America spends enormous amounts of money on healthcare. So why are patients frustrated, healthcare workers facing increasing hostility, chronic disease widespread, and the financial pressures on the system continuing to grow?

On this episode of Sugar Crush: The Rest of the Story, Dr. Rick Jacoby asks whether the problem begins with something fundamental:

Have we confused healthcare with sick care?

The conversation starts with an observation at a hospital in Scottsdale, where signs warning against aggressive behavior seem to be everywhere. For Dr. Rick, they're more than security notices—they're a symbol of a healthcare system in which patients, providers, institutions and taxpayers are all feeling the pressure. 

From there, he travels back to Benjamin Franklin, Dr. Thomas Bond and the founding of Pennsylvania Hospital in 1751, using America's early spirit of community involvement as inspiration for what he believes needs to happen today.

His metaphor is Franklin's Bucket Brigade: when there was a fire, ordinary citizens didn't wait for someone else to solve the problem. They grabbed a bucket, passed it to the next person and worked together to put it out.

Dr. Rick argues that it's time to do the same thing with health.

Rather than waiting until disease requires drugs, hospitalization or surgery, he makes the case for placing far greater emphasis on prevention, nutrition, metabolic health, personal responsibility and regenerative approaches. He also revisits his long-running argument about sugar and glycation and explains how those ideas fit into his Global Compression Theory. 

The conversation expands into some of Dr. Rick's more controversial views surrounding glyphosate, glycine and the microbiome before returning to cancer metabolism, Otto Warburg, Thomas Seyfried and his own “estuary” theory of disease. He presents these concepts as part of a larger challenge to the conventional medical model and a call for additional research into metabolic and regenerative approaches. 

Ultimately, this episode isn't simply about what's wrong with American healthcare.

It's about who is responsible for changing it.

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