Despite having the world’s most expensive health care system, the United States has been given the worst ranking for over five years, among the wealthier countries, with regard to measures of access, equity, quality, efficiency and healthy lives. In addition, in 2006, the U.S. was number 1 in the world for spending per capita, yet 39th for infant mortality, 43rd for female mortality, 42nd for adult male mortality and 36th for life expectancy.
For a country that is supposedly a world power, we sure have the capacity to spend a lot of money on being weak and sick. And the sicker we get, the more expensive hospital stays and procedures get, as well as medications we need to take, that now come along with television commercials, advocating that we need to take these drugs we can’t even pronounce that are obviously highly toxic, to even survive. Meanwhile, to help with the health care costs, our physicians and allied healthcare providers are getting paid less and told to spend less time with us, so that not only are we getting sicker, but so is our health care system.
Does this sound okay to you?
That as a nation we are getting sicker, which is raising the sticker price on our health needs, which pharmaceutical and insurance companies are only too happy to help us increase?
Sure there are some aspects of our health care model that advocate increasing preventive medicine efforts. But unless these efforts include drugs or testing, preventive medicine promoters have little say or power. Unless you are backed by the Coca-Cola Company, that is.
The giant company is actually now backing a program called Exercise is Medicine, a global initiative managed by the American College of Sports Medicine (ACSM) whereby exercise professionals get certified to work with sick people, to help them change behaviors and “reach stronger health outcomes.”
The only problem or problems, I should say, is that these said exercise professionals are not being trained in nutrition or other lifestyle behavior paradigms and the program is being backed by a company that pushes high fructose corn syrup and an abundance of chemicals in food products for the same patient population.
Now don’t get me wrong. Getting sick people to exercise is a great thing. It’s a good start. But creating another licensing program that means more costs and more profits to someone else, without incorporating other lifestyle coaching needs, seems to me insufficient.
In addition, the ACSM is the same organization that was behind the push to send all level-1 (L-1) CrossFit coaches be fined or sent to jail if caught actually coaching, publishing false data on CrossFit injuries, which has since been rescinded. Thank goodness, as I would have gone to jail for coaching, seeing as how I have an L-1 certification.
So yes, I question their motives since in fact, personally, CrossFit saved my health, especially my back and my psyche, and got my almost 48-year-old body to be stronger and fitter than it was when I was 25. Rather than getting injured by doing CrossFit, unlike the multiple times (too many to count) that I got injured working with a personal trainer certified by the ACSM, my injuries got better.
So okay, preventive medicine is a movement and now Exercise is Medicine is too. Will this change our culture? Will this really help our over stressed, poorly fed, under slept, lonely population who probably don’t even know they are sick?
Think about it. Obesity is now an epidemic. The majority of people in this world are so stressed that they have little time for self-care, exercise or self-awareness, choosing to eat fast food, pop pills, or drink diet coke to get through the day, cope or get skinny. The majority of people don’t even know that they are sick because not only have they never felt well, but also they have never experienced vitality.
What I would really like to see is a movement that changes the way we approach medicine all together. I would like to see a movement that supports individuals to become fit in mind, body and spirit so that they can not only avoid sickness, but also fight it once it arrives.
What if I were to give you the choice between being sick, not being sick, or being so fit that your body’s natural ability to conquer the bad stuff would win more often than not? Which would you opt for?
It’s quite a concept isn’t it?
Now the question is, can it be done?
I think so, yes.
I got inspired about the concept when I went to the CrossFit L-1 training. Well, actually, when I started reading through the material and watching the associated videos and even more excited when I went to the seminar.
And I got excited.
You see, I thought I was going to a class to learn how to show people how to exercise safely. But I got so much more. The lessons went beyond athletics, beyond simply wanting people to learn a movement. The manual alone explained the basis of how to not only help individuals achieve fitness, but how to avoid sickness and move beyond wellness, explaining what I and many of my colleagues have been teaching in mind-body medicine — how to maintain adaptability, coordination, balance, agility, strength, and stamina, or in other words, how to stay fit and strong throughout life, in observable and measurable terms.
This manual was not just explaining to me how to teach a client how to do a given sport or athletic movement. It was teaching me how to be a health coach.
My excitement only grew as I listened to our instructors lecture. They not only clarified my questions and taught me how to correct my own and other athletes’ movements, but they inspired me to want to live healthier, be a stronger part of my community and to continue on a healthy nutrition plan.
They covered a lot of material — from theory to mechanics and technique to nutrition and the sickness-wellness-fitness continuum.
Now this was a concept I liked. Approaching health from a fitness spectrum, rather than one that focused on sickness or even just prevention.
I thought if a multimillion-dollar organization could influence the masses to become fit, why not change medicine from the outside, rather than from the inside? Let the inside focus on hospital stays and medication, and let the outside get people off medication, walking, lifting and socializing as they are meant to be.
Honestly, I’d really like to see the CrossFit model influencing our health care system, not the health care system influencing fitness. I embrace the idea of creating a world-wide movement that influences even larger numbers of people to not only interested in getting in shape, but also in being fit and having a healthier lifestyle and mindset. I’d like to see further certifications and trainings happening so that health coaches teach all individuals the functional movements we learn in CrossFit, now to eat, how to connect with a community, meditate, become more mindful and find more meaning in their lives.
I have been practicing medicine for over 20 years and I can tell you that from my experience, whereby I help my patients become fit in mind, body and spirit, now only do they achieve healthy, but they become more excited about being fit, rather than just not getting sick.
Are you with me?
I’d agree. CrossFit has a much better outlook on health and fitness than the supposed leaders in Exercise and Health (ACSM, NSCA, NASM, ACE, American Healthcare etc). I appreciate much of what those organizations have done, but it’s measurably improving very little. CrossFit may be brash, in your face, and sometimes too excessive or not clear enough in their workout prescription, but it’s a better approach simply through basic fundamental human movement and eating real food.
Despite having a 4 year ES degree and CSCS through NSCA, I can confidently say that I have learned more about how to apply fitness through CrossFit’s resources than I have through all the supposed “worldwide leaders in exercise”. and government health policies out there. My education certainly was valuable but 90% of it was a waste of time and because it’s a public education backed by government health policies, the nutrition education was just awful compared to what actually is true in the real world. If CrossFit’s prescription of health was put into play rather than “workout 3-5x/week at moderate to high intensity, strength train the major muscle groups for 15-20 reps, and get 150 minute of cardio/week, eat a diet rich in fruits, veggies, whole grains”, we’d be a heck of a lot better off. Just don’t take it too far and have people striving to do 100 clean and jerks or 100 kipping pull ups for time, and all these other nonsense workouts that only .01% of the population can perform without major long term risk.
Thank you for an insightful comment! well said!
Dr. Eva’s article provides perspective to our US healthcare model that can be interpreted as a call to action. Particularly her statements pasted below. When we visit our primary care physician or even specialists, how often do we “get so much more”? How often do we learn meaningful insights about avoiding illness and moving toward wellness and beyond?
I don’t blame the individual physician or clinician. It’s the incentives model. The system is designed to incentivize the 8-minute minimally helpful visit. I shake my head. We are operating at 20% of our potential as a world leader. I love so much about my United States, but my call to action is to create a better parallel model that serves people in a more helpful way. Fortunately, the imperfect capitalist model offers us the opportunity to do so… as long as we truly add value. CrossFit is a fine example. And, there are others. Cheers! More to do!
“You see, I thought I was going to a class to learn how to show people how to exercise safely. But I got so much more. … The manual alone explained the basis of how to not only help individuals achieve fitness, but how to avoid sickness and move beyond wellness…”