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No, "diet and exercise" is not the only recommendation. I don't even know what point you're trying to make there - if that were the only recommendation, health

No, "diet and exercise" is not the only recommendation. I don't even know what point you're trying to make there - if that were the only recommendation, health care costs would be fairly low. And it's not just mental health issues (~25% of all chronic health issues), it's also respiratory issues (~10%). Then add to that the fact that many metabolic diseases have long lists of causes that amount to "not really sure". Atherosclerosis? Can be caused by physical activity. Hypertension? Being older than 65 is a cause. What the Rand paper does say is "90% of all health care cost is incurred by people with at least one chronic condition". Not metabolic diseases. What it also doesn't say is that the entire 90% are attributable to chronic diseases. (It's sort of akin to claiming that 10% of all healthcare costs are incurred by people named John, Robert, or James. True, but certainly not causal) Again, I'm not saying that chronic diseases aren't contributing a huge cost burden. I am saying that they're far from the only cause of the cost burden, and that blaming it on metabolic diseases is highly misleading even if you just focus on chronic diseases.

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dominotw 4y ago
> No, "diet and exercise" is not the only recommendation. What else is there though? I consulted many physicians for my hyperlipidemia and all of them suggested 'diet and exercise' as the only solution. It is the only thing that worked for me. yes 'not all' high cholesterol can be managed by lifestyle modifications( eg: your genetics might predispose you to high cholesterol. Do you know how much of healthcare spend goes to to the exceptions you are talking about. I certainly couldn't find any data about this, not sure why. > Hypertension? Being older than 65 is a cause. Yes we don't know the cause but we do know the fix even if you are over 65. AHA recommendation https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-make-to-manage-high-blood-pressure https://www.heart.org/en/health-topics/high-blood-pressure/c...
- groby_b 4y ago
  Dude. If "diet and exercise" were the only thing physicians did to treat these diseases, have you tried to think about the internal consistency of your "and at the same time, this is 90% of healthcare costs" argument? Have you, even for a moment, considered your own statement that your doctor prescribed you statins? Did this not lead you, for a brief nanosecond, to ponder that "maybe other people get treatment beyond diet and exercise too"? Also, did it occur to you your nows on argument 3? "It's obesity". "It's metabolic diseases". "Actually, I'd like to argue there's no treatment outside of diet and exercise".
  - dominotw 4y ago
    Imagine thinking statins are used to 'treat' hyperlipidemia. Statins block the production of cholestrol, they don't treat the disease which is causing your body to produce high cholesterol. Maybe you need to ponder about the difference between treatment and management, or ask your doctor about it next time. All this was clearly explained to me by doctor when I was started on statins and that only way to treat the disease itself is through lifestyle modifications. Unfortunately, There is a whole swath of idiots on internet who think they know better than doctors and experts. https://www.aafp.org/pubs/afp/issues/2020/0915/p347.html https://www.aafp.org/pubs/afp/issues/2020/0915/p347.html

deleted 4y ago

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dominotw 4y ago

> No, "diet and exercise" is not the only recommendation. What else is there though? I consulted many physicians for my hyperlipidemia and all of them suggested 'diet and exercise' as the only solution. It is the only thing that worked for me. yes 'not all' high cholesterol can be managed by lifestyle modifications( eg: your genetics might predispose you to high cholesterol. Do you know how much of healthcare spend goes to to the exceptions you are talking about. I certainly couldn't find any data about this, not sure why. > Hypertension? Being older than 65 is a cause. Yes we don't know the cause but we do know the fix even if you are over 65. AHA recommendation https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-make-to-manage-high-blood-pressure https://www.heart.org/en/health-topics/high-blood-pressure/c...

groby_b 4y ago
Dude. If "diet and exercise" were the only thing physicians did to treat these diseases, have you tried to think about the internal consistency of your "and at the same time, this is 90% of healthcare costs" argument? Have you, even for a moment, considered your own statement that your doctor prescribed you statins? Did this not lead you, for a brief nanosecond, to ponder that "maybe other people get treatment beyond diet and exercise too"? Also, did it occur to you your nows on argument 3? "It's obesity". "It's metabolic diseases". "Actually, I'd like to argue there's no treatment outside of diet and exercise".
- dominotw 4y ago
  Imagine thinking statins are used to 'treat' hyperlipidemia. Statins block the production of cholestrol, they don't treat the disease which is causing your body to produce high cholesterol. Maybe you need to ponder about the difference between treatment and management, or ask your doctor about it next time. All this was clearly explained to me by doctor when I was started on statins and that only way to treat the disease itself is through lifestyle modifications. Unfortunately, There is a whole swath of idiots on internet who think they know better than doctors and experts. https://www.aafp.org/pubs/afp/issues/2020/0915/p347.html https://www.aafp.org/pubs/afp/issues/2020/0915/p347.html