Chronic Conditions Become Default
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Justin Mares believes that America is experiencing a health crisis he calls "the great American poisoning," where chronic disease has become the default outcome for most Americans. This represents both the biggest problem in the US and a massive opportunity for entrepreneurs.
Key Points:
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Historical Health System Evolution:
- 100 years ago, chronic disease burden was 95% lower
- Medical system was built for acute issues (infectious disease, childbirth)
- System designed to take healthy people and restore them when sick
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Current Health Crisis:
- Chronic conditions have grown 700% in 90 years
- Default outcome is now sickness, not health
- Average American will get cancer, heart disease, or other chronic conditions
- Medical system not built for population where average person is sick
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Environmental Factors:
- Modern environment is actively poisoning people
- Multiple exposure sources: food, water, lights, air
- Filled with plastics, chemicals, toxins, ultra-processed materials
- Built environments (homes, offices) are health-degrading
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Business Opportunities:
- $40 billion annual market in home services
- Massive potential in making living spaces health-promoting
- Current services (HVAC, plumbing, furniture) don't prioritize health impact
- Opportunity for annual home health checkups and ongoing services
- Water filtration, air quality, EMF testing, and light optimization
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Institutional Problems:
- Regulators, healthcare system, doctors not incentivized for health
- Need new institutions and companies
- Opportunity for entrepreneurs to address these systemic issues
The core message is that Americans must update their thinking: getting sick is now the default outcome, making any effort to avoid this worth considering.
Justin Mares
Co-founded Exceptional and authored "Traction," a guide for startup growth. Currently leads TrueMed, a health-tech/fintech company.
Expertise in revenue management and startup operations. Passionate about improving healthcare through technology and financial innovation.