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Too many people take too many pills

economist.com

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Re: Too many people take too many pills

#41
post #28

Earlier quoted context omitted.

I'm the same. It's just human nature to not want to expend effort. We love excuses, like - I'm too stressed, to busy etc. - but quite often, they're just that - convenient excuses.

All humans in environment A get fat, develop heart disease, and are depressed. All humans in environment B are lean, live long lives without medication, and are happy. The only logical conclusion: everyone in environment A is lazy or otherwise morally deficient.

everyone in environment A is lazy and morally deficient because environment A promotes laziness and is in itself morally deficient.

Re: Too many people take too many pills

#42

Earlier quoted context omitted.

LOL what? Where did all this "lords and peasant" nonsense come from? Come back to reality, Eli.

I'm being real. Lots of people work 10-12 hours a day. How are they supposed to shop and cook for only fresh and healthy food, as well as do 30 minutes of rigorous cardio per day, in the remaining four hours a day when they're not asleep? What if they have family obligations?

My experience was that I was scheduled 12 hours a day, the reality is that we all commuted 1h both ways and turnover often took 30-45 minutes. We were bussed in, and we arrived 15-20 minutes early. To put the final little bit in, we also had to commute to the bus depot. Whatever extraneous time I had was spent in the shower.

While I did manage to eat decently I also had the benefit of years of working in kitchens and I opted for vegetarianism years prior so I had to delve into a novel culinary discipline which served to broaden my horizons both in what I considered a meal, and what I was willing to eat, and how I was willing to eat. Looking at the rest of the cohort: yeah, it was bad. A lot of industries we interfaced with had a lot of very evident cases of poor diet. I expect among the whole the chronically single and childless were the few that could manage their health in the context of that schedule or any modern American regime, really.

Beyond diet it's physically taxing, especially considering that my industry, and every industry touching it worked some variation of swing shifts and if not that, 24/7 on-call. That alone is extremely taxing and has prolific long-term implications. Alcohol and drug abuse are commonplace, whether licit or illicit substances. And there's a huge emotional layer to it as well, if that isn't obvious. Mind you these are the people paid by the companies that keep your lights and heat on, transport all your food and fuel...

But even outside of that extreme edge case the other jobs I've had can have their own sets of challenges. It's not always overeating that gets you, but undereating is a hazard as well. And workplace injuries are not so avoidable as the institutions like to profess. If you're pressured, your peers are pressured, your customers are pressured, etc... the culture itself becomes go fast or die trying — they'll tell you to work safe but God forbid if you do you'll be punished for it, ask me how I know. And that's without factoring in RSIs, which in some occupations are virtually inextricable.

Re: Too many people take too many pills

#43
post #22

Earlier quoted context omitted.

Nice going, John! Role model material. What is your secret?

I have no idea. This whole thing surprised me -- I just assumed that I was "normal" in this respect. I don't have a secret, as far as I can tell. I am moderately physically active, and I do eat moderately healthy, but not exceptionally so on either count. I suspect that, rather than being a role model, I just drew a lucky number in the genetic lottery.

Luck definitely has something to do with it. It took me a while to get that given that I thought my mom was a hypochondriac. It turned out she was just sick her whole life. I’m 48 now and don’t have any prescriptions yet, I hope I can maintain that.

Re: Too many people take too many pills

#44
post #28

Earlier quoted context omitted.

I'm the same. It's just human nature to not want to expend effort. We love excuses, like - I'm too stressed, to busy etc. - but quite often, they're just that - convenient excuses.

All humans in environment A get fat, develop heart disease, and are depressed. All humans in environment B are lean, live long lives without medication, and are happy. The only logical conclusion: everyone in environment A is lazy or otherwise morally deficient.

> All humans in environment A get fat, develop heart disease, and are depressed

There's plenty of non-obese people in the world.

Re: Too many people take too many pills

#45
post #16

Earlier quoted context omitted.

I expect my doctor to give me the best medical care. If that's telling me to make a lifestyle change, that's what I want (whether I follow his advice is an independent issue). I 100% don't want a doctor to give me medication that isn't necessary.

I’ll tell you what your doctor might not be telling you: - 30 minutes of cardio, 3x a week is a bare minimum. The more cardio the better, so consider endurance sports. - Resistance training is necessary too, and can be done at home with no equipment - Get at least 10 minutes of sunlight right after you get up or right after the sun comes rises, even if it’s cloudy, if possible - Don’t drink more than 2 drinks in a da…

> Don’t drink more than 2 drinks in a day

Just to clarify, because this one tripped me up: you specifically mean alcohol, right?

Re: Too many people take too many pills

#47

People want pills or miracle diets. People don't want lifestyle changes. They're busy, stressed, strapped for cash, and anyway they like the standard American diet. Collectively, we could shape our environment so healthy decisions are easier and unhealthy choices are harder, but we can't even agree to tax sugar. So we won't make policy changes anytime soon, and individually many of us will fail to make healthier choi…

As a doctor it's your job to give your patient something that will treat them. You can't tell someone "if you exercise an hour a day, your problem will go away" because at least 9/10 people won't do it.

If they don’t take the pills, are you also supposed not to prescribe them?

Patients refuse treatment all the time. I’m not so sure it ought to be a doctor’s job to cater to the patient’s every whim.

Re: Too many people take too many pills

#48
post #28

Earlier quoted context omitted.

I'm the same. It's just human nature to not want to expend effort. We love excuses, like - I'm too stressed, to busy etc. - but quite often, they're just that - convenient excuses.

All humans in environment A get fat, develop heart disease, and are depressed. All humans in environment B are lean, live long lives without medication, and are happy. The only logical conclusion: everyone in environment A is lazy or otherwise morally deficient.

Or environments A and B have specific differences in factors operating on the humans existing within them.

Re: Too many people take too many pills

#49
post #16

Earlier quoted context omitted.

I expect my doctor to give me the best medical care. If that's telling me to make a lifestyle change, that's what I want (whether I follow his advice is an independent issue). I 100% don't want a doctor to give me medication that isn't necessary.

I’ll tell you what your doctor might not be telling you: - 30 minutes of cardio, 3x a week is a bare minimum. The more cardio the better, so consider endurance sports. - Resistance training is necessary too, and can be done at home with no equipment - Get at least 10 minutes of sunlight right after you get up or right after the sun comes rises, even if it’s cloudy, if possible - Don’t drink more than 2 drinks in a da…

> The more cardio the better, so consider endurance sports.

The research vehemently disagrees with you, especially if you’re a woman.

Re: Too many people take too many pills

#50

Earlier quoted context omitted.

LOL what? Where did all this "lords and peasant" nonsense come from? Come back to reality, Eli.

I'm being real. Lots of people work 10-12 hours a day. How are they supposed to shop and cook for only fresh and healthy food, as well as do 30 minutes of rigorous cardio per day, in the remaining four hours a day when they're not asleep? What if they have family obligations?

Most people do not work 10-12 hours a day.

Those who do have far bigger problems than regular exercise.

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