I have been careful about vaccines - not because I don’t have thoughts.

I have a lot of thoughts.

I’ve watched hundreds of hours of ACIP meetings. I’ve read the studies. I practiced emergency medicine through Covid. I’ve sat across from mothers telling me what happened to their child at a well-visit and then watched myself say the words “the CDC says vaccines are safe and effective” because that was what I was trained to say, and I didn’t have much better to offer.

I have been careful because the cost of not being careful in this particular conversation (even simply admitting that we don’t know what we don’t know), has historically cost your career, your credibility, and your inbox.

I wrote about it once, carefully, and the response was instructive.

Then President Trump walked up to a podium with Marty Makary, Jay Bhattacharya, Dr. Oz, and Dorothy Fink and said what many of us have been thinking for years. That there seem to be some things we don’t fully know. That the effects of one va…

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Men die 6.5 years earlier than women. They have higher mortality in 9 of the 10 leading causes of death. They use healthcare resources 69% less than women.

And yet, we’ve spent approximately zero political capital addressing any of this — despite the economic burden of ignoring it approaching $500 billion a year.

That’s changing.

The FDA just held its first-ever men’s health panel — and has finally started the conversation.

I sat down with Carrie Abbott last week to talk through what I heard in that room.

We discuss the testosterone data that’s been buried under decades of a myth born from a study so small and so old it has no business still driving clinical decisions in 2025. And newer research from the VA which tracked over 80,000 men with low testosterone and found that the men who restored their levels to normal had a 56% lower risk of all-cause mortality compared to those who didn’t.

Testosterone isn’t just about sex drive.

It’s about the diabetic whose foot won’t heal, the 68-year-old…

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At 21, a doctor told me I had PCOS and pre-diabetes and then handed me a Metformin prescription.

“This is just what you’ll have to live with,” she said.

So I did. Until I didn’t.

(Turns out eating real food and moving your body is a treatment plan. Who knew?)

But that was the first time a strange thought crossed my mind. Maybe the people who say they know how this works… don’t actually know anything about how this works.

Hmm.

Years later — after the NFL, foreign medical school, PA school, the ER, and COVID — I read The Price We Pay by Dr. Marty Makary and suddenly understood things I hadn’t been able to articulate before.

• Why I’d been handed a pill instead of a lifestyle prescription.

• Why my employment contract said I wasn’t allowed to tell patients that a cash-pay clinic existed across the street.

• And 1000 other horrific, uncomfortably true things about medicine, and the system we call ‘health care’.

(I’m still looking for a word to describe it that doesn’t start with an F-, but haven’t foun…

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