This weekend I saw a number of news items that caused me to think more about the role of the corporatization of health. It is clear to me that there is a a group of people who don't want us to be healthy and who are invested in our being ill. If I am right what can we do?
In this post I make a case for the problem and I offer up a way of dealing with it.
Breast Cancer and the BRCA1 Gene
First of all, if you wish to test for the Breast Cancer Gene that affects abiut 10% of women but also drives a very high chance of getting Breast Cancer, you will have to have at least $4,000. For this test and the gene are subject to copyright! Link Here
"Unlike routine tests for diabetes or high cholesterol, however, the BRCA gene evaluation — performed by only one company in the United States, Myriad Genetics — is phenomenally expensive, with a “list price” close to $4,000 when a related genomic-rearrangement test is included in the analysis, which oncologists typically recommend."
If you go to 23andme you can get a whole range of gene tests for $99! Testing for genes is no longer expensive. But if you have the copyright and you have a gene and a test that is rooted in a killer problem, then you can charge what you want. What a business!
C Difficile and Fecal Transplants
C Difficile is a major cause of death now. It is caused by a failure of our gut health. Poor diet and the use of antibiotics can kill off the good bacteria leaving us exposed to the bad. THE way of curing this is very simple and works in less than 2 days. It costs almost nothing. It is called a "Fecal Transplant". And yes it is just that. Good poo from a person with a healthy gut is given to the sick person via an enema. Think Blood Transfusion.
There is next to no risk. The patient is often at death's door and time is critical. But now the FDA want to regulate this. Not by setting a standard that any practitioner can get ready to apply but by demanding a lengthy application for a licence to experiment on a human. More at this link here at Wired.
This can be a death sentence if there is no time. I have to ask why? I can only think that the FDA are against treatments that cannot be monetized by their supporters.
The FDA is always quick to step in when there is a non corporate idea.
Alzheimers and Vitamin B
Alzheimers could become the most expensive disease out there as many boomers get it. Of course the real costs are social. Sufferers demand such a high level of care. Big Pharma have been trying for ages to find THE drug and have failed. We are starting to understand though that Alzheimers is a lifestyle disease. It is avoidable. The pathway is diet again.
High levels of Vitamin B preserve brain power and size. More at this link
"Older people’s brains shrink about 0.5 percent a year from the age of 60, and faster in people with vitamin B12 deficiency, mild cognitive impairment or Alzheimer’s disease, Smith said. If that pace can be significantly slowed before full-blown Alzheimer’s develops, it may delay the disease’s progression so that older people can enjoy better lives until they die from another cause.
“If you delay the onset by five years, you can halve the number of people dying from it,” says Jess Smith, a research communications officer at the Alzheimer’s Society, a U.K. charity."
So here is the Big Pharma issue. More research has to be done. But in today's research climate, unless there is a blockbuster pill that can be copyrighted, there is no money. Research into real health does not get funded.
“We need bigger studies and more evidence that looks at what homocysteine is doing and what is actually going on in the brain.”
A. David Smith agrees. He plans a study of B vitamins in 1,200 people over 70 with MCI and elevated homocysteine. He needs 6 million pounds ($9.1 million) to pay for it. Miller plans another large study and wants to see if folic acid in flour in the U.S. leads to different results there. Meanwhile, the lack of blockbuster-drug potential presents funding hurdles.
“The pharmaceutical companies aren’t going to make any money on this and the supplement companies aren’t going to have enough money to do it,” Miller said. “This would have to be government-funded. I’m just not sure the climate is right for it now.”
The good news is that the American Gut Health project has shown us that we can crowd fund this kind of research. I have sent my poo in already! I also participate in the D Action Study to study the impact of Vitamin D. I am going to apply to test my genes at 23andme. I want to check out my ancestry which is a major factor in health risk.
I think that my health is up to me. I do my own research. I help others do theirs. I take action. We can all do this can't we?
Our children's health is in our hands as parents. It's tough to hear this. But it's the truth.
"We are raising our children in a world that is vastly different than it was 40 or 50 years ago," says Yoni Freedhoff, an obesity doctor and assistant professor of medicine at the University of Ottawa. "Childhood obesity is a disease of the environment. It's a natural consequence of normal kids with normal genes being raised in unhealthy, abnormal environments."
Here is the summary of a great article on this in Scientific American. The full article is here.
"This is a lot more complicated than ‘eat less, exercise more,'" Freedhoff says. "If weight management or childhood obesity prevention and treatment were intuitive, we'd have a lot of skinny kids running around." Freedhoff himself is developing a program for families that focuses on "redrafting" kids' and families' environments, starting with more home cooking.
"Every parent would die for their child, but most won't cook for their children on a consistent basis with whole ingredients," he says.
"What I'm amazed by is the constant use of fast food to pacify children and reward children—there is no event too small for candy or fast food."
There are many places communities could start: making school lunches healthier, ditching vending machines and access to fast food inside schools, not celebrating sports wins at fast food joints, and ending the use of candy or fast food as rewards, such as "pizza days" and other unhealthy food-themed school events, to name a few.
"People don't appreciate that parents are around children a minority of their days," he says, so it really will take a village to turn back the clock in terms of kids' environments. "If we had a time machine, it would be the world's best weight-loss program," Freedhoff says. "It's the world that has changed, not people."
I may be able to help you a bit. My new book "You Don't Need Medicine to get Healthy" is a comprehensive manual for what what is really going on and what each of can do to take charge of our heralth - AND of our children's.
My new book - You Don't Need Medicine to get Healthy is now available on Amazon for Kindle. - You can get it here.
70% of chronic illness is driven by how we live: by what we eat, by how we use our bodies and by our social world. In writing this book I have gone to all the experts in all of these fields and I have synthesised their knowledge into one practical manual for living.
We are designed to live out a healthy, active and participatory life. Provided we live close to our own design. In the book I show you why this statement is true.
The book is a personal manual for taking practical charge. You can go as far as you wish but there are simple steps that any of us can start with. I, an old fart, have managed to go a long way and I am sure you can too.
I wanted to show you more though than a diet or an activity plan. I have done my best to bring all the factors for our health into view so that you can see how they all help each other. I have also gone deeply into the science here, so that you can see why this book is not just another self help book.
I wanted to help you take control at a time when medicine has not been successful at preventing you from becoming ill and at a time when the safety net is being reduced as we all age.
I wanted to help us all reduce the immense direct and indirect costs of being ill. In Canada, the average man is disabled by chronic illness by 65 and lives another 10 years. Think of what this means to you as his family? In America health care costs are beyond the reach of any family and a bad diagnosis is often a step to bankruptcy.
Our health is truly in our own hands. When we can accept this, then we change the world that we live in today. This is the greatest step for true freedom that any of us can take today. This is how each of us become the core of any resilient community.
I hope you enjoy the book and I hope that it will help you.
I was talking to an American friend about his health insurance. It now costs $1,700 a month. This includea a $7,000 deductible. This is up from $1,000 5 years ago. This is a house payment. I asked him when he thought it would reach $2,500 a month and what would happen then. "At this rate in maybe 2 years and I just won't be able to afford it"
If you think this is bad, and you live in Canada, don't be too smug. In less than 3 years Canada's smallest province, PEI will have total health care costs that exceed its tax receipts. In 7 years time, health care costs will be double the tax receipts. This trend will apply to all provinces in time.
By 2030, Alzheimers alone will cost Medicare the entire budget. The Health Care system that we know - get a pill for each ill when you are ill is going to crash and burn. It has already in places like Greece that does not have the funds to pay anymore. Source NPR
"There have been changes in the health sector across Europe. For example, raising copayments for medicine and doctors' visits are now more common. But the cutbacks in Greece have been the most drastic so far.
The effects of these cuts are obvious at the Hellenikon Metropolitan Social Clinic outside Athens, located near an abandoned U.S. Air Force base.
Olga Baklatzi is one of the many volunteers at what they call the underground clinic, created 13 months ago to serve those no longer covered by health insurance. She describes the kind of people who come to the clinic.
"Middle-class, simple people, working people, they just lost their jobs, builders, people who worked in shops, they are well-dressed, not scruffy or dirty," Baklatzi says.
Medicines are donated by families of patients who don't need them any more and by pharmacies.
In just over a year, 4,500 patients have visited this clinic, which provides everything from dental to cancer care.
A well-dressed, 56-year-old woman waits in line at the reception desk. She prefers not to give her name for privacy reasons. She has come for free medicines for her breast cancer. She hasn't had health coverage since 2008, when her family recording company went bankrupt.
She is angry. Her three grown children have university degrees, speak several languages and have all lost their jobs. She holds back tears. Her bitterness, she says, is the cause of her cancer.
One of the founders of the underground clinic is cardiologist Giorgios Vichas. With three years of austerity cuts, he says, life expectancy is dropping, while infant mortality has grown by 4 percent — shocking statistics in peacetime in the Western world.
The clinic, Vichas says, offers more than doctors and medicines.
"We also give them back the hope and dignity that has been taken away from them," he says."
I don't think we can count on this system anymore. And with all this cost, what do we all get? Are we as a society getting more healthy or less? You know the answer.
So the nest question is, What are you going to do?
One of the things you can do is to read my new book - out in March - You Don't Need Medicine to Get Healthy. Should be ready in March.
There is a real reveolution in health taking place where how to live to be healthy and to get healthy is becoming more and more clear. This book will offer you a guide to diet, your body and your social world. It is both personal and also rooted in the new science.
Here are more of my working notes for part of my new book: You Don't Need Medicine - To Be Healthy.
The central thesis of the book is that our health is directly connected to the environment. That is why you and I can make the changes that we need to be healthy.
This post is a sketch for the chapter in the book that will be about our social world. My notes on the choices that we face for Diet are here. My notes for the ideal environment that we need for our Body are here. My notes on all the science that supports this thesis are here.
The Mind Our Blessing and Our Curse
We have seen that our our stomach and our body need a certain environment to keep us healthy. Now we come to the most mysterious part of the chronic health equation. Our minds are the third element. Oue mind too reacts to its environment and then drives good or poor health.
For instance, if you work at the bottom rung of a bureaucracy, you are four times more likely to die of heart disease than the leader. If you retire at 65 as a man from a bureaucracy where all your status came from your job, you will be lucky to live another 5 years. If you live in a country with a wide range between the rich and the poor and you are poor, you will have much worse health than a person in another country living the same life as you but with a smaller income gap.
Status and control are the core issues for how our social environment affects human health. How this works is all about our being first of all a primate and secondly about being human and so being self aware.
All animals have a stress response. If you are a Zebra and you are being chased by a lion, you would go into full stress response. Every part of your body will shut down to ensure that you can run for your life. Your body is flooded with cortisol, the stress hormone, to do this. It's a huge bet: but this full on focus on running only lasts only for minutes. You are then dead or safe. If the lions are not hunting, you are calm. As a zebra, the stress response is only a good thing.
But for primates, like baboons or humans, it's different. All primates rely on the troop, band or tribe. There can be no life alone outside it. So, while we still go into high stress when we face a leopard, we also worry all the time about our social status. When there are changes at the top, everyone gets anxious because of the social uncertainty. Being low in status means that all those above us can take out their problems on us. Lower ranked members can stress all the time because they have no control over how they will be treated.
To combat the effect of the social stress, primates groom each other. Even the lowest member of the troop is included. No one is isolated. All primates need to groom to stay healthy. We have to live in a close knit small community where we have our place. We all need to be touched or have relationships that offer the equivalent. This is why prolonged isolation can be so terrible for humans or why babies, that are not touched a lot, develop so poorly or even die. This is why not having caring people in our lives is so damaging.
Because humans are conscious we have yet another layer of stress. We can imagine time and intangible events. So we can stress about global warming, world peace or gun control. We can worry about things that happened in the past. We can worry about the weather or a dress. We can worry about our old age. We can worry about things that we can have absolutely no control over.
Our human mind takes the primate problem of stress to a new level. For we have made culture itself our main evolutionary strategy. Culture, or the dominant social environment, is how weak hairless apes have adapted to the world and have become the dominant species.
The human mind literally creates the world we live in.
It takes in all the data and creates neural patterns in the brain that define us. Repeated thoughts and repeated reactions literally carve pathways in our neurons. For instance, if you were blindfolded at birth for 3 years and then the blindfold was taken off, you would be blind and never be able to see. What will have happened is that the pathway in the brain for sight would never have developed. Once it missed the window, the pathway will be lost forever.
This biomechanical brain body function applies to all animals. What is different for us is that the same neuron wiring process is also set up, or changed, by how we think and by how our emotions work. How we react to our social environment creates our ego and constructs the reality that each of us live in.
So is there an ideal social environment for humans to develop to their full and healthy potential? Yes, of course there is and it is the same environment that has set us up to thrive when we eat and when we use our bodies.
Our Ideal Social Environment
We lived for millions of years as wandering Hunter Gatherers. Just as this experience has shaped our diet and our body, it has also shaped our social needs.
We are designed to live in a very small, close knit and interdependent unit of people. This unit is both where we have our home and also where we work. Our children are raised collectively in it. We grow old in it. It looks after us and we look after it. We rise or fall according to how this unit fares. We are both the unit and also individuals.
Being hunter gatherers, we have very few possessions and so cannot know the idea of property. We cannot imagine owning any thing or anyone. We don't own another adult and we don't own a child. We don't have a plan for another person. Not being owned by anyone, we have a low need to please anyone. Controlling others or being controlled by others is inconceivable. We are part of the group but we are only reponsible for ourselves.
We live in very small communities. Most human tribes were less than 35. Our social complexity is low. We spend our entire lives living, loving and working in this small social world. We know where we stand and we know where others stand. Relationships are predictable. Our place in this community is directly related to what we do and to what kind of person we are.
Our status is controlled by our own actions.
At the core of this social environment is the socio economic culture. How we get our food drives every part of it. Not only does Hunter Gathering mean that we are mobile and cannot own property, it is also a very efficient way of getting the food that we need. It only consumes about 30% of the day on average. It gives us the time to have the right relationships.
Time is in abundance. Time is key for the development of the children. Time is key for all development.With time, there is time to develop naturally. Nothing is forced.
The children are also not tied to only two or one adults but to all the adults in the tribe. Girls, teens and grannies all look after the needs of all the young. Young girls and boys learn directly from all the adults about how to behave and how to work. Mothers are supported by the whole tribe. Men transform boys into men and model what it is to be a man. The elders hold the wisdom and the stories.
All have the time.
At the centre of this unit is each individual. As an infant and as a child, this individual has been raised in the ideal social setting. It does indeed take a village to raise a child. The child has constraints but also great freedom to explore the world and herself. Nature plays a large role in this. There is time to connect to nature and to ourselves as well. We draw comfort from nature. All make their living from nature. People understand it at a level of detail that we cannot know now. Nature has its own time and shows us again that development cannot be forced. All things grow on their own timetable.
Nature sets the course.
As we observe nature's rythms, we also start to see that our death is not a final stop but a step in the great cycle of nature. Humans are the only species that we know of that knows of its own death. But with our place in nature secure by living in it, this fear is lessened. We can grow old gracefully. We can embrace our time here and our time to leave. We need no faith to know that all is a cycle. Death in this context is only part of a continuum.
This then is the social environment that humans have been shaped by millions of years to do best in.
This is a social design that has high meaning, high control, has high intimacy, high trust and lots of time. All of this in the setting of nature herself, our guide and home.
But we don't live like this any more.
Our Current Social Environment and Why it Makes us Ill
50% of us now live in large cities surrounded by millions of strangers. We have to ignore other people to cope with this. People have to ignore us. We have to live in isolation. There can be very little intimacy or trust in such a setting.
Many of us also work in large bureaucracies where all is utility. We are told to leave our true selves at home. We work with strangers. We compete with our colleagues. There is no close and interdependent community. We work not for the group and so ourselves but for THE MAN. We are all expendable. We do not share in the rewards or in the plans. The modern workplace has no meaning, no intimacy. It has no trust. It is low control by design.
The home and the workplace are also physically separate. So the demands of working and raising children are in perpetual conflict. Work and Life cannot be resolved.
At the core of all of this is the socio economic system of consumerism. This has made the accumulation of things and of money the purpose of life. We hope that a thing will add to our status. But we find that things offer only fleeting glimpses of status. For, our status in this system is granted to us by others. We are born into it or not. We go to the right school or not. We get the right job or not. We lose our job or not. Because status is granted by forces outside of our control, we worry about it all the time. Our status is never secure. Money as a purpose is not enough.
Obsessed with owning things, we seek to own people as well. We own our spouses and our children. We own our employees. We see them as reflections of ourseves just as we see our cars. We have plans for them. We need to control them. We seek control where it cannot be found. And they all have plans for us too. We all judge and blame the other for our own feelings and lives.
We are helpless and so have little control in the essential parts of our lives. For most of us have no real skills at all. Many of us can do almost nothing in a practical sense to look after ourselves. Few can cook anymore. Few can make or fix anything. The mass production world has deskilled us.
We depend on uncontollable forces to feed us, pay us, heat us and give us shelter. If anything was to go wrong with these external forces, we would not know what to do. At a deep level we know this and this sense of having no control eats away at us.
In this context, we struggle to raise our young.
The demands of the modern culture and the modern workplace are destroying the viability of the family as the place where we raise the next generation. The hours at work take time and energy away from our core relationships. Many now look at their spouse in the same utilitarian perspective that they have learned at work. Consequently, many of us live alone or raise children alone. Many parents are isolated and live lives of desparation. Mothers and children no longer have the tribal support they need. Our children can so easly get lost.
As do we all when we get old. The elderly are lost too. Old age is to be feared for it is to be alone and worthless. The old have no place anymore but live too long.
Most people are cut off from the natural world. Who ses the night sky anymore? Who feels the seasons. We have no guide for life and how to live it. So, death becomes a terrible thing. Many of us try and distract ourselves from it. We try and look young. We behave badly. We deny death.
By accident, we have created a culture that is utterly alien to human life. A huge gap has opened up between the social environment that we were designed to thrive in and the one that we live in today. No wonder there is an epidemic of chronic disease.
So the question of our time is "Can we get back to a social world that is good for us?"
I think we can. For the issue is not to change the world, which is impossible, but to change ourselves.
How to recreate the social world that we need
We can find a real tribe with all the meaning and support and status that comes from that. We can live in a small place. We can use the hunter gatherer economy and lifestyle and so find time and stop obessing about things. We can unattach from the need to control and to be controlled. We can find nature. We can find ourselves. We can become free from fear of death.
It is a matter of choices. Here is my story as a guide for how I was able to return to a life that is very close to that of a Hunter Gatherer.
Lose the Job, Find Yourself and Find a Tribe
In my own case the key to gaining control of my life was to give up on having a job. In my book, You Don't Need a Job, I do my best to show you why you will be better off financially outside the job world. In this book, I will show you why you will be healthier without one.
I did not start with a plan. My new life began with my being miserable and not knowing why. This was of course a very stressful and unhealthy time for me.
Like many people, I went into a career because it pleased my parents and I could made a lot of money. I was good at this chosen profession of Banking. But as the years went on, this work satisfied me less and less. It seemed that I was playing monopoly. I was also trapped by the money. Only crime paid as well!
My devotion to this career also affected my family. I had been proud that I was a good provider, but my wife and kids wanted something else. They wanted me. They wanted my full attention. And this I could not give them. For this kind of a job took all of me and maybe more. I became a ghost of a man. Unable to give my attention to those that I loved.
This was a miserable time for me. All I knew was that my life did not work anymore. I had no idea what to do. But then, by coincidence, I had dinner with an old friend who knew exactly what was going on. She told me that I had to get out of this life and that the clue to my future would be in finding out what truly made me happy and making this my goal. She told me to keep my eyes out for the right people who could help me.
So, with no more plan than that, I left the restaurant even more scared than when I had arrived.
Not a week had gone by when the Chairman called me told that he was tied up and could not see his next visitor, Dr Fraser Mustard, who was a bit weird. As the weirdest man in the bank, Al thought I might fill in well for him and could I come over. It was one of those moments. I found the man. In finding him, I was also able to remember what I really liked to do.
I loved working on big academic problems. I loved the research. I loved how patterns would emerge. I loved to wake up in the middle of the night and find that my sleeping mind had solved a problem. I loved the interplay with others who shared a common problem. I loved the hours and how I used lots of free time to cook a problem. I loved the setting and the feeling that it was all up to me. For at Oxford, you are treated as an adult and left to your own devices. No one tells you what to do or how to think. You are expected to do the work yourself.
I wanted to take the way I worked at Oxford and make this work my life.
Fraser lived for big problems. At the time he was working on the Determinants of Health, and on the power of the Early Years to determine our development. I was responsible at the time for the health of the bank's employees and their families. He exposed me to ideas and people that I could never have found on my own. I have been working on these ideas ever since.
I became intoxicated. It was like having an affair. I would spend hours every week outside of the bank working on his problems. I had never worked like this before. I had always been in the job hierarchy. In the job world, each party reacts to power. In a network each person reacts to the humanity of the other person! This was utterly new to me. This new way of working for peers and for the sake of finding answers to shared problems helped me lose a lot of my corporate armour.
Fraser himself was the epicentre of a great network of people working on big problems. Getting his trust and respect was very hard. But if you had his trust, then you too could join. This is what happened to me. When the day came when the Bank and I parted company at last, I had a network and was able to reject the job as an alternative.
I tell you this story because while it is mine, it has an aspect that I think is universal.
In the myth of the Hero's Journey, the starting point is disease. 'Dis ease'. There is a time of pain and problems that seem insoluable for they have no known cause. The job brings this today. You might not have one and think that you need one. You might have one and think it is wrong for you. You may have one and fear that you might lose it. Your job may conflict with your family. It may conflict with the real you. There may be people at your job who make you feel ill. Your job may have mad rules. You job may be about nothing that you value. Jobs steal time from us.
The job world is the source of most of the stress and so disease that we endure today. The job splits us into conflicted parts. When we don't have the job, we start to come together again and become the person we are inside.
Get Time Back
Once you start to earn a living for yourself, you will discover that you have control over the most precious resource that you have. Time is all there is. Once I was making a living, I had control over my time. This is where the major rewards of being a modern HG shine through. For the job robs us of control of time. With no control over time, we are always in conflict and so stressed.
But it took me time to get used to having control over my time. At first I felt guilty. How could I go shopping midweek? How could I take a long lunch? How could I go away? I had been wired to be busy and to be at the beck and call of others. I think this all starts with the school bell. Like Pavlov's dogs, we are obessed with other people's schedules for us. It took me several years to accept that I was now in charge of my schedule.
There are other important changes to time that take place as a result of working in a tribal setting.
I found that my pace of work on my own, without all the distractions of all the meetings and all the bullshit at work, was much faster than my clients expected. They were all so busy doing nothing substantive that they could not keep up with me. I found that I had the time to allow my work to evolve. I no longer had to push mechanically at work. I could allow it to happen. I can have an off day and not be able to work and be relaxed that the job would still get done. I can get stuck, as I have with this book at times, and take a week off, and find that when I return the problem has been solved. I can sleep on a problem. I can play with data. I can be a hacker in my work. I can fit my work to nature's schedule and not to the clock.
Imagine how much less stressful this is? Imagine how much more satisfying this approach to work is?
Because I am so much more productive than those who have jobs, I also have lots of time in my life for the unexpected. The car can break down. I can react to a call to help with my grand children. There is no conflict. I can fit it all in.
There is time to do great work and also be fully present with my family. What more can you ask? Most of the conflict and stress that was central to the job and family has gone away.
With time, you can invest in relationships
In my job life, I issued orders or took them. There was not much time for anything else. The task ruled. Working like this all day for decades, affected how I was outside of work too.
I lost the ability to listen to other people and to feel empathy. As I lost this for others, I lost it for myself too.
Primates have to groom and to be groomed to keep healthy. We have to invest time in our important relationships. As humans, we groom by hearing the other out. We groom by listening and by being heard. As a man and as a husband, it took me years to work out that my wife did not want my advice. She wanted to be heard. It took me longer to know that I too needed to be heard. There is nothing more comforting than to be heard. There is no greatere social gift than to listen.
But in the job world there is no time for this. No time at work or at home. So with no one to hear us, our stress builds and builds. Working for myself changed this. I now had time. I could be open enough to hear. I had the time to pay attention to a few friends.
Finding your voice
In the job world, I spoke in that "Corporate" voice. I spoke memos and jargon. I was clipped. I seemed sure. I was always on the parade ground. But that is not a voice that friends or lovers use. They use an intimate voice. They speak from the heart. I had lost all of that. I had no clue how to speak from the heart.
It was blogging that helped me find my authentic voice again. It was blogging that helped my find others whose voice attracted me. At first I wrote more memos. But over time, I started to be personal. The more personal I was, the more I connected with a few people who I had grown to like for the same reasons.
Now 11 years later, I cannot speak corporate anymore. Not just in my writing but in my actual voice. I have retrained my voice to be me and not some role I played in my job. I could never have done this while still in a job. For what employer can allow an employee to speak her mind or worse, her heart?
In the job world we speak from a limited script. We lose our power because we don't use our own voice. We instead try and be clever rather than be true. Listen to Martin Luther King vesus any politician you can think of and you can hear the difference in a second.
When we speak our truth, we attract people to ourselves legitimately. We don't have to be in conflict with who we are. There is no stress and there is much power. We can be ourselves. We can strengthen our relationships with our tribe and so get more of what we need from our tribe.
Live in a small community, lose your armour and slow down the pace of time
As I became better at earning a living as a result of knowing my passion, being more human and having a good virtual tribe, I took the next step. I left the big city and moved to a tiny physical community.
With the web, with a passion, real skills and a real tribe, it is much easier to make a living than ever before. You don't have to live in a big city to have opportunity. Again, much more on this in You Don't Need a Job.
Remember, at the core of our evolved social design, we do best in a small social setting. It's all about identity. As much as we like our anonymity in the big city, our deeper self craves the reality of being known. We bask in being able to go into the store and be recognized. We like to be waved at by people in cars. We enjoy naturally stopping in the street for a chat. We are being groomed and we are grooming.
After a few years of living on Prince Edward Island, population 140,000 people, I lost my social armour. I recall visiting my son in Toronto after a few years in this small place, and I could not help myself from saying good morning to people in the street. "Dad! We are in Toronto now!" he said embarassed.
Living in a small place melts the armour that we need to cope with life in a major city. Once the armour comes off in the street, it comes off at home too. I can see now that 'Armoured Robert' came home everynight. I had played that part so well and for so long that he became me. Now vulnerable Rob lives in all the parts of my life.
There is another time element in living in a small place too. This time the issue is pace.
As much as we think we love the pace of the big city, once you have decompressed and adjusted to the pace of the small, you will love the way that time stretches in a small community. The smaller the community, the slower the pace. The slower the pace, the fewer the expectations on time. The fewer the expectations, the less stress.
I have learned that time is not a matter of measured minutes, hours, days, months or years. Time is in fact a very elastic concept and is felt rather than measured by the clock. In the job world, the clock rules. I was always out of time. In the tribal and rural world, I always have time.
Stop being possessed by possessions and so by money
Living in a small place also enabled me to cut my ongoing costs a great deal. Remember, Hunter Gatherers have few possessions. In the modern world, we all try and increase our stuff and so need more money. In the HG world, I try all the time to reduce my need for stuff and my structural costs.
This means that I need less to work and earn a living and more and more I can be free. For again, the HG lifestyle means that you only have to work for about 30% of the time. I go into great detail on this point in You Don't Need a Job.
On Prince Edward Island, housing costs are a fraction of the big city. It is a lot less stressful to need less money to pay for things that to strive to have more. In my job life I needed to earn at least $300,000 a year to break even. Today I live well on $30,000. In You Don't Need a Job, I explore how to see the costs of a job and how I made this shift to needing so much less.
Money can be a huge stressor. To make this stress go away is not to choose poverty but to choose simplicity. It is to make structural changes in how you live so that you don't spend too much on housing, transport, heat and food. It is to find ways of exchanging time for money. For if you do this right, you will have lots more time. When I had a job I had a time deficit, so I paid cash for everything. With time, I need much less cash. With time I can cook real food and even grow it. With time, I can heat with wood. This also gets me active and outdoors and makes my diet healthy. It's a positive cycle.
Having time is I think the new status too. I used to have lots of things, smart cars, smart houses, smart clothes. It looked as if I was succssful. It appeared that I had high status. But I was one pay cheque away from trouble. I was as much a slave as most people.
Status and control are the main social drivers of our health. With control over my time and high freedom, I have real status and control. I have met most of my health needs in the social sphere. No one can take this away from me. I am in charge of my place in society as a HG would be.
But there remains another layer of challenge to get free from. We have to get free from the shackles of our family experience and we have to get free from our fear of death. This is the really hard work and I was not ready to start this until I had got a lot of what I have just talked about well under way.
Escape from the shadows of your nuclear family
Our reality is created by how we react to our home culture before we are 3. Our brain is wired for life then. This experience can make us stronger or weaker as we age. We sometimes need to take stock and make a correction.
How we are raised affects the trajectory for how we develop over our life. It affects how we learn or not. It affects how we behave or not. It affects our health. It affects our emotional development too. Will we grow up as a real adult or remain stuck at some earlier point? Will we keep playing out our own family drama and story in the other parts of our life? Much is determined by what we experienced before we are 3. Many issues that we not resolved then, play out in our adult lives.
The modern workplace is full of people playing out these family dramas. Mine was, the Missing Father and so I looked for "fathers" who would finally accept me. Outside of work I played out the Missing Mother and looked for "mothers" who would love me. All of this was of course very bad for me and for all I chose to play these games with.
Many of us, whose development has been stunted by a dysfunctional home, stay an infant or a child. Many who have been bullied, bully. Many who have not been loved enough, love too much.
As I got to be more me, the demons of my childhood that had lurked in the background, moved into the foreground. This was a terrible time for me. When I had been so busy, and so shut down, I had been able to surpress this awareness. It seemed to me that my new freedom had come with a curse.
I did seek professional help. This can help. But I found a better way. I found a way that I could put my demons aside for myself. I could rewire my brain. This process is called neuroplasicity. Though I did not know this at the time.
In the HG world, we all know everything about our ancestors. In the modern world, we often know nothing. My starting position was that my parents were uncaring infantile people. That I had been dealt a bad hand by them and that they were not good people. As these feelings surged up, I became very angry with them. I judged them cruelly.
This was very stressful. Again, I was stuck. I knew that this was very bad for me. I could not change what had happened, so what was I to do? I had to find out why they had behaved the way that they had. I had to find out why.
As I began to learn about their lives, I began to have compassion for them and then shame at how cruel I had been. I saw how they had suffered. I started to understand. I looked at myself and found no parental paragon either. Who was I to judge? I started to change my story from "Poor Me" to "What Can I do Now?" I started to rewire my brain. I created new thought habits.
After a few years I stopped feeling bad at all. I had rewired my brain. I had new tapes that were better and productive. I could love my parents again. There was in the end nothing to forgive. All this corrosive again, fear and pain fell away. And with that, all the related stress.
I had thought that I was a grown up adult in my 40's. I was not. I was still playing out my childhood losses. My observation is that most of us are. The nuclear family is too fragile a child raising unit. Most of us have less than ideal social settings for this critical part of life. Most of us are raised as children by grown ups who are in many ways still children themselves. The job world places them in an impossible conflict.
It is now time to start to rethink the family again.
Work to create a real tribe
I am reaching the time of my life when productive work is less of an option. In the HG world, 62 year old men did not go hunting. They advised the hunters. They told stories. They adjudicated disputes. They looked after the young. 60 year old women also made the same kind of shift away from the primary economic work.
In my 40's I sought a work tribe. I now seek the larger and more complete tribe. I seek the ideal which is a unit that provides both the economics AND the full social setting for all ages. I now seek a place in such a tribe that is mainly a nurturing role.
In my 60's, my tribe is evolving. Before, it was mainly about making a living. It could be virtual. It is now evolving onto a close group of people, some of who are related, who are starting to look after each other in practical sense. It is more a close physical tribe.
And we we do this, we extend this care to our adult children who themseves are struggling with small ones and to each other. I don't know how this will work out. But I know this, if I get to 80, there will be no seniors homes. I had better be healthy and I had better have a network or I am in big trouble.
As I look ahead, I see that all the institutions that we take for granted can fail. I don't trust that the food system will feed me. I don't trust that energy will be easy and cheap. I don't trust that the education or health system will be there. I don't trust that pensions or investments will be there. I don't trust that the government will be there. I don't trust that even money will exist. I certainly don't trust that the weather will be the same.
I cannot control any of this. I can only get ready myself and help my tribe get ready. I see the great work of our time as this project. Getting ready to be more resilient so that we have half a chance to cope with the vast changes that seem inevitable.
For surely it was the Tribe that enabled humans to cope with all changes for millions of years. It is the ideal social container for challenging times. It enables each of us to have some control in a world where there is none. The wonder of this project is that there are millions of people out there who are also involved. We can all help each other. We can be supported by each other. What a feeling of community!
But there is one further step. One thing is certain. That you and I will die. I think that the final stage in our development as a human is to learn to accept death itself. For death is the last great stressor. For if we deny it, we are in conflict with our deep truth.
Get a dog, get outside and stop worrying about death
We are the only species to have self knowledge about death. This is a terrible burden to carry. In the modern world we don't. Most don't think about death consciously. Most deny it. We try and be eternally young. We worship youth. People hope that there will be a god to save them. But the truth of our death eats away at us, if we deny it.
If we deny our own death, we prevent oursleves from truly enjoying life.
I was as frightened as anyone can be. But I am not scared of death anymore. As a result, I am at peace. Peace that I have never felt before. So how did this happen? It mainly happened as a result of me spending a lot of time in nature. Living in a rural setting is a start. It happened because I had the time to be open.
I also have a very good spiritaul and nature advisor. I have a dog. Every day, rain or shine, snow or sleet, clear or windy I walk the dog. We take the same routes. Each day, we see the differences as the cycle of life plays out. We see the first wormcast that heralds spring. We see the last leaf fall. We see how the leaves change colour and how the wild flowers rotate. We see dead animals. We see birds nesting and chicks fledging. We see how everthing has a cycle.
The dog takes me there. She opens my eyes to the detail of all this life and all this death that surrounds us all.
My dogs also show me how to enjoy life. The dog is excited by just waking up in the morning. The dog loves every meal as if it might be her last. Dogs love to love me and they love to be loved. They embody love. They love me as I am. They want to be close to me all the time.
And their short lives show me that I cannot avoid my own end. In 12 years Jay goes though all the stages of a life. The bounding puppy, the mad teen, the stud, the calm older male, the gentle soul and then only the memory.
Knowing how precious every day alive is, I too now get up in the morning glad to be alive. I too eat every meal with gratitude. I welcome people into my life. If I had a tail, I would wag it.
The greatest irony has been that allowing myself to be certain of my death has made my life so much better. After all, what can happen to me: I am going to die anyway? I used to worry about all sorts of things. But now that I know that I will die, and that this is OK, all my projects and hopes have a perspective. Now I can live for the moment.
I could never have got to this place without having taken all the other steps first. I write this aged 62. I cannot know how I will develop further. I only know that giving up the job, and the culture attached to the job, has set me free to get back to the life that all humans are designed to live.
We can go home
I don't live in a cave and wear skins and hunt mammoths but I hope that I have been able to show you that I have made a lot of progress in living like a hunter gatherer in today's world. We can eat like one. We can use our bodies like one and we can live in the same kind of social environment as one. We can have a spiritual life of a Hunter Gatherer. We can do all of this and still be in the modern world.
It's a matter of choices and design.
The big choice is to leave the world of the Job. For it is the Job that forces us into eating poorly. It is the Job that sits us down all day. It is the Job that takes us away from our ideal social setting. It is the Job world that is at the cause of all our chronic illness.
500 years ago, pilgrims came to America to enable them to escape the prevailing culture of the old world. I think that we too are pilgrims. We too have to escape todays prevailing culture. There is no new land but there is a new world. It is in our mind. When enough of us go there, we will change the larger culture.
But for now, each of us can do this. We need to wait for no one. It is in our control and the path is known.
....... we have not even to risk the adventure alone; for the heroes of all time have gone before us; the labyrinth is thoroughly known; we have only to follow the thread of the heropath. And where we had thought to find an abomination, we shall find a god; where we had thought to slay another, we shall slay ourselves; where we had thought to travel outward, we shall come to the centre of our existence; where we had thought to be alone, we shall be with all the world."
Joseph Campbell, Hero of a Thousand Faces
The Science
As you can see, this is a very complex subject. I can only offer you a survy here. Here is a link to a companion website that I have set up up where you can see a lot more. On the site, you will find a mass of articles, videos and posts that take you much deeper.
Here is an introduction to the best scientists in this field. You will find more of their work on the site as well.
Do you work at the bottom of a hierarchy? Then you will get ill and die 4 times earlier than those at the top. Married to your work as a man? Retirement will kill you in 5 years. Are you at the lower end of the vast income inequality in the US and the UK? You will get ill.
How much control and Status we have in life directly affects our health. Medicine and access to healthcare has nothing to do with these differences in health outcomes.
Dr Sir Michael Marmot is the world's leading authority on how human social environments affect our health. Cubicle land and factory work is lethal. Large differences in national income is lethal. Inequality is lethal.
His research on the Brtish Civil Service is a landmark piece of work that sheds light on how this works.
So how does this process work? All primates get stressed by social issues. Zebras only worry at the moment when they are being chased by the lion. Baboons worry all the time about their place in the troop. Humans worry even more. Our consciousness can be a curse. We can worry oursleves about the mortgage or global warming too.
Sapolsky is the leading scientist studying the primate and human stress mechanism.
Sapolsky is a brilliant scientist and a remarkable explainer. His lectures online are very accessible and offer massive insights as to why we, as the most social of all animals, have to pay attention to our social environment and do all we can to make it less stressful.
And what to do to cope with our stress? I have two favourites here - The late Dr Viktor Frankl and the very much aliveDr Gabor Mate.
The single most important social factor on our health over a lifetime is the social environment that we had from 0 - 3. When I say 0, I mean from the moment of conception. Children's world view, and so their stress reaction to life is set by 3. This setting drives the development trajectory for life.
Professor Doug Willms is the authority on the link between family culture and long term development outcomes for children.
So how we parent is key. If we are too top down, use power all the time, don't touch enough, speak to but not converse with - all signs of a stressed person - then we set up poor conditions. If we allow everything, let the child run her life, don't stand firm on important issues, are distant - then this too has poor outcomes. The worst being when each parent has one of these two styles.
The best outcomes are from parents who stand firm on important things but allow a lot of room for all others. Who have lots of conversation with their infants. Who touch their kids a lot and who are affectionate with each other.
This style of parenting is not tied into any one income level. So many of us have been captured by our own stress response to the corporate world. It leads me to believe that earning our living in a different way will help.
Social Environment Parenting - The Late Jean Liedloff
Just as Michael Rose goes back in time to show us a lifestyle that is suited to how we evolve, so the late Jena Liedloff does this in how best to parent. Her work is the manual of our evolution and is very accessible and pragmatic
PTSD is a massive issue in the west today after more than a decade of warfare. Here again people have been shaped by their environment. So is the cause of PTSD the trauma of seeing or doing bad things?
Shay has discovered that this is too simple a perspective. The deeper cause of PTSD, and all illness caused by trauma, is Betrayal. This is why incest is such a terrible act as it involves the worst betrayal of all.
PTSD is driven by bad leadership. A military that has leaders who care not for their men but for their careers. A political class that goes to war and exploits the patriotism of their young men for a game and not a real cause. A system that rotates men too often and breaks their attachments.
This betrayal was seen everywhere in Vietnam. All that was wrong in Viertnam has taken place again in Iraq and in Afghanistan. As those involved learn that they were betrayed, their feelings will deepen. The PTSD epidemic will grow.
Shay also has done the work to find a way for these men to come home. And it is not drugs or experts. It is in helping people help each other. It is in helping them find a tribe again. Medicine and conventional therapy does not work. Only the tribe can offer the trust required to quiet the demons.
How do we change our wiring? If we have depression, PTSD, had a shitty childhood, have addictions? There is no pill. There is no smart man in a white coat. But there is a proven social process and journalist Alan Deutschman has made a lifetime study about what this is.
His work, Sapolsky's, Mate's, Frankl's and Shay's all intersect and support each other. Alan offers a special clarity and great case studies.
And so what is this kind of change that Alan reviews so clearly? ? We have to rewire our brain - literally. Our beliefs, or our automatic responses to an event, have been hard wired in our brain by repetition. The more times we go to THAT place, the faster we go there. It is like a river cutting a chasm.
Doidge and Sapolsky have unravelled how this mechanism works and are using the understanding of the plasticity of the brain to change the wiring.
Dr Norman Doidge has had great success in helping people rewire. Even people with schizophrenia.
Here are more of my working notes for part of my new book: You Don't Need Medicine - To Be Healthy.
The central thesis of the book is that our health is directly connected to the environment. That is why you and I can make the changes that we need to be healthy.
This post is a sketch for the chapter in the book that will be about our body. My Notes on the choices that we face for Diet are here. My notes for the ideal Social World will be here. My notes on all the science that supports this thesis are here.
It's all a system. See the connections to the rest as we look today at your body.
The Body and the Natural World - Make the ideal fit
Today, most of us sit for 10 to 15 hours a day, do no heavy physical work and live in an environment where night and day have no meaning. Most of our lives are spent inside. We think that this is normal. We think that this is progress.
But our bodies were designed for a very different way of life.
For millions of years, so long as we were awake, we moved. We did not take exercise, we were active. We carried a baby all day. We carried wood, water, animal carcasses and our possessions. We used our bodies as tools. The sun and the moon were our main sources of light. They, and the seasons, drove when we went to sleep or woke up. We lived outside. We lived in the sunlight of the day. At night, we felt the pull of the moon. We were integrated into the natural world and our bodies were linked into all the signals of that larger world.
We are still that person. All our "wiring" is designed to operate in this kind of environment. If we live like this our bodies do well. If we don't....
Think for a moment how different your life is today from even your grandparents. Think of how little you use your body in the normal course of the day. Think of how unimportant the dark is. Think of how the clock and not the sun rule your day. Think of how different your children's life is. They are inside all the time. They hardly ever move. They know nothing of the natural world. Think how normal this all feels!
It is very hard for us to see how massive these changes have been. We don't see the huge gap that has opened up between what we do and what our bodies need. All we might hear is "Take more exercise". The gym, sport or even a marathon is not the issue.
The gap is not about what we add onto our daily lives. The gap is to be found in our daily lives.
So let's see what this gap is. When we see it, we can see what to do to close it. We can see what is in our control to be healthy again.
Activity - Don't sit!
I used to sit at work for more than 8 hours a day. I was in the car for 2 hours a day. And, when I got home, I sat all evening and watched TV. 8 hours at the office, 2 hours in the car. 4 hours watching TV. I was a blob.
Every day people exhort us to "Take More Exercise". We understand this to mean "Go to a Gym"; "Train for a Marathon" ; "Play Sport" and "Get a Personal Trainer". I could never do this. As with diet, I could not do what all the experts told me to do and I bet this may be hard for you too. I did not have the time and I hated mindless exercise. But the real issue is not "Exercise" but "Activity". Sitting all day is the big mismatch.
So now I saw that sitting all day was my life, what did I do to change this?
So how do we do modern office work without a chair?
This is an answer. This picture is of my standing desk. As you can see I hacked it out of my old desk and a box. I now only sit down at the end of the day and have a drink and read before dinner. And that is when it is not my turn to cook and so keep standing.
So I work, as most of us do today, in front of a screen. But, because I stand, I move all day. At first this was hard. By 10.30am my legs would ache. But, after 3 months, this became my new normal. It is like taking sugar out of your coffee. At first, you hate the new taste. But after a while, you can never go back.
This one decision not to sit all day at work is a game changer.
Choosing a Desk
You can do what I did and hack a desk or just go out and buy one. Here is a link to a review of desks and how to adapt to to them.
I work at home and for myself. It was easy for me to choose to work this new way. It also cost me nothing. If I had more money I would add a treadmill. The ideal is to walk at 1 1/2 miles per hour all day.
If you have a job, you have to convince your employer. There is good evidence that this works well and that organizations that are getting behind this gain benefits very quickly. If they struggle with this idea, get them to set up a small experiment at work and measure what happens. Like this:
"Take Salo, a financial consulting firm based in Minneapolis. The company has 12 treadmill desks, and encourages walking meetings and a mini-breakaway game — a mixture of pingpong, tennis and a bit of squash.
Throughout the day, employees rotate on and off the available treadmill desks. Craig Dexheimer, Salo's director of operations and administration, loves his. He's lost 25 pounds since he started using it. If employees get distracted while walking, he suggests they stop or slow down the treadmill.
A few years ago, Salo took part in a Mayo Clinic study headed by Levine to see what happened when employees used treadmill desks. The study was small — just 18 participants. For six months, they rotated on and off the desks, walking, on average, about three hours a day. Everyone lost weight. And overall, Dexheimer says, health improved. "Total cholesterol decreased, plasma triglycerides dropped on average 37 percent in total for all 18 participants.
"Remarkable," he says. "We didn't even go to a gym. We just went to work!"
And productivity didn't suffer. In fact, Dexheimer says, during the six months of the study, Salo's revenues were the highest ever. The environment, he says, was simply "more dynamic." (Source: NPR)
This story has it all. Make moving at work the new normal. Activity is not an add on. It must be how we live.
So, now you don't sit at work, what about the rest of the day?
The Commute
Most people commute. The average American spends 18 1/2 hours a week in their car. They spend 2 months a year in the car! (Source)
2 months a year sitting in the car! Ideally, we all have to reduce the time we spend sitting in the car. And, apart from the downside of sitting in the car for so long, think of all the other things you might do in this 2 months? Think about what this 2 months in the car also costs you? (See You Don't Need a Job)
I solved my commute time challenge by working at home. I work as a writer. My commute is a 20 second walk to the home office. But working at home has its draw backs too. We get lonely. We get interupted. We lose momentum. We are not designed to work alone. Do you have a Co Working site near you? Co Working sites are in many locations now. Here is a directory. There will likely be one closer to you than your office. When I lived on Prince Edward Island, the Queen Street Commons, my co working place, was 10 minutes away by car. It was a welcome break from home.
But what if you have a job and live far away from work? Can you negotiate a telecommuting deal? Progressive employers are getting behind telecommuting. It's not for everyone and it is not for every job or employer. But neither is 2 months in the car. Some jobs have to be at the plant too. So in the end, we have to decide what on balance is best for us. Many of us don't have jobs anyway. Most of us will lose our jobs. (See You Don't Need a Job)
The Job and how that system works is of course the centre of the problem of the health breakdown of modern society. As you will, see throughout this book, the Job adds risk factors to our health. At some point, we all will have to confront this.
But for now, ask yourself how can you reduce the amount of time you spend sitting in the car commuting?
TV - Get rid of it
The average American watches 76 days of TV a year (153 hours a week Nielson) I cannot stop thinking about the 2 months in the car commuting and 2 months on the sofa watching TV. No wonder we don't have any time.
It's not just the time spent sitting watching TV: which is such a long time anyway. But I think also of how TV drives all sorts of additional poor health factors. TV acts like a sedative. We don't just sit, we slump. We go into a zone. It also isolates us. Each family member has their own TV and schedule. So it affects how we eat and with whom. We tend to eat alone and to make the TV schedule the home schedule. TV also is a major factor in why so many sleep so badly. We stay up too late and we upset our circadian clock by its light.
TV is like junk food. It is a pivot of the culture that is making us ill. And of course Junk food and TV go together don't they? Getting rid of junk food and TV are the two easiest actions we can take for this choice depends on no one else. It is all in our control. Both are hard to do at first but, after only 3 months, you will feel so much better and this good feeling will spur you on to do more.
My wife and I have been disconnected from the TV for 3 years now. At first, this was hard. TV was so central to our lives. But soon we felt the difference. I don't slump for hours at the end of the day. I am not assaulted by all the ads and jabber. Meal times are social again and they drive the evening schedule. We have time to cook real food. We talk! We read. And we go to bed early. More on that in a minute. Oh and cutting the cord to TV saved us about $90 a month or $1,000 a year. It just about pays my wine bill.
But what about the web? We spend a lot of time there too. The great thing about the web is that it is not passive. We do not just collapse before it. It does not force us to break our attention every 4 minutes. We don't have to be slumped in a lazy boy to use it. I stand to use my computer. It has no schedule. It's not perfect but it is much better than TV.
Get rid of your TV. I promise that you will not regret this decision.
Walking is the best exercise
When I hear the words "take more exercise." I think of gyms. I think of good looking, young and thin people in expensive outfits. Then I think of the cost, the time and how old I am and then I get put off. So here is the good news. While going to the gym is good for you, there are simpler and cheaper alternatives to ensure that you are fit.
We have to build activity into our daily lives and not make it an add on. Walking is best exercise that we can take. And, to make this even easier, 30 minutes a walk is the optimum amount of time. That's not too hard to fit into a day is it?
So here is my "gym".
Here is my Personal Trainer!Having a dog is a wonderful motivator. Rain, snow or sun: every day the dog calls me to walk. Not just once a day but at least 3 times a day. There need to walk like this is an important reason why I choose to have a dog. Dogs are like children. They demand a lot for us. But I think they are worth it and I plan always to have one.
Or get a bike. Look around cities like Copenhagen or Amsterdam where biking is the norm. Look at the people. See the difference. It's all about choices.
I have chosen to live in a small community where I can walk to all the important parts of town. The General Store is 5 minutes away. The bank, post office and restaurants are maybe 8 minutes away. This choice was very deliberate on my part.
Chose to make your car less important in your life. Once you make this choice, other avenues open up for you.
We have to be strong
It is important to be strong. As we get older, we lose strength. As we get weaker we can do less and less. It's a vicious cycle. In the end we can do next to nothing to help ourselves live a normal life. So again do we all have to go to the gym to get strong? You can. This is an area where the gym can be a big help and again, you don't have to spend hours there. My Crossfit friends spend very little time at the gym but their time there is very intense.
Intensity is important in strength training.
But I don't go to the gym. I have instead tried to build strength into my daily life. Just as I have tried to build activity into it as well. After all our paleo ancestors did not workout. They just worked.
Here is a big part of my strength building activity.
The joke about heating with wood is that it keeps you warm in three ways. First of all there is the sourcing of the wood. Cutting and stacking. Secondly there is the moving the wood inside and stacking it there for the winter. Lastly there is the moving of the wood every day to the stove. Oh and yes the stove gives off heat too!
You can find your own way to be more active around the home. This is my answer but there are many others. Gardening would be a big help. All that lifting and bending.
What helps is to find something that has a high utility and that forces you to work with your body. It can be anything but the test is "Is it part of your life?' or "Is it an add on?"
Can you see the pattern I am drawing?
An active life is a life where all that you need to look after the bio mechanical needs of our body is built into the life that you live every day. It is the same as eating differently.
The most important factor in how you sleep is light. Our circadian sensors are acutely sensitive to light.
It's the same kind of process with Leptin and appetite. If we eat grains and sugars, we block the Leptin channel that tell us that we are full. Our light sensors tell us to get sleepy is the light goes away. If we stimulate them with light well into the night, they get confused. We lose our internal clock.
So how best to get our clock running properly again?
Here is what works for me. Never have the TV in my bedroom. Even better, don't have a TV as it can keep you up in the light long after you are ready to go to sleep. Read before bed in another room in low light. The bed is for sleep or love.
Keep off social media in the later evening (OK I do cheat here sometimes) NEVER read email late at night.
Go to bed early. I am usually asleep by 9.30pm in the winter. So if I wake up at 3am, as older folks tend to do, I can know I have already had nearly 6 hours sleep and don't fuss.
Have blackout curtains. Many of us live in urban settings with high intensity street lights. If they shine into your bedroom, they will confuse your clock.
Diet plays a role in a good night's sleep too. I used to suffer from heartburn and apnea. My dad died of apnea. Taking grains and most carbs out of the diet has ended this. I regret that I find drinking less is a huge help too.
You don't have to have all your sleep in one go either. We are not designed to sleep for 8 hours straight. We are designed to sleep in batches. A good nap is also very restorative.
The job plays a large role in our not sleeping well too. The job works on clock time and we work by circadian time. Knowing that we have to get up at a fixed time every day puts "Performance Pressure" on our sleep. How I remember waking up and looking at the clock and worry about how I only had 2 hours left. How wrenching the alarm could be. How wonderful it is not to have to get up at a fixed time! I still get up early but now I wake naturally and there is no pressure. Now when I wake in the middle of the night, I can go back and have the kind of dream filled sleep that I had as a teen. It's a joy to go to bed.
Make sleep as important a priority as good food and activity. It's worth it I promise as you will find out as you sleep better.
The Sun and Vitamin D
The sun has become our enemy. When we go outside, we are told to lather on the sunscreen. But the reality is that we are designed to be outside. The sun is how we get most of the hormone that we need to stay well. Many of us live in zones that make it all but impossible on the best of days to get this vital benefit from the sun.
The problem is that we are now starved of a key hormone, Vitamin D.
” Vitamin D is by far the greatest deficiency in the civilized world. Surveys show that at least 70% of all Americans are vitamin D deficient, and up to 85% of African-American women of child-bearing age are deficient. 48% of young girls aged 9 to 11 are deficient. 76% of pregnant mothers are severely vitamin D deficient causing widespread deficiencies in their unborn children. 90% of all hospital patients are deficient, and 99% of nursing home residents are deficient. 65% of Chicago residents are deficient and even doctors living in southern Florida are 42% deficient. It is estimated that at least 1 billion people worldwide are deficient.” Saunders Vitamin D Deficiency (Link pdf)
It is hard enough to get enough D naturally in the North. But now we live indoors, many of us get next to none.
"Caucasian skin produces approximately 10,000 IU vitamin D in response to 20–30 minutes summer sun exposure. This is over 16 times higher than the US government’s recommendation of 600 IUper day!
This high rate of natural production of vitamin D3 cholecalciferol(pronounced koh·luh·kal·sif·uh·rawl) in the skin is the single most important fact every person should know about vitamin D—a fact that has profound implications for the natural human condition.
Technically not a “vitamin,” vitamin D is in a class by itself. Its metabolic product, calcitriol, is actually a secosteroid hormone that is the key that unlocks binding sites on the human genome. The human genome contains more than 2,700 binding sites for calcitriol; those binding sites are near genes involved in virtually every known major disease of humans.
Current research has implicated vitamin D deficiency as a major factor in the pathology of at least 17 varieties of cancer as well as heart disease, stroke, hypertension, autoimmune diseases, diabetes, depression, chronic pain, osteoarthritis, osteoporosis, muscle weakness, muscle wasting, birth defects, periodontal disease, and more.
Vitamin D’s influence on key biological functions vital to one’s health and well-being mandates that vitamin D no longer be ignored by the health care industry nor by individuals striving to achieve and maintain a greater state of health.
If well adults and adolescents regularly avoid sunlight exposure, research indicates a necessity to supplement with at least 5,000 units (IU) of vitamin D daily. To obtain this amount from milk one would need to consume 50 glasses. With a multivitamin more than 10 tablets would be necessary. Neither is advisable." (link)
I am not advocating sun bathing. Just as I am not saying we have to be at the gym all day. I am saying that we need to build the sdun back into how we live our lives. This means being outside a lot more and wearing less clothing and NOT putting on tons of sunscreen.
Back to walking the dog. Playing with the grand kids. Wood cutting and stacking. Gardening. Biking. You choose: but get outside as a matter of routine in the summer and take Vitamin D pills in the winter. How much to take? I take 8,000 units a day. This is the equivalent of 20 minutes outside in summer.
Summary
I find that bringing how I live every day back to how I use my body is the best way to look after it.
I can design how I live today to meet the needs of how evolution has shaped my body. I can also do that with how I eat. But can I also live socially as I was designed to live? Can I bring the tribal life and all that comes with that back into my reality too?
A central part of my upcoming book - You Don't Need Medicine - To get Healthy - is to do what Martin Luther did for religion. It is to give us access to ideas that we can all understand and use to take charge of our own health.
I am just starting the part of the book where I introduce you to the amazing people who have worked for decades uncovering the systemic aspects of how our health works. Here is a heads up of the cast of pioneers who will help us all change our own lives and so the world. It's just a quick survey - The Book will have so much more and lots of data and images.
We all take it for granted that as we get older, we will get ill. In reality this is indeed the case for most of us today. But is Aging = getting ill part of our evolutionary design or is it no more normal than the fact that if you lived in London in 1850, you would likely die of cholera?
Professor Michael Rose (UC Irvine) is the world's leading thinker on Aging. It was his insight that convinced me that I could avoid becoming ill and disabled as I grew older and so set me on this course for myself.
What Michael, and his colleague, Larry Mueller, have found out is what we think of the inevitability of aging = decrepitude is not a set pattern. And for humans not at all.
Humans are designed to get old as fit and contributing people. This does not mean that we don't get wrinkles and grey hair. It does not mean that our sight and hearing may not decline. But it does mean that we are designed to be active contributors to society. The reason for this is tied into our evolutionary past. Raising human children takes such effort, over such a long time, that a small tribe had to have no baggage. The Middle Aged and the Old had to be contributors. In tribes where they were not, they died out.
There is a plateau where the loss of powers ceases. We can see the remnants of this in those family members who reach 85 and are still fit. This group can go on well into their 100's. Of course they die. But they remain vital until just before the end.
What Rose and Meller have found out is that this plateau will normally kick in in middle age - Provided that we live close to the rules of environments that we are evolved to do best in.
The closer our ancestry is to Hunter Gathering the more the risk and the more the opprtunity. Here is what that means in practice:
Eat the right diet - a very varied diet that has NO grains or novel foods - Novel being foods that we have not evolved to eat
Be active - not go to the gym for an hour 3 times a week - get off your bum and move all day
Have a real Tribe - aka be part of a small community where you play a real role and have a real place. Loss of control and identity is a major negative.
Be brought up as a small child in a community where adults create a trusting structure around us
Live in a small community - there is a very tight correlation to aging well and small communities
Obey the time and seasons of nature - sleep a lot - get sunlight
Don't travel too much or too far or be in contact with people who do
There is no silver bullet. Our health and how we age is a complex matter involving many interactions that we have with our environment. But the good thing about complex systems is that they have simple rules that we can all understand and so act on.
We can choose to eat differently. We can choose not to sit all day. We can choose to have a real network and to put meaning back into our work. We can choose to make parenting the most important job we have. We can choose where we live. We can choose to go to bed earlier and to spend more time outside. We can choose not to travel too much.
Each of these choices challenge the prevailing culture that we live in. We can choose to push back from that and get more connected to the other pioneers who are doing the same.
All of these choices are hard to make. All connect to each other but they all roll up to the big choice. Do you want to get ill as you age or not? For living as we do today makes chronic illness your destiny. The institution of medicine is making no progress in prevention and can only help you with the sypmtons. Only you can keep you well and only you can restore your health if you lose it.
So here, in the evolutionary setting, is the cast of today's Pasteurs - Doctors and Scientists - who are part of the new revolution in health.
We are all told to "Eat Healthy" and to "Take more Exercise". But what is healthy eating? Lindeberg has done all the work and he is clear. Traditional societies - those close to our Hunter Gatherer way of life - have NO chronic illness.
The one thing that traditional people do NOT eat are grains and lots of sugars. Neither do they eat any kind of processed food. When they start to eat the modern diet, they get ill. When Lindeberg took people off the modern diet, they got well.
The modern diet is too novel for us. 10,000 years is nothing in evolutionary time. And the past 50 years of industrial food, is a blip.
Diet is the most leveraged part of taking charge of your health.
Our next two pioneers take Lindeberg's work to the next level.
Your digestive system is not only a set of organs. Our digestion is a complex and co-evolved colony of partner bacteria. We have trillions of bacteria in our gut that do the real work of digesting our food. The make sure that the good stuff is shared and the bad stuff is eliminated. They are the gatekeepers.
Our digestive system is the core of our immune system. Sick gut flora allows toxins to leave the disgetion and enter the body. All chronic illness has some form of inflammation at the core.
Grains are major disrupters of our gut flora. Anti Biotics are mega disrupters.
Gut health is a vital part of total health. McBride, whose son developed autism and so spurred her work in diet, is a great communicator and her lab has developed a wide range of strategies that can help.
Fat does not make us fat. We get fat when we disrupt our insulin mechanism. We do that when we overload it with too much sugar. When I say sugar I mean a very wide range of foods that have a high sucrose and glucose load.
Once you understand how this process works, you will never believe that fat makes you fat again and you will be able take make a major change to your health.
Dr Gordon is one of many people that are working on this metabolic part of our health. I offer her up here because she is so clear and personable.
We are all told to "Take More Exercise" - We think that this means go to the gym. The real issue is we must be more active. One hour three times a week in the gym, has little effect on you if you have sat for 10 hours a day.
Professor Levine makes it quite clear that sitting on our bum all day is a big problem. We are not designed to sit all day. We are designed to move all day.
How long do you sit all day? 8 hours 12 - 16? We have become like astronauts but in a bad way.
So what to do? Design activity into your day. I use a standing desk. Walking is the best exercise too. Have walking meetings like the monks used to do. Your son has ADD at school - maybe not - Maybe he is right and needs to move around all day - maybe it is school that is sick?
This one insight offers all of us a wide range of new possibilities to improve our health. Activity is a design issue.
Just as we are designed to be active, we are designed to sleep. Sleep is not a waste of the day time: it is a powerful resetting process that operates many restoring and repair functions for the mind and body. Dr Czeisler is one best people in the field. His work explores not only what sleep does for us but what YOU can do to get better sleep.
When we moved inside as a species, we lost contact with a vital part of what we get from the sun, Vitamin D. The Vitamin D Council is a goldmine of information about why we need more D than we are getting by living inside all the time.
We evolved in Africa. We are evolved to need a lot of Vitamin D.
Do you work at the bottom of a hierarchy? Then you will get ill and die 4 times earlier than those at the top. Married to your work as a man? Retirement will kill you in 5 years. Are you at the lower end of the vast income inequality in the US and the UK? You will get ill.
How much control and Status we have in life directly affects our health. Medicine and access to healthcare has nothing to do with these differences in health outcomes.
Dr Sir Michael Marmot is the world's leading authority on how human social environments affect our health. Cubicle land and factory work is lethal. Large differences in national income is lethal. Inequality is lethal.
His research on the Brtish Civil Service is a landmark piece of work that sheds light on how this works.
So how does this process work? All primates get stressed by social issues. Zebras only worry at the moment when they are being chased by the lion. Baboons worry all the time about their place in the troop. Humans worry even more. Our consciousness can be a curse. We can worry oursleves about the mortgage or global warming too.
Sapolsky is the leading scientist studying the primate and human stress mechanism.
Sapolsky is a brilliant scientist and a remarkable explainer. His lectures online are very accessible and offer massive insights as to why we, as the most social of all animals, have to pay attention to our social environment and do all we can to make it less stressful.
And what to do to cope with our stress? I have two favourites here - The late Dr Viktor Frankl and the very much aliveDr Gabor Mate.
The single most important social factor on our health over a lifetime is the social environment that we had from 0 - 3. When I say 0, I mean from the moment of conception. Children's world view, and so their stress reaction to life is set by 3. This setting drives the development trajectory for life.
Professor Doug Willms is the authority on the link between family culture and long term development outcomes for children.
So how we parent is key. If we are too top down, use power all the time, don't touch enough, speak to but not converse with - all signs of a stressed person - then we set up poor conditions. If we allow everything, let the child run her life, don't stand firm on important issues, are distant - then this too has poor outcomes. The worst being when each parent has one of these two styles.
The best outcomes are from parents who stand firm on important things but allow a lot of room for all others. Who have lots of conversation with their infants. Who touch their kids a lot and who are affectionate with each other.
This style of parenting is not tied into any one income level. So many of us have been captured by our own stress response to the corporate world. It leads me to believe that earning our living in a different way will help.
Social Environment Parenting - The Late Jean Liedloff
Just as Michael Rose goes back in time to show us a lifestyle that is suited to how we evolve, so the late Jena Liedloff does this in how best to parent. Her work is the manual of our evolution and is very accessible and pragmatic
PTSD is a massive issue in the west today after more than a decade of warfare. Here again people have been shaped by their environment. So is the cause of PTSD the trauma of seeing or doing bad things?
Shay has discovered that this is too simple a perspective. The deeper cause of PTSD, and all illness caused by trauma, is Betrayal. This is why incest is such a terrible act as it involves the worst betrayal of all.
PTSD is driven by bad leadership. A military that has leaders who care not for their men but for their careers. A political class that goes to war and exploits the patriotism of their young men for a game and not a real cause. A system that rotates men too often and breaks their attachments.
This betrayal was seen everywhere in Vietnam. All that was wrong in Viertnam has taken place again in Iraq and in Afghanistan. As those involved learn that they were betrayed, their feelings will deepen. The PTSD epidemic will grow.
Shay also has done the work to find a way for these men to come home. And it is not drugs or experts. It is in helping people help each other. It is in helping them find a tribe again. Medicine and conventional therapy does not work. Only the tribe can offer the trust required to quiet the demons.
How do we change our wiring? If we have depression, PTSD, had a shitty childhood, have addictions? There is no pill. There is no smart man in a white coat. But there is a proven social process and journalist Alan Deutschman has made a lifetime study about what this is.
His work, Sapolsky's, Mate's, Frankl's and Shay's all intersect and support each other. Alan offers a special clarity and great case studies.
And so what is this kind of change that Alan reviews so clearly? ? We have to rewire our brain - literally. Our beliefs, or our automatic responses to an event, have been hard wired in our brain by repetition. The more times we go to THAT place, the faster we go there. It is like a river cutting a chasm.
Doidge and Sapolsky have unravelled how this mechanism works and are using the understanding of the plasticity of the brain to change the wiring.
Dr Norman Doidge has had great success in helping people rewire. Even people with schizophrenia.
Good for you
This is a long list and if you have reached this far, well done. As you can see there is not a pill in sight. I hope you can see that all of this is related and all of this intersects. It's complex. But if you make a start, you will be amazed at how you start to change and gain confidence.
The best place to start is diet. It is the most leveraged area and you will get the fastest response in health gains. Then you will have the confidence to try other areas.
If you want to know more now, I have a supporting website called the Missing Human Manual. There is loads more information, videos, articles etc from all of these people there. If you want to even deeper, Michale Rose has put together a major work on the evolutionary context at 55 Theses
Power in Quebec costs half of what I used to pay on PEI.
Here is my furnace. It is silent - except for the pump - feeds into cast iron radiators. It has a regular internal thermostat AND an external one. What this means is that the external thermostat regulates the effort. So when in the fall it is not that cold, it does not put all the capacity of the heater on. But when in February it is minus 30C, it goes full tilt.
It also only heats on demand, so there is no big tank of water being heated all the time.
With cast iron radiators, there is a also a big lag effect. Once the rads are up to temp, the furnace can switch off and the latent heat remains for hours. Also with cast iron, we can get by on relatively low temperatures. 95 - 105F. With base boards you have to go much higher.
Many thanks to Rick Long of Aquatech - THE plumber of plumbers - for putting us onto this idea.
Many people tell me that you cannot see the future. But I think you can see the patterns of history and have a good feel for the probability of the future.
In this chaotic time, having a sense of the probabilities will give you an edge.
Tristan Fischer, my super clever nephew, is writing a new blog that wrestles with these patterns. In his youth, he was the boy wonder for renewables st Shell. Now ancient in his early 30's, he is CEO of a very interesting energy start up. More here.
Why has modern medicine failed to stop the chronic illness epidemic? My quick answer is this. Modern Medicine has been captured by a simple linear idea of how the world works. It can only deal with local and simple problems. It cannot comprehend complex problems. It keeps trying to use simple tools, a pill based on one pathway that are based in the simple idea of cause and effect.
This all came from early success.
Joseph Lister created a breakthrough in medicine in the 1860's when he discovered that you could prevent infection in major operations by washing your hands and spraying the site with carbolic acid. Of course it took more than 10 years to be accepted but by the 1890's surgery did not mean a high chance of dying from infection.
Lister solved a problem that was simple and local. Keep the wound clean. Keep all that touch the wound clean. Keep the room where you treat the wound clean. Jenner did the same with small pox. Vaccinate with a close relative and you create immunity.
That is progress. But it is also the problem. Ever since then medicine wants the simple answer. It's early success in treating the simple has trained it to see only local cause and effect.
This is why it has failed and can only fail in treating chronic illness. For Chronic Illness is a complex problem brought on by interactions between your ancestry, the food you eat, what you do with your body, how much time you spend outdoors, your social status and how much sleep you have. There is no local cause. There is no one cause. There is only many variables interacting over long periods of time that result in emergence of disease that in turn result in the emergence of more disease.
You become obese, then you might develop Type 2 Diabetes, then heart disease, then eye problems and so on. Or you might get depressed and then get an auto immune disease such as IBS or worse.
Modern medicine treats each new disease as a stand alone. Much of the treatment drives further disease.
Our failure to see the difference between what can be seen as simple and local and what is complex is what is at the root of our failure. Now chronic illness is an epidemic. Every decade in the 20th century it has got worse. Since 1980, the epidemic has accelerated exponentially. Billions of dollars has been spent in "research". The entire medical world has been looking for answers. And they have failed. Why?
I had a flash this weekend as I was doing a final edit for the first book of my series You Don't need a ..." Modern Medicine, like all of our industrial institutions, has a machine design. All are based in a core process that ends in the sale of a product or a procedure.
Modern medicine is a linear world where the pay off is in the sale of a drug, a test, or a procedure such as an operation or a Botox shot. No one gets paid to work with complexity. So no one does.
All of Modern Medicine is focused on finding direct cause and effect pathways that end in a transaction that is based also on a mass market model. So in this world, depression can be "cured" by one pill.
If I am correct - what do you think pile in please - then we cannot expect any results from medicine. Medicine is captured by the fallacy that all linear institutions share of the world being linear and so reducing all interaction to a single payoff - a classroom with a teacher - a newspaper with a journalist - a pill with a doctor.
All the money you raise to go to this research is wasted. All the money we spend in this model is wasted. Investing more in the study of epicycles is not going to make the Ptolemaic system work any better.
So what to do?
Dave Snowden's Cynefin model says it all for me. Modern Medicine lives in the right hand quadrant but our chronic illness lives in the left hand side.
I don't think that the profession of medicine will welcome this insight. After all they all make their money and gain their status by their investment in the fallacy.
But we can help ourselves. For the systemic causes of chronic illness are all rooted in our lifestyle and in our ancestry. While complex they have only 4 quadrants.
Diet - Eat real food - give up all processed food - give up all grains and sugars - don't eat any food that has a chemical in it that you cannot read aloud
Be Active - Don't sit for more than 3 hours a day - Do physical work - be outside for at least an hour a day - get a dog - garden - get a standing desk
Get a Tribe - You will thrive when you have a real place and status in a social group - we are primates - we have to groom and be groomed
Sleep More - Sleep is not just a mechanical time out - it is a vital part of keeping us renewed and well - we need 8 hours a day - have a dark room - light is the enemy - don't watch TV in bed - don't read in bed - don't get stimulated before bed
There is then one variable about how all of this interacts and that is our ancestry. The closer you are to beig a Hunter Gatherer, the worse the outcomes of breaching the evolutionary norms for these quadrants. That is why First Nations People, Polynesians and Scots and Irish do do badly in the chronic illness spectrum.
There are no doctors in this picture are there? There will be a new research world though. A Big Data Crowd Sourced world. Where millions of us will share data about who we are - the ancestry variable and what we are doing and then we will start to see the emergent truth of what works best for you and for me.
Emergence is the new research frontier. But the powers that be will hate that because there is no transactional payoff. There will be no pill. There will be no procedure. There will be only the knowledge that what you and I are eating or doing is working or not for us as individuals.
We will have to find a new way of setting up this kind of research.
Trillions of dollars of cost will go away. There will be a true revolution in health and in human society.
Much more later this fall when I will release "You Don't Need a Doctor" I am still on track to release "You Don't Need a Job" and "You Don't need a Banker" at the end of June.
Projects Powered by Podio I am working with Christ Church Cathedral Choir - Grace Church to set up a Virtual Choir School - The team is all over the world and we use Podio to do our work
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