Despite evidence of its effectiveness for conditions like CTE, hyperbaric oxygen therapy (HBOT) is not widely used due to its high cost and lack of insurance coverage. A full treatment course can exceed $12,000, making it inaccessible for most patients, including veterans and former athletes who need it most.
The guest connects the public safety crisis of mass shootings to untreated brain injuries in military veterans. Citing that 31% of mass shooters are veterans, he argues the issue is a neurological condition (CTE) causing them to act erratically, not a moral or ideological failing. Treating brain inflammation could be a key preventative measure.
Breast cancer specialists advocate for patients to meet the entire care team before surgery to create a comprehensive plan and reduce anxiety. However, insurance carriers often create administrative and financial barriers that prevent these coordinated, upfront consultations, leading to a more fragmented and stressful patient experience.
Chronic Traumatic Encephalopathy (CTE) presents with symptoms that overlap with many other conditions. Doctors may not connect symptoms to past head trauma without a detailed patient history, mistaking CTE for metabolic issues like diabetes or psychological conditions like PTSD, especially in military veterans.
General Catalyst's CEO highlights a core flaw in healthcare: insurance providers don't reimburse for longevity or preventative care because customers frequently switch plans, preventing insurers from capturing long-term ROI. The first company to solve this misalignment and make longevity "financeable" will unlock a massive market.
A $2,000 preventative injection like a PCSK9 inhibitor sounds expensive. However, its cost is likely justified when calculated against the massive societal and individual expense of future medical bills, plus the economic value of additional healthy, productive years.
The Orphan Drug Act successfully incentivized R&D for rare diseases. A similar policy framework is needed for common, age-related diseases. Despite their massive potential markets, these indications suffer from extremely high failure rates and costs. A new incentive structure could de-risk development and align commercial goals with the enormous societal need for longevity.
A medically-proven hangover cure doesn't exist mainly because the economics are unviable. The high cost of clinical trials, potentially hundreds of millions of dollars, is prohibitive for a product that would likely be low-margin and based on non-patentable ingredients, offering no clear path to profitability.
Hyperbaric oxygen therapy (HBOT) treats CTE by increasing atmospheric pressure, simulating being underwater. This allows blood to behave like a gas, enabling oxygen to bypass blockages and reduce inflammation in the brain. This same effect is achieved through deep-sea diving, which is used as a treatment in Europe.
For individuals with a multi-million dollar net worth, forgoing expensive health insurance can be a rational financial choice. The substantial savings on premiums (e.g., $300-400k over a decade) can create a fund large enough to cover most medical costs out-of-pocket, effectively creating a self-insurance pool.
There is a stark contrast in sports medicine between treating physical injuries and brain injuries. While a muscle strain has a defined recovery plan like ice and compression, a concussion often receives minimal intervention beyond rest. This leaves brain inflammation untreated, potentially leading to long-term conditions like CTE.