im skipping the line for Polymarket. if you care about being early, use my link: polymarket.com/app/jkefo

A Prayer In Spring by Robert Frost Oh, give us pleasure in the flowers today; And give us not to think so far away As the uncertain harvest; keep us here All simply in the springing of the year. Oh, give us pleasure in the orchard white, Like nothing else by day, like ghosts by night; And make us happy in the happy bees, The swarm dilating round the perfect trees. And make us happy in the darting bird That suddenly above the bees is heard, The meteor that thrusts in with needle bill, And off a blossom in mid air stands still. For this is love and nothing else is love, To which it is reserved for God above To sanctify to what far ends he will, But which it only needs that we fulfill.

youtube.com/watch?v=laN9LS7g… The Groundbreaking Alzheimer's Therapy Improving Cognition | Dr. David Haase Today, I am very honored to introduce Dr. David Haase. David Haase, MD, holds dual board certifications in Family Medicine and Integrative Holistic Medicine, along with certification in Apheresis (QIA). A graduate of Vanderbilt University School of Medicine, he completed his residency at the Mayo Clinic. Dr. Haase educates physicians globally on managing Alzheimer's, dementia, and chronic illnesses. In 2003, Dr. Haase founded the MaxWell Clinic in Brentwood, TN, a 12,000-square-foot facility dedicated to advanced diagnostics, nutrition, and brain optimization. He is the innovator behind the H.O.P.E.: Habitat Optimizing Plasma Exchange program, a groundbreaking treatment designed to enhance cognitive function and slow cognitive decline in conditions such as Alzheimer's and dementia. This program uses advanced plasma exchange techniques to improve brain health and overall well-being. Dr. Haase is also committed to building ever-better clinical data platforms that empower relationship-based clinicians to integrate systems medicine more seamlessly into patient care. In addition to his clinical work, he actively consults for and serves on the boards of several biotech and medical science companies, contributing to cutting-edge research in Alzheimer's disease, longevity, and cognitive performance. Dr. Haase was also one of the six lead investigators on the Evanthea Dementia Reversal Randomized Controlled Trial that just concluded. His commitment to advancing medical science and improving patient outcomes has established him as a leader in functional and integrative medicine and I am very honored to have him with us today. Hope this is helpful for you and your family! @DavidHaaseMD @MaxWellClinic #alzheimers #alzheimersprevention #alzheimersreversal #evantheadementiareversal #plasmaexchange #therapeuticplasmaexchange #maxwellclinic

Most people don't understand how incredibly complex 340B is. I barely get it myself. 340B creates a pricing spread. Hospitals buy drugs at a steep federally mandated discount and get reimbursed at a much higher rate. That difference is a huge revenue stream for hospitals. Manufacturers have tried to limit some contract pharmacy arrangements, which squeezed certain middlemen. So what happens next? Instead of losing access to that spread, insurers and PBMs move deeper into the hospital itself. Insurer owns the PBM. PBM buys a specialty pharmacy platform. That specialty pharmacy operates inside a 340B hospital. Now the same corporate family can still capture the margin. Different structure. Same spread. This is what a federally created arbitrage program does. It does not lower costs. It does not simplify care. It encourages vertical integration so the largest players can internalize the subsidy. When government creates a guaranteed pricing distortion, capital reorganizes around harvesting it.

This is awesome! Very simple. A good rule is you should only eat what you could grow, kill, or gather from nature yourself with only the processing you could do in the kitchen yourself. It is profound what a huge effect this has on the human experience long-term. Start a garden, even if it’s just a single pot, as soon as your growing season allows! Doc

Thanks, David! It is unconscionable that we still use this herbicide in the US.

I'm obsessed with cognitive biases. A "cognitive bias" is a systematic error in thinking that destroys decision-making. 11 most powerful (and dangerous) cognitive biases I've found: 🧵 1. Survivorship Bias:

Chronic pain is a complex condition that affects many people worldwide and has been increasingly recognized as a biopsychosocial condition. What are the foundational components of the functional medicine model that support personalized treatment strategies for chronic pain? In the following video, IFM educator @DavidHaaseMD discusses the functional medicine approach to chronic pain and explores those perspectives that may help empower patients in their healing journey. Read more: go.ifm.org/3KY1ueE

The US healthcare system is approximately 19% of our GDP. It is a massive economic status quo where inefficiency creates cost without commensurate value .. this benefits the current stakeholders that are benefiting rather than the patients who need the care. Read Dutch’s post and follow him. He makes a ton of sense.

There’s so much that could be done right now with the swipe of a pen to decrease cost and increase access! Great job listing some of these John!!

I think it’s worth drilling down on what this would actually look like in practice. We spend hundreds of billions subsidizing healthcare, but most of that money flows to large corporations, hospitals and insurance companies, rather than to patients. If those funds were directed to patients instead, they’d finally have the power to choose the care they want. Insurance would still play a role, but people would have far more freedom in how they use it. Generous subsidies could go into HSAs, which patients could then use to buy insurance and pay cash for routine services that don’t need it. Basic labs and office visits don’t need to go through an insurance bureaucracy. That’s how other kinds of insurance work: car insurance doesn’t cover oil changes. Health insurance should protect against major, unexpected expenses like cancer or trauma, not everyday care. Let people shop for routine services, keep coverage for the big stuff, and give subsidies directly to patients. It just makes more sense than the current system.

I don’t know, Professor. Because in Michigan, it’s, illegal to find out. Your employer, @UMich lobbies the state to keep it that way. Michigan has “Certificate of Need” laws. Sounds bureaucratic. It’s not. It’s a permission slip system where health systems get to decide if their competitors can exist. Want to open a clinic? Nursing home? surgery center? Imaging center? You need permission from a state commission, staffed by representatives from existing health systems and the carriers. Want to add an Operating Room to compete? Same commission. Same conflicts. Want to offer a new service? You’re asking your competitors for permission. The university, your employer, aquired hundreds of independent physician practices across Michigan It has used CON laws to block new competing facilities from opening It converted the practices, so now they bill at Health Systems rates and easily raised prices 5x overnight. Just acquired Sparrow Health System in 2023, making U of M a $7 billion organization. Same doctor. Same procedure. Same building sometimes. Different owner. Different price. Not because the quality changed. Because the competition was made illegal. University of Michigan Health now generates $7 billion in annual revenue across 200 care sites statewide. They pay zero property taxes on 3.5 million square feet of real estate. They’ve issued $3.2 billion in tax-exempt bonds meaning Michigan taxpayers subsidize their construction costs. They receive hundreds of millions in Medicaid supplemental payments (DSH, GME, UPL) every year. And here’s the kicker: According to the Lown Institute, U of M Health has a $284 million fair share deficit. That means the tax breaks they receive exceed the charity care they provide by $284 million. University of Michigan is a $7 billion tax-exempt empire that uses government power to eliminate competition, then calls it healthcare. One more thing: U of M Health operates 340 contracts with 340B pharmacies. The 340B program was created by Congress to help safety-net hospitals serve poor patients. The University buy drugs at a discount, then are supposed to pass those savings to patients. U of M turned it into a profit center with 340 locations. The discounts don’t go to patients. They go into the $7 billion revenue pile. So back to your question, Professor: “Will giving people money instead of insurance subsidies lead to better functioning markets?” I don’t know. Because in Michigan, it’s illegal to find out. Your employer, now a $7 billion organization lobbies to maintain Certificate of Need laws that make it a crime for physicians to compete on price, quality, or service. I’ve built health plans with no copays, no deductibles, no prior authorizations. Direct contracts between employers and physicians. Transparent pricing. Bundled payments. They work. Prices drop 30-40%. Quality goes up. Premiums go down. Patients love them. So before you lecture Americans about “adverse selection” and “market failure,” maybe explain why the University of Michigan gets to use state violence to prevent markets from existing in the first place. You’re not teaching economics, Professor. You’re teaching people how to defend a monopoly while collecting a paycheck from it.

“Medicare for All” sounds great. Free healthcare for everyone, what’s not to like? But here’s what the cheerleaders don’t tell you: Medicare only pays about 80% of your bill. There is no cap on what you could owe. So, if you get cancer and treatment costs a million dollars, you’ll owe $200,000. That’s not “universal coverage.” That’s a government plan that leaves you broke. And while politicians promise to expand it, they quietly outlawed the one kind of plan that actually limits your costs. Let’s talk about what “Medicare for All” really means.

life is not fair, but it's beautiful #life #positivity #positivevibes #s... youtube.com/shorts/nqF3D4Juq… via @YouTube

The real growth:

Quality and cost improve where there’s a free market. LASIK and cosmetic surgery prove the point. Want people to experience similar improvements in chronic disease management? Unleash the market.

Incredible insights from @DavidHaaseMD, CEO and Founder of @MaxWellClinic, yesterday. "Our body has way more capacity for healing than the current system has capacity for." This perspective really resonates with what we are doing at @seed_healthcare. We must continue to push healthcare beyond its limits- beyond symptom management, beyond narrow interventions, and toward embracing the deeper potential of human health and well-being. #healthcare #innovation #wellbeing #healthcareventure