Health to Wealth

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Sometimes when watching a movie where there is a really fit person, doing a lot of amazing things, I placate myself by remembering that they have a group of people helping them get into that shape and learn those skills. Trainers, coaches, chefs, assistants... and they get paid to get into shape and learn random things for a movie.

Unfortunately, no one is paying me to be healthy.

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But being healthy is in the best interest of myself, my family, and the community.

Cost of healthcare is immense.

The data are presented by type of service, sources of funding, and type of sponsor. U.S. health care spending grew 7.5 percent in 2023, reaching $4.9 trillion or $14,570 per person. As a share of the nation's Gross Domestic Product, health spending accounted for 17.6 percent. (18 Dec 2024)

But, the problem with most healthcare costs, is that they are a post-illness expense, not a preventative spend. I suspect that a lot of the costs would come down significantly, is more effort was put into preventing illnesses, rather than treating illness. And most likely the places where impact would be the highest, would be in the simple areas that are applicably generally to all, with nutrition and exercise. However, as we know, left to our own devices, we aren't very good at managing either of these, as illustrated by our ever-expanding obesity numbers.

Of course, since many of us have jobs to go to, family life to balance, and our own personal needs and wants to take care of - it makes it challenging to take care of ourselves, to pre-empt illness. And this means that we will have more physical and mental problems that cost more to take care of, as well as impact on our productivity, which is another enormous cost that isn't factored into the healthcare figures. And, since no one is paying us and we probably don't have the money to have personal trainers, coaches, chefs and assistants at our beck and call, we aren't going to be able to pay them to come to us.

What if it was subsidized, or better, free?

Such an incredibly large amount is spent on healthcare that is obviously not working, it might be worth trying something different with blended approach of professionals and technology. For instance, every family could have a trained professional visit the home to sit down and evaluate current situations, make plans for dietary changes and exercise if needed, and then fortnightly check-in with the family in-person and see how things are going and adjust accordingly. There could be several of these support people in each suburb, and the experiences can be shared with neighbours too.

The check-in is important to create accountability and also for finetuning, as everyone would be learning what works the best together, but it isn't regular enough. It is economically unfeasible to have people visit daily, or be live-in support like some of the celebrities would have when they are prepping for a role, but technology does have some answers now, with AI.

See, I don't hate all AI usecases!

There are already a lot of AI fitness apps out there, but there could be an AI assistant that is tailored for this particular usecase, so that it would work in combination with the personal trainer and coach to help the family build recipes, remind for workouts, watch the form of movements and suggest corrections, and generally be there when the trainer is not, working with the family, as a family unit. Designing workout plans and activities for the family to do together.

At least in my neighbourhood, I reckon this kind of service would be highly appreciated and effective, as well as probably support more outdoor activities to bring people together somewhat organically. I reckon it would provide enough support to get people interested and moving, perhaps into a gym more often, or into the outdoor exercise equipment areas that are being put in more places slowly.

The thing is, we are all human. And as such, just having the time and equipment, isn't enough for most of us to exercise regularly, or to eat well. We need guidance, structure, and continual support. However, I don't think the AI by itself is enough either, because they aren't going to make the human connection in the same way, at least for most of us, at this point in time.

If this program were to run for the next ten years from today, what do you think might happen? I do think that it would make an impact on people's lives, and probably improve their general health, lowering trips to the healthcare centres and days off. In Finland, having support people visit the elderly regularly has decreased the cost of healthcare as they spend significantly less time in hospitals, and I think that a pre-emptive approach would not only have impacts pretty soon, it would have impacts in decades from now also.

Would you use it?

For this, let's assume that the data isn't shared for advertising purposes or for any kind of governmental ulterior control motive, and it was just to support better health in the community - do you think it would help you? I think it would help my family at least, and I think in time it would bring us together in a different way, by helping us work together for a common goal of better family health. It is always on the agenda, but we aren't consistent enough.

Perhaps, rather than watching movies to be entertained because we want to avoid doing something useful, we can get into better shape, and feel better as individuals and a community. And put our tax dollars to work improving us, helping us, supporting us for an increased wellbeing, and quality of life. So much value is spent on so little gain for society.

That should change.

Taraz
[ Gen1: Hive ]



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26 comments
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There is a proverb "prevention is better than cure" emphasizes the importance of proactive measures to avoid illness before they arise.

Focusing on treating illness after it occurs is incredibly expensive and inefficient. Shifting focus to proactive measures like nutrition and exercise would significantly reduce healthcare costs and improve overall health.

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I don't know where you are based in the world, but do you think that people would be receptive to the idea?

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While the idea of subsidized health coaching and AI support has the potential to improve public health and reduce healthcare costs, its success would depend on careful planning, effective implementation, and ongoing evaluation.

It's important to note that this is a complex issue with no easy answers. Some cultures may prioritize individual responsibility for health, while others may emphasize collective well-being and government support for social programs.

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I personally wouldn't trust AI with any sort of accuracy regarding numbers... but I like the general idea of what you're suggesting.

It is incredibly hard not to put on weight in the US because the vast majority of food has sugar or corn syrup or whatever in it... just having someone educate families on just the daily/weekly foods to be consumed to fit particular goals would likely save billions in healthcare.

Preventative spend is so much more efficient. Colonoscopies are obviously easier and cheaper than chemo, regular dentist checkups can prevent literal thousands of dollars in dental care, etc.

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I personally wouldn't trust AI with any sort of accuracy regarding numbers...

I don't know how it would look, but I don't trust them either. I think it would be more in support of the human interaction, to keep it going between visits.

just having someone educate families on just the daily/weekly foods to be consumed to fit particular goals would likely save billions in healthcare.

And having someone to be there regularly to encourage results, would be huge.

Preventative spend is so much more efficient.

In the EU, Finland used to spend near the least on healthcare, but the most on preventative. The current total for all is around 9% of GDP, including what the consumer pays. How is it 17% in the US - especially considering the results? Seems that someone is making money for little impact.

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I mean honestly, there's so much you could do in this space. I would support using tax dollars for something like this, especially since you'd see the best results and the biggest societal gains from the groups of people who could least afford it.

People don't realize how much potential GDP is lost through sickness. It's massive.

Ignoring the authoritarianism and genocide for a moment, I do feel like this is the main difference between China and the USA. China seems to be about efficiency and stability, so huge investments in infrastructure, housing, health, etc whereas the USA seems to be all about individuals making as much as they can, despite the societal consequences, and no where is this more obvious than in the healthcare industry. I don't have exact numbers, but I assume 90% of Americans are one health-crisis away from bankruptcy. One of my friends in Florida told me yesterday that going to the hospital is not an option for anyone in her family.

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I would use a program like that. I think this is a great idea, but I also think that this is not going to be implemented in USA any time soon...

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It won't be implemented anywhere soon. But, it might also be an interesting business model for gyms to offer.

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It's an interesting thought exercise. I do often wonder what kind of shadow I would be in if I had all the time in the world like some of these celebrities do. I think that AI could be beneficial given the right inputs. People who struggle to lose weight the traditional ways due to hormones, thyroid issues, or something else might be able to find solutions when AI is able to crunch all the factors.

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People who struggle to lose weight the traditional ways due to hormones, thyroid issues, or something else might be able to find solutions when AI is able to crunch all the factors.

This is what bigdata should be used for rather than increasing ad revenue, right? The collection of data for advertising revenue should be banned, as it exacerbates every problem.

Imagine what a difference it could be if having a live in trainer/chef/ assistant for a year.

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Yeah, I think that could definitely make a difference in some cases.

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Many health expenses are unnecessary and for show. For example, cosmetic surgeries are quite expensive. If cosmetic surgeries were to be stopped, we would all see that health expenses would decrease significantly.

I also think that if people made conscious nutrition and exercise plans, this would work. In fact, this could be made into a state policy.

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I also think that if people made conscious nutrition and exercise plans, this would work. In fact, this could be made into a state policy.

It would be okay, if the state actually cared about the people. Unfortunately, it doesn't.

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Sounds like an interesting idea for sure. I was part of a preventitive program with my health insurance where a nurse would call me once a month to talk with me about my diabetes care. It worked great, but they discontinued it. Our Veterans Hospital system has several preventitive programs, but one has to take advantage of them and utilize them. Many do not.

You can always be entertained and stay healthy at the same time. I have been walking on my walking pad and watching TV while doing it.

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Why don't more service people take advantage of it? Is there a stigma, or is it that people have a feeling they can handle it all on their own?

It worked great, but they discontinued it.

Do you know why?

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I am not sure why more don't take advantage of these programs at the VA. Not sure it could be pinned down to just oen reason. Stigma for someof the services could be one. A feeling of losing self sufficiency could be the another. Distance to the hospital. Poor communication of their existance and availability to patients.

As far as why the insurance discontinued the program for diabetics. My best guess is that they are money grubbing insurance company who are short sited and saw the nurse on the phone with the patient every month as an unnecessary cost. Just short sited bullshit.

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Health really do come up with Wealth! Thank you for sharing that reflection of yours!

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I think there should an obligation for having blood test per 6 months for every citizens in a country so that some diseases like cancer might be prevented, which would obviously reduce health cost.

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You'd think that with all that is spent on technology, there would be faster, cheaper, and easier ways to test at home.

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Lime you stated having time and equipment isn't enough. I feel when we discipline ourselves to let go of unhealthy lifestyle then we can live healthy

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As fun as having household staff sounds (actually it doesn't sound even a little bit fun to me the idea freaks me out) it would probably be better if the economy was such that people didn't have to work long hours/multiple jobs/both with an end result of being way too tired to care anything at all about exercising and making healthy food choices no matter how much that is the only correct thing to do.

Also sometimes it feels like a chunk of the health industry relies on everyone being sick all the time. Conspiracy theory!

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it would probably be better if the economy was such that people didn't have to work long hours/multiple jobs/both with an end result of being way too tired

but even when this is the case, we struggle.

I wouldn't want a live-in person either, but having someone like a family "health therapist" visit for a couple hours every fortnight, that might be great.

Also sometimes it feels like a chunk of the health industry relies on everyone being sick all the time. Conspiracy theory!

Definitely the case for the pharmaceutical industry.

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