Relief Care Chiropractic

Why Chiropractic is Wellness and Prevention

Wellness & Prevention: A Matter of Life and Death

What we all want is a better, longer life.

This can only be achieved if we have more health and happiness than sickness and despair.


Wellness & Prevention: A Matter of Life and Death

We must know what makes us sick and what is required to get and stay well.

Chronic illness is the single greatest threat to health and happiness. Chronic illness is the leading cause of death and despair.

In order to overcome and prevent chronic illness we must know what causes it, how to prevent it, and how to recover from it.



Wellness & Prevention: A Matter of Life and Death

Chronic illness is NOT caused by bad genes, bad cells, or bad luck.

Chronic illness is caused by bad lifestyle choice, bad living environments and bad healthcare advice.

The ONLY way to prevent or recover from chronic illness, to get or stay well, is to adopt healthy lifestyle habits.

 “Cowardice asks the question, ‘Is it safe?’ Expediency asks the question, ‘Is it politic?’ And Vanity comes along and asks the question, ‘Is it popular?’ But Conscience asks the question, ‘Is it right?’ And there comes a time when we must take a position that is neither safe, nor politic, nor popular, but we must do it because Conscience tells us it is right.”

Martin Luther King, Jr.

 I feel a moral obligation to share the information  because it will save your life, it will save the lives of those you share it with, it will save you money, and, ultimately, it will save our species and our planet.

“As a species humans are facing our greatest threat in history. That threat is chronic illness.” “The Black Plague killed 30 percent of Europe.

Chronic illness is killing 80% of the industrial world.” “Humans are now the sickest species on earth. We have gone from super species to sickest species in less than a century.”



“Never in history has a species suffered with so much illness, with so much cancer, diabetes, heart disease, obesity, depression and other chronic illness.”

“The research is unequivocal; we are in the midst of a chronic illness pandemic that threatens not only our health but the very fabric of our society and the very existence of our species.”

Chronic illness represents the single greatest threat to you, to your family, to your friends, to your success, and to your overall quality and quantity of life.

“We have the sickest children, the sickest teenagers, the sickest adults, and the sickest elderly in the history of our species – in the history of any species.”

Over half the entire industrial population has chronic illness and over 80 percent of our adult industrial population has chronic illness.”

Chronic illness is the leading cause of death and suffering; 80 percent of our population is dying or will die from chronic illness.”

Over 80 percent of our workforce has chronic illness. Chronic illness is responsible for 9 days of absenteeism per employee per year and up to 91 days of lost productivity per employee per year.”

“Chronic illness is the leading cause of personal, corporate, and government debt and bankruptcy.” “The scientific evidence reveals how chronic disease saps our health and economic well-being, placing an unsustainable burden on our nation and our future.”

“Chronic disease impacts every aspect of our lives, from our children’s ability to learn, to our nation’s ability to compete in the global market, from our economic stability to national security.”



The Global Crisis of Chronic Illness

“Noncommunicable diseases such as diabetes and cardiovascular disease (CVD) are the world’s leading causes of mortality, resulting in an estimated 35 million deaths each year.”

“In particular, the prevalence of obesity-associated metabolic disease is rapidly increasing due to lifestyle changes typified by increased dietary intake and reduced energy expenditure.”

Bruce,K.&Cagampang,F.Epigenetic Priming of the metabolic syndrome. Toxicology Mechanisms and Methods, 2011; 21(4):353-361

“There is a tsunami of chronic preventable disease about to be unleashed into our medical-care system which is increasingly unaffordable.”



                                                         Reed Tuckson : United Health Foundation


“Not surprisingly, chronic diseases have become the leading cause of death and disability in the United States” (and all industrial nations).

“Seven out of every 10 deaths are attributable to chronic disease, and illnesses like heart disease and cancer top the list of most common causes of death.” Partnership to Fight Chronic Disease. 2009 Almanac of Chronic Disease

“More than 133 million Americans, or 45% of the population, have at least one chronic condition*. A quarter (26%) of Americans have multiple chronic conditions.

*This statistic is accurate for ALL industrial nations. 45% of the WORLD’S industrial citizens have already developed chronic illness.

Partnership to Fight Chronic Disease. 2009 Almanac of Chronic Disease

Half of the U.S. population has developed chronic illness.

More than two-thirds of the adult population in the U.S. is either overweight or obese.

Less than 25% of adults get adequate servings of fruits and vegetables or follow good nutrition principles.

More than 70% of the U.S. population fails to get enough physical activity to derive any health benefit. 24% of the U.S. population has NO physical activity per day.

The incidence of childhood obesity has tripled in the past 20 years.

The metabolic syndrome is now thought to be present in up to 40% of the U.S. adult population. Rippe, J. et al. Lifestyle Medicine and Health Care Reform. Am J. Lifestyle Med. Nov/Dec 2009

Diabetes increased 61% between 1991 and 2001.

38% of the adult population in the U.S. has high blood pressure.

More than 40% of the adult population has glucose intolerance.

Coronary heart disease, a multiple lifestyle risk illness, is responsible for 37% of all deaths in the U.S.

Obesity, cigarette smoking, and sun burn are responsible for more than 50% of all cancers.

Lack of exercise and poor nutrition are responsible for or contribute to virtually every case of cancer.

Obesity is the leading cause of arthritis in women and second leading cause in men. Rippe, J. et al. Lifestyle Medicine and Health Care Reform. Am J. Lifestyle Med. Nov/Dec 2009



Wellness & Prevention: A Matter of Life and Death

“Despite ever increasing medical spending and medical procedures the rates of chronic illness have been steadily rising for over 50 years.”

“The current system is not working. We don’t need more debate about who should pay for the current healthcare system; we need to start debating about what kind of healthcare is worth paying for.”

Chestnut, J.L. The Wellness & Prevention Paradigm. 2011. TWP Press.

“The Centers for Medicare and Medicaid Services (CMS) predicts that, without change, total health expenditures will increase at roughly 6.7% annually from 2007-2017. Based on this prediction, U.S. health spending could reach $4.3 trillion in 2017.”

That represents $12 Billion Dollars per day by 2017

That represents $500 Million Dollars per hour.

That represents over $8 Million Dollars per minute.

That represents over $133,000 Dollars per second.

A 2008 Congressional report estimated that up to 1/3 of these funds ($4 Billion per day) result in ZERO HEALTH BENEFIT.

Partnership to Fight Chronic Disease. 2009 Almanac of Chronic Disease

Every Year it COSTS MORE!

“Each year the U.S. spends more than $6700 for every man, woman, and child on what is essentially “sickness” care. In contrast, virtually every other industrial economy spends less.”

Rippe, J. et al. Lifestyle Medicine and Health Care Reform. Am J. Lifestyle Med. Nov/Dec 2009

“Every other industrialized economy that expends less money than the U.S. also achieves better health outcomes.”

“For example Greece, which ranks as the 16th largest economy in the world, spends less than $600 for every man, woman, and child on health care. Yet Greece achieves superior outcomes in virtually every recognized international standard of health outcome than does the U.S.”

Rippe, J. et al. Lifestyle Medicine and Health Care Reform. Am J. Lifestyle Med. Nov/Dec 2009

Almost 80% of workers have at least one chronic condition.

55% of workers have more than one chronic condition. Partnership to Fight Chronic Disease. 2009 Almanac of Chronic Disease

Seven of the most common chronic conditions alone accounted for $1 trillion in lost productivity in 2003.

This amount could pay for 20 million jobs at a salary level of $50,000 per year (as of January 2009, 11.3 million Americans were unemployed).

Partnership to Fight Chronic Disease. 2009 Almanac of Chronic Disease

Data collected from almost 8,000 Dow Chemical employees using the Stanford Presenteeism Scale demonstrated that:



  • absenteeism associated with chronic conditions resulted in 1.4 to 8.9 days lost per employee per year

  • presenteeism associated with chronic conditions resulted in 45 to 91 days lost per employee per year.


Collins JJ, Baase CM, Sharda CE, et al. The assessment of chronic health conditions on work performance, absence, and total economic impact for employers. Journal of Occupational and Environmental Medicine. 2005;47:547-557.

The Causes of the Healthcare Crisis:  



  1. Unhealthy lifestyle choices. Suicide by lifestyle.

  2. Too much sickness care; too much highly expensive, highly ineffective, and too often harmful pharmacological and surgical treatment of chronic illness symptoms and risk factors.




 Wellness & Prevention: A Matter of Life and Death

“Chronic illness is lifestyle illness. Chronic illness rates have risen exponentially since 1900, as have prescription drug use and surgery.”

Our genes have not undergone any significant changes during this short period of time. It can’t be genes.

During this period of exponential increase in chronic illness our genes have remained virtually unchanged but our lifestyle has changed significantly.

The changes in our lifestyle and environment away from what we genetically require as species mirror the increases in chronic illness.

Chestnut, J.L. The Wellness & Prevention Paradigm. 2011. TWP Press.


“Currently, modern chronic diseases, including cardiovascular diseases, Type 2 diabetes, metabolic syndrome, and cancer are the leading killers in Westernized society and are increasing rampantly in developing nations.

In fact, obesity, diabetes, and hypertension are now even commonplace in children.”

Roberts, C.K. & Barnard, J.B. Effects of exercise and diet on chronic disease.

2005 J. Appl Physiol 98 3-30.

“Overwhelming evidence from a variety of sources, including epidemiological, prospective cohort, and intervention studies, links most chronic diseases seen in the world today to physical inactivity and inappropriate diet consumption.”

(and psychosocial factors)

Roberts, C.K. & Barnard, J.B. Effects of exercise and diet on chronic disease. 2005 J. Appl Physiol 98 3-30.

“There is no longer any serious doubt that what individuals do on a daily basis exerts a profound impact on both their short and long-term health and quality of life.”

“Increasingly the scientific community and the public at large have come to understand that lifestyle habits, whether they be positive or negative, are profoundly important to health and quality of life.”

“Despite the fact that most metabolic diseases could be either ameliorated or eliminated by positive lifestyle practices, a distressingly low percentage of people follow the cluster of lifestyle practices known to decrease these risks.”

“For example, in the Nurses Health Study, only 4% of this population of health care workers followed all of the practices known to lower the risk of heart disease and diabetes.”

(Not smoking, a daily walk, maintaining a healthy BMI, and eating more fruits and vegetables reduced the risk of diabetes by over 90% and heart disease by over 80% in this study.) Percent of Chronic Diseases That

Are Caused by an Unhealthy Lifestyle2006 Wellness Council of America



The Only Viable Solutions



  1. Evidence-Based, Genetically Congruent Lifestyle Intervention

  2. Less Pharmacological and Surgical Intervention.


“Clearly, however, there is a solution to this epidemic of metabolic disease that is inundating today’s societies worldwide: exercise and diet (and healthy emotions).” Roberts, C.K. & Barnard, J.B. Effects of exercise and diet on chronic disease. 2005 J. Appl Physiol 98 3-30.

“Established financial interests drive research and delivery of care based on medication and surgery. There are no incentives to drive doctors to treat disease with lifestyle intervention.”

“Lifestyle intervention, including personalized, science-based prescriptions for diet, exercise, and stress management, however, are not reimbursed or are only partially reimbursed. These therapies are low risk and effective in reversing and preventing chronic diseases.”

Lifestyle is not only a public health issue; it is also a clinical care issue.

Lifestyle intervention is not just about preventing chronic disease but also about treating it, often more effectively and less expensively than relying on drugs and surgery.

There is strong evidence that this approach works and saves money. Unfortunately, insurance doesn’t usually pay for it.

No one profits from lifestyle intervention, so it is not part of medical education and practice. It should be the foundation of our healthcare system.

“Presently, according to the American Heart Association, 1.3 million coronary angioplasty and 448,000 coronary bypass operations are performed annually at a cost of more than $100 billion.”

“Despite these costs, many studies, including one last month in the New England Journal of Medicine, reveal that angioplasties and stents do not prolong life or even prevent heart attacks in stable patients (i.e. 95% of those who receive them).”

“Coronary bypass surgery prolongs life in less than 2% to 3% of patients who receive it.”

“In the ACCORD study of more than 10,000 diabetics, aggressive blood sugar lowering actually caused deaths.”

“High blood sugar is a side effect of poor lifestyle choices.”

“The treatment isn’t insulin to lower blood glucose, but healthy dietary choices, exercise, stress management, and not smoking.”

“In contrast, the INTERHEART study, published in The Lancet in 2004, followed 30,000 people and found that changing lifestyle could prevent at least 90% of all heart disease.”
If we have practitioners that learn how to help patients address the real causes of disease with lifestyle intervention and not just treat disease risk factors (simply the effects of poor lifestyle choices) with medications and surgery, we can save almost $1.9 trillion over 10 years for just 5 major diseases:

heart disease, diabetes, “pre-diabetes” or metabolic syndrome, and prostate and breast cancer.

“The distinction between risk factors and causes is an important one. High blood pressure, dyslipidemia, and elevated C-reactive protein or glucose are not in and of themselves the real causes of chronic disease but simply surrogate markers that are the effects of environmental toxins, what we eat, how much we exercise, and how we respond to stress.”

“It is because lifestyle addresses not only risk factor modification or reduction. Our lifestyle and environment influence the fundamental biological mechanisms leading to disease: changes in gene expression, which modulate inflammation, oxidative stress, and metabolic dysfunction.”

The EPIC study is another among a large evidence base documenting how lifestyle intervention is often more effective in reducing cardiovascular disease, hypertension, heart failure, stroke, cancer, diabetes, and all-cause mortality than any medical intervention.

“Indeed, the only way to truly contain costs in healthcare is to improve outcomes: in a value based system, achieving and maintaining good health is inherently less costly than dealing with poor health.” Porter, M.E. A strategy for health care reform – toward a value-based system. New England Journal of Medicine 2009; 361:109-112.

Spending just $10 per person per year on chronic disease prevention programs would save the U.S. more than $16 billion within 5 years.   For every dollar spent on proven prevention programs, the U.S. health care system would save $0.96 in the first two years, $5.60 after five years, and $6.20 after 10-20 years. Partnership to Fight Chronic Disease. 2009 Almanac of Chronic Disease

“Physical activity (such as a brisk walk) can reduce the risk of developing coronary heart disease, colon cancer, and type 2 diabetes by as much as 50%.”

Thus simply adding a brisk walk could reduce spending on chronic illness by as much as 1 BILLION DOLLARS PER DAY!!

Walking is FREE! Imagine what happens if you also add eating and thinking well!! Partnership to Fight Chronic Disease. 2009 Almanac of Chronic Disease

The Practitioners: Wellness and Prevention Lifestyle Practitioners

You are in the right place; we teach lifestyle workshops!

“Personalized lifestyle intervention is a high science, high touch, low tech, low-cost treatment that is more effective for the top 5 chronic diseases than our current approaches. Yet it is not taught in medical schools, practiced by medical physicians or delivered in hospitals or medical healthcare settings.” Hyman et al. Lifestyle Medicine: Treating the Causes of Disease. Alternative Therapies in Health and Medicine Nov/Dec 2010


Ask us about our lifestyle workshops!



Important Take Home Points

Lifestyle is the single greatest determining (causal) factor in chronic illness. The chronic illness pandemic is a lifestyle pandemic. Suicide by lifestyle is the leading cause of death in the Industrial World. The chronic illness pandemic is the single greatest threat to humanity, to industry, and to government in the history of the world.

The black plague killed 30% of Europe; Chronic Illness is now killing 80% of the Industrial World and this number is rising. Lifestyle intervention MUST create sustained changes.

Chronic illness and chronic health are the result of bioaccumulation. Both health and illness are chronic issues, they are the inevitable consequences of chronic lifestyle choices.

When it comes to chronic illness and chronic health, short term behavior change is irrelevant. The only way to produce better, longer lives is through chronic, sustained, healthy behavior patterns.

No wellness is attained, no chronic illness is prevented, and no money or lives are saved with short term change.

The definition of a healthy lifestyle behavior must be one which is matched to the genetic blueprint for the human species.

The only viable solution for wellness and prevention is adopting lifestyle behaviors which are genetically congruent, that promote the genetic expression of wellness and prevent the genetic expression of chronic illness.

5 Crucial Facts to Remember



  1. Drugs and surgeries never have solved, and never will solve, the pandemic of chronic illness.

  2. Drugs and surgeries are both ineffective and economically unsustainable options for preventing or curing chronic illness.

  3. The only possible solution is wellness and prevention. Fewer sick people is the ONLY hope.

  4. Lifestyle is the only evidence-based, only economical, and only effective wellness and prevention solution. It is the ONLY viable option.

  5. If we Eat Well – Move Well – Think Well™ we get longer, better lives, we have healthier children, we save trillions of dollars, we increase productivity, and we solve the healthcare crisis!


 Adopting these 6 SIMPLE lifestyle changes can prevent: •100% of Obesity



  • 90% of Type 2 diabetes

  • 82% of Heart Disease

  • 70% Cancer

  • 70% Stroke


Take Action!


We are the practitioners the health experts and economists are calling for.

By Dr. Chestnut

Compliments of

Relief Care Chiropractic

2901 Broadway Ave Suite E

Yankton, SD 57078