Don't you people want to be free again? — synthesis
No. They don't want to be free, not ever. The vast, vast majority of my patients want someone to blame (just never them) for whatever predicament they find themselves in. Live healthy and personal responsibility? Terrifying idea to them. More nachos, gravy and book me in for a triple bypass? Much more support than eat healthy, exercise regularly, and sleep well. Diet pills, anti-depressants, and sleep aides are much more appreciated; because none of it is the patient's fault, ever.
I tell my patients to eat real food, organic if they can afford it, but real food nonetheless. Learn to cook, be active (walk, run, jog, yoga, whatever, just move around more), and get a good nights sleep. Have a mid afternoon nap when you can. Take the T.V (laptop, cellphone, etc) out of the bedroom, bedrooms are for bed activities, none of which involve a screen. Most of the time I get nods and that's about it. Next time they come in, have they changed anything? No, and not so shockingly, all their problems are also unchanged. The excuses are thick and personal responsibility is non-existent.
Years ago I had a chronic pain patient, claiming to be so desperate for pain relief that he was feeling suicidal "to make the pain go away". He kept telling me how great he felt at 45 and how wonderful it would be if he could be that way again. I asked him what his weight was at 45. "154lbs" he proudly answered. He weighed 215 lbs in my office. I then asked him, at 45, how he would have felt at the end of the day if he had carried a 60 lb pack everywhere he went, all day long. "Sore as hell" he responded, "that's a lot of weight to always carry around". I agreed and made an appointment to see him the following week, after he decided to try my recommendations, which I would tell him next week. I designed a weight loss plan (low-impact in the pool), arranged for a yoga program and instructor, nutritionist consultation and follow up, complete with cooking classes, and an alternative medication regime which accounted for the anticipated pain associated with the increase in activity as well as a tapering dosage over time to avoid any addiction concerns. The next week when I saw him he declined every aspect of the treatment plan. The only thing he wanted was medication. I told him that for any future visits he was not to bring up his chronic pain as I refused to treat it further. He accurately portrays my average patient.
Yes the current system is broken, well past broken. Letting it die and rebuilding means accepting responsibility for our own health and seeking out skilled practitioners to supplement our own knowledge. Damned few of us would be willing to accept that. I would, my wife would. Sounds like you would too. But we know the system, we lived it, we see the monumental flaws within it.
Everyone else reads the news, and believes what they read while reaching for another beer and bag of chips.