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Projected Surge in Uninsured Will Strain Local Health Systems

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RIO GRANDE CITY, Texas — Jake Margo Jr. stood in the triage room at Starr County Memorial Hospital explaining why a person with persistent fever who could be treated with over-the-counter medication didn’t need to be admitted to the emergency room.

“We’re going to take care of the sickest patients first,” Margo, a family medicine physician, said.

It’s not like there was space on that June afternoon anyway. A small monitor on the wall pulsed with the vitals of current patients, who filled the ER. An ambulance idled outside in the South Texas heat with a patient waiting for a bed to open up.

“Everybody shows up here,” Margo said. “When you’re overwhelmed and you’re overrun, there’s only so much you can do.”

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Starr County, a largely rural, Hispanic community on the southern U.S. border, made headlines in 2024 when it voted Republican in a presidential election for the first time in more than a century. Immigration and the economy drove the flip in this community, where roughly a third of the population falls below the poverty line.

Now, recent actions by the Trump administration and the GOP-controlled Congress have triggered a new concern: the inability of doctors, hospitals, and other health providers to continue to care for uninsured patients. It’s a fear not only in Starr County, which has one of the highest uninsured rates in the nation. Communities across the U.S. with similarly high proportions of uninsured people could struggle as additional residents lose health coverage.

About 14 million fewer Americans are expected to have health insurance in a decade due to President Donald Trump’s new tax-and-spending law, which Republicans dubbed the One Big Beautiful Bill Act, and the pending expiration of enhanced subsidies that slashed the price of Affordable Care Act plans for millions of people. The new law also limits programs that send billions of dollars to help those who care for uninsured people stay afloat.

“You can’t disinsure this many people and not have, in many communities, just a collapse of the health care system,” said Sara Rosenbaum, founding chair of the Department of Health Policy and Management at George Washington University’s Milken Institute School of Public Health.

“The future is South Texas,” she said.

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KFF Health News is examining the impact of national health care policy changes on uninsured people and their communities. Though the Trump administration told KFF Health News it is making “a historic investment in rural health care,” people who treat low-income patients, as well as researchers and consumer advocates, say recent policy decisions will make it harder for people to stay healthy. Doctors, hospitals, and clinics that make up the health care safety net could lose so much money they must close their doors, some of them warn.

“Because the patient’s bill is not going to get paid,” said Joseph Alpert, editor-in-chief of The American Journal of Medicine and a professor of medicine at the University of Arizona. “Uninsured patients stress the health care system.”

Starr County shows how this dynamic unfolds.

Primary care doctors in the county serve an average of just under 3,900 people each, nearly three times the U.S. average.

Margo, the family physician, said because so many people lack insurance and there are so few places to seek care, many residents treat the ER as their first stop when they’re sick.

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In many cases, they have neglected their health, making them sicker and more expensive to treat. And federal law requires ERs at hospitals in the Medicare program to stabilize or transfer patients, regardless of their ability to pay.

That leaves Margo and his team to practice what he described as “disaster medicine.”

“They come in with chest pain or they stop breathing. They collapse. They’ve never seen a doctor,” Margo said. “They’re literally dying.”

Health Systems in ‘Survival Mode’

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When people are uninsured or on Medicaid, they tend to rely on a safety net of doctors, hospitals, clinics, and community health centers, which offer services free of charge or absorb getting reimbursed at lower rates than they do treating patients on commercial insurance.

Those providers’ financial situations can often be precarious, leading them to rely on myriad federal supports. The Trump administration’s cuts to health care and Medicaid in the name of eliminating “waste, fraud, and abuse” have many concerned they won’t weather the additional financial strain.

Trump’s new law funds his priorities, like extending tax cuts that mainly benefit wealthier Americans and expanding immigration enforcement. Those costs are covered in part by a nearly $1 trillion reduction in federal health spending for Medicaid within the next decade and changes to the ACA, such as requiring additional paperwork and shortening the time for people to sign up.

Many Republicans have argued Medicaid has gotten too large and strayed from the state-federal program’s core mission of covering those with low incomes and disabilities. And the GOP has fought to roll back the ACA since its passage.

Kush Desai, a spokesperson for the White House, said projections from the nonpartisan Congressional Budget Office about how many people could lose health insurance are an “overestimate.” He did not provide an estimate the administration sees as more accurate.

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Supporters of the “One Big Beautiful Bill” say those who need health coverage can still get it if they meet new requirements such as working in exchange for Medicaid coverage.

And Michael Cannon, director of health policy studies at the Cato Institute, a libertarian think tank, said even with the legislation, Medicaid spending will grow, just not as quickly.

The budget law won’t cause “the sky to fall,” Cannon said. “The inefficient providers should be shutting down.”

A recent survey from AMGA, formerly the American Medical Group Association, which represents health systems across the country, found nearly half of rural facilities could close or restructure due to Medicaid cuts. Nearly three-quarters of respondents said they anticipated layoffs or furloughs, including of front-line clinicians.

Public health departments, which often fill gaps in care, also face federal funding cuts that have reduced their capacity. In South Texas’ Cameron County, the health department has eliminated nearly a dozen positions, said agency head Esmer Guajardo. In neighboring Hidalgo County, the health department has laid off more than 30 people, said Ivan Melendez, who helps oversee its operations.

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In July, the Texas Department of State Health Services canceled Operation Border Health, a massive annual event that last year provided free health services to nearly 6,000 South Texas residents.

Gateway Community Health Center in Laredo, a border city north of the Rio Grande Valley, is in “survival mode,” with about a third of patients already lacking insurance and even more who will struggle to afford health care if the ACA subsides aren’t renewed, said David Vasquez, its director of communications and public affairs. The center is looking for other forms of funding to avoid layoffs or cuts to services, and its expansion and hiring plans are on hold, Vasquez said.

That downsizing is happening as more people lose health insurance and need free or reduced-cost care.

Esther Rodriguez, 39, of McAllen has been out of work for two years and her husband makes $600 a week working in construction. Neither of them has health insurance.

Medicaid covered the bills for the births of her five children. Now, she depends on a mobile health clinic run by a local medical school, where she can pay out-of-pocket for routine checkups and drugs to control her Type 2 diabetes. If she needed more care, Rodriguez said, she would go to the ER.

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“You have to adapt,” she said in Spanish.

‘Death by a Thousand Cuts’

People’s inability to pay results in uncompensated care, or services that hospitals, doctors, and clinics don’t get paid for, which, under an earlier version of the megabill, was projected to increase by $204 billion over the next decade, according to the Urban Institute, a nonprofit think tank.

But the Trump administration is also cutting other support that helped offset the cost of care for people who can’t pay. The new law caps federal programs that many health providers for low-income people have come to depend on, especially in rural areas, to shore up their budgets. These include taxes on hospitals, health plans, and other providers that states use to help fund their Medicaid programs. Such provider taxes are a “financial gimmick,” Desai said.

While the law creates a temporary $50 billion fund to support rural doctors and hospitals, that’s a little over a third of estimated Medicaid funding losses in rural areas, according to KFF, a health information nonprofit that includes KFF Health News. Desai called the analysis “flawed.”

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Any loss in revenue could spell financial ruin, especially for small rural hospitals, said Quang Ngo, president of the Texas Organization of Rural & Community Hospitals Foundation.

“It’s kind of like death by a thousand cuts,” he said. “Some will probably not make it.”

And the hits could keep coming. The Trump administration’s budget request for the coming fiscal year calls for cuts to multiple rural health programs operated through the Health Resources and Services Administration. Desai said the spending law’s investment in rural health “dwarfs” the cuts.

In February, the Trump administration announced funding cuts of 90% to the ACA navigator program, which helps people find health insurance. That program has been “historically inefficient,” Desai said.

In December 2023, nearly 3 million of Texas’ uninsured were eligible for ACA subsidies, Medicaid, or the Children’s Health Insurance Program, according to Texas 2036, a public policy think tank.

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Maria Salgado spends her workdays tabling at community events, dropping off flyers at doctors’ offices, and holding one-on-one meetings with clients of MHP Salud, a nonprofit that connects residents to Medicaid and ACA coverage.

She worried funding cuts would really set the organization’s efforts back: “A lot of community members here, they’re going to be left behind,” said Salgado, a community health worker, or promotora.

Chris Casso, a primary care physician who grew up in McAllen and now practices there, held back tears as she described treating patients who have put off seeing a doctor because of an inability to pay, only to have their preventable conditions deteriorate.

She worries about the future of her community as physician shortages worsen, potentially leaving few providers to treat uninsured people.

“It’s heartbreaking,” she said, sitting in a small back room in her office in a suburban strip mall, wedged between a Kohl’s and a Shoe Carnival. “These are hardworking people,” she said. “They try their best to take care of themselves.”

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Casso said her own sister, who worked as a medical biller in a physician’s office, couldn’t afford health insurance. She delayed care and died at age 45 of complications from diabetes and heart disease. Casso worries the future will find more people in similar situations.

“Our population is going to suffer,” she said. “It’s going to be devastating.”

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

Subscribe to KFF Health News’ free Morning Briefing.

This article first appeared on KFF Health News and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

 

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Previously Published on khn.org

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New Pee Test Could Identify Prostate Cancer

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By Johns Hopkins University

This new approach could significantly reduce the need for invasive, often painful biopsies.

By analyzing urine samples from prostate cancer patients before and after prostate-removal surgery, as well as samples from healthy individuals, researchers identified a panel of three biomarkers—TTC3, H4C5, and EPCAM—that robustly detected the presence of prostate cancer.

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These biomarkers were detectable in patients prior to surgery but were nearly absent post-surgery, confirming that they originated in prostate tissue.

The results appear in eBioMedicine.

Prostate cancer, one of the leading causes of death in men in the United States, is typically detected by blood tests to measure PSA, a protein produced by cancerous and noncancerous tissue in the prostate. In most men, a PSA level above 4.0 nanograms per milliliter is considered abnormal and may result in a recommendation for prostate biopsy, in which multiple samples of tissue are collected through small needles.

However, the PSA test is not very specific, meaning prostate biopsies are often needed to confirm a cancer diagnosis, says senior study author Ranjan Perera, director of the Center for RNA Biology at Johns Hopkins All Children’s Hospital in St. Petersburg, Florida, and a professor of oncology and neurosurgery at the Johns Hopkins University School of Medicine. In many cases, these biopsies are negative and can result in unintended complications, Perera says. PSA tests also can lead to unnecessary treatment for very low-grade prostate cancers that are very unlikely to grow and spread over a short period of time.

“This new biomarker panel offers a promising, sensitive, and specific, noninvasive diagnostic test for prostate cancer,” Perera says.

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“It has the potential to accurately detect prostate cancer, reduce unnecessary biopsies, improve diagnostic accuracy in PSA-negative patients, and serve as the foundation for both laboratory-developed and in vitro diagnostic assays.”

The panel was found to be able to detect prostate cancer even when PSA was in the normal range and could distinguish prostate cancer from conditions like prostatitis (inflammation of the prostate) and an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH).

“There is a real need for non-PSA-based biomarkers for prostate cancer, and urine is quite easy to collect in the clinic,” says study coauthor Christian Pavlovich, a professor of urologic oncology at Johns Hopkins and program director for the Prostate Cancer Active Surveillance Program.

“Most urologists feel that an accurate urinary biomarker would be a valuable addition to our current diagnostic armamentarium.”

During the study, investigators studied biomarkers in urine samples from healthy individuals as well as from patients with biopsy-proven prostate cancer undergoing prostate-removal surgeries at Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, or AdventHealth Global Robotics Institute in Celebration, Florida.

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They studied 341 urine specimens (107 from healthy individuals, 136 from patients with prostate cancer before surgery, and 98 after surgery) during the development of their urine test and an additional 1,055 specimens (162 from healthy individuals, 484 from patients with prostate cancer before surgery, and 409 after surgery) to validate the test.

During the performance evaluation phase of testing, the scientists also studied samples from patients with BPH or prostatitis, and healthy controls, from Johns Hopkins Hospital from 2022 to 2025.

Investigators extracted RNA from prostate cells shed in 50-ml urine samples and analyzed them using RNA sequencing and also real-time quantitative polymerase chain reaction (qPCR) to study gene expression. They also used immunohistochemistry to study biomarkers in samples from cancerous prostate tissue and healthy adjacent tissue, and statistical analyses to compare biomarkers found in the urine and tissue samples.

From an initial 815 prostate-specific genes identified in urine from men with prostate cancers, the investigators prioritized the top 50 genes, then the top nine, and from there selected the three top performers—TTC3, H4C5, and EPCAM—for further analysis.

Overall, expression levels of the three biomarkers were significantly higher in urine samples from individuals with prostate cancers than in urine from the healthy controls. The expression of each biomarker diminished to low or undetectable levels in samples taken after surgery. A greater proportion of patients with prostate cancer tested positive for the three biomarkers than for PCA3, another biomarker associated with prostate cancers, in both the development study and the validation study.

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“This test has the potential to help physicians improve diagnostic accuracy of prostate cancer, reducing unnecessary interventions while allowing early treatment for those who need it,” says study coauthor Vipul Patel, director of urologic oncology at AdventHealth Cancer Institute in Celebration, Florida. Patel also is medical director of global robotics for AdventHealth’s Global Robotics Institute, and founder of the International Prostate Cancer Foundation.

“On behalf of physicians and patient globally, I advocate for further study and progress for these biomarkers.”

Investigators are considering how the biomarker panel could be used alone or combined with a PSA test to make a “super PSA,” Perera says. The next steps for the research are to have an independent trial of the test at another institution and to further develop the test for laboratory use in clinical settings, he says. The investigators have filed a patent, and Johns Hopkins Technology Ventures is helping the team to spin off a company.

Additional coauthors are from Johns Hopkins; Charles University in Prague; the University of Kansas; Orlando Health Medical Group Urology-Winter Park in Orlando, Florida; and AdventHealth Cancer Institute.

Support for the work came from the International Prostate Cancer Foundation, the Johns Hopkins Kimmel Cancer Center, the Bankhead-Coley Cancer Research Program to Perera, and by the Maryland Innovation Initiative Grant to Pavlovich and Perera.

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Bettegowda is a consultant for Haystack Oncology, Privo Technologies, and Bionaut Labs. He is a cofounder of OrisDx and Belay Diagnostics.

Source: Johns Hopkins University

Original Study DOI: 10.1016/j.ebiom.2025.105895

Previously Published on futurity.org with Creative Commons License

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How Breath Affects Your Metabolism, Digestion, and Sleep

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By Niraj Naik.

Breathing is often thought of as a simple, automatic act, but its impact extends far beyond the exchange of oxygen. The way we breathe directly influences how our body processes food, produces energy, and even rests at night. By understanding how breath affects digestion, metabolism, and sleep, we can tap into a natural, non-invasive method of supporting health.

Modern research is increasingly exploring the impact of intentional breathing techniques on gut health, metabolic balance, and sleep.

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The Science of Breathing and the Nervous System

Breathing acts as a primary regulator of the autonomic nervous system, which governs involuntary functions such as heart rate, hormone release, and gastrointestinal motility. Shallow, rapid breathing typically activates the sympathetic “fight-or-flight” state, while slow diaphragmatic breathing stimulates the parasympathetic “rest-and-digest” mode. This is why breathwork and the nervous system are inseparably linked: breathing patterns signal whether the body should prioritize energy conservation, digestion, or alertness.

Emerging studies show that science-backed breath training can improve vagus nerve activity, reduce stress hormones like cortisol, and optimize gastrointestinal motility¹. This connection forms the foundation of why breathwork for metabolism, digestion, and sleep is increasingly being studied in clinical contexts.

Breath as a Metabolic Regulator

Metabolism depends on efficient oxygen delivery to cells for ATP (Adenosine Triphosphate, a molecule that serves as the primary energy carrier in cells) production, the energy currency of the body. If breathing is shallow or inefficient, oxygen supply decreases, shifting energy production toward less efficient anaerobic pathways. This leads to quicker fatigue, impaired fat utilization, and sluggish energy output.

Practicing breathing exercises for metabolism enhances diaphragmatic engagement, increasing oxygen saturation and improving the body’s ability to metabolize fat for fuel. For individuals trying to sustain a consistent gym routine, combining physical training with breathwork for metabolism supports endurance and recovery by ensuring cells are well-oxygenated.

Clinical research indicates that slow-paced, deep breathing helps regulate blood glucose and improves metabolic efficiency 2. By practicing daily breathwork for metabolism, people may complement their nutrition and fitness programs, creating a minimalist routine for better health that leverages both movement and controlled breath.

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Diaphragmatic Breathing & Digestive Flow

The digestive process is strongly tied to the parasympathetic nervous system. Stress or anxiety often causes shallow breathing, which impairs gastric secretions and gut motility. This explains how breath affects digestion so profoundly: relaxed breathing enhances vagal tone, improving peristalsis and nutrient absorption.

Early studies and clinical observations suggest that practicing breathwork for digestion may reduce bloating, improve bowel regularity, and support digestive enzyme activity 3. Techniques such as diaphragmatic breathing increase abdominal pressure, gently massaging internal organs, and supporting blood flow to the digestive tract.

For individuals struggling with irritable bowel syndrome (IBS) or stress-related gut issues, breathwork and the nervous system play an essential role in symptom management. Incorporating even five minutes of breathwork for digestion daily can significantly improve comfort and meal satisfaction.

How Breath Regulates Sleep

Poor breathing patterns are linked to insomnia, sleep apnea, and restless sleep cycles. Shallow breathing stimulates the sympathetic nervous system, keeping the body in a heightened state of alertness 4 . By contrast, deep nasal breathing supports relaxation and may indirectly influence sleep-promoting hormones and circadian readiness.

Techniques such as the 4-7-8 method, diaphragmatic breathing, or slow alternate nostril breathing have been validated as effective methods of breathing for better sleep. Practicing breathing exercises for metabolism during the day indirectly aids nighttime rest, as better oxygen use reduces cortisol levels and balances circadian rhythms.

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Patients with sleep apnea demonstrate disrupted oxygen flow, highlighting how disordered breathing disrupts restorative rest cycles. By adopting breathing for better sleep strategies, individuals can improve both sleep onset and depth, making breathwork a cost-free complement to sleep hygiene practices. However, while breathwork may improve sleep quality in some individuals, clinical conditions such as sleep apnea require medical evaluation and treatment.

Integrating Breathwork Into Daily Life

Breathwork is most effective when woven into daily habits. For example:

  • Before meals: Practice 5 minutes of breathwork for digestion to prime the gut.
  • During workouts: Use diaphragmatic breathing to enhance oxygen efficiency and support breathwork for metabolism.
  • At night: End the day with breathing for better sleep to prepare the body for deep rest. Such integration creates sustainable benefits without requiring drastic lifestyle changes.

Whether one follows a structured training program or a minimalist routine for better health, the key is consistency.

Frequently Asked Questions on Breathwork

1. Can breathwork really improve my metabolism?

Evidence suggests that breathwork for metabolism can improve oxygen efficiency and cellular energy production. This may enhance fat utilization, exercise endurance, and recovery, especially when combined with a consistent fitness routine.

2. How does breathwork help digestion?

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Practicing breathwork for digestion stimulates the vagus nerve, improves peristalsis, and reduces stress-related bloating. This explains how breath affects digestion directly and why relaxation-based breathing supports nutrient absorption.

3. What are the best techniques for sleep?

The most effective breathing techniques for better sleep include slow diaphragmatic breathing and the 4-7-8 method. These approaches lower heart rate, reduce cortisol, and promote relaxation before bed.

From Energy to Sleep: The Power of Intentional Breathing

Breathing may seem automatic, but the way we control it influences energy, digestion, and rest. Breathwork and the nervous system create pathways that impact everything from gut motility to mitochondrial efficiency. By incorporating breathwork for metabolism, breathwork for digestion, and breathing for better sleep into daily routines, individuals can unlock powerful improvements in overall health.

For those seeking practical and lasting results, the path does not require complex tools or expensive therapies. Instead, a minimalist routine for better health anchored in mindful breathing can provide profound, science-supported benefits.

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References

1. Gerritsen, R. J. S., & Band, G. P. H. (2018). Breath of life: The respiratory vagal

stimulation model of contemplative activity. Frontiers in Human Neuroscience, 12, 397.

https://doi.org/10.3389/fnhum.2018.00397

2. Obaya, H. E., Abdeen, H. A., Salem, A. A., Shehata, M. A., Aldhahi, M. I., Muka, T.,

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Marques-Sule, E., Taha, M. M., Gaber, M., & Atef, H. (2023). Effect of aerobic exercise,

slow deep breathing and mindfulness meditation on cortisol and glucose levels in

women with type 2 diabetes mellitus: A randomized controlled trial. Frontiers in

Physiology, 14, 1186546. https://doi.org/10.3389/fphys.2023.1186546

3. Liu J, Lv C, Wang W, Huang Y, Wang B, Tian J, Sun C, Yu Y. Slow, deep breathing

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intervention improved symptoms and altered rectal sensitivity in patients with

constipation-predominant irritable bowel syndrome. Front Neurosci. 2022 Nov

4;16:1034547. doi: 10.3389/fnins.2022.1034547. PMID: 36408402; PMCID:

PMC9673479.

4. Cowie, M. R., Linz, D., Redline, S., & et al. (2021). Sleep disordered breathing and

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cardiovascular disease: JACC state-of-the-art review. Journal of the American College

of Cardiology, 78(6), 608–624. https://doi.org/10.1016/j.jacc.2021.05.048

This post was previously published on Mind Body Dad.

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The Hidden Biology of Addiction and Cancer

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I have worked in the healthcare field for more than fifty years. I began my career working in addiction medicine. After working with men and women suffering from addictions to drugs like alcohol, heroin, and cocaine, I began to realize that addiction is not just about drugs.

We know that people can have addictive relationships with food, work, and even sex and love. In my book, Looking for Love in All the Wrong Places: Overcoming Romantic and Sexual Addictions, I say,

When we find that our romantic relationships are a series of disappointments yet continue to pursue them, we are looking for love in all the wrong places. When we are overwhelmed by our physical attraction to a new person, when the chemistry feels fantastic, and we are sure that this time we have found someone who will make us whole, we are looking for love in all the wrong places.

In the book, I also quoted Dr. Stanton Peele, an authority on addiction who reminds us,

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Many of us are addicts, only we don’t know it. We turn to each other out of the same needs that drive some people to drink and others to heroin. Interpersonal addiction — love addiction — is just about the most common yet least recognized form of addiction we know.

Now Dr. Raphael Cuomo has extended our understanding of addiction even further. In his book, Crave: The Hidden Biology of Addiction and Cancer, he says,

We live in a society saturated with addiction, but not just the kind that ends in emergency rooms or interventions. This is not only about heroin, meth, or alcohol. It is about the relentless cycle of stimulation and reward that defines ordinary life. Binge eating. Compulsive phone checking. Nightly glasses of wine. Doomscrolling. Sugar, caffeine, porn, social media validation, and manufactured outrage.

I had the opportunity to interview Dr. Cuomo. I asked him questions that I thought my readers would be most interested in learning about including the following:

  • What first got you interested in the cancer connection and why is this connection both hidden and important?
  • If you were talking to a group of guys, what are some of the things you would say to them about how the book could help them?
  • Tell us in what ways food is a drug and what do we need to know to keep from becoming hooked?
  • What is “Digital Dopamine” and why is it a hidden public health problem?

 

You can watch my full interview with Dr. Cuomo here.

Most of has have concerns about cancer, know someone who has been diagnosed with cancer, or have fears that we ignore or obsess about. Dr. Cuomo offers a new perspective I found very helpful. He says,

We often think of cancer as a genetic accident. A cell mutates, begins to divide uncontrollably, and escapes detection. The story is partially true. But it omits the most important questions:

What makes the body permissive to that escape?

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Why does the immune system, which identifies and eliminates abnormal cells every day, begin to miss its targets?

Why do repair systems fail to correct damaged DNA?

Why does cellular growth shift from regulated to rebellious?

In ten, information-packed chapters, Dr. Cuomo answers these and many more questions that can help us understand the biology of addiction and cancer:

  1. Molecular Scars
  2. The Addicted Society
  3. Craving is Chemical
  4. Inflammation Nation
  5. Food as a Drug
  6. Digital Dopamine
  7. Nicotine, Alcohol, and the Usual Suspects?
  8. Beyond the Individual
  9. Biology Can Change
  10. The New Prevention

 

In his concluding chapter, Dr. Cuomo says,

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Prevention, as commonly understood, has struggled to match the evolving reality of cancer. Cancer involves more than external exposure. It arises from internal conditions. Disease takes hold when the body’s environment shifts toward permissiveness, inflammation becomes persistent, immune surveillance weakens, insulin signaling grows erratic, and repair mechanisms fall behind damage. These issues arise collectively, resulting from behavioral, emotional, and structural patterns repeated consistently over time.

For more information about Dr. Cuomo and his work, you can visit him here: https://raphaelcuomo.com/

You can watch my interview with Dr. Cuomo here: https://youtu.be/GLuHclBPH4U

This post was previously published on Menalive.com.

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