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'Alternative' Medicine Is
Mainstream
The evidence is
mounting that diet
and lifestyle are the
best cures for our
worst afflictions.
By DEEPAK CHOPRA , DEAN ORNISH , RUSTUM ROY and ANDREW
WEIL
In mid-February, the Institute of Medicine of the National Academy of
Sciences and the Bravewell Collaborative are convening a "Summit on
Integrative Medicine and the Health of the Public." This is a watershed
in the evolution of integrative medicine, a holistic approach to health
care that uses the best of conventional and alternative therapies such
as meditation, yoga, acupuncture and herbal remedies. Many of these
therapies are now scientifically documented to be not only medically
effective but also cost effective.
President-elect Barack Obama and former Sen. Tom Daschle (the
nominee for Secretary of Health and Human Services) understand that if
we want to make affordable health care available to the 45 million
Americans who do not have health insurance, then we need to address
the fundamental causes of health and illness, and provide incentives for
healthy ways of living rather than reimbursing only drugs and surgery.
Heart disease, diabetes, prostate cancer, breast cancer and obesity
account for 75% of health-care costs, and yet these are largely
preventable and even reversible by changing diet and lifestyle. As Mr.
Obama states in his health plan, unveiled during his campaign: "This
nation is facing a true epidemic of chronic disease. An increasing
number of Americans are suffering and dying needlessly from diseases
such as obesity, diabetes, heart disease, asthma and HIV/AIDS, all of
which can be delayed in onset if not prevented entirely."
The latest scientific studies show that our bodies have a remarkable
capacity to begin healing, and much more quickly than we had once
realized, if we address the lifestyle factors that often cause these
chronic diseases. These studies show that integrative medicine can
make a powerful difference in our health and well-being, how quickly
these changes may occur, and how dynamic these mechanisms can
be.
Many people tend to think of breakthroughs in medicine as a new drug,
laser or high-tech surgical procedure. They often have a hard time
believing that the simple choices that we make in our lifestyle -- what
we eat, how we respond to stress, whether or not we smoke cigarettes,
how much exercise we get, and the quality of our relationships and
social support -- can be as powerful as drugs and surgery. But they
often are. And in many instances, they're even more powerful.
These studies often used high-tech, state-of-the-art measures to prove
the power of simple, low-tech, and low-cost interventions. Integrative
medicine approaches such as plant-based diets, yoga, meditation and
psychosocial support may stop or even reverse the progression of
coronary heart disease, diabetes, hypertension, prostate cancer,
obesity, hypercholesterolemia and other chronic conditions.
A recent study published in the Proceedings of the National Academy of
Sciences found that these approaches may even change gene
expression in hundreds of genes in only a few months. Genes
associated with cancer, heart disease and inflammation were
downregulated or "turned off" whereas protective genes were
upregulated or "turned on." A study published in The Lancet Oncology
reported that these changes increase telomerase, the enzyme that
lengthens telomeres, the ends of our chromosomes that control how
long we live. Even drugs have not been shown to do this.
Our "health-care system" is primarily a disease-care system. Last year,
$2.1 trillion was spent in the U.S. on medical care, or 16.5% of the
gross national product. Of these trillions, 95 cents of every dollar was
spent to treat disease after it had already occurred. At least 75% of
these costs were spent on treating chronic diseases, such as heart
disease and diabetes, that are preventable or even reversible.
The choices are especially clear in cardiology. In 2006, for example,
according to data provided by the American Heart Association, 1.3
million coronary angioplasty procedures were performed at an average
cost of $48,399 each, or more than $60 billion; and 448,000 coronary
bypass operations were performed at a cost of $99,743 each, or more
than $44 billion. In other words, Americans spent more than $100 billion
in 2006 for these two procedures alone.
Despite these costs, a randomized controlled trial published in April
2007 in The New England Journal of Medicine found that angioplasties
and stents do not prolong life or even prevent heart attacks in stable
patients (i.e., 95% of those who receive them). Coronary bypass
surgery prolongs life in less than 3% of patients who receive it. So,
Medicare and other insurers and individuals pay billions for surgical
procedures like angioplasty and bypass surgery that are usually
dangerous, invasive, expensive and largely ineffective. Yet they pay very
little -- if any money at all -- for integrative medicine approaches that
have been proven to reverse and prevent most chronic diseases that
account for at least 75% of health-care costs. The INTERHEART study,
published in September 2004 in The Lancet, followed 30,000 men and
women on six continents and found that changing lifestyle could prevent
at least 90% of all heart disease.
That bears repeating: The disease that accounts for more premature
deaths and costs Americans more than any other illness is almost
completely preventable simply by changing diet and lifestyle. And the
same lifestyle changes that can prevent or even reverse heart disease
also help prevent or reverse many other chronic diseases as well.
Chronic pain is one of the major sources of worker's compensation
claims costs, yet studies show that it is often susceptible to
acupuncture and Qi Gong. Herbs usually have far fewer side effects than
pharmaceuticals.
Joy, pleasure and freedom are sustainable, deprivation and austerity are
not. When you eat a healthier diet, quit smoking, exercise, meditate
and have more love in your life, then your brain receives more blood and
oxygen, so you think more clearly, have more energy, need less sleep.
Your brain may grow so many new neurons that it could get measurably
bigger in only a few months. Your face gets more blood flow, so your
skin glows more and wrinkles less. Your heart gets more blood flow, so
you have more stamina and can even begin to reverse heart disease.
Your sexual organs receive more blood flow, so you may become more
potent -- similar to the way that circulation-increasing drugs like Viagra
work. For many people, these are choices worth making -- not just to
live longer, but also to live better.
It's time to move past the debate of alternative medicine versus
traditional medicine, and to focus on what works, what doesn't, for
whom, and under which circumstances. It will take serious government
funding to find out, but these findings may help reduce costs and
increase health.
Integrative medicine approaches bring together those in red states and
blue states, liberals and conservatives, Democrats and Republicans,
because these are human issues. They are both medically effective
and, important in our current economic climate, cost effective. These
approaches emphasize both personal responsibility and the opportunity
to make affordable, quality health care available to those who most need
it. Mr. Obama should make them an integral part of his health plan as
soon as possible.
Dr. Chopra, the author of more than 50 books on the mind, body and
spirit, is guest faculty at Beth Israel Hospital/Harvard Medical
School. Dr. Ornish is clinical professor of medicine at the University
of California, San Francisco. Mr. Roy is professor emeritus of
materials science at Pennsylvania State University. Dr. Weil is
director of the University of Arizona Center for Integrative Medicine.
with thanks to www.qigonginstitute.org
Categories: Qigong