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Peter Attia MD#133 - Vinay Prasad, M.D., M.P.H: Hallmarks of successful cancer policy
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Episode Details
EPISODE INFO
- Released
- October 19, 2020
- Duration
- 2h 12m
- Channel
- Peter Attia MD
- Watch on YouTube
- ▶ Open ↗
EPISODE DESCRIPTION
Sign up to receive Peter's email newsletter: https://bit.ly/4c602k2 Vinay Prasad is a practicing hematologist-oncologist who doubles as a “meta-researcher,” studying the quality of medical evidence, health policy, and clinical trials. In this episode, Vinay discusses the differences in clinical treatment from the existing medical evidence, often leading to useless, or even harmful, outcomes for patients. With a focus in oncology, he takes a deep dive into the field’s structural problems, which include the disconnect between progress and funding, drug costs, and financial conflicts of interest. He concludes with his “six hallmarks of successful cancer policy” as a potential roadmap to sustained progress against cancer and a way to avoid repeating the policy and practice mistakes of the past. We discuss: 00:00:00 - Intro 00:03:15 - Vinay’s background and unique perspective 00:10:15 - Medical reversal—the disconnect between research findings and clinical applications in medicine 00:22:45 - The uniquely challenging field of oncology 00:30:00 - The importance of bedside manner with cancer patients 00:37:00 - Structural problems in oncology—Problem #1: Huge costs for small improvements 00:40:15 - Structural problems in oncology—Problem #2: Medical reversal—when medical practices are adopted based on low levels of evidence 00:45:00 - Structural problems in oncology—Problem #3: Slow progress in cancer research (despite all the hype and propaganda) 00:54:45 - Structural problems in oncology—Problem #4: The burden of payment is not matched with those making treatment decisions 01:06:45 - “No-brainer” moves in oncology 01:09:30 - “Fool’s gold” treatments in oncology 01:16:00 - The six hallmarks of successful cancer policy 01:18:00 - Cancer policy hallmark #1: Independence 01:28:15 - Cancer policy hallmark #2: Evidence 01:31:30 - Cancer policy hallmark #3: Relevance 01:32:00 - Cancer policy hallmark #4: Affordability 01:47:00 - Cancer policy hallmark #5: Possibility 01:52:00 - Cancer policy hallmark #6: Agenda 01:54:30 - Tumor genome sequencing and liquid biopsies 02:03:30 - Vinay’s clinical philosophy, being skeptical without being too contrarian, and practicing medicine without perfect information Show notes page: https://peterattiamd.com/vinayprasad/ About: The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 30 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more. Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life). Learn more: https://peterattiamd.com/ Subscribe to receive exclusive subscriber-only content: https://peterattiamd.com/subscribe/ Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter/ Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Play: http://bit.ly/TheDriveGooglePlay
SPEAKERS
Peter Attia
hostPhysician and host of The Drive podcast focused on health, medicine, and longevity.
Vinay Prasad
guestPhysician-scientist and oncologist known for work on evidence-based medicine and cancer policy.
EPISODE SUMMARY
In this episode of Peter Attia MD, featuring Peter Attia and Vinay Prasad, #133 - Vinay Prasad, M.D., M.P.H: Hallmarks of successful cancer policy explores vinay Prasad Lays Out Six Hallmarks for Fixing Cancer Policy Prasad traces his path from philosophy major to oncologist and health policy researcher, driven by seeing clinical practices like stenting for stable angina that conflicted with the evidence he read.
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