Two health designs

We highlight design because humans are conditional creatures. Certain circumstances make certain actions more or less likely. Living near a huge retirement community in Florida shows this contrast clearly. The involvement in new sports like pickleball, water volleyball, and sand tennis exemplify the design principle: If you build it, they will come.

In talking about his book,Drink?, David Nutt notes how much alcohol is a cultural act. Per Nutt, alcohol’s health impacts are terrible, the societal costs are large, and meaningful outcome changes wouldn’t require that much tweaking to the current system. But we don’t change.

Culture is design too. So to not drink a person needs to counter culture.

“In my book I suggest if people say to you, ‘Why aren’t you drinking?’ quite a good repost is to say, ‘Because I’ve got quite a busy day tomorrow.'” – David Nutt, London Real, February 2020

That’s good communication, it’s in the listener’s language.

The second design is around fasting, an area design helps.

“Right around the five hour mark of a fast you’ll probably get hungry (this being our ‘normal’ time between meals), and that’s the most difficult time. Sleeping through that is the best idea then. If you can start a fast at three p.m., then in the evening you have to stay away from the snacks, but when you wake up you’re in that cruise state of twelve plus hours.” – Matt Tullman, No Meat Athlete Radio, October 2021

In my experience this is true. Fasting pangs are non-linear. Depending on the time, circumstances, and maybe even hydration, a fast can be more or less difficult. Sleeping through those time-based hunger troughs can help.

You are a designer. I’m a designer. We are all designers.


Nutt sounded quite certain in the podcast about the health effects, but a query for “cancer alcohol meta analysis” showed less convincing results. In an attempt to be more Bayesian I’ll update from ‘quite bad for you’ to ‘pretty bad for you’.

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