Episode
American College of Lifestyle Medicine During & After
- Published
- Nov 26, 2025
- Duration seconds
- 2049
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Summary
It’s a holiday week. We just wrapped three intense days at the American College of Lifestyle Medicine conference - 2,200 practitioners, researchers, and changemakers gathering around a board certification that could eliminate 60-70% of established chronic disease costs. The crowd was significantly larger than last year, which tells you something about momentum. But as always with healthcare transformation, the picture is complicated. We thought this video would be a fun during and after from the American College of Lifestyle Medicine Conference. The Core Tension: Healthcare Can’t See Food (Unless It’s a Drug) Our conversation with Dr. Sachin Jain crystallized something we’ve been wrestling with: it’s incredibly difficult to get our minds out of the economics of one industry versus the other and think about it as a system design challenge of chronic disease. Healthcare wants to keep people sick - that’s how the engine runs. Food, on the other hand, is neutral. Food just wants to keep people happy and buying product. They don’t have a vested interest in whether you’re sick or healthy. If you could feed somebody the same calories in a much healthier configuration for the same amount of money, food wouldn’t care. They’d just redesign to match demand. That’s why we increasingly believe food needs to lean into healthcare, not the other way around. There’s less friction. Food has less skin in the game of staying entrenched in the current system. Healthcare is reimbursed, it’s regulated - food’s not. You can change your diet tomorrow. Nobody’s going to step in and say that’s not allowed. The Practitioner’s Dilemma: When the CEO Won’t Expand the Program There was a revealing moment during Dr. Joseph’s keynote—the cardiologist who launched the lifestyle medicine program at St. F…