In this thought-provoking episode, Paul Goldsmith chats with Dr. Jack Kruse, a neurosurgeon and CEO of the Kruse Longevity Center, about his perspectives on what’s wrong with American healthcare and how foundational to human health it is to respect light and dark cycles in human biology and start each day by seeing the sunrise. Dr. Kruse asserts that 99% of conventional health and wellness knowledge is incorrect, blaming centralized science and its departure from nature for many health misconceptions. The conversation delves into deep criticisms of centralized healthcare, the influence of big pharma, and the disconnection from nature as fatal errors in modern medical practices.  Dr. Kruse advocates for a decentralized approach to medicine, emphasizing a return to nature, and the importance of patient empowerment and informed consent. In a decentralized system, doctors work directly for their patients rather than healthcare systems or insurers, thereby reducing conflicts of interest and fostering patient-centered care. People can take charge of their health by seeking knowledge and making informed decisions independent of the healthcare system’s influence. The problem with centralized healthcare is its flawed incentive structure, where the profit motives of big pharma and medical device manufacturers overshadow patient health. Financial incentives in the healthcare system adversely affect patient care and outcomes. Dr. Kruse also shares his experience writing a constitutional amendment in El Salvador, offering insights into how different cultures and systems approach healthcare.