":2087,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[214,2,398,203,50,3,62],"tags":[],"class_list":["post-9532","post","type-post","status-publish","format-standard","hentry","category-big-pharma-evils","category-blog","category-fitness-exercise","category-health-insurance-issues","category-healthy-lifestyle","category-knowledge-base","category-t"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>The Best Piece of Financial Advice You\u2019ll Ever Receive: Stay Healthy<\/title>\r\n<meta name=\"description\" content=\"This financial advice came from a patient, quoting her business school professor\u2019s graduation speech: \u201cStay healthy. 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