HEALTH & WELLNESS

Over the past six months, we have been affected by the unprecedented COVID-19 world pandemic.  Millions of confirmed cases, hundreds of thousands lost lives.  We are examining every aspect of daily life and altering to adapt to the current state of society. We are adjusting to how we meet others, the number in closed spaces (restaurants, restrooms, educational facilities, etc.), what we put on our face to protect ourselves, and how close we stand to others.

With so much change in such a short amount of time, well-being is becoming even more mainstream. While mental health and well-being can be interchangeable, mental health focuses more on clinical/disease care, such as Alzheimer's disease and strokes, and emphasizes stress, anxiety, depression management.  This post isn't to argue the difference between the two, only to point out that well-being or "whole health" has been at the forefront of the news in recent months. So much so, Alice Walton has announced a new Whole Health Institute, Chopra Medical Library, in Bentonville, Arkansas.  

"Whole Health empowers and equips people to take charge of their physical and mental well-being, and live their lives to the fullest," says Walton. She states, "the future will be one of more health and well-being, less pain, and fewer chronic conditions like diabetes and obesity.  It will involve more self -care creating less need for clinical and pharmaceutical treatments."   https://talkbusiness.net/2020/01/alice-walton-announces-new-whole-health-institute-chopra-library/ 

Powerful words.  Yet, empowering people to take charge of their lives comes with a cost.

According to the report, the US is 37th globally for life expectancy, yet the US spends more than other countries with much better outcomes.  75% of healthcare costs result from chronic conditions, which more than not are from patient behaviors and choices, says Walton.  Dr. Tracy Gaudet, executive director of the Institute, claims 1.3 million preventative angioplasty procedures done annually do not prevent future heart attacks.  That is quite a bold statement.  I agree with Gaudet that "behavior is the best predictor," However, it is not always preventative.

Nearly everything has a price tag at the end of the day, whether you go to a clinical doctor for treatment or a yoga studio to reduce stress in the body.  While intentions are admirable, and the overall cost of whole health care might be less costly than clinical care, the dollars and cents will pile up if we do not pay attention.  Is it not just a trade of dollar bills from one institution to another?  

I am not an expert in clinical vs. whole health research, so I will not question the data.  However, the data is incomplete.  I would like to see the costs associated with the whole health approach.  Only then can we say we are comparing apples to apples (if that is even possible).  To do so would be an enormous task.  Whole health has a broad scope, covering anything and everything from yoga, massage, supplements, meditation, prayer, counseling, essential oils, exercising and stretching, etc.

In the world of Covid-19, we cannot deny the importance of well-being.  Businesses are re-examining their employees' well-being, restaurants/retailers are focusing on the customer experience; educators are doing their best to keep their students safe by educating and protecting them.  We are in stressful and overwhelming times.

We must be willing to do our part to put our well-being first and foremost, regardless of whether it is in a clinical or whole health system in a judgment-free zone.

My final question is this:  What is our normal?  Moving forward, will this be our "new normal," knowing some of the recent changes are here to stay?  Cheryl Durst, CEO of IIDA, is not a fan of the phrase "new normal" but "what is next."  (https://www.youtube.com/watch?v=QEEyJ1ipKi0) I would argue the root of these two phrases is the same.  What is next is change, both short and long term.  What is next will have to leave a lasting impression on how we protect ourselves, interact with others, etc. will eventually become routine.


Comments

  1. Erin, this is an interesting and pragmatic set of observations. I wonder if a measurement other than dollars would be helpful? Yes, we might shift dollars from one pile to the next, but what happens if we change quality of life? Do preventative, behavioral mechanisms result in increased mobility, improved social interactions, and the like? Same cost, better life?

    And, along with quality of life, do we see a long term reduction in healthcare costs? Must we consider a longer time frame in measuring the outcomes?

    I think this is one part of the lived experience that can be influenced by design. Our environment becomes part of the holisic health plan! These will be great discussions.

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