Invisible Health: This post discusses how healthy habits and activities produce ongoing health benefits. That’s right; you can get some things done without having to pack up and go to the gym!
Fat Burn vs Cardio: How Do I Best Exercise? There are levels to exercise. Accordingly, there are different benefits found in different types of exercise. We discuss those in this post.
Whatever you do, do something! Your activity today prepares your heart and other organs to protect you tomorrow. Toxins and disease aren’t inclined to go away by themselves. Get up!
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Doesn’t it seem logical that if you want to be fully empowered you need adequate coping and stress-management skills? This is the fourth of the Straight, No Chaser self-empowerment series. Today, we’re giving you the tools to be aware of and combat your levels of stress.
Key Considerations in Stress Management
The way our bodies treat stress is not dissimilar to the use of a cattle prod (and we don’t endorse animal abuse!). A bit of it stimulates and optimizes performance. On the other hand, too much of it becomes counterproductive and debilitating. Therefore, you inevitably will have to deal with certain factors shown to either enhance or moderate your physical and emotional stress, based on how you handle them. These include your attitude, dietary habits, level of physical activity, methods relaxation and availability of support systems. Here’s a full post on these considerations.
Developing a Stress Management Plan
Unfortunately, we all have to deal with stress. However, if you invest the time, you will find how having an actual plan that reminds you of your best actions toward reducing stress helps! Here’s another post that works it out with you in detail. Remember, stress management saves lives! Mastering it is equivalent to being empowered and promoting living your best life.
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Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!
Cost effective self care is probably something you’ve never verbalized. However, it’s more likely something that’s constantly on your mind, whether consciously or otherwise. This is the third in the Straight, No Chaser series on health self-empowerment. If and as you become more inclined to become a better steward of your health, you’ll come to appreciate the considerations in this post!
Organizing Your Cost Effective Self Care
Let’s view this from five approaches: mental health, physical health, emotional health, social health and spiritual health. If you think about your life, these are its major considerations. Now, start organizing your approach to better care for yourself.
Mental Health
We put mental health first, because… “sound mind, sound body!” We’ve discussed how to optimize mental health before, but keep in mind this principal: the body can only perform as well as the mind is able to direct it. Let’s keep this simple and return to the notion of cost effective self care: exercise your brain on a daily basis with something as simple as reading a book, doing a Sudoku or crossword puzzle, or learning something (try a new language!). These activities produce massive benefits.
Physical Health
If you’ve followed Straight, No Chaser before, you likely appreciate the value of “close your mouth, and get off of your backside.” Physical health isn’t an absolute construct for anyone. Incremental measures produce relative improvements for everyone at every level of health. To that end, we’ve discussed better food choices more than emphasizing “dieting.” We’ve discussed activity even more than “exercise.” Remember, everything you place in your mouth either helps or hurts you. Everything your body is able to do is based on what you’ve trained and empowered it to do. Choose wisely.
Emotional Health
In many ways, emotional health involves stress-reducing coping mechanisms. You must prevent undue stress from choking off your best function and performance. Are you prone to express anger, anxiety, naivete, pessimism or sadness? If so, these are direct threats to your living your best life. We refer to you this stress management guide, but keep this in mind. Regarding emotional health, cost effective self care is – again – a relative consideration. Pick one area to work on at a time. Try a specific mental challenge to improve upon an area, such as road rage. Actively attempt to identify the best case scenario among your options. Commit to spend one day surrounded by an environment that is positive, affirming and stimulating. Then do it everyday!
Social Health
In the era of social media, there are more social threats to your mental and physical health than ever before. Even without social media, maintaining meaningful relationships with family and friends is often a challenge. Simply put, the important consideration here is making your exposure to social networks as affirming as possible. Spend as much time with family, friends and social media as produces positive benefit to you. Minimize exposure to (or just avoid) them all when they become sources of negative energy or produce an undesired mental state of mind.
Spiritual Health
Did you know that a lifestyle that includes spirituality (with or without religion) is generally healthier? Whether it’s the organizing approach of religion or the general positive effects on mental health, spiritual health has been shown to be a key contributor to a healthy life. Cost effective self care measures here can be quite simple. Consider simple reflection, meditation, prayer or church. These activities all help you appeal to an affirming part of your existence.
Specific Steps for Cost Effective Self Care
As luck would have it, the Straight No Chaser post on increasing life-expectancy addresses this exact consideration. Review these tips. You’ll notice how simple (and cost-effective) these are. Go for it!
Tips 1-5
1. Take a walk. Just give yourself a brisk 30-minute
walk three times a week. Effect? Reverse your age by about 10 years.
2. Eat more fish. Doing so one to
two times a week can reduce your heart attack risk by approximately
one-third.
3. Lift weights. Yes, it gets tougher, but I’m
not recommending a Schwarzenegger workout. Lifting reverses muscle and bone
loss if you do it twice weekly. For those in their 50s or 60s, it can
produce strength scores similar to those in their late 30s.
4. Get a pet. This is a pretty easy way to avoid
depression and all that comes with it.
5. Hydrate. Your body is almost 70% water. Not
soda, water. Learn to embrace clear fluids. When you’re not going clear, coffee
and wine also have significant health benefits.
Tips 6-10
6. Equip your home. Everyone should have a
functioning smoke alarm, carbon monoxide detector and fire extinguish, and
everyone in your home should know where they are and how to use them.
7. Put a helmet on your head. 1,000 people die
every year in the U.S. from motorcycle, bicycle, scooter or skydiving injuries
related to not wearing protective helmet.
8. Engage in safe sex. Yes, people are still
dying prematurely and living compromised lives because of the failure to wear
condoms while others protect themselves.
9. Be optimistic. This keeps the negative effects
of the body’s physiologic stress response from harming you.
10. Reduce your red meat intake. Even the daily
intake of just one serving of red meat equivalent to the size of your fist
decreases life expectancy by approximately 13 percent.
Tips 11-15
11. Spend time with friends. Healthy social
networks have been shown to add as much to your life expectancy as healthy
endeavors such as lowering high blood pressure and reducing high cholesterol
levels.
12. Be generous. Studies consistently show that
those who help others report better health than those who don’t. It may just be
correlation, but being on the right side of this fence makes the world a better
place.
13. Sleep. Seven hours a day gets done what your
body needs to function optimally.
14. Discover blueberries. There’s been much talk
about “superfoods.” Blueberries meet the criteria. Consuming approximately two
cups a day has been shown to prevent chronic diseases, reduce depression and improve
memory.
15. Enjoy sex and orgasms. There are a million
jokes about the benefits of sex, but legitimate benefits include burning
calories, reducing stress, inducing sleep and reducing pain.
Tips 16-20
16. Snack on nuts. Healthier nuts include
almonds, cashews and pistachios. Eating them five days a week has been
shown to add nearly three years to your life expectancy.
17. Get up! Sitting for more than three
hours at a time independent of other activities can reduce your life expectancy.
Take breaks, stretch and move around.
18. Maintain adequate intake of vitamins. You
shouldn’t need supplemental vitamins if your diet is appropriate, buy if it’s
not, here are the daily requirements that ensure optimal function. Vit C
(1200 mg/day), Vit D (400-600 IU/day), Vit E (400 IU/day), Vit B6 (6 mg/day),
calcium (1000-1200 mg/day) and folate (400 mcg/day).
19. Measure your blood pressure. Work to maintain
your blood pressure at or below 115/75. This will help you function as much as
approximately 25 years younger than someone of a blood pressure at or about
160/90.
20. Brush. Floss. Daily brushing and flossing can
improve your functioning by approximately six years.
Tips 21-25
21. Wear your seatbelt. The combination of
seatbelt wearing and driving within five MPH of the posted speed limit can
improve your life expectancy by approximately three and a half years.
22. Eat fiber. The number to know here is 25. If
you get 25 grams of daily fiber in your diet, that improves your function by
approximately two and a half years over consuming half that amount. Look for
high fiber dietary options.
23. Learn to laugh. Laughter actually does have
clinical benefits. It strengthens your immune system by decreasing the
stress-induced release of certain hormones. Learn to take or tell a joke!
24. Love fruits and vegetables. The more fruits and vegetables you eat compared to red meat, the better your life expectancy becomes.
25. Consume medical care, information and advice. Being proactive about your health increases both your life expectancy and life functioning compared to someone a dozen years younger who does not. This includes getting recommended screenings and immunizations.
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Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!
Do you have health insurance? Even if you do, do you still feel like you pay a lot for your medical expenses? Here’s the point: do you know what the #1 cost of personal bankruptcy is in the U.S.? Medical bills. Want to know a very easy way to rack up huge bills? That would be using the emergency room as your source of care. The average cost of a visit to the ER for over 8,000 patients across the U.S. was $2,168, according to a recent study funded by the National Institute of Health. Look at these average costs (the interquartile range (IQR) represents the difference between the 25th and 75th percentile of charges, looking at the wide discrepancy in charges).
Can you afford this without insurance (or even
with insurance, given your co-pays and deductibles)? This Straight, No
Chaser post is the first of your empowerment series. Remember, health empowerment
starts with knowledge. Remember it’s the above types of charges that you’re
trying to avoid.
Did you know that according to the Census Bureau, there are still about 27.5 Americans without health insurance as of 2018 (that number was estimated to be as high as 50 million prior to the implementation of the Affordable Care Act, aka Obamacare)? 2018 was also the first year since 2008-09 for which there was an increase in this number. Draw your own inferences about why this is the case (or just look at the below picture!).
Insurance Options
Where do you start if you don’t have insurance? What should you do if you have insurance? What if it’s an emergency? Let’s go through a series of options you have available to you that you may not know how to enlist.
How do you choose affordable insurance coverage if you don’t have a job, your job doesn’t provide health benefits, or if you just don’t have enough money to afford it? Work through the following steps.
Look For Coverage Through Your Spouse or Domestic Partner. If you have a spouse or partner, there’s money to be saved by piggybacking off the other’s coverage. Explore this option before accepting a new plan that requires you to pay more.
Explore the Health Care Marketplace as Your First Stop. This is especially the case if you’re otherwise uncovered or are an entrepreneur or small business owner. It’s also especially applicable if you have a pre-existing medical condition. Go to healthcaregov.org for details.
Medicaid: In more than half the US, state Medicaid expansion accompanied the Affordable Care Act. This has resulted in the number of people qualified to receive Medicaid increasing dramatically. It’s also included many above the poverty line who previously hadn’t been eligible. Google your state insurance commissioner for your specific set of qualifications.
Medicare: You can qualify for Medicare if you receive Social Security disability benefits or if you’re age 65 or older. Check with the Social Security Administration for your eligibility.
Consolidated Omnibus Budget Reconciliation Act (COBRA): COBRA is another short-term coverage option. It might be for you if you’ve been laid off or aren’t working. It’s especially appropriate if you had insurance through your former job or otherwise participated in a group health insurance plan. This is great for access but is a more expensive option than the health care marketplace.
Workers Compensation: If you are being treated for a workplace injury, your state’s workers’ compensation program might have health care solutions for you.
Less Obvious Insurance Options
Short-Term Health Insurance Coverage: Short-term coverage is available! Think about this if you need to avoid gaps while searching for other options. A simple Google search will point you in the right direction in your state.
High Deductible Health Plans: A high deductible “emergency” policy is another way to maintain a low-cost health insurance plan. However, it’s akin to making a bet that you won’t get ill. Maintaining a Health Savings Account (HSA) for smaller health issues will probably save you money in the long run.
Group Insurance from Organization Memberships: If you belong to any kind of membership organization (e.g. an alumni association, professional organization, business bureau, independent worker associations), it’s worth asking if they have a health insurance plan. These also provide reduced health insurance premiums for their members. You don’t have to go the route of employer-provided insurance.
Group Health Expenses Sharing Plan: These health expenses sharing plan involves a group of people pooling money together to pay each other’s health care costs. They operate a bit like their own insurance company. Members’ pooled contributions are invested and are usually reserved to pay major medical expenses. These plans aren’t typically used for basic day-to-day health costs like checkups or small procedures. Group health expense sharing plans aren’t insurance plans, so they’re not regulated in the same way as insurance. Look into the history of any of these plans before you join one.
Health Care Sharing Ministries (HCSMs): A health care sharing ministry (HCSM) is another example of a group of people with shared beliefs creating a health expenses sharing plan. An HCSM is a non-profit entity, so again, it’s not health insurance and it’s not regulated in the same way. This alternative to insurance often include provisions that accommodate the beliefs of the group. As a result, procedures (e.g. abortion) that are deemed objectionable would not be covered.
Health Insurance Discount Cards: These aren’t insurance options but a way of obtaining discounts on medical services. They provide low-cost health services in exchange for a membership fee. They also don’t offer any medical reimbursement but lower your costs when you use the services of members participating in the plan.
These are options. However, the question many of you have remains unaddressed: what if you believe you can’t afford any of these? Well actually you can; some of the above have eligibility based on financial status, such as Medicaid and Medicare. It’s up to you to do the work and discover where you’re eligible.
Furthermore, this is why health prevention is so important. This is why the rest of the health empowerment series focuses on what you can do to swing the pendulum away from waiting to need sick care toward being proactive with preventive and self-care. Stay tuned.
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Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!
Straight, No Chaser has been offering you health and happiness for seven years. It isn’t a medical encyclopedia. It’s meant to empower you to make choices that best suit your lifestyle – the intersection between health and happiness. Even though today is Christmas, remember we offer you the gift of knowledge every day.
After more than 25 years as a physician, I still am fascinated at the health trade-offs people make for their pleasure – or “quality of life.” We have previously discussed your habits and how some of them negatively impact your health. Click here for that discussion. The literature on negative energy and health is well documented and robust. In short, avoid negativity and those that bring it to you! That said, we’re following our own advice and going positive today. To that end, here’s the other half of the “health and happiness” equation:
STATE OF MIND = STATE OF BODY
Research from the Harvard School of Public Health (Go, Crimson!) led by Laura Kubzansky, Associate Profession of Society, Human Development and Health, identified personal attributes that actually do translate into better health. Specifically these personality traits have been shown to help avoid or healthfully manage depression, diabetes, heart attacks, strokes and other diseases.
Her landmark 2007 study followed over 6,000 men and women for over 20 years, discovering that a sense of enthusiasm, hopefulness, engagement in life and the ability to face life’s stresses with emotional balance appears to reduce the risk of coronary heart disease. Her studies have also demonstrated that children with a positive outlook and ability to focus on a task at age seven are in better health with fewer illnesses 30 years later. An additional finding of hers is that optimism cuts the risk of coronary heart disease in half.
This isn’t that hard. It just requires a rewiring of some of our outlook on life. Make a change today. Become a more positive person, and you’ll become a healthier person! Incorporate these mental lifestyle changes and reap the benefits.
Emotional vitality: a sense of enthusiasm, hopefulness, engagement
Optimism: the perspective that good things will happen and that one’s actions account for the good things that occur in life
Supportive networks of family and friends
Good “self-regulation,” i.e., bouncing back from stressful challenges and knowing that things will eventually look up again
Healthy behaviors such as physical activity and eating well
Avoidance of risky behaviors such as unsafe sex, drinking alcohol to excess, and regular overeating
Speaking of Christmas, the Straight, No Chaser team greatly appreciates your readership, support and feedback. Over 40,000 of you both follow us and like us on social media and WordPress. We’ve had readers in approximately 200 countries around the world with well over 1,000,000 page views. We’ll continue to give you information to make a difference in your lives. Please continue to share your stories. It is very fulfilling and fascinating to hear how these efforts have made a difference in your lives. Feel free to continue to send us topic requests. We generally find a way to work them into the schedule.
Thank you so much, Merry Christmas, Happy Hanukkah, Happy Kwanzaa, peace and blessings throughout the holiday season.
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Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!
Straight, No Chaser is committed to health self-empowerment. In this new year, we’re going to help you have 2020 vision. Over the next ten weeks, we will systematically offer you an approach to becoming an active consumer of health. Simply put, gone are the days when you can afford (literally and figuratively) to leave 100% of your care in the hands of your medical team.
Health Self-Empowerment Series
Consider this series health self-empowerment. Here are the various
topics we’ll discuss, all of which focus on health prevention. Let this be the
year you move past sick care and googling.
1/13: The best ways to access health care (hint: it’s not the emergency room)
1/20: Health screening recommendations
1/27: Cost effective self-care
2/3: Stress and mental health management
2/10: Ten Questions to Ask Your Physician
2/17: Think healthy eating first, then diet
2/24: Think activity first, then exercise
3/2: Weight control
3/9: Avoiding accidents
3/16: Avoiding toxins
3/23: Putting it all together
You’ll notice that during this time, we are setting aside conversations about sick care and diseases. You should already know that there are over 2000 blog topics within Straight, No Chaser here at www.jeffreysterlingmd.com. You can find whatever you need in that regard by simply typing it in the search bar in the upper right corner. In the meantime, take control. After all, it is your life.
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Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!
Are holiday season health considerations a thing? Yes! We want the holidays to be a time of happiness and health. Part of that involves being physically and mentally strong enough to enjoy it all! Let’s review some of the various considerations that can help you do just that.
Your Holiday Health Guide
We’ll offer this guide with links to previous Straight, No Chaser posts that address the following topics:
Given that the holidays are a time of reflection, remembrance and giving, take the time to check on your loved ones. In addition to depression and grieving being prevalent this time of year, your check-ins promote happiness and good will. Enjoy the better things life has to offer. Communicate as a means of coping with your challenges. Your actions have meaning. It matters! Happy Holidays!
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Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!
On the day of observation of the life and legacy of Martin Luther King, Jr., we discuss applying his dream to equal access of health care.
On this national day of celebration, I always reflect on Dr. Martin Luther King, Jr.’s most famous comments on health care in America.
“Of all the forms of inequality, injustice in health care is the most shocking and inhumane.”
Using the sustained assault on the Affordable Care Act (aka Obamacare) in the US, it becomes as important as ever to revisit this premise.
Injustice in Health Care
Why would Dr. King say such a thing? Injustice in health care has taken many forms. Unfortunately, these result in predictably poor outcomes for those affected. We call these disparities in healthcare. Let’s begin by addressing the inequity in insurance coverage that formed the premise for the Affordable Care Act (aka Obamacare).
According to the Kaiser Family Foundation, in 2009-2010, when the Affordable Care Act (ACA; aka Obamacare) was signed into law, 41% of low-income adults were uninsured, and 45% of poor adults were uninsured. Contrast this with the fact that only 6% of those who make four or more times the poverty rate were uninsured. This pretty clearly makes the case that health care is a desirable asset for Americans who can afford it. Unfortunately, it is too often a choice that can’t be afforded for many. Furthermore, consider that 14% percent of white Americans were uninsured, while 22% of African-Americans were uninsured, and 32% of Hispanic Americans were uninsured. Whether you believe this is just a correlation, coincidence or reflection of something more damning, it is a situation that screamed to be addressed and improved.
Back in 2012 (immediately prior to implementation of the ACA), the Centers for Disease Control and Prevention (CDC) released a survey showing that more than 45 million U.S. residents didn’t have health insurance. Still even more people, 57.5 million, were uninsured for at least part of the 12 months before being polled. Be reminded that the total U.S. population is over 311 million.
The How and Why of Health Care Inequity
Please take a moment and ponder the enormity of the numbers just presented. It begs the question “How can such be allowed to exist?” Dr. King’s comment begged the same question. Unfortunately, the answer is the American health care system isn’t built on producing equality of access or outcomes. You’ve heard me say before that the American health care system remains the only system among all the major industrialized nations on earth that doesn’t ensure access for all its citizens. The American health care system is fundamentally a business enterprise. This sector has captured approximately $3.5 trillion of the American economy annually. Stunningly, this represents over 1/6 (17%) of the gross domestic product.
The US is number one in money spent on health care by a large margin. In fact, the U.S. spends more on people aged over 65 than any other country spends on its entire population. The business of medicine in America is business first. It is largely expected that good health care outcomes will result from good business. Health care is viewed as a commodity in the same way that good cars, computers and smartphones are. Does this work? The outcomes say otherwise. According to the World Health Organization, the U.S. health care system was ranked #38 in the last WHO ranking based on standard health outcomes produced.
The Affect of the Affordable Care Act on Equal Access to Health Care
Despite any perceived and actual flaws in the ACA, one unassailable fact exists. Approximately 20 million previously uninsured Americans obtained it through the passage of the Affordable Care Act. The ACA targets its assistance to the poor and near-poor who are least likely to have health care coverage. The ACA will provide Medicaid coverage to those with incomes up to 133 percent of the poverty level (approximately $16,000). Unfortunately, this isn’t true in states opting out of the Medicaid expansion. People earning between the poverty level and four times that amount are eligible for tax credits for private health insurance.
Access to health care is the beginning of the process by which health care disparities can be erased. As long as failure to have equal access exists to the extent that it does, the types of disparities in life expectancy, disease rates and disease survival will remain predictably dismal for certain populations. As long as total our population is unhealthy in general, and pockets of our population are more disproportionately unhealthy, we will remain less productive and cohesive than we could be. Predictably, these facts will perpetrate a host of additional problems within our society.
Finally and furthermore, one question still begs to be asked. Why does the US choose to remain the only major industrialized nation in the world that fails to provide universal health care for its citizenry? What part of life, liberty and the pursuit of happiness involves doing so without health? How is that Justice?
Happy MLK Day. Remember the Dream, but also remember how that plays out in our lives.
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Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Another free benefit to our readers is introductory pricing with multiple orders and bundles!
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