sandra scheinbaum

@kevinmd We need health coaches to preventive care.

I interviewed a physician and health care reform advocate who says we are bankrupting the country to pay for a broken medical system. Dr. David K. Cundiff joined me to discuss his radical 2026 vision for U.S. health care: replacing the entire insurance industry with "Accountable Care Cooperatives." The statistics he shared are staggering. Since the 1970s, the ratio of administrators to clinicians has skyrocketed from 1 to 40 to a 1 to 1 ratio today. Non-clinical bureaucrats now outearn frontline medical workers on average. Meanwhile, 55 percent of clinicians are considering quitting their jobs. Dr. Cundiff argues that neither political party has a viable plan. Instead, he proposes abolishing all public and private insurance, including Medicare and commercial plans. In their place, he envisions self-regulating Accountable Care Cooperatives. Key features of this proposed system include: Community Focus: These private, non-governmental entities would compete on quality and preventive care rather than gaming insurance reimbursements. Capped Panels: Primary care panels would drop from 3,000 patients to just 600 to 800, giving doctors the time they need to actually practice medicine. Holistic Care: Cooperatives would directly manage social determinants of health, including housing, employment, and nutrition. Flipped Workforce: The model aims to transition millions of administrative jobs back into the clinical workforce to help solve the provider shortage. It is a massive, systemic overhaul that would dismantle entrenched industries. But as Dr. Cundiff notes, we are currently spending 6.3 trillion dollars a year on a system that earns a D plus grade from the public. Small tweaks are no longer enough. 🎙️ Listen to "Accountable care cooperatives: a 2026 vision for U.S. health care" on The Podcast by KevinMD. 📷 Search "The Podcast by KevinMD" on Apple or Spotify. #KevinMD #HealthCareReform #AccountableCare #PhysicianBurnout #HealthPolicy #MedicalEconomics

Ziploc bags are NOT safe… Beware !!!

Health coaches help people create better health by helping them make difficult choices.

We have a chronic disease epidemic. 93% of Americans are metabolically unhealthy, and FOOD is the primary cause and the cure. Yet doctors learn almost nothing about nutrition, the microbiome, or toxins. Until we change this, we’ll keep treating symptoms instead of causes.

Food is the most powerful tool to change your biology. It’s basically code or instructions that changes your physiology with every single bite. It changes your gene expression. It changes your hormones, your brain chemistry, your immune system, your microbiome, your neurotransmitters. Everything can change, and not in years or decades, but literally in minutes.

There’s hundreds of studies showing we can reverse chronic disease or prevent the onset with lifestyle change. And health coaches help people with lifestyle change.

This is why I wrote “Your Health Coach Will See You Now.” Working on primary care teams, they’re helping patients feel heard and are addressing the epidemic of chronic disease. They bring back the lost art of bedside manner.

If they had health coaches in all primary care practices, we would not have a chronic disease problem.

If you need support for lifestyle change, get a health coach.

Health coaches help with lifestyle changes!

Strength training is absolutely vital for maintaining health and well-being, particularly as we push into middle-age and beyond. Here is what you need to know about maintaining your physical strength and how to do it in a way that suits you: ow.ly/gJC550T1l57

Chronic fatigue isn’t a caffeine deficiency. Heart disease isn’t a statin deficiency. Depression isn’t caused by low SSRI levels. Every diagnosis deserves a deeper question: Why?

This is what we teach at @functionalmedcoach. We’re a collaboration with IFM.

With functional medicine, you can change the outcomes of disease. Start learning today with online & in-person CME courses.

BREAKING: The CDC just released new data that should alarm every parent in America: 1 in 3 teenagers now has prediabetes. 🧵

Health coaches offer healthcare rather than sick care as get help people make the lifestyle changes that prevent chronic diseases.

Great news! But the best approach is a team: doctors, nutritionists and health coaches!

The best is a team approach: doctors, nutritionists and health coaches to help people actually carry out dietary advice!

@calleymeans This is why we need health coaches on every primary care team! They address root causes - lifestyle factors!

I recently had a conversation with a friend who runs a clinic network of 1,000+ MDs. She said the main conversation among doctors is frustration that patients are asking about the "root cause" and "more natural cures" for their conditions. She said 0% of patients asked these questions five years ago, and now 80% of patients do. Her doctors see this trend as a negative thing, and spend their time deriding the MAHA movement and social media personalities in the breakroom. These clinics focus on dermatology and make money selling drugs and procedures. Many dermatological issues are tied to root cause issues (diet/lifestyle) and not a lack of cream or injection. On Reddit boards, countless medical professionals are decrying these "root cause" questions. I think this represents a major shift/dynamic happening in medicine that should be openly discussed. Are patients' right to be asking more questions about the root cause, or are the doctors right to be deriding Americans for taking health into their own hands? To be asking about food, exercise, over-medicalization, and lifestyle habits... Should patients trust their doctors on chronic disease management? Can patients actually reverse their conditions and thrive if they explore the root cause? Are the answers simpler and more under our control than we believe? I think the answer is clearly yes. I hope the trend of patients asking doctors for the root cause doesn't slow down, and it not only changes how we practice medicine, but also changes our culture to be more empowered. If you have an acute condition that will kill you right away, see your doctor and listen to them. Our system is a miracle at addressing these acute issues. But that's less than 10% of our spending. Our system's failure at chronic disease management has economic, national defense, and spiritual effects that are existential. We need to have respect for our food and our soil. We need to cherish breastfeeding and natural food... We need to ensure kids are away from their phones and outside running around... We need to rejuvenate a grounding in the spiritual... These are the messages our healthcare leaders should be repeating again and again - and that light is starting to shine through, despite aggressive resistance from hard-working doctors whose income and identity are undeniably tied to the broken status quo.

Health coaches help people take charge of their health. wishtv.com/lifestyle/dr-s…