Freakonomics Radio

660. The Wellness Industry Is Gigantic — and Mostly Wrong

525 snips
Jan 23, 2026
Zeke Emanuel, an oncologist and bioethicist from the University of Pennsylvania, shares refreshing insights on wellness and longevity. He controversially suggests indulging in ice cream for joy and moderation. Emanuel critiques the $7 trillion wellness industry, emphasizing the importance of real social connections and lifelong learning. He also discusses the limits of nutritional studies, the risks of smoking, and the promising potential of psychedelics for mental health. His practical tips include simplifying nutrition habits and building exercise routines for better health.
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INSIGHT

Wellness Is Big But Often Shallow

  • The global wellness industry is huge and often mixes novel claims with little causal evidence.
  • Zeke Emanuel argues wellness should be simple, habitual, and enjoyable rather than faddish and complicated.
ADVICE

Avoid Obvious High-Risk Choices

  • Don't be a schmuck: avoid high-risk, low-reward behaviors like smoking or dangerous tourism.
  • Quit or reduce obvious harms and push for policies like higher tobacco taxes to discourage risky choices.
ADVICE

Replace Work's Functions Before Retiring

  • Keep working or replace work's social, cognitive, and scheduling roles with volunteering if you retire.
  • Preserve social ties, routine, and cognitive challenge to delay cognitive decline.
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