Earlier this evening, I was reading a business book entitled Breaking the Time Barrier. The book is written for small business people (like me) in service industries who bill their clients on an hourly basis. Written as a pseudo-fable, the author tries to hammer home the lesson that I should be billing my clients based on the value I bring to them…not by selling blocks of time to them at an hourly rate.

The author recommends that I…

  1. determine the goals of a potential personal training client – ie a 20 lb weight loss or a 10 pt. drop in systolic blood pressure,
  2. identify the value of their goals to them. How much do they value their health, fitness, appearance?
  3. Offer solutions designed to achieve their goals
  4. Charge them a percentage of the value of their goals in return for my solution

…as opposed to selling them hour long chunks of my day..with the implied promise that those hours are going to add up to their goals…of a 20 lb weight loss or a 10 pt. drop in systolic blood pressure.

And that got me thinking about other personal trainers…and the fitness industry…and then the entire health care system. And by the end of my pondering, I concluded that our health care system is completely backwards.

Our Current Health Care System

Currently, we have a society where rates of diabetes, cancer, heart disease, dementia, depression et al increase year after year after decade. And instead of the health care system offering solutions to help us achieve our goal of good health, it offers us products & services designed to…

  1. mask the symptoms of disease
  2. extend life after the medical condition has become critical


We’re not paying for health…we’re paying to manage pain, disability and disease.

[colored_box color=”green”]If I was a cynical man, I might start thinking that our health care system is a bit of a racket. Why focus on keeping their patients healthy when they can sell them lots of stuff when they get sick?[/colored_box]

But what if doctors could make a good living and keep us healthy at the same time?

  • What if our health care system taught us how to eat for health?
  • What if our health care system taught us how to be active for good health?
  • What if our health care system taught us how to shop for and cook healthy meals?
  • What if our health care system made healthy food inexpensive?
  • What if our health care system made health & fitness cool like Hollywood makes really bad movie sequels seem cool?
  • What if our health care system made access to exercise facilities universal?
  • What if our health care system focused most of it’s efforts on keeping us healthy?

And what if you paid for these services in advance…like you do everything else?

For example…

  • If you want shelter from the elements, you buy a house or rent an apartment.
  • If you want to get rid of hunger, you buy food
  • If you want to travel from home to work, you get a bike or a car or a transit pass.
  • If you don’t want to be lonely, you talk to people, go on dates, nod and smile at the stuff they find important…

We all pay a price in some form or another to achieve the goals that are important to us.

So why don’t we do that with our health care system?

Why don’t we pay doctors to keep us healthy? Isn’t that what we want? To be healthy…and fit…and strong…and attractive.

seniors exercise fitness

So why do we pay the health care system to mask our illnesses and keep us alive in hospital beds while our family goes bankrupt trying to keep us alive just a little bit longer?

Can anyone answer that question for me?