 Good I made great news dr. 40 is in and Dr. 40 will see you now How exciting For you dr. 40 is in the house ready to to diagnose Ready to heal All right, let's get well together. This is a safe place to explore your feelings and To come to terms with our mortality People who need people are the luckiest people in the world so Before we get to that there's some shocking news Coming out of europe So i want you to be sitting down for this that uh europeans Right europeans are quite concerned about afghanistan And this is how concerned they are The situation with afghanistan has many europeans convinced That they cannot rely on the united states to look after their security interests Shock and oh You mean Europeans cannot rely on someone else to look after their security interests Whoa this is This is truly shocking news. This is making me think that perhaps Maybe i can't rely on you to wipe my bum Perhaps i can't rely on you to look after my security interests Perhaps i can't rely on you to look after my health interests i mean i'm thinking Now that i can't rely on you to look after all of my needs This is this is shocking. I mean, this is a real story in the new york times Many europeans have become convinced that they cannot depend upon the united states To look after their security interests next again I conclude that they can't look at depend upon the united states to look after their sexual interests or the medical interests The afghanistan fiasco Quoting from the new york times guys has left many europeans more convinced than ever That they cannot rely on the united states to look after their security interests no matter who is occupying the white house Well, this reminds me of women who who posed naked for playboy And then playboy did not look after all their security financial and medical interests for the rest of their lives Like playboy just you know paid them 20 000 to pose for a centerfold But then playboy didn't look after them for the rest of their lives Or there are some women who go to bed with a mate with a bloke and then he doesn't look after them financially for the rest of their lives I mean This is truly disillusioning and so so the europeans Are finding that the american withdrawal from afghanistan. It's a betrayal They feel betrayed right just like when you find out that other people don't have the Priorities that you expected them to have and so you feel betrayed You feel betrayed because not every time that you run into your friends and acquaintances Are they overjoyed to see you? You feel betrayed When you realize that your your boss can replace you for someone who works harder and demands less money And so you feel betrayed anytime you have any kind of human connection. It is always accompanied by the Growing possibility of betrayal. You cannot have human connection without at times feeling betrayed So why do we feel betrayed because we find out to our shock and awe that other people Don't have the priorities that we expect and that we want them to have such as putting us near the top of Their list of priorities So when we find out that our friends don't always have us at the top of their priorities That our family members don't always have us at the top of their priorities We feel betrayed just like the europeans and americas withdraw from afghanistan How good this have happened This is awful so Who was i think bertrand rossels said that if uh if our friends knew what we were thinking Nobody would be able to maintain a friendship because I have friends And it's not every minute of the day that I would be thrilled to put down what i'm doing and to interact with them Like i'll probably never get married because I think it's entirely possible that there will be occasions where my wife Will want to talk about something and I will have a different priority then such as earning a living Or making a youtube live stream So I anticipate that if i'm lucky enough to get married That approximately 50 of the time that my wife wants to talk to me That won't be a really a good time for me to talk that very minute You know, i'm not prepared to like automatically put down everything that i'm working on everything that i'm interested in Everything that i'm developing everything that i'm thinking through to oh you need to talk At the same time, I don't expect my wife or my friends or my family to just automatically put everything that they're doing on hold To like accommodate, you know, my latest, you know emotional catharsis Yeah, I I might ruin my my bachelor brand. I gotta Gotta watch out for my brand mates. So shocking news from From europe and just applying that to our daily lives Maybe maybe we can't rely upon our boss to take care of our financial and medical needs for the rest of our life Maybe we can't rely on our workplace to take care of our sexual and romantic needs for the rest of our life Uh, maybe we can't get all of our social needs met by our church or synagogue Bell is in the house And that's great news not just for 40 It's great news for america Okay, what's going on with the chat? Blessings to luke the last hope the last legendary australian after crocodile dundee dies sargon australian has fallen Lady guest says their descendants of their jailers oof Yeah, women who shack out with dangerous men can't rely on other people to fix their problems Okay, and now what you're thinking 40 get back get back To diagnosis therapy and evidence conundrums in modern american medicine By one bloke one author gerald grob is a medical historian and the other author alan the horwitz is a Sociologist who specializes in medicine. This is such a fun book to read I love this book. This is the conclusion. This is the final chapter. Where do we go from here? So I have no doubt that having access to health care and affordable health care increases your your peace of mind and probably increases your quality of life and Probably reduces, you know unpleasantness Now generally speaking access to health care is not going to significantly increase your lifespan All right But just knowing that it's there like I would love to just have in my cupboard Now a bottle of 30 volumes like I haven't taken a value for for 20 years But yeah, I would like to know that there's like a bottle with 30 volume That you know after riccardo kicks my ass in some online debate That you know if worse comes to the worst or i'm i'm going to take a long flight to australia or something And it's an overnight flight that I can just take a volume and chill chill You know ricola is not enough. I would love to just have a bottle of 30 volume just for emergencies Not as a crutch not, you know for any ongoing use It would just It would give me peace of mind knowing that if I needed it there was like a volume for for emergencies But you know volumes are not as easy to as to obtain as they used to be because the media got obsessed in the 1980s By pointing out like all these people got addicted to volume all the people who are often themselves on volume So the one hand they were they were demonizing this anti anxiety medication volume at the same time They're appraising ssri's to the heavens when really volume and ssri's You know, there's no empirical evidence that one is significantly better or safer You know a finer or kinder a medication than the other Oh, so I understand access to health care and affordable health care gives you a piece of mind You don't worry about medical catastrophes that's going to wipe out your life savings It's nice to know that if you you know break a leg Like I have been like more reluctant to play contact sports when I didn't have health insurance I gave a broken ankle or broke a wrist. I once was playing Uh football with my synagogue and I broke this wrist I was rushing the pasta passer and like these Sisters they blocked me and I fell down And uh, I I broke my wrist in 1998 and then after I had the wrist surgery Coming out of surgery. It was a particularly vulnerable period of my life. It was like april of 1998. I had like a A low-scale low-grade, you know mini panic attack Hey So, yeah, you know, it's nice to have health care, but health care generally speaking It's not going to extend your lifespan and it's not Usually going to make a big difference to to the quality of your life probably make on average a moderate moderate difference Okay, so in in the media In our general culture, there's always great enthusiasm, right and I'm an enthusiast so Who am I to condemn enthusiasm and enthusiast like I'm always enthusiastic about something You know, I take something up one day, you know, I chuck it away the next day I'm I'm I'm just a an intellectual jiggler I fall in love with every beautiful idea that comes along But I ultimately stay stay loyal to none so We always have these new diagnostic categories. We always have these new pharmaceutical drugs and You know exciting developments in in medicine and medicalizing you know daily life all right, but doesn't really make much difference to your lifespan and Much of it makes no difference even to the quality of your life and much of it even probably has more downsides than the upsides Okay, so in 2021 we laugh at diagnostic categories of the past So in the mid 19th century, they would delineate more than a hundred different fevers All right, so these classifications have disappeared from the medical laxicon So almost all the medical Classifications and therapies that were even using 50 years ago. We don't use anymore And so we laugh at what they used to do 50 years ago but What we do now much of it is equally ridiculous as categorizing 100 different types of fevers So what is rls? What's the what's the? meaning of rls Restless leg syndrome press 1 if you got restless leg syndrome press 2 if you got chronic fatigue syndrome Press 3 if you've got major depressive disorder Uh press 4 if you got fibromyalgia All right So there's as much evidence for restless leg syndrome chronic fatigue syndrome fibromyalgia a major depressive disorder is there's evidence for the you know more than 100 different types of fevers that doctors were Were diagnosing 170 years ago So there's no difference between restless leg syndrome chronic fatigue syndrome fibromyalgia major depressive disorder And you know diagnostic categories from 100 200 years ago So many of our contemporary medical Diagnoses completely lack an empirical foundation Right generally speaking studies into the efficacy of various medical therapies and medication They don't really take genetics for example into consideration. So in that terrific book the nurture assumption Judith rich harris makes the point that there's no form of parenting parenting that has been statistically shown to produce results Right, so they're all there's you know, the chinese mother of parenting and jewish mother parenting and helicopter parenting and tough love parenting. There's no form of parenting that Has has been established to produce statistical results All right, so so too almost all studies about parenting And different forms of education. They don't take into consideration the genetics of who they're talking about and so to with most medical diagnoses they they and and medical therapies and pharmacological Solutions they don't take genetics into account generally speaking So think about chronic You know chd. What's that? Uh chronic heart Chronic chd medical abbreviation for congenital heart defects all right congenital heart defects Oh chd that's that's got to be coronary heart disease Okay, coronary heart disease think let's think about coronary heart disease. So for the last 70 years that heart doctors cardiologists were continually updating and changing their advice and they were claiming that chronic You know heart disease was related to all these behavioral You know risk factors like eating too much saturated fat Right, and so I was raised on this really unhealthy horrible vegetarian diet There's basically 80 10 10 Now 80 percent carbs 10 percent protein 10 percent fat. That's the diet. I was raised on it was horrible It's just horrible diet. So It's only when I was able to take you know meat in the form of capsules That uh, I've been able to turn my health around and that's just in the last three weeks So I mean obviously by our teeth structure and the way our digestion system works we were built to to eat meat And it's such an antisocial thing to do to raise your your kids vegetarian. All right, but All the experts about chronic heart disease are always telling you oh, this is a risk factor And that's a risk factor all right, and There's no there's very little empirical evidence that any of these like, you know risk factors actually played much of a role in chronic heart disease and same with the the causes of cancer You know we were told that the causes of cancer are related to diet And I think conservatives particularly love this this kind of analysis because conservatives have this huge belief in free will And uh, I'm not I'm not really eating meat. I'm just throwing capsules that contain meat All right. It's just it's like it's the medicine. All right. I'm just taking it for medicine. I'm not I'm not like tasting it. I'm not enjoying it. I'm just like swallowing swallowing capsules of meat And damn, I feel good. I feel so good I mean finally like after a lifetime of feeling like crap Baraka sham praise god All right, and so all these claims about about I'm only eating the I can't eat meat directly because I got aphobia And I'm sure I can overcome it, but I'm just too weak and I'd rather just like swallow it in in capsule form okay, so So we've had all these claims of chronic heart disease and cancer You know related to diet or to behavioral attribute. Yeah and conservatives love this because conservatives You know have this strong belief that individuals are in control of their own destiny right so So people left the center they believe much more in in bad luck And and paleocons and people to the right of conservatives or people who have a strong belief in genetics They're much more skeptical about free will they think people essentially Play out their genetics combined with their environment But conservatives love the idea that they're in control of their own destiny that we can make healthy choices and they'll Steve off chronic heart disease and cancer by making healthy choices and eating healthy and getting lots of exercise and Good amounts of sleep and thinking positive thoughts and we can be in control of our own destiny. All right, that's a very typical conservative way of thinking To be continued