068 - Mitophagy, Crapsules, and VR for Pain - HealthHippieMD Week In Review

Artificial Inaccuracy

The article ChatGPT Quickly Authored 100 Blogs Full of Healthcare Disinformation, discusses a study where generative AI, particularly ChatGPT, was used to produce a large volume of healthcare disinformation rapidly. ChatGPT created 102 blog articles with over 17,000 words of disinformation on vaccines and vaping in just 65 minutes. The study, conducted by Australian researchers and reported in "JAMA Internal Medicine," also involved using AI tools like DALL-E 2 and HeyGen to create realistic images and a deep-fake video to accompany the blog posts. Notably, other AI programs like Google Bard and Microsoft Bing Chat did not facilitate such disinformation production. The study underscores the potential misuse of AI in spreading persuasive, customized disinformation efficiently, posing significant risks if exploited by malicious actors.

Dose of Reality: Unraveling the Complex Prescription Drug Financing in the U.S.

The article Following the Money: Untangling U.S. Prescription Drug Financingprovides a critical analysis of America's high prescription drug costs. It reveals that the U.S. leads in per capita drug spending, averaging $1,432 per person in 2021. This in-depth investigation into the U.S. healthcare system uncovers the multifaceted reasons behind this substantial financial burden. The article aims to shed light on the convoluted nature of prescription drug financing in the U.S., contrasting it with its international counterparts.

The Honest Truth About Fibs

Recent research reveals intriguing insights into lying habits. Surprisingly, 59.9% of people reported not lying in a day, with half of all lies coming from just 5.3% of participants. The study found that the frequency of lying is relatively unaffected by the communication medium, whether face-to-face, text, or email. Additionally, while minor lies are commonly told to strangers, significant lies are often reserved for close partners or family members. These findings, although reliant on self-reported data (leading to the possibility of significant inaccuracy), suggest that most people are generally truthful in their daily interactions. A New Study Estimated The Number of Times An Average Person Lies Per Day.

U.S. Dietary Guidelines Eyeing Ultra-processed Food

The upcoming revision of the U.S. dietary guidelines may mark a significant shift in nutritional focus by potentially warning against consuming ultra-processed foods. This change, influenced by mounting evidence linking these foods to a range of chronic diseases like obesity, heart disease, and diabetes, could profoundly impact national food programs, including the National School Lunch Program, and the overall dietary habits of Americans. Critics have long criticized current guidelines for overlooking the effects of food processing and additives. The food industry, fearing potential impacts, has already begun lobbying against such recommendations. The next guidelines edition is due in 2025, with an advisory committee report expected next year, potentially leading to a major overhaul in how Americans perceive and consume food. Nutrition guidelines may soon warn against ultra-processed foods - The Washington Post. (gift article)

FTC Takes a Bite Out of Misleading Influencer Marketing of Food

The FTC has warned significant food and beverage industry groups and numerous dietitian influencers, spotlighting a crackdown on undisclosed paid advertising on social media. Targeting American Beverage and the Canadian Sugar Institute, alongside influencers with over 6 million followers, the FTC points out non-transparent endorsements of artificial sweeteners and sugary foods. This move, spurred by The Washington Post and The Examination investigations, aims to enforce clear disclosure standards across influencer marketing. It represents a significant shift in the FTC's approach, with potential fines exceeding $50,000 per violation, signaling a tougher stance against deceptive social media advertising practices. FTC cracks down on food industry for paid dietitian influencer posts - The Washington Post. (gift article)

Mitophagy and Aging

Scientists at the Buck Institute have made a breakthrough in understanding aging by focusing on mitochondria, the cell's powerhouses. Their study, published in Nature Aging, highlights a natural compound, Mitophagy-Inducing Coumarin (MIC), that extends the lifespan of Caenorhabditis elegans, a model organism in aging research. MIC boosts the cell's waste management system, mainly targeting old and damaged mitochondria for disposal, a process known as mitophagy, which naturally declines with age. This discovery could lead to new therapies for age-related diseases by enhancing autophagy, the body's innate rejuvenation process. However, while MIC has shown promising results in worms, further research is needed to determine its effects on human aging. New Anti-aging Molecule May Work By Keeping the Cell's "Powerhouse" Healthy.

Crapsules: The Future of Medicine

In the field of microbiome medicine, a revolutionary shift is underway. Medical teams are transforming donated fecal matter into pills to combat infections like Clostridium difficile. These "crapsules" represent a broader scientific awakening to the importance of the gut's microbiome. Fecal transplants have proven to be efficacious in treating Clostridium dificile (a common life-threatening gut infection, often seen after broad-spectrum antibiotic treatment). Researchers are now exploring advanced strategies, including metabolite manipulation and genetically engineered bacteria, to treat a range of conditions more effectively. The FDA's recent approval of Seres Therapeutic's SER-109, an oral microbiome therapeutic, signifies a major leap in this field. With companies like Seres Therapeutics and Vedanta Biosciences at the forefront, the future of microbiome medicine appears promising, moving beyond the crude efficacy of FMT towards more sophisticated treatments. Microbiome treatments are taking off. (disclosure: I own shares of Seres Therapeutics)

Virtual Reality: A Real Game-Changer in Pain Management

The pain is real. The painkillers are virtual reality. | MIT Technology Review discusses RelieVRx, a virtual reality (VR) system designed to manage pain. Unlike traditional painkillers, RelieVRx aims to teach patients pain relief strategies such as mindfulness, cognitive-behavioral therapy, and relaxation rather than just providing a distraction. The approach is based on "unlearning" physiological pain responses and reinforcing alternative coping mechanisms. This innovative method offers a new frontier in pain management, leveraging the immersive capabilities of VR technology.

067 - Invisible Wounds, Stellar Departures, and Shakespeare on Sleep - HealthHippieMD Week In Review

Moth Matriarchy

In an unexpected twist of fate, researchers in Japan have stumbled upon a virus that could revolutionize pest control by inducing a matriarchal society in moth populations. This unique virus, discovered within the tobacco cutworm, can eliminate male offspring, resulting in generations of female-only moths. This finding challenges our understanding of viral evolution and offers a promising tool for managing agricultural pests and disease vectors. The discovery, which could have easily fluttered unnoticed, now stands as a beacon of potential in the ongoing battle against crop-destroying insects, highlighting nature's intricate balance of power. Male-Killing Virus Is Discovered in Insects - The New York Times. (gift article)

Diet Debts

The United Nations has published a significant new tally of the world's food system's impact on our health and the planet, a staggering $12.7 trillion annually (about 10% of the world's GDP). The FAO report highlights that the majority of these costs stem from health-related issues due to poor diets leading to obesity and diseases. Environmental impacts follow, with significant disparities between low and high-income countries. The study suggests that better dietary choices, fairer trade practices, and sustainable farming could alleviate these financial burdens. The FAO urges a multifaceted approach involving government policy, consumer behavior, and industry practices to reduce these hidden costs. The World's Broken Food System Costs $12.7 Trillion a Year | WIRED.

Stellar Departures

In an exploration of humanity's final frontier, Their Final Wish? A Burial in Space, (gift article) delves into the lives of individuals who have chosen the cosmos as their final resting place. Contracting with Celestis, a company that offers memorial spaceflights, these seven people have opted to send their ashes or DNA into the vastness of space. Their reasons range from spiritual to pragmatic, with many driven by a lifelong passion for the stars. As traditional earthly bonds loosen, space burials represent a profound acceptance of the unknown, a testament to the human spirit's unyielding curiosity and desire for exploration.

Invisible Wounds: A Closer Look at the Markers of PTSD

How Post-traumatic Stress Disorder Works delves into the harrowing journey of Adam Kelley, a U.S. Army specialist who, despite returning home from Iraq, could not escape the clutches of PTSD, ultimately leading to his tragic suicide 13 years later. PTSD, a mental health condition triggered by traumatic experiences, is characterized by 17 symptoms, including agitation, anxiety, concentration issues, memory problems, depression, and mood swings. These symptoms can manifest in various intensities and are not uniform across all individuals. The article also explores the evolution of PTSD's understanding, from its initial identification in the American Civil War to modern research that includes genetic factors and the importance of social support. It highlights the military's vulnerability to PTSD, given the intense and life-threatening nature of combat experiences. The article concludes with insights into counseling and medication treatments for PTSD, cutting-edge research, and innovative approaches like virtual reality therapy and resilience training for soldiers.

Amazon's One Medical Priming the Market

Amazon is making its primary care boutique clinic, One Medical, cheaper for Prime subscribers. Amazon links One Medical primary care to Prime memberships - The Washington Post. (gift article)

Shakespeare on Sleep

Arthur Brook's article, Five Ways to Make Sure You Get More Sleep, using quotes from Shakespeare, delves into the elusive quest for restful slumber, a journey often hijacked by the mind's nocturnal wanderings. With 15% of American adults struggling to fall asleep, the nation's sleep debt is not just a personal nuisance but a public health concern. Sleep deprivation is linked to a myriad of health issues, from metabolic disturbances to mental health problems like depression and anxiety. The piece underscores the profound impact of sleep on our well-being and happiness, offering practical sleep hygiene tips and advocating for a personalized approach to sleep patterns. It suggests that embracing one's unique sleep rhythm and addressing life's stressors could be the key to unlocking the rejuvenating power of sleep and a happier life.

Mind Matters

Emerging research underscores a significant connection between mental health disorders in later life and an increased risk of dementia. Studies suggest that late-life mental illnesses, such as depression, maybe early indicators of dementia or could exacerbate its onset. While not all late-life psychiatric disorders lead to dementia, the correlation is strong enough to warrant cognitive testing for older adults presenting new psychiatric symptoms. The relationship between early-life mental health issues and later dementia is less definitive, though severe early mental illness does raise dementia risk. Overall, maintaining mental and physical health is emphasized as a preventative measure against dementia. Mental Illness May Affect Dementia Risk, Research Suggests - The New York Times. (gift article)

Psychedelics and Depression: Neuroplasticity without the Trip

Recent insights suggest that the mental health benefits of psychedelics like psilocybin and MDMA may not stem from their hallucinogenic effects. Researchers are now developing non-hallucinogenic variants that target neuroplasticity without the trip, potentially offering depression and PTSD treatments to a broader patient base. These novel compounds could reset emotional control and improve mood without the psychedelic experience by enhancing brain adaptability. This shift could redefine psychedelic therapy, focusing on neuroplastic potential rather than transcendental experiences, and streamline regulatory processes for easier access and research. What If Psychedelics' Hallucinations Are Just a Side Effect? - The Atlantic.

+More on the importance of neuroplasticity in mental health. Neuroscientists are Tantalizingly Close to Mastering How Psychedelics Redesign Our Brains.

Urban Wellness

Urban epidemiologist Tolullah Oni's research underscores a stark contrast in urban living conditions, revealing that affluent neighborhoods often boast better air quality, cooler temperatures, and safer spaces for physical activity. This disparity is critical as urban populations are set to double by 2050. Oni's work emphasizes the need for cities to address these inequalities proactively. The article highlights the importance of urban planning that considers health impacts, equitable access to public spaces, and the role of governments and the private sector in building healthier cities. Where You Live Is As Important As What You Eat | WIRED.

066 - Time Poverty, Music as an Analgesic, and Ghosts in the Machine - HealthHippieMD Week In Review

A Ghost in the Machine

In a tale of digital resurrection, Joshua Barbeau, a reclusive writer, finds solace in the AI-driven chatbot Project December. Struggling with the loss of his fiancée, Jessica, he crafts a virtual echo of her using GPT-3's uncanny linguistic prowess. While the A.I. mimics Jessica's essence, it's a poignant reminder that technology can offer a shadow of comfort but not the substance of genuine human connection. In this age of A.I., even the ghosts of our past can send texts, blurring the lines between memory and bytes. (One of the most thought-provoking articles I've read this year.) He couldn't get over his fiancee's death. So he brought her back as an A.I. chatbot.

A.I. Not Ready for Medical Advice

Although A.I. can now pass the U.S. Medical Licensing Exam, the models are not (yet) ready to become your go-to source for medical advice. Two articles drove home the point this week: People Are Using ChatGPT for Nutrition Advice — The Results Are Dangerous and Doctors Wrestle With A.I. in Patient Care, Citing Lax Rules - The New York Times (gift article).

The Heavy Price of Slimming Down

Opinion | Are obesity drugs worth it? - The Washington Post (gift article) examines the economic equation of obesity drugs like semaglutide, marketed as Ozempic and Wegovy. It highlights the drug's potential to reduce obesity-related health costs by mitigating the risks of chronic diseases. However, the article implies skepticism about the cost-effectiveness of such medications, considering their high prices, and questions whether long-term healthcare savings justify the upfront expense. I believe they will, but further analysis and breadth of the pharmaceuticals (such as Mounjaro) are needed.

+And more on the need to further evaluate the impact of these blockbuster drugs: Opinion | Open question for obesity drugs: Will they improve people's health? - The Washington Post. (gift article)

NCCIH on Probiotics

Another excellent evidence-based summary on probiotics: Probiotics: What You Need To Know | NCCIH. See, too, my cautionary tale on the indiscriminate use of probiotics: Are Probiotics Making You Fat? probiotics, prebiotics, and fermented food — HealthHippieMD.

Sweet Sound of Pain Relief

Researchers at McGill University have uncovered a noteworthy connection between music and pain management. In their study, patients donned headphones to listen to their favorite tracks while a thermal simulator applied heat to their forearms. The findings strikingly suggest that the pleasure derived from music may alleviate discomfort to a degree comparable with over-the-counter pain relievers. This research adds a new layer to our understanding of pain perception, hinting at the potent therapeutic potential of personal music choices. Listening to favorite songs can reduce pain as much as Advil, study finds - The Washington Post. (gift article)

Music and Mental Health

"When you join other human beings through music, there's no other experience. I think it completely changes how you think of yourself." Scientists are starting to unravel how music improves our mental health: How Music Therapy Can Soothe Anxiety and Improve Mental Health - The New York Times. (gift article)

Towards a Cuffless Era

Emerging cuffless blood pressure monitors are set to revolutionize health tracking by offering non-invasive, on-demand readings. These devices, which forego the traditional arm cuff, utilize sensors and algorithms to estimate blood pressure from physiological signals. While they promise a more integrated and less disruptive health monitoring experience, their clinical adoption is pending further validation. The accuracy and reliability of these innovative devices must match up to the established standards before they can fully integrate into medical practice and personal health regimes. This New Blood Pressure Monitor Could Radically Shift How We Track Diseases.

Navigating the Storm of Social Anxiety

Social anxiety, a condition affecting over 12% of Americans, is often rooted in the fear of rejection, according to research from George Washington University's Fallon Goodman. Goodman's work in the Emotion and Resilience Lab explores how this fear can lead to severe isolation and increased risks of depression and substance abuse. Contrary to the belief that sufferers prefer solitude, they deeply crave social connections. Goodman's research, which includes a popular TED Talk, uses real-time smartphone data to track emotional responses and aims to foster "social courage." Her findings emphasize the importance of understanding and addressing social anxiety in a world where connection is crucial. Fear of Failing: The Secrets Behind Social Anxiety - Neuroscience News.

Starved for Time

"If you have an hour, how would you spend it? On things you COULD do? Or things you SHOULD do?" Just this week, I shared, with a close friend, an article I wrote on time poverty: Time Poverty: a significant threat to wellness — HealthHippieMD. The very next day, I found an Arthur Brooke's podcast episode in my queue: ‎How to Talk to People: How to Spend Time on What You Value. The podcast is well worth a listen.

The Last Purchase You'll Ever Make

In the melting pot of American death practices, individualism doesn't cease to breathe even as the body does. Diana Blaine reveals a trend where traditional communal death rituals give way to personalized post-mortem adventures. From vinyl records made of ashes to space-bound urns, Americans are increasingly opting for unique, consumer-driven final farewells. This shift mirrors a broader cultural move from the collective to the individual, from earth burials to diamonds made from ashes. Ironically, in the quest to escape the mundane finality of death, these choices still cling to a timeless human desire: to immortalize one's essence, albeit in a consumerist afterlife. American individualism lives on after death, as consumers choose new ways to put their remains to rest.

064 - AI Lucid Dreams, Long Covid, and Glowing Guts - HealthHippieMD Week In Review

Getting Gold through Crowdfunding

Olympic gymnast Mary Lou Retton joined the ranks of countless Americans, turning to crowdfunding to cover her substantial medical expenses incurred during a battle with rare pneumonia. Her daughter launched a fundraising campaign on Spotfund, and the public rallied, astonishingly raising $350,000 in under two days, surpassing the $50,000 goal. This peculiar juxtaposition highlights the harsh reality of healthcare costs in the U.S., where a quarter million Americans initiate crowdfunding campaigns yearly. Sadly, most don't reach their targets; studies show that 16% receive no donations. This underscores the stark inequalities within the American healthcare system. Mary Lou Retton Crowdfunded Her Medical Debt, Like Many Thousands of Others - The New York Times. (gift article)

Scientists Unearth New Clues to Long Covid

In an unexpected twist in Long Covid, researchers suggest that the villain might be lurking in the gut. In a study published in the journal Cell, scientists from the University of Pennsylvania propose that the remnants of the coronavirus residing in the digestive tract could be suppressing serotonin production, the brain's feel-good neurotransmitter. This serotonin shortage could explain the cognitive and neurological symptoms experienced by many Long Covid sufferers. The research offers a fresh perspective on the condition and potential treatment avenues, proving that sometimes the gut feeling isn't just a metaphor. Scientists Offer a New Explanation for Long Covid - The New York Times. (gift article)

FDA Sounds Alarm on Ketamine Misuse

The FDA is raising eyebrows about the reckless use of ketamine, the anesthetic pharmaceutical (and sometimes party drug) that's been rebranded as a depression and anxiety remedy. They're concerned about the growing trend of online marketers doling out ketamine prescriptions via telemedicine, sidelining the need for medical supervision. While ketamine therapy for mental health shows promise, the regulatory haze around it has spurred abuse. The FDA warns that unsupervised use could lead to serious health problems despite its "off-label" legality. Before you consider a virtual consultation for ketamine, think twice. FDA Issues Warning Over Misuse of Ketamine Therapy - The New York Times. (gift article)

How Not To Age

I'm a big fan of Michael Greger and NutritionFacts. Dr. Gregor's new book, How Not to Age, is coming out this December. He has a few previews of the information here: anti-aging | Health Topics | NutritionFacts.org.

Emotional Costs of Sleepless Nights

A Psychology Today article highlights the emotional toll of sleep deprivation. Beyond the evident fatigue, insufficient sleep can destabilize our delicate equilibrium, leading to intensified negative emotions and unpredictable mood swings. It's a poignant reminder that sleep doesn't merely rejuvenate our bodies but also plays a pivotal role in mental well-being. In essence, to remain emotionally balanced, it's imperative to count the hours and make them count. 4 Ways That Sleep Deprivation Can Harm Your Emotional Health | Psychology Today.

Ear's a Thought: Brainwave Buds

Researchers from the University of California, San Diego, have unveiled innovative earbuds to monitor brainwaves and assess health via ear sweat metabolites. Unlike traditional bulky EEG machines, these compact "neuro-buds" offer a non-invasive peek into cognitive states, potentially aiding early diagnosis of neurodegenerative diseases and even providing neurofeedback. The earbuds, embedded with minute electrodes, detect neural electrical activity during various tasks. Additionally, they can gauge stress levels, predict seizure risks, and measure vital metabolites like glucose. As a bonus, they're designed to play calming sounds based on detected neural patterns, offering users real-time mind management. New Brain-Earbuds Can Listen to Brainwaves, Improve Mood, Decrease Stress, and Possibly Predict Stroke and Neurodegenerative Diseases. ^

NCCIH on Rheumatoid Arthritis

NCCIH has a page on the science behind complementary approaches to Rheumatoid Arthritis: 6 Things To Know About Complementary Health Approaches for Rheumatoid Arthritis | NCCIH.

+And a page on paying for Integrative and Complementary Medicine (including insurance coverage): Paying for Complementary and Integrative Health Approaches | NCCIH.

Mediterranean Diet and Exercise Melt Visceral Fat

A recent study revealed that a combination of a reduced-calorie Mediterranean diet and regular exercise can significantly reduce total fat mass and dangerous visceral belly fat. Older participants following this regime gained muscle and lost considerable body fat within a year, with benefits lasting up to three years. Notably, this wasn't merely about weight loss; the program reshaped body composition from fat to muscle. The study underscores the health risks of visceral fat, linked to diabetes, heart disease, and stroke, and emphasizes the transformative potential of diet and exercise on metabolic health. Mediterranean diet and exercise reduce dangerous belly fat, study says | CNN.

Glowing Guts for IBD

An MIT team designed a pill filled with genetically engineered E. coli bacteria that emit light when detecting gut inflammation. The new device was built to aid in treating Inflammatory Bowel Disease. Photodiodes inside the pill capture this glow, while a radio chip broadcasts it externally. Merging moist microbes with dry electronics was tricky, solved with a clever adhesive barrier. After promising tests in pigs, the next step is human trials. As some pursue a "pill cam" for visual diagnostics, this pill offers a luminescent alternative. This microbe-filled pill could track inflammation in the gut | MIT Technology Review.

Sobering Stories: Physicians and Their Mental Health

The Guardian had an article on the physical and mental toll of medicine and medical training, told through the experience of a Harvard Endocrine Surgeon. U.S. surgeons are killing themselves at an alarming rate. One decided to speak out.

Lucid Dreaming with the Help of AI

Eric Wollberg and Wesley Berry have embarked on a futuristic quest with their startup, Prophetic. Taking inspiration from ancient prophets, their "Halo" device pledges to induce lucid dreams through the wonders of generative A.I. After a whirlwind fundraising season garnering over $1 million and support from tech bigwigs like Apple's neurotech team and Elon Musk's Neuralink, the buzz is palpable. But there's a hiccup: Prophetic hasn't triggered lucid dreams yet. Science suggests that inducing such dreams is feasible, but consistently doing so remains unproven, especially with Prophetic's unique method. Prophetic says its Halo device can cause lucid dreams using generative A.I. Can it?

063 - Long Covid Blood Trails, Weighty Decisions, and Honest Dishonesty? - HealthHippieMD Week In Review

GLP-1's Weighty Decision

Are you considering semaglutide or liraglutide for weight management? A recent study has highlighted some significant gastrointestinal concerns. Those using these GLP-1 receptor agonists face a nine-fold increased risk of pancreatitis and are four times more likely to develop bowel obstruction. Additionally, there's a 3.5 times elevated risk of gastroparesis. While these drugs offer potential benefits, especially for those with diabetes and obesity, it's crucial to be informed and weigh the risks against the benefits before deciding. GLP-1 Agonists Linked to Higher Risk for GI Complications.

The Ephemeral Nature of Dreams

The article, Why Do We Forget So Many of Our Dreams? - Scientific American, delves into the intriguing phenomenon of why we forget most of our dreams. The primary stage of dreaming, REM (Rapid Eye Movement) sleep, is where the brain's activity mirrors that of a waking state. However, the regions responsible for transferring memories to long-term storage are less active during this phase. This means that its memory fades away unless we awaken immediately after a dream. The duration of REM sleep increases throughout the night, making the last dream before waking the most memorable. Factors like age, gender, and personality traits also influence dream recall. Interestingly, focusing on dreams or even reading about them can enhance our ability to remember them.

+More on sleep/dreams. Should You Wake Someone from the Throes of a Nightmare? - Scientific American

+And how are memories saved, anyhow? The Usefulness of a Memory Guides Where the Brain Saves It - Nautilus.

The Therapeutic Power of Penmanship

The journey to self-awareness has a new ally: the act of writing. The article, Know Yourself Better by Writing What Pops into Your Head - Scientific American, emphasizes the profound benefits of documenting unfiltered thoughts daily. This simple practice, spanning just 5 to 20 minutes, can enhance health, reduce stress, and bolster self-confidence. Concerns about facing a blank page or the looming inner critic? The article provides insightful strategies to navigate these challenges. Thus, embracing the pen (or keyboard) might be the key to unlocking a deeper understanding of oneself.

Keeping Produce Fresh

"Every year, over a third of the food grown globally is thrown away. In the U.S., food waste is on the rise. Wasted food accounted for about 38 percent of the total food supply in 2021, worth roughly $444 billion, according to ReFED_." Counter or fridge? Here's how to store fruits and veggies for maximum freshness has some great recommendations.

Plastic Paradox

Despite popular belief, the journey of our recycled plastics is fraught with challenges. Influenced by industry lobbyists, several states have implemented policies that counteract plastic reduction efforts. The core dilemma? The undeniable profitability and affordability of plastics. However, innovative solutions are on the horizon. Streamlining plastic production and introducing methods to process mixed polymers are gaining traction. Remarkably, microbes like Ideonella sakaiensis have shown potential in breaking down plastics, with some even relying solely on plastic as a food source. Small policy shifts, such as a five-cent charge on plastic bags, have demonstrated significant impact. Yet, the overarching solution to the plastic conundrum remains elusive. Think that your plastic is being recycled? Think again. | MIT Technology Review.

23andMe's Genetic Security Breach

23andMe, the popular genetic testing company, recently experienced a significant data breach affecting 14 million users. Intriguingly, the hacker seemed interested in individuals of Jewish ancestry, offering their names, locations, and ethnicities for sale. The company confirmed the breach's origin as "credential stuffing," a method where attackers use previously leaked username-password combinations. This isn't 23andMe's first brush with privacy concerns. In the past, they pledged enhanced security after a DNA database was used in a police investigation. Their current remedy? Advising users to reset passwords and ponder data deletion. This article has some suggestions if you were affected by the breach. 23andme hack: What you can do after the data leak - The Washington Post. (gift article)

Devo-Lution

The NY Times had an article on one of my favorite bands in the 80s: Devo: Devo's Future Came True - The New York Times (gift article)

Start-up Mentality Enhances Relationships

"The sweet spot for a durable romantic partnership, then, is a new venture between two mature co-founders who are not so set in their ways that they act like entrenched corporations." Arthur Brooks wrote an article that likened successful relationships to business start-ups. Before you roll your eyes, give the piece a read: Why the Most Successful Marriages Are Start-Ups, Not Mergers - The Atlantic.

Decoding Long COVID: A Blood Trail

Over three years post the onset of the COVID-19 pandemic, 10% of patients continue to grapple with long COVID symptoms. Recent research published in Nature has identified specific blood biomarkers that provide insights into this condition. These markers indicate abnormal T-cell activity, viruses such as Epstein-Barr reactivation, and a notable decrease in cortisol levels. Impressively, utilizing these biomarkers, a machine learning algorithm has been developed that can identify long COVID cases with 96% accuracy, offering a promising avenue for understanding and potentially treating this elusive condition. Researchers Are Closing In on the Biomarkers for Long COVID.

The Paradox of Dishonesty Studies

Behavioral economists Dan Ariely and Francesca Gino, known for their extensive research on dishonesty, are now under the microscope. Ariely, recognized for integrating personal experiences into his work, and Gino, noted for her prolific output, contributed significantly to their field. However, this article suggests potential irregularities in their research, hinting at possible fabricated data and dubious practices. The situation presents an intriguing paradox: scholars of dishonesty potentially being dishonest in their work. They Studied Dishonesty. Was Their Work a Lie? | The New Yorker.

062 - Physics of Metallica, AI Annotation, and Guided by Dough - HealthHippieMD Week In Review

Unlocking "Jeong": Korea's Ancient Secret to Happiness

"Jeong" is a millennia-old Korean concept that encapsulates deep feelings of attachment and connection. It's not limited to human relationships; one can feel Jeong towards objects and places. Rooted in collective social responsibility and shared experiences, Jeong promotes a desire to protect and assist. Critical practices include prioritizing quality time with loved ones, offering genuine assistance, cultivating shared experiences, actively engaging within communities, embracing authenticity, and practicing active listening. Embracing Jeong could be a transformative step towards a more fulfilled life. Psychology expert shares the 2,000-year-old Korean mindset that can help you live a 'happier life'.

The AI Annotation Army!

As AI tech takes over, a growing "tasker underclass" is here to stay. This article dives into the world of AI annotators, the unsung heroes who label and sort data to train AI systems. Joe, a 30-year-old from Nairobi, shares his journey from being an annotator, tagging footage for self-driving cars, to running an annotation boot camp. Despite the tediousness of the job, the demand seems endless. However, as AI improves, the need for specialized skills in annotation rises, and Joe begins to question the future of this profession. Inside the AI Factory: The Humans That Make Tech Seem Human.

The Evolution of Beer

The Washington Post had an interesting interactive article on the history and evolution of beer. See how beer evolved through history from Stone Age sludge to craft brews - Washington Post. (gift article)

Brainwaves Beyond the Grave: The Science of Near-Death Experiences

Recent research published in "Resuscitation" delves into the enigmatic realm of near-death experiences. The study found that despite having flatlined brain activity, some cardiac arrest patients exhibited a surge of brain activity during CPR. Intriguingly, a subset of these patients could recall this experience post-recovery. One individual even remembered an audio test administered during their resuscitation. Researchers hypothesize this phenomenon might represent the brain's transition between life and death. This study sheds new light on the intricate relationship between consciousness and the dying brain. Some Patients Who 'Died' but Survived Report Lucid 'Near-Death Experiences,' a New Study Shows - Scientific American.

+see also: 045 - Dying Brains, Frenemies, and the Physiology of Hangry - HealthHippieMD Week In Review — HealthHippieMD.

NCCIH on Irritable Bowel

The National Center for Complementary and Integrative Health updated its page on the science behind complementary approaches to IBS: Irritable Bowel Syndrome: What You Need To Know | NCCIH.

Finland's Masterclass on Happiness

In March, Finland's tourism department offered ten people to visit the country and attend a "masterclass on happiness." Here are the things a journalist learned: I took Finland's masterclass on happiness: Here's what I learned.

Aging: Not a Bug, It's a Feature

Dreading those silver strands might be shaving years off your life. Research indicates that a positive perspective on aging can add a whopping 7.5 years to your lifespan. And the perks don't stop there: lower risk of dementia, better blood pressure, and generally healthier living. The trick? Toss out those outdated age stereotypes and find some seasoned role models. It's not about pretending aging doesn't exist, but instead seeing it as the ultimate life upgrade. How Optimism About Aging Can Benefit Your Health - The New York Times. (gift article)

The Physics of Metallica

I couldn't stop watching this video shot from the inside of a guitar: Nothing Else Matters - Metallica - Camera in Guitar Sound Hole - YouTube.

Rethinking the Dirt on Immunity

The belief that letting kids play in the dirt boosts their immunity might need a revisit. The hygiene hypothesis suggested that early exposure to germs can strengthen young immune systems, potentially reducing allergies later in life. However, a recent study involving "wildling" mice (lab mice raised in natural environments) found that despite their exposure to many microbes, they weren't any less prone to allergies than their lab-raised counterparts. While the findings don't wholly debunk the hygiene hypothesis, they hint that the relationship between dirt and immunity is more complex than previously thought. So, while playing in the soil has its joys, its health benefits might be overstated. Swedish Scientists Put the Hygiene Hypothesis to the Test in Mice. Results Suggest Early Exposure to Dirt and Microbes Alone May Not Protect Against Asthma and Allergies.

Guided by Dough

The article Food Industry Influence Could Cloud the U.S. Dietary Guidelines, a New Report Says - The New York Times (gift article) reveals potential conflicts of interest. A report by the nonprofit U.S. Right to Know highlights that 9 out of 20 2025 Dietary Guidelines Advisory Committee experts have affiliations with the food, beverage, pharmaceutical, or weight loss industries. Such ties raise concerns about the objectivity of the guidelines, which are intended to be science-based recommendations for public health. While the current committee has fewer industry connections than previous ones, any potential bias underscores the importance of transparency and rigorous scientific review in public health recommendations. Despite the conflicts, the members feel they could remain objective. Despite their intentions, objectivity is not likely since reciprocity is at play: Cialdini's 6 Principles of Persuasion: A Simple Summary - The World of Work Project.

061 - Dementia Cafes, Slowing Aging, Misery, and Mattering - HealthHippieMD Week In Review

Exercise and Brain Health

A recent study re-emphasizes the importance of aerobic AND strength training for brain health in our later years. "We found that those who incorporated aerobic exercises, such as swimming and cycling, and strength exercises like weightlifting into their routines – regardless of intensity and duration – had better mental agility, quicker thinking, and greater ability to shift or adapt their thinking." Aerobic and strength training exercise combined can be an elixir for better brain health in your 80s and 90s, a new study finds.

Build A Strength Training Habit that Sticks

I'm an avid walker but have a more challenging time making strength training part of my routine. The NY Times had an article about ways to make strength training a habit: Strength Training Beginners Guide: How to Make the Workout a Habit - The New York Times. (gift article)

Japan's Dementia Cafes

In Japan, where dementia poses a pressing national health challenge, a heartwarming establishment known as the "Cafe of Mistaken Orders" is making waves. This 12-seat cafe in Tokyo hires elderly individuals with dementia as servers once a month, offering them a chance to interact, stay active, and feel needed. Customers embrace their delightful mix-ups, creating a safe space where smiles outnumber forgotten orders. With Japan's aging population, these dementia cafes are a creative solution to address the chronic caregiver shortage and soaring elderly care costs. In aging Japan, dementia patients staff cafe of mistaken orders - The Washington Post. (gift article)

Sound Medicine: The Healing Power of Music

Music is now recognized for its potential to heal the mind and body. Recent research introduces the concept of "music medicine," highlighting the therapeutic benefits of actively engaging with music. Beyond a temporary mood boost, music has shown promise in alleviating symptoms of depression, anxiety, insomnia, and even reducing blood pressure. While music therapy involves professional guidance, music medicine involves simply listening to recorded music, making it accessible and effective. Music's ability to evoke emotions, entrain brain activity, and trigger neurochemical changes underscores its healing potential, offering a soothing prescription for life's woes. The big idea: could we use music like medicine? | The Guardian.

Food is Medicine Report

The Food is Medicine Institute at Tufts released "The True Cost of Food: Food is Medicine Case Study," a comprehensive report on how such an approach could have a myriad of health and economic benefits: Food is Medicine education could save millions of lives and billions of dollars.

If We Are What We Eat, We Don't Know Who We Are

The NY Times reviewed the new book, Ultra-Processed People: The Science Behind Food That Isn't Food: van Tulleken, Chris. I am adding this one to my reading list. Book Review: 'Ultra-Processed People,' by Chris van Tulleken - The New York Times.

Senolytics, Sirtuins, and the Race to Fight Aging

This month's Economist's Technology Quarterly focuses on the race to combat aging:

• Slowing human aging is now the subject of serious research
• Eating fewer calories can ward off aging
• Ageing bodies need to get rid of decrepit cells
• Some claim human lifespans can be lengthened indefinitely
• What the young can give to the old
• Fighting aging requires properly equipped cells
• Older genomes have more dodgy genes

One Man's Crazy Quest for Immortality

Time featured a story on Bryan Johnson, a tech entrepreneur developing a life-extension system called Blueprint. Some of the weirder parts of his regimen "include downing 111 pills daily, wearing a baseball cap that shoots red light into his scalp, collecting his stool samples, and sleeping with a tiny jet pack attached to his penis to monitor his nighttime erections." The story and hype made me nauseous. Bryan Johnson's Quest For Immortality | TIME.

Adding Life To Years

"It is not enough for a great nation to have added new years to life. Our objective must also be to add new life to those years." The New York Times featured an OpEd on the importance of healthspan, rather than longevity: Opinion | America's Next Public Health Moonshot Should Tackle Health Spans - The New York Times. (gift article)

Arthur Brooks on How to Banish Misery

Arthur Brooks wrote an article extracted from the thoughts of the philosopher Bertrand Russell: Eight Ways to Banish Misery - The Atlantic.

Science or Spin

In a world where skepticism runs deep, scientific research is scrutinized. Recent revelations by scientists admitting to manipulating their findings to secure publication have sparked controversy. Climatologist Patrick Brown confessed to simplifying his climate change paper for a top journal, while Kristian Andersen altered the language of a COVID-19 origins paper during peer review. While not fraudulent, such actions raise questions about the sincerity of research. While some argue it's a minor breach for the sake of dissemination, others worry about the downstream effects of insincerity, where subtle choices in research can sway public perception on topics like climate change and vaccines. The struggle for genuine scientific discourse continues amidst a landscape of doubt. The Banality of Bad-Faith Science - The Atlantic.

Mattering

"To matter, people must feel valued — heard, appreciated, and cared for — and like they add value in ways that make them feel capable, important, and trusted. It's a two-part definition: feeling valued and adding value." Mattering influences self-compassion, relationships, and achieving one's goals. Why 'Mattering' Is a Key Part of Mental Health - The New York Times. (gift article)

059 - Enacted Dreams, MDMA, and Chillin' Like a Monk - HealthHippieMD Week In Review

How Enacted Dreams Predict Parkinson's

Enacted dreams during the rapid eye movement (REM) phase of sleep may be an early sign of Parkinson's disease and other brain disorders, according to a Scientific American article. Known as REM sleep behavior disorder (RBD), this phenomenon affects a small percentage of the population and often precedes neurodegenerative diseases, such as Parkinson's and Lewy body dementia. Researchers increasingly recognize RBD as a valuable early marker for these conditions, offering potential opportunities for early intervention and clinical trials to slow or prevent disease progression. Acting Out Dreams Predicts Parkinson's and Other Brain Diseases - Scientific American

Checklist for AI Self-Awareness Emerges

As artificial intelligence (AI) continues to advance, whether AI systems can become conscious is gaining traction. To address this, 19 experts, including neuroscientists, philosophers, and computer scientists, have developed a checklist of criteria that could indicate AI consciousness. Published in the arXiv preprint repository, their approach draws from six neuroscience-based theories of consciousness, emphasizing "phenomenal consciousness" or subjective experience. By assessing AI systems against these criteria, the authors aim to provide a more nuanced evaluation of consciousness potential in AI, highlighting the need for more precise theories of AI consciousness in the future. If AI Becomes Conscious, Here's How We Can Tell - Scientific American

New Book on Happiness

"The common strategy of trying to eliminate problems from life to get happier is futile and mistaken. We must instead look for the "why" of life to make our problems an opportunity for learning and growth," Arthur Brooks writes in Three Myths and Four Truths About How to Get Happier - The Atlantic. The column refers to his new book, Build the Life You Want: The Art and Science of Getting Happier, , co-written with Oprah.

Chillin' Like A Monk: The Quest for Biostasis

Can We Stop Time in the Body? - Nautilus delves into the intriguing concept of biostasis—essentially, hitting the pause button on the body's metabolic processes. The article begins with a captivating Tibetan ceremony involving monks sleeping and surviving a Himalayan mountainside in sub-freezing temperatures, sparking curiosity about the physiological mechanisms at play. DARPA's pioneering biostasis project aims to develop a drug that can temporarily halt metabolism, offering potential lifesaving benefits in emergencies. The article introduces SNC80, a drug that slows metabolism in tadpoles, showcasing its reversible effects without harm to vital organs. Although not a perfect solution, the quest for biostasis continues, inspired by nature's examples, from hibernating bears to the remarkable spiny desert mouse. Ultimately, the article highlights the fascinating pursuit of slowing down time within the human body.

How Artificial Intelligence Can Revolutionize Science

How artificial intelligence can revolutionize science was an interesting article in the Economist. It cited two ways AI could accelerate scientific discovery: "The first is "literature-based discovery" (LBD), which involves analyzing existing scientific literature, using ChatGPT-style language analysis, to look for new hypotheses, connections or ideas that humans may have missed." (I mentioned some of the emerging tools in a previous newsletter: 052 - Genetic Judo, Young Blood, and Gray Hair). "The second area is "robot scientists," also known as "self-driving labs." These robotic systems use AI to form new hypotheses, based on analysis of existing data and literature, and then test those hypotheses by performing hundreds or thousands of experiments, in fields including systems biology and materials science." And for more on this topic, see my friend and colleague, Gary Kantor's excellent LinkedIn article: Can Generative AI Close The Knowledge Gap?

The Happiest States in the Union

Utah Named the Happiest State in New Study Where does your state fit? Happiest States in America (2023)

Understanding Age-Related Forgetfulness

Ever find yourself at a loss for a familiar face or the whereabouts of your car keys? Don't fret; it's not just you. Our memory can take a quirky turn as we age, often leaving us in moments of blank confusion. The good news? It's usually nothing to worry about. While memory retrieval becomes less efficient in our fifties, it doesn't necessarily mean a problem. Experts suggest that embracing mindfulness, reducing multitasking, managing stress, getting enough sleep, maintaining a healthy diet, and even indulging in some cardiovascular exercise can keep your memory on its toes. If memory loss significantly disrupts your daily life, then it's time to chat with your doctor. Why Memory Lapses Are Not Always a Cause for Concern - The New York Times (gift article).

What OpenAI Really Wants

Wired had a long-form story on OpenAI and its CEO, Sam Altman. What OpenAI Really Wants | WIRED

Anxiety and Creativity

Anxiety is not always a boon to creatives. "Depending on the situation, fear, and anxiety can inspire or impede. But when anxiety becomes overwhelming, creative work often stalls." Anxiety can often be a drag on creativity, upending the trope of the tortured artist.

MDMA for PTSD

"Results of a new study may offer regulators enough evidence to allow the psychedelic, also known as Ecstasy, to be considered for use as a PTSD treatment." MDMA Therapy for PTSD Inches Closer to U.S. Approval - The New York Times (gift article).

058 - Scientific Spirituality, Supermarket Lies, and Psychedelics - HealthHippieMD Week In Review

Food for Thought: How Your Diet Affects Your Mind

Beyond the immediate joy of a good meal, food can significantly impact your mental health. Animal proteins like roast turkey and fish contain amino acids essential for dopamine and serotonin production, key mood-regulating neurotransmitters. With their rich nutrient content, Brussels sprouts and cranberries play roles in brain function and mood regulation. The emerging field of nutritional psychiatry explores how diet influences mental health, shedding light on diets like the Mediterranean and mind diets. How food affects the mind, as well as the body.

Supermarket Lies

The New Yorker discusses the attorney Spencer Sheehan, who takes food and home goods companies to task for misrepresenting the ingredients in their products. Shocker, he's swamped. The Lies in Your Grocery Store | The New Yorker.

Scientific Spirituality

In a recent study, Julian Huxley's belief that science held a spiritual dimension gained validation. Researchers developed a scale to measure "scientific spirituality," discovering that it stirs feelings of wonder and connection akin to religious spirituality. These feelings boost well-being and life satisfaction, even in atheists and agnostics. Furthermore, those with higher scientific spirituality scores demonstrated a better understanding of scientific subjects. The study suggests that finding "holiness in reality" through science can offer a unique and fulfilling spiritual experience, bridging the gap between empirical and spiritual realms. The Holiness in Reality - Nautilus.

+Asimov also wrote about this topic in one of my favorite series, Foundation..

Paper Cups: Brewing Trouble for the Environment

While paper coffee cups might seem like a greener alternative to plastic, a recent study warns that they can be just as toxic. These seemingly eco-friendly cups are lined with a thin layer of plastic to prevent liquid seepage, and this plastic can release harmful chemicals when it ends up in our natural environment. Researchers found that even midge larvae exposed to water tainted by paper cups suffered ill effects. The exact composition of these chemicals remains a mystery due to limited disclosure from manufacturers. To combat this issue, scientists advocate for innovative, sustainable alternatives and more significant recycling efforts, as disposable paper cups pose a significant environmental hazard. Sorry, Your Paper Coffee Cup Is a Toxic Nightmare | WIRED.

How Psychedelics Work?

"People often talk about psychedelic therapy functioning like a "reset button" for the mind, but until Dölen's work came out, no one could provide a scientifically plausible explanation for "how something so short in duration can have lasting and transformative effects that go well beyond the time that the drug is in there."This scientist and her team believe psychedelics re-open the brain to critical learning. The Psychedelic Scientist Who Sends Brains Back to Childhood | WIRED.

Ode to Emojis

"Emojis have this ability to make the same words seem more emotional or less emotional—to seem alarming versus completely fine or joking even," she says. These are important social functions, she adds. "Through our switch to more text-based communication, we lost this additional layer of meaning that emojis can now provide." Nautilus published a pretty interesting article on the history and science of emojis: Your 🧠 On Emoji - Nautilus.

What are Dreams For?

We've all observed the twitching of babies or animals while they're sleeping. Conventional wisdom has been that twitches reflect movements taking place during a dream. The scientists in this story believe the exact opposite. Rather than the body reflecting brain activity, it is the brain learning from the body. The implications, if true, are striking both in our understanding of ourselves and for emerging technology such as robotics. What Are Dreams For? | The New Yorker.

Weight-Loss Drugs Also Protect the Heart

Another apparent benefit of the new weight-loss drugs was published in the New England Journal of Medicine. "In a trial of more than 500 patients with obesity and heart failure in 13 countries, those who got a weekly injection of semaglutide for a year reduced symptoms such as fatigue, shortness of breath, and swelling. They also had notable improvements in their physical abilities and exercise function." Ozempic and Wegovy Can Also Protect Your Heart | WIRED.

Death of the Calorie

The Economist had a detailed story on the history (and failure) of calorie counting for weight loss. Death of the calorie.

How Play and Art Boost Learning

In the article To Supercharge Learning, Look to Play, , authors Susan Magsamen and Ivy Ross highlight the integral role of play and art in enhancing learning. They stress that play and creativity are inherent to human evolution, aiding cognitive development and emotional well-being. The authors emphasize "guided play" to effectively impart new skills. They also discuss the Playful Learning Landscapes Action Network, which transforms public spaces into interactive learning hubs. Furthermore, the article explores the neuroscience of attention and how immersive video games, like EndeavorRx, can improve focus, particularly in individuals with ADHD, offering a promising alternative to medication. (disclosure: I own shares of Akili Interactive mentioned in the article).

Knocking Out the Wrong Goals to Achieve Happiness

In a punchy revelation, Arthur Brooks discusses the "Tyson Paradox" inspired by boxing legend Mike Tyson. Despite his impressive career, Tyson's pursuit of fame and riches didn't guarantee his happiness. The paradox arises from the "arrival fallacy," where achieving goals doesn't sustain bliss. Instead, we quickly return to an equilibrium. To combat the loss of happiness, the article suggests setting the right goals focused on intrinsic values and relationships. Intrinsic goals like fostering friendships lead to greater well-being, while achievement goals can disappoint, especially when compared to others. Ultimately, the journey, not just the destination, provides lasting satisfaction and meaning. How to Set the Right Life Goals - The Atlantic.

057 - Blue Zones, Mini-Siestas, and Nociplastic Pain - HealthHippieMD Week In Review

The Mind Diet and Dementia

"Experts have estimated that 40 percent of dementia cases worldwide might be prevented or delayed with certain modifiable factors, such as by prioritizing exercise and sleep and addressing health conditions like hearing loss or hypertension. But a growing body of evidence suggests that diet may play a role in dementia prevention, too." What Is the MIND Diet? And Can It Prevent Dementia? - The New York Times (gift article).

An Apple a Day

Researchers examined produce prescription programs, where patients received fresh produce for free with a doctor's prescription. Blood sugar levels, blood pressure, and weight showed significant improvement. This innovative approach not only enhances health but also reduces food insecurity. As the food-is-medicine movement gains momentum, producing prescriptions could become a ripe solution to combat diet-related ailments, emphasizing that good health begins with what's on your plate. Prescriptions for fruits and vegetables can improve the health of people with diabetes and other ailments, new study finds.

Protein Paradox

Is "eating like The Rock" the key to health? As researchers debate protein intake, some argue that the recommended daily allowance (RDA) of 0.8 grams per kilogram of body weight is insufficient. Jose Antonio, a health researcher, suggests sedentary adults aim for double, while active individuals need more than 2.2 grams per kilogram. However, other experts counter that too much protein might have diminishing returns, causing bodily discomfort and potential nutrient imbalances. The dilemma lies between protein's undeniable importance and avoiding excess. Amidst the protein frenzy, moderation appears vital to maintain personal well-being and environmental sustainability. You'll Probably Never Know How Much Protein You Actually Need - The Atlantic.

Mini-Siestas

Napping isn't just for lazy days – it's scientifically shown to enhance memory, productivity, and overall well-being. Short daytime naps of around 20 to 30 minutes offer many perks, from improved mental functioning and creativity to better problem-solving abilities and reduced stress. However, excessive napping, significantly beyond 30 minutes, can lead to sleep inertia – grogginess upon waking. Striking a balance and adopting good practices, like timing naps right and avoiding caffeine dependency, can make napping a refreshing addition to a healthy lifestyle. Remember, naps should complement, not replace, regular nighttime sleep.Short naps can improve memory, increase productivity, reduce stress, and promote a healthier heart.

On Procrastination

"A more realistic definition of procrastination is that it's not a blockage of inherent reason but a simple absence of desire." Slate had an interesting article on why we put things off: Why do I procrastinate, and how do I stop procrastinating? Procrastination advice fails to account for one key thing.

+I could not mention procrastination without mentioning Wait But Why. Why Procrastinators Procrastinate — Wait But Why

Blue Zones on Netflix

Netflix has a new documentary series on Blue Zones, regions where people are claimed to live or have recently lived longer than average. Secrets of the Blue Zones.

Medicare's Drug Cost Cutting

The healthcare giant Medicare is starting its journey towards slashing drug prices with a ten-drug hit list. These ten medications, known to cost $50.5 billion annually, are in the hot seat for negotiations that could offer relief for seniors and save the US government almost $100 billion by 2031 as part of President Biden's Inflation Reduction Act. Though Democrats are celebrating, skeptics, like the health policy analyst behind this explanation, foresee hurdles, legal battles, and potential industry resistance slowing down the process. The prescription price saga, starring high stakes and complex dynamics, has just begun. Medicare starts a long road to cutting prices for drugs, starting with ten costing it $50.5 billion annually – a health policy analyst explains why negotiations are promising but will take years.

• +my journey thinking about American healthcare economic reform continues. I've added We've Got You Covered: Rebooting American Health Care. to my reading list.

How to Become a Morning Person

I am most decidedly a night owl. If I had an intention of change, I'd pay attention to the advice in this article: How to Wake Up Earlier: 4 Ways to Become a Morning Person - The New York Times. (gift article)

Nociplastic Pain

Chronic pain affects nearly a third of the world's population. This mysterious, lingering affliction is more than physical; it carries psychological burdens like depression. Traditional painkillers often fall short of bringing relief. A new category, nociplastic pain, baffles researchers as it seems to have no anatomical cause. Emerging theories point to glitches in the brain's altered pain-processing network or immune system. New creative solutions for relief include harnessing neuroplasticity with psychedelics and personalized treatments using quantitative sensory testing. While relief remains elusive, understanding the enigma of chronic pain offers hope for future therapies. Some forms of chronic pain are particularly mysterious-The Economist.

Talking to Strangers

Embracing diversity isn't just about virtue signaling; it's a happiness hack. Research suggests that engaging with people from different walks of life enhances society and enriches individual well-being. Our natural tendency to flock to those who mirror us might feel cozy, but stepping out of this comfort zone fosters personal growth and contentment. Shaking hands with strangers, seeking out divergent viewpoints, and promoting a friend circle that celebrates heresy can bring zest to life. Happiness thrives where minds mingle. Talk to a Stranger and Be Happier - The Atlantic.