Charlie Kirk Assassination: Hope and Prevention

Charlie Kirk Assassination: Hope and Prevention

“You can’t silence an opinion by ending its life…you only prove its weight” (Charlie Kirk).

As a Christian parish nurse, I felt the need to address the assassination of Charlie Kirk. Most reasonable caring people agree that this horrific crime was not only an evil act of violence but completely unamerican. While our brilliant founding fathers were most certainly flawed people, they were inspired to set up a unique system that has worked for the United States for 250 years. It’s built on the freedom to worship as desired and speak boldly but peacefully while holding different opinions.  Basically, we agree to disagree and work to change hearts and minds. Political violence of any kind is forbidden!

Charlie Kirk died because he was exchanging challenging points of view with college students. Though his body is buried in the ground…Christians believe that he is alive with Jesus in Heaven. But just as seeds are buried in the ground and rise into beautiful plants and flowers, Charlie’s ideas have taken root and will spread across the world. To that end I wanted to share areas of hope and offer things to watch for in a troubled young person who may choose violence over discourse. First…hope.

Zachary’s Letter
My nephew is a 34-year-old welder who manages a small team of plant workers.  He was inspired to write the following.

“To those that have been privy to recent events… Anyone that knows me, understands that I do not make daily posts of the ongoings of my personal life, but in light of recent events and hatred, I did want to share my opinion.

We currently live in a world where we have lost our ability to agree to disagree. Left or right, I don’t care where you align, if you condone the actions of what happened to Charlie Kirk and his family on 9/10, you are unfortunately the source of what is wrong with our country. To praise the assassination of someone just because you disagree with their beliefs, shines a very bright light on what has been wrong with our country.

At the end of the day, a mother has been widowed, two children will grow up without their father in their life, and an advocate who stood up for what he believed in was eliminated from existence due to a difference of opinion and momentum in their movement.

I don’t care if you lean left or right, if you support what happened yesterday, unfortunately you are the problem.  I hope that we can come together as a nation, regardless of our political beliefs and that no more family’s will be shattered due to misalignments in beliefs, or in hopes to push a political agenda.

America truly has lost its ability to agree to disagree or have a conversation with those that don’t align with the beliefs they hold true to their hearts. I truly hope and pray that we as a nation can come together and not continue to tear this rift open even further between each other. If this resonates with anyone then I believe we truly can carry on the legacy of what Charlie stood for and his memory will amount to his movement and not be defined by what happened yesterday.

Zachary C”

I’m hopeful that more people will step up like Zachary and push back the insanity.

Prevention: A Call to Action
What are we to do to end this violence? First pray for our nation and our trouble young people who have become poisoned by evil thoughts and actions. Vulnerable, depressed teens are at the greatest risk. They need our love and compassion to help them sort things out and good mental counseling. 

What are the Warning Signs of Mental Illness?
Knowing when to be concerned regarding a loved one is the first step. Schizophrenia, autism, depression and even some anti-depressants have shown to increase violence in disturbed adolescents and young adults. Some on the following list may raise insight into a developing problem and can be present in a variety of mental disorders.

–Excessive worrying or fear

–Continued feelings of sadness

–Confused thinking

–Extreme mood changes

–Frequent angry outbursts

–Avoiding friends or social activities

–Problems relating to people

–Sleeping too much or too little

–Eating too much or too little

–Changes in sex drive

–Experiencing delusions or hallucinations

–Lack of insight

–Overuse of alcohol or drugs

–Complaints of multiple physical ailments

–Intense fear of weight gain

–Inability to carry out daily activities

In addition, authorities reported that Charlie Kirk’s shooter spent hours on computer games and social media. Science is only beginning to understand the trauma on children allowed to spend hours on computer games and how this may impact normal brain and social development with regards to mental health over time.

Where to Go for Help
The pastors of local churches are generally aware of good professional counseling in their area. You can call any church, and they would most likely be happy to help and offer resources. As a Christian parish nurse, I would certainly start there. Focus on the Family has a website with referral information at focusonthefamily.com. They will search a zip code for a Christian counselor.

Access to Guns
If you have a teen or young adult struggling with a mental illness, please limit their access to guns! It was reported that Kirks’ shooter was given his grandfather’s powerful hunting rifle used in the assassination. While the 2nd Amendment protects Americans with the right to own a gun, certainly responsible parents must protect disturbed individuals from firing them on innocent people as best they can.

On A Personal Note
I will confess I haven’t been very good about reaching out to those around me who have become possessed by some of this harmful ideology. However, Charlie Kirk’s assassination was a wakeup call for me to get more involved because he was killed simply because he held a different view from the perpetrator. He was on that campus inviting angry students to exchange ideas, challenge thinking and hopefully, change their hearts and minds.

He was also a devout Christian, who encouraged young men and women to return to church. Charlie taught that the Bible was inspired and written to guide our lives in the path that produces the most peace of mind and joyfulness… not to punish us. He died living out that faith in Jesus.

His death was a watershed moment for me. I’m personally getting more actively involved with a local political group who is partnering with a new high school Turning Point chapter to help get them started.

May God bless each one of you with wisdom and courage as Charlie Kirk displayed and please pray for our nation and leaders on BOTH sides of the aisle.

And I heard the voice of the Lord saying, “Whom shall I send, and who will go for us”

Then I said, “Here I am Lord! Send me” (Isaiah 6:8)

References:

  1. Owens, “An Uncomfortable Truth: Does the Rise of Antidepressants & SSRI’s Fuel Mass Shootings?” Psychreg(January 30, 2023). https://www.psychreg.org/antidepressants-ssri-mass-shootings/

“Warning Signs and Symptoms of Mental Illness,” National Alliance on Mental Illness (2025). https://www.nami.org/about-mental-illness/warning-signs-and-symptoms/

Ankita Guchait, “Effects of Gaming on Kids: Aggression & Language,” Psychology Today (February 22, 2025). https://www.psychologytoday.com/us/blog/the-realities-of-refugee-screening/202502/the-effects-of-gaming-on-kids-aggression-and

 

Wu, Dong, Liu & Li, “How Early Digital Experiences Shapes Young Brains 0 – 12 Years: A Scoping Review”, Early Education & Development (November 11, 2023). https://d197for5662m48.cloudfront.net/documents/publicationstatus/146084/preprint_pdf/67296863c4427ec7ce0e39a194ce67a3.pdf.

Focus on the Family. https://www.focusonthefamily.com/about/contact-us/

I’m a Christian nurse who helps people navigate the murky waters of healthcare

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Helping those with PTSD

Helping those with PTSD

Recently, I met a pastor who was a combat marine in 1965 during the Vietnam War who today occasionally suffers from Post Traumatic Stress Disorder (PTSD). Counseling helped a great deal, but the 4th of July fireworks sometimes take him back to the jungle and gun fire of Vietnam. His wife has learned to grab his hand and remind him that he’s safe and with the family in America which helps decrease his stress. How many combat soldiers among us need that comfort and support as well? Further, are there any non-combat people who also suffer from PTSD?

Post Traumatic Stress Disorder (PTSD)?
Post Traumatic Stress (PTSD) is a mental health condition caused from experiencing an extremely terrifying event, being part of trauma or witnessing it. Symptoms may include flashbacks, nightmares, severe anxiety, intrusive, repetitive and uncomfortable thoughts regarding the event. While we often think of it only in combat soldiers it may occur within adults and children of any age.

Adult Symptoms of PTSD
There are a variety of symptoms an individual may experience after a traumatic event.

 Intrusive Memories: Repeated thoughts of the traumatic event may occur as if it was happening now. Sleep may be disturbed with horrific nightmares. Certain events such as fireworks may remind them of the event and trigger a strong uncomfortable physical reaction such as increased heart rate, pulse, respirations and blood pressure. It’s as if the person is reliving it repeatedly.  

Avoidance: Some people desperately try to avoid thinking about the event. The individual may avoid people, places and activities that are a reminder which leads to social isolation.

Negative Changes in Thinking and Mood: Some suppress the memory of the event, but it comes out in negative thoughts about the world and others. Harmful emotions such as fear, blame, guilt, anger or shame may persist. Poor self-esteem may follow. Emotions are numbed with a detachment from family and friends. Individuals may avoid activities once enjoyed.

Physical and Emotional Changes: While some emotions are numbed, others may be hyper aroused. The individual may be easily frightened, irritable, aggressive or always looking out for danger. Self-destructive behaviors such as alcohol, drug abuse or aggressive driving may occur.

Children’s Symptoms
For children >6 years old he or she may reenact the traumatic event through play or experience unusual frightening dreams.

Suicidal Thoughts
If you or someone you now express suicidal thoughts get help immediately! Reach out to someone you trust, a spiritual leader or healthcare provider.

In the US call or text 988 (24 hour a day Suicide & Crisis Lifeline)

US Veterans can call 988 and then press 1 or text 838255 (Veterans Crisis Line)

If the individual thinks they may hurt themself or someone else call 911!

When to Seek Treatment
If the PTSD symptoms persist after a month from the traumatic event or interfere with a normal life, it’s a good idea to seek a healthcare provider or mental health professional.

Psychological Treatments
The American Psychological Association (APA)’s Clinical Guideline recommends various areas of focus.

Cognitive Behavioral Therapy (CBT): The guideline recommends this approach as the first line of treatment. The individual learns to focus their thoughts, feelings and triggers of the PTSD reactions. New ways of coping are developed and harmful memories regarding the traumatic event are lessened. Avoidance behaviors are explored and reduced with slow prolonged exposures. Baby steps reduce fear.

Eye Movement and Reprocessing (EMDR) This therapy is a second line approach. Disturbing memories can become stored inappropriately or greatly repressed. EMDR directs the individual to briefly focus on their painful memory while moving both eyes in certain directions. In essence it restores the painful memory with a more positive one.

The Cleveland Clinic describes it best:
EMDR therapy is a relatively new — but very effective — method of helping people with traumatic memories. When you undergo EMDR, you access memories of a trauma event in very specific ways. Combined with eye movements and guided instructions, accessing those memories helps you reprocess what you remember from the negative event. That reprocessing helps “repair” the mental injury from that memory. Remembering what happened to you will no longer feel like reliving it, and the related feelings will be much more manageable.

Pharmaceutical Treatments
Anti-depressants The Selective Serotonin Reuptake Inhibitors (SSRIs): sertraline (Zoloft), paroxetine (Paxil) have been approved by the FDA for the treatment of PTSD. These drugs increase serotonin and dopamine (feel good) chemicals in the brain. Other medications may help. It’s important to speak with the healthcare provider regarding benefits verses potential side effects.

Ketamine Infusion Along with therapy, Ketamine Intravenous IV infusions were approved by the FDA to treat PTSD in the 1970’s. It’s an anesthetic that reduces pain and improves mood thus reducing the negative symptoms from PTSD. Therapy is more successful. An IV infusion is administered every 2 to 4 weeks.

Experimental Psychedelic Hallucinogenic Treatments
These emerging treatments also known as psychedelic augmentation are being used to enhance therapy by altering the perception and mood of how the brain perceives negative memories. Preliminary evidence has been promising but these substances are dangerous and must be used under the care of a physician. Currently they are illegal in the US except in a few research studies.

While these are both still Schedule I substances—drugs with high abuse potential and no currently accepted medical use—ongoing research efforts have found support for using these compounds in conjunction with therapy to treat various mental health conditions, including PTSD. The Veterans Health Administration’s (VHA) Office of Research Development (ORD) is funding research on psychedelic compounds in Veterans.

Methylenedioxymethamphetamine MDMA (Ecstasy/Molly) This drug works by targeting memory storing and reducing areas of the brain. Fear is reduced while social engagement, openness, positivity, empathy, and compassion are enhanced. It also increases serotonin, dopamine and oxytocin (feel-good) chemicals in the brain. While much is still unknown a positive interaction occurs between the medicine, the psychotherapy, the participant and the therapist.

Psilocybin (Magic Mushrooms) While much remains unknown as well, these mushrooms seem to work on various neurotransmitter chemicals in the brain similar to serotonin. Participants under the care of a physician report a wide range of unusual experiences for 4 to 6 hours depending on the dose. They describe multiple senses occurring at once such as tasting color, loss of self, mystical experiences, bliss, connectedness to others and a diminished fear response.

Along with therapy it induces emotional breakthroughs with greater positive changes in personality, behavior and well-being. Research is ongoing into the efficacy of Psilocybin-Assisted Therapy (P-AT), but more evidence-based research is definitely needed.

How Can Families Help?
Learn more through the National Center for PTSD (https://www.ptsd.va.gov/). Offer to go with your loved one to appointments with healthcare providers. Listen as much as you can to their stories and frustrations. Go for a walk or bike ride with them to reduce stress. Encourage socialization with other family members and friends.

Tips to Deal with Anger
Set a Time Out: Determine a signal when anger and frustrations get heated to take a time out until cooler heads prevail. Agree to share where you’ll go and what you’ll do during the time out. Also determine how long the time out should last.

After the Time-Out: Take turns talking about the problem. Listen without interrupting. Use I think or I feel instead of youstatements. Be open to the other person’s point of view. Focus on things you both think will work and agree on solutions. These are great strategies for all of us but especially for someone with PTSD who struggles with an appropriate anger response.

On A Personal Note:
It’s hard to imagine what our hero soldiers went through during combat in war. One of my Great, Great, Grandfathers lost an arm during the Civil War while the other Civil War grandfather never spoke of it. We didn’t even know he served until recently. He lived in Pennsylvania at the time and probably enlisted or was drafted from there. General – President Grant was a distant relative.

We pondered what happened that kept him so quiet. He was also the relative who traveled by covered wagon from Chicago to western Kansas during the great western migration. Why did he never speak of his war experience? I think PTSD may have played a role.

Personally, I’m praying for peace in the Middle East and with Ukraine and Russia. The last thing we need is another war where our soldiers are called upon to experience horrific combat with injuries and or death.

PTSD occurs in other people who didn’t serve in a war. One can only wonder what horror those victims endured. If you or someone you love suffer from any kind of trauma…please reach out for more information and get help. Ask you pastor or spiritual leader for a Christian counselor who specializes in PTSD or trauma recovery. There is much that can be done.

Thank you to our soldiers who bought our freedom. May you get the love, healing and patience that you need.

Be strong and courageous. Do not be frightened, and do not be dismayed, for the Lord your God is with you wherever you go (Joshua 1:9).

Reference:

“Post-traumatic Stress Disorder (PTSD),” Mayo Clinic. August 16, 2024. https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/symptoms-causes/syc-20355967

“PTSD Treatments APA’s Clinical Practice Guideline Recommends Three Interventions for Treating Posttraumatic Stress Disorder and Suggests Another Four,” April 2025. https://www.apa.org/ptsd-guideline/treatments.

“EMDR,” The Cleveland Clinic, (March 29, 2022). https://my.clevelandclinic.org/health/treatments/22641-emdr-therapy

“Medications for PTSD, American Psychological Association APA (April 2025). https://www.apa.org/ptsd-guideline/treatments/medications

Wadmin, “How Ketamine Infusion Therapy Is helping patients Struggling with PTSD symptoms” Mindful Health Solutions, (February 6, 2023). https://mindfulhealthsolutions.com/how-ketamine-infusion-therapy-is-helping-patients-with-ptsd-symptoms/

  1. Morland & J. Wooley, “Psychedelic-Assisted Therapy for PTSD,” PTSD National Center for PTSD, Veterans Administration, (June 25, 2025). https://www.ptsd.va.gov/professional/treat/txessentials/psychedelics_assisted_therapy.asp

“Helping a Family Member Who Has PTSD” VA PTSD: National Center for PTSD (March 26, 2025). https://www.ptsd.va.gov/family/how_family_member.asp

PTSD: National Center for PTSD, VA, (May 9, 2025). https://www.ptsd.va.gov

I’m a Christian nurse who helps people navigate the murky waters of healthcare

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Humble – An Inspirational Story

Humble – An Inspirational Story

This story was sent to me via a friend. I thought it was so good that I wanted to share it with all of you. I hope your summer was blessed with wonderful memories.

Enjoy!

 When Henry Ford asked for the cheapest hotel in town… people were stunned.
He had just landed in England — already a billionaire, already one of the most recognized names in the world. But instead of luxury, he walked up to the airport information desk and asked, simply:

“Where’s the cheapest place to stay?” The clerk hesitated. Worn coat. Modest bag. Calm voice. Then he realized who was standing in front of him.

Henry Ford. The man whose name was in every newspaper. The face behind an empire.“Sir… aren’t you Mr. Ford?” he asked, still processing.

Ford nodded. “Yes, I am.”

 Still puzzled, the clerk continued: “I know your son always stays in the best hotels, wears the finest suits. But you—you’re asking for the cheapest room, in an old coat that looks older than you…Why?”

 Ford smiled. Just enough to say everything without saying too much. “Because I don’t need more than a place to sleep. Wherever I stay — I’m still Henry Ford And this coat? It belonged to my father. It keeps me warm. That’s enough.”

 He paused. Then added, quietly: “My son is still learning. He still worries what others think. But I’ve learned to stop paying for approval. I didn’t become wealthy by spending — I became wealthy by understanding what matters, and what doesn’t.”

 A quiet lesson wrapped in humility: True wealth isn’t in what you show — it’s in what you know. You are not your coat, your hotel, or your bank account. You are who you are, wherever you go.

On A Personal Note:
I read this story to my family and most especially my grandchildren after a day of wrangling young children. A silence fell across the room as they loved the story but more importantly learned the lesson.

 Blessed are the meek, for they shall inherit the earth (Matthew 5:5).

Refences:
David Attenborough, “Henry Ford’s Humble Approach to Wealth and Success as Summarized by AI,” Facebook (May 8, 2015). https://www.facebook.com/groups/davidattenboroughfanss/permalink/4128920884045721/

 Be strong and courageous. Do not be frightened, and do not be dismayed, for the Lord your God is with you wherever you go (Joshua 1:9).

I’m a Christian nurse who helps people navigate the murky waters of healthcare
References:

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Fasting Diets

Fasting Diets

In the past 60 years obesity rates in the US have tripled from 13% in the 1960’s to 43% today. Nearly 70% of Americans are either overweight or obese. Struggling with excess weight is a daunting reality for far too many Americans. Fasting diets have arisen as a possible solution. The question remains: are they helpful in the long run or harmful?

Intermittent Fasting
Alternating episodes of eating and fasting describe the pattern of intermittent fasting (IF). The Leangains Protocol also known as the 16/8 Method is the one most used. Participants fast for 16 hours and eat for 8. Two meals a day are recommended while bingeing is discouraged. Breakfast is the meal most often skipped.

The Eat-Stop-Eat Method involves a 24 hour fast twice a week. While the 5:2 Diet reduces calories to <500 to 600 on 2 days a week.

3 Day Water Fast
Perhaps the most challenging is the 3 Day Water Fast where primarily only water is consumed. In the first 24 hours the glycogen or sugar stored in the liver and muscles is burned for energy. After 24 hours fat is broken down for energy producing ketones as a byproduct. The ketones in the blood create an acidotic state that over time may change gut bacteria, reduce bone health, damage kidneys and lead to increased risk for cancer and other diseases. Keto Flu symptoms include headaches, brain fog and fatigue.

Benefits of Fasting
A review study was done between 2000 and 2019 examining 27 small studies. Most of the study groups had <50 participants and lasted only between 2 and 26 weeks. Validity is required for much larger numbers and a longer length of time. However, it did indicate that there may be a benefit for some intermittent fasting but much more research is needed to better understand the benefits and harms. Some promising benefits include:

Autophagy may occur after prolonged fasting that begins to repair and renew cells. It may play a role in cancer prevention.

Reduced risk factors for heart disease by lowering blood pressure and improving abnormal cholesterol numbers.

Improved insulin effectiveness and glycemic or glucose metabolism.

Enhanced leptin an appetite suppressant which helps one feel full.

Weight loss

Dangers of Fasting
Obviously the longer the fast, the greater the risk of adverse consequences. The 3 Day Water Fast is the most dangerous for a variety of reasons but everyone should use caution and speak with a healthcare provider before engaging in any fasting eating pattern. The harms may include:

–Dangerous Hypoglycemia (low blood sugar): Severe calorie restrictions play havoc with diabetic medications and MUST NOT be attempted without a healthcare provider’s supervision!

Electrolyte Imbalances: Too much water flushes sodium out with the excess water recommended during the fast. Hyponatremia (low sodium) is a dangerous deadly condition that may result.

Gout Eruption: Anyone with a history of gout should also speak with a healthcare provider as severe dehydration and calorie restriction enhances uric acid formation.

Orthostatic Hypotension: Low blood pressure may occur when standing suddenly.

Nutritional Deficits: Lack of a variety of food depletes key vitamins and minerals needed to enhance immunity and body functions.

Muscle Loss: In general, the greater the muscle size, the higher the metabolism. Longer term fasting results in muscle loss.

Dehydration:  Food provides 20% to 30% of daily water hydration and is depleted when fasting.

Psychological Complications: Exacerbation of eating disorders, discouragement and despair when the weight returns.

Refeeding Syndrome
This problem occurs if too much food is consumed following fasting, especially after a 3 Day water fast. During the fast key nutrients have been depleted and the body adjusted to the starvation state. Adding too much food too fast may induce severe electrolyte abnormalities that alter the function of the heart, lungs, brain and kidneys. It induces a myriad of serious potentially lethal complications. Again, working with a healthcare provider is the safest approach to prevent this potentially lethal complication.

 

What Does Work?
I’ve counseled many people on proper weight management that is maintained over time. The following recommendations have been the most helpful for continued success.

The Mediterranean Diet: This eating plan remains the most effective and best tasting strategy for people across the world.

Set Up your Environment for Success: Remove those foods that lead to binge eating. If it’s not good for you it’s not good for your children either. Brian Wansink’s book Mindless Eating describes those unconscious mistakes that sabotage the best of intentions.

Don’t Drink your Calories: Sweetened coffee, alcoholic beverages and sodas are killers.

Increase Protein in your Diet: Protein throughout the day helps stabilize blood sugar levels and reduce cravings.

Reduce your Portion Sizes.

Eat a Variety of Fruits and Vegetables.

Increase your Muscle Mass: Bigger muscles increase metabolism while at rest as you burn extra calories.

Go for a walk, get a good night’s sleep and destress your life.

On A Personal Note:
I’ve maintained a healthy weight all my life. I enjoy the food I love in smaller portions, have added more protein to my diet, and working on increasing my physical activity. This past fall I had a knee replacement. Due to an allergy to the adhesive in the dressing I had to be on Benadryl for a week. It completely reduced my appetite and broke a lifelong sugar craving.

It was all I could do to get the Ensure down that I needed to heal.

However, 9 months later I’ve maintained the 20-pound weight loss. I don’t crave sugar as I did before. I may have a sweet, but it just doesn’t taste the same. Consider a sugar break for 2 weeks. You’ll be shocked how it will also help end your sugar addiction.

Personally, I use a modified 16/8 fast. I eat a very small portion of either a small amount of yogurt, a handful of nuts or a piece of peanut butter toast for breakfast. The protein lingers filling me up until lunch. If’ I’m hungry I eat a palm size of peanuts. Honestly, I’m shocked how it works.

Maintaining a healthy weight is a challenge in a world filled with wonderful food and enormous portion sizes. But you can do it! Try a few of these tips and if you do decide to try a fast, please check with your doctor.

May God bless you as you try some new strategies to maintain a healthier weight over time.

 So, whether you eat or drink, or whatever you do, do all to the glory of God (1 Corinthians 10:31).

I’m a Christian nurse who helps people navigate the murky waters of healthcare
References:

USA Facts Team, “USA Obesity Rates Tripled Over the last 60 Years,” USA Facts (March 21, 2023). https://usafacts.org/articles/obesity-rate-nearly-triples-united-states-over-last-50-years/

  1. Gunners, “Intermittent Fasting 101-The Ultimate Beginner’s Guide, Healthline, Nutrition (May 3, 2024). https://www.healthline.com/nutrition/intermittent-fasting-guide

  1. Mitri, “Fasting for 3 Days: Is It a Game -Changer for your Metabolism or a Risk not Worth Taking?” Welltech/Well Hub (January 1, 2025). https://welltech.com/content/fasting-for-3-days/

  1. Streit, “7 Keto Risks to Keep in Mind,” Healthline (March 25, 2025). https://www.healthline.com/nutrition/dangers-of-keto-diet#5-May-cause-dangerously-low-blood-sugar

Welton et al., “Intermittent Fasting and Weight Loss, Systematic Review” Canada Family Physician (February 2020). https://pmc.ncbi.nlm.nih.gov/articles/PMC7021351/

  1. Raman, “Water Fasting: Benefits and Dangers,” Healthline (October 10, 2022).

https://www.healthline.com/nutrition/water-fasting

“Refeeding Syndrome,” The Cleveland Clinic (June 6, 2022). https://my.clevelandclinic.org/health/diseases/23228-refeeding-syndrome

  1. Wansink, Mindless Eating: Why We Eat More than We Think (December 28, 2010). https://www.amazon.com/Mindless-Eating-More-Than-Think/dp/034552688

I’m a Christian nurse who helps people navigate the murky waters of healthcare.

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Prescriptions – How the System Works

Prescriptions – How the System Works

Recently, President Trump made news with an Executive Order designed to decrease the cost of prescriptions for Americans. He told a story that articulates the problem best:

A friend of mine who’s a businessman, very, very, very top guy, most of you would have heard of him. Highly neurotic, brilliant businessman, seriously overweight … and he takes the … fat shot drug. He called me up and he said, ‘President… I’m in London and I just paid for this fat drug I take…I just paid $88 and in New York I pay $1,300.’

Unfortunately, this problem is all too common for most Americans who take medications that have not been released in a generic form. President Trump’s first paragraph of the Executive Order describes the problem:

 The United States has less than five percent of the world’s population and yet funds around three quarters of global pharmaceutical profits. This egregious imbalance is orchestrated through a purposeful scheme in which drug manufacturers deeply discount their products to access foreign markets and subsidize that decrease through enormously high prices in the United States.

For as long as I remember the argument for the disparity of the cost of what Americans pay for non-generic medications compared to the rest of the world is that we need to fund research and development. There is no doubt that American drug companies’ revolutionary drugs have developed incredible solutions to many health problems. However, the question remains why must Americans shoulder most of the costs?

The Current System
It takes years to develop a new drug and then test it for efficacy and safety. Drug studies are very expensive involving thousands of people. The FDA then evaluates the results to determine if the new drug should be approved for use. The system only works if the FDA evaluators are independent of the pharmaceutical companies. For years there has been a revolving door of evaluators serving in the FDA then accepting positions at pharmaceutical companies. Questions have arisen regarding the objectivity of these affiliated members.

Generic Drugs
After 20 years or so the new drug’s recipe becomes available to other manufactures and generic drugs are born. They are significantly cheaper than the trade name or newer patent protected drug. Most healthcare providers utilize generic drugs whenever they can to reduce costs for their patients. Currently many are made in other countries. There is a move to bring that manufacturing back to the United States.

Pharmacy Benefit Managers: The Middlemen
Compounding the problem are the large pharmacy benefit managers or also known as middlemen who go-between the drug company and the pharmacy. The Federal Trade Commission issued an interim report in 2024: The report details how prescription drug middlemen profit at the expense of patients by inflating drug costs and squeezing main street pharmacies. It’s a complicated system that President Trump is looking into with the recent Executive Order.  

What You Can Do if Your Medications Cost to Much

 Insurance
If you’re on Medicare during the annual enrollment period, you can change your drug plan to one that is more affordable. Rates tend to increase annually so it’s a good idea to examine your plan and change it to a cheaper one that covers your costs better. A Medicare/Secondary advisor can evaluate your plan.

Coupons
Good RX, and others provide coupons that you present to your pharmacist to get a better price on an expensive medication. They usually require a cash payment to use the coupon. As an example, go to goodrx.com and enter your medication. A list of local pharmacies will be displayed and their cost for that drug. Just because you have most of your medications at one pharmacy doesn’t mean you have to remain with that pharmacy when using a cash payment and a coupon. You may pick up the expensive one at one place and use your insurance for the others at a different place.

Hardship Cases
For some people the cheaper generics just simply don’t work and a newer more expensive trade name still under patent is needed but you can’t afford it. You can contact the drug manufacture directly to inquire if you qualify for a major reduction in cost based on your financial situation.

On A Personal Note:
My husband had a slight detached retina a few years ago. It required several repairs, and very expensive eye drops to heal it. With a little bit of homework, we worked with the doctor, pharmacy and insurance company to find solutions and drops that worked but were more affordable.

I’m on an estrogen derivative that is very expensive. I used Good RX for a few years but the price was still very expensive. Surprisingly, I found it much cheaper on the Amazon Pharmacy. It’s easy to use. Amazon provides a form for the healthcare provider to email the prescription. The medication is sent out in the mail.

Finally, Americans have been expected to carry the heavy burden of all the nations around the world on many issues. It’s time that they step up and share these costs as well. The bottom line for this is to pray for our representatives to come up with commonsense Judea Christian governance to solve the problems of today. May they do so…

Let the wise hear and increase in learning, and the one who understands obtain guidance (Proverbs 1:5).

References:

Kinsey Crowley, “Trump Mentions ‘Fat Shot Drug’ in Executive Order Announcement. Will Ozempic Get Cheaper?” USA Today (May 13, 2025). https://www.usatoday.com/story/news/2025/05/13/trump-fat-shot-drug-ozempic-prices-wegovy/83595110007/ .

“Delivering Most-Favored-Nation Prescription Drug Pricing to American Patients,” The White House, (May 12, 2025). https://www.whitehouse.gov/presidential-actions/2025/05/delivering-most-favored-nation-prescription-drug-pricing-to-american-patients/

Sydney Lupkin, “A Look at How the Revolving Door Spins from FDA to Industry,” NPR Shots Health News (September 28, 2016). https://www.npr.org/sections/health-shots/2016/09/28/495694559/a-look-at-how-the-revolving-door-spins-from-fda-to-industry

Ananya Mandal MD, “Drug Patents & Generic Pharmaceutical Drugs, News medical Life Sciences (September 24, 2016). https://www.news-medical.net/health/Drug-Patents-and-Generics.aspx

“FTC Releases Interim Staff Report on Prescription Drug Middlemen,” Federal Trade Commission (July 9, 2024). https://www.ftc.gov/news-events/news/press-releases/2024/07/ftc-releases-interim-staff-report-prescription-drug-middlemen

GoodRX.com. https://www.goodrx.com    

“How It Works” Amazon Pharmacy. https://pharmacy.amazon.com/?nodl=0&ref_=nav_cs_pharmacy

I’m a Christian nurse who helps people navigate the murky waters of healthcare.

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.