Skip to main content

Change your lifestyle, reverse your diseases

By Dean Ornish, Special to CNN
updated 12:00 PM EDT, Sat March 16, 2013
STORY HIGHLIGHTS
  • Dean Ornish: Health care costs are out of control, let's try to deal with the real causes
  • Ornish: Lifestyle choices make a huge difference in reducing diseases and illnesses
  • He says when lifestyle changes are offered as treatment, significant cost savings occur
  • Ornish: On March 16, watch CNN at 8 p.m. or 11 p.m. ET to learn more in the film "Escape Fire"

Editor's note: Dean Ornish, the founder and president of Preventive Medicine Research Institute, is clinical professor of Medicine at the University of California, San Francisco. Tune in to the documentary film, "Escape Fire: The Fight to Rescue American Healthcare," tonight on CNN at 8 p.m. and 11 p.m. ET.

(CNN) -- The debate on how to reduce health care costs that are out of control seems more polarized than ever. Many Republicans are recommending that Medicare be privatized or even abolished since Medicare, Medicaid, and the Children's Health Insurance Program accounted for 21% of the federal budget in 2011, or $769 billion, and even more in 2012. Many Democrats are advocating raising taxes and letting the deficit increase in the near term. There's not much common ground when the issues are framed in this way.

Here's an alternative: Let's address the underlying causes of what make us sick and what make us well. This is a radical approach "Radical" comes from the Latin word meaning "root." When we address the root causes of a problem, we are more likely to solve it.

We can make much better health care available for more people at far lower costs when we treat the causes rather than the symptoms. So what are the root causes?

Dean Ornish
Dean Ornish

They are the lifestyle choices that we make each day: What we eat, how we respond to stress, whether or not we smoke, how much we exercise, and how much love, intimacy and social support we have in our lives.

Opinion: U.S. manages disease, not health

Become a fan of CNNOpinion
Stay up to date on the latest opinion, analysis and conversations through social media. Join us at Facebook/CNNOpinion and follow us @CNNOpinion on Twitter. We welcome your ideas and comments.



Currently, over 75% of the $2.8 trillion in health care costs are due to chronic diseases, such as coronary heart disease and type 2 diabetes, that can be largely prevented by making comprehensive lifestyle changes. We don't need to wait for a new drug or laser or high-tech breakthrough; we simply need to put into practice what we already know.

For example, one study of 23,000 people shows that walking for just 30 minutes every day, not smoking, eating a reasonably healthy diet, and keeping a healthy weight prevented 93% of diabetes, 81% of heart attacks, 50% of strokes and 36% of all cancers. Bigger changes in diet and lifestyle can do even more.

In another of study of 30,000 men and women in 52 countries in all seven continents, lifestyle factors accounted for almost all of the risk of heart attacks in both sexes and in all ages.

'We need a whole new kind of medicine'
'Escape Fire': How to fix health care

Think about it: Heart disease and type 2 diabetes, two of the biggest killers in the United States, are completely preventable by making comprehensive lifestyle changes. Without drugs or surgery.

In addition to preventing chronic diseases, comprehensive lifestyle changes can often reverse their progression.

My colleagues and I first proved that lifestyle changes alone can reverse even severe heart disease. At any age. We also found that the same program of comprehensive lifestyle changes can reverse type 2 diabetes and may slow, stop, or even reverse the progression of early-stage prostate cancer.

CNN special report: 'Escape Fire'

When comprehensive lifestyle changes are offered as treatment (not just as prevention), significant cost savings occur in the first year because the biological mechanisms that control our health and well-being are so dynamic.

For example, Highmark Blue Cross Blue Shield found that overall health care costs were reduced by 50% in the first year when people with heart disease or risk factors went through our lifestyle program in 24 hospitals and clinics in West Virginia, Pennsylvania and Nebraska. In another study, Mutual of Omaha found that it saved $30,000 per patient in the first year for those who went through our lifestyle program.

At a time when the power of comprehensive lifestyle changes to prevent and reverse chronic diseases is becoming better documented, the limitations and costs of high-tech medicine are becoming increasingly clear:

-- Recent studies have shown that angioplasties and stents do not prolong life or prevent heart attacks in stable patients, costing $60 billion per year.

-- Type 2 diabetes and pre-diabetes will affect half of Americans in the next eight years at a projected cost of $3.3 trillion. Lowering blood sugar with drugs does not fully prevent the economic and human costs of diabetes (including heart attacks, strokes, amputations, impotence, kidney failure, and blindness), but lowering blood sugar with diet and lifestyle prevents all of these human and economic costs.

-- Only 1 out of 49 men treated for prostate cancer lives longer because of the surgery or radiation treatments; the other 48 often become impotent, incontinent, or both. Because of this, the U.S. Preventive Services Task Force recently recommended that men not even be screened for prostate cancer, since there is such pressure to undergo treatments that, for most men, do not benefit them but may cause them harm in the most personal ways. But intensive lifestyle changes can be an alternative solution.

Changing your lifestyle can change your genes. It turns on genes that keep you healthy, and turns off genes that promote heart disease, prostate cancer, breast cancer, and diabetes. People often tell me, "Oh, it's all in my genes, there's not much I can do about it." Knowing that changing lifestyle changes our genes is often very motivating -- not to blame but instead empower ourselves.

On March 16, tune in to CNN at 8 p.m. or 11 p.m. ET to watch the extraordinary documentary film "Escape Fire: The Fight To Rescue American Healthcare," which vividly highlights what's broken about our health-care system and what can be done to help rescue it. Our work about the power of lifestyle changes is featured in two segments in the second half of the film. If you're a doctor, you can even receive continuing medical education credit by watching it.

Medicare is now covering "Dr. Ornish's Program for Reversing Heart Disease" after 16 years of review. This had bipartisan support. Why? Because these are human issues that affect all of us and transcend our polarized political process, enabling us to find common ground.

For Republicans, this approach appeals to their core values of empowering the individual and taking personal responsibility. For Democrats, it appeals to their core values of making better health care available to more people at lower costs. It's a win-win situation.

And the only side-effects are good ones.

Follow us on Twitter @CNNOpinion.

Join us on Facebook/CNNOpinion.

The opinions expressed in this commentary are solely those of Dean Ornish.

ADVERTISEMENT
Part of complete coverage on
updated 9:57 PM EDT, Thu September 18, 2014
Ruben Navarrette says spanking is an acceptable form of disciplining a child, as long as you follow the rules.
updated 9:58 PM EDT, Thu September 18, 2014
Steven Holmes says spanking, a practice that is ingrained in our culture, accomplishes nothing positive and causes harm.
updated 2:31 PM EDT, Thu September 18, 2014
Sally Kohn says America tried "Cowboy Adventurism" as a foreign policy strategy; it failed. So why try it again?
updated 10:27 AM EDT, Thu September 18, 2014
Van Jones says the video of John Crawford III, who was shot by a police officer in Walmart, should be released.
updated 10:48 AM EDT, Thu September 18, 2014
NASA will need to embrace new entrants and promote a lot more competition in future, argues Newt Gingrich.
updated 7:15 PM EDT, Tue September 16, 2014
If U.S. wants to see real change in Iraq and Syria, it will have to empower moderate forces, says Fouad Siniora.
updated 8:34 PM EDT, Wed September 17, 2014
Mark O'Mara says there are basic rules to follow when interacting with law enforcement: respect their authority.
updated 9:05 AM EDT, Tue September 16, 2014
LZ Granderson says Congress has rebuked the NFL on domestic violence issue, but why not a federal judge?
updated 7:49 AM EDT, Tue September 16, 2014
Mel Robbins says the only person you can legally hit in the United States is a child. That's wrong.
updated 1:23 PM EDT, Mon September 15, 2014
Eric Liu says seeing many friends fight so hard for same-sex marriage rights made him appreciate marriage.
updated 4:55 PM EDT, Fri September 12, 2014
David Wheeler wonders: If Scotland votes to secede, can America take its place and rejoin England?
updated 4:36 PM EDT, Fri September 12, 2014
World-famous physicist Stephen Hawking recently said the world as we know it could be obliterated instantaneously. Meg Urry says fear not.
updated 1:21 PM EDT, Thu September 11, 2014
Sally Kohn says bombing ISIS will worsen instability in Iraq and strengthen radical ideology in terrorist groups.
updated 9:27 AM EDT, Thu September 11, 2014
Artist Prune Nourry's project reinterprets the terracotta warriors in an exhibition about gender preference in China.
updated 9:36 AM EDT, Wed September 10, 2014
The Apple Watch is on its way. Jeff Yang asks: Are we ready to embrace wearables technology at last?
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT