The Pitfalls of the Wellness Industry
How to spot false idols while trying to be healthy and well
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What does it mean to be well? In an era where our broken medical system readily fails to meet our needs—and where the pursuit of health has become both a science and a spectacle—it makes sense that more and more people look outside traditional medical spaces for answers. I get it. We all want to feel better, live longer, have more energy, and reclaim control over our well-being.
Just at the moment the American medical system feels impersonal, ineffective, and inaccessible, the wellness industry seems to understand what we’re looking for.
And why wouldn’t we look? The wellness industry promises clarity, control, and solutions. It markets itself as a refuge from the failures of conventional medicine, offering alternative approaches and cutting-edge insights that claim to solve what ails us. Unlike the healthcare system, which often feels like an exercise in box-checking, the wellness industry is designed to make us feel seen and understood. It’s a $4.4 trillion industry for a reason. It thrives on the very premise that traditional medicine isn’t enough—and it’s not wrong.
The problem is that being not wrong isn’t the same as being right. While many elements of the wellness industry make sense, and while many practitioners in this space are careful not to misrepresent their expertise, the wellness industry is riddled with pitfalls—misinformation, empty promises, and pricey solutions. It often creates more confusion than clarity. It thrives on our anxieties about health, our desire for quick fixes, and our cultural obsession with self-“optimization”. And while some aspects of wellness culture offer real benefits, many of its messages and methods leave us chasing perfection rather than actual health.
THE FALSE PROMISE OF OPTIMIZATION
Wellness culture is rooted in the idea that we can and should be constantly improving ourselves. The message is clear: if you’re not optimizing, you’re not on the right path. We’re told that we need to track our sleep, perfect our gut microbiome, hack our longevity, and bioengineer our diets. The implication is that with the right combination of supplements, superfoods, and biohacks, we can prevent disease, defy aging, and achieve peak performance.
But here’s the truth: you can eat a fiber-rich diet and still get cancer. You can take all the right supplements and still struggle with fatigue. You can track every metric of your health and still feel unwell.
Health is not an algorithm. It is not something we can perfect. In fact, health is not an outcome at all; it is lifelong process that requires a heavy dose of humility and acceptance about things we cannot change. And yet, the wellness industry—like the medical system it critiques—often treats health as place to arrive, a set of rituals to perfect, or a set of biometric data to be measured and moralized. It sells the illusion of control—the idea that by mustering just enough willpower or moral fortitude we can control every outcome we want. Selling the fantasy of personal control over health outcomes is, in its unattainability, a brilliant business model.
WELLNESS AS A LUXURY GOOD
One of the most glaring issues with the wellness industry is that it is, at its core, a business. And like all businesses, it profits from selling products—many of which are expensive for the average person. From $20 jars of “adaptogenic” mushrooms to a package of longevity coaching, wellness often comes with a hefty price tag. Of course charging money for services isn’t a crime, and reasonable people can disagree on what services they value, but what if the service or product can’t deliver on its promise? What if it does harm?
The industry markets itself as a holistic and empowering alternative to conventional medicine, yet it often excludes the very people who could benefit most. Individuals who can afford boutique fitness classes, organic meal delivery services, and the latest biohacking devices tend to be in a privileged position when it comes to health. Meanwhile, those who struggle with chronic illness or lack healthcare access are left out of the wellness conversation entirely.
In other words, wellness has become a status symbol. This element in particular grates against any healthcare provider who is doing their best to help patients in an empathetic and evidence-based way—whether they're practicing within the confines of the broken medical system or somewhere outside it.
THE DANGERS OF WELLNESS MISINFORMATION
Perhaps the most insidious aspect of the wellness industry is its willingness to bend—or outright ignore—scientific evidence. Of course not all doctors adhere to medical evidence either, but misinformation runs rampant in the wellness world, often cloaked in pseudoscientific language that makes it difficult to distinguish fact from fiction.
Influencers and self-proclaimed holistic health experts offer compelling narratives that resonate emotionally, even when their claims lack scientific backing. We are told that celery juice can cure chronic illness, that all vaccines are toxic, or that detox teas can cleanse our bodies of imaginary toxins. (Please remember, dear reader, that the words "clean" and "cleanse" are marketing terms only!) These messages may be marketed as “natural” or “holistic,” but at their core, they exploit people’s fear and vulnerability.
Even more dangerous is the way wellness culture can discourage people from seeking legitimate medical care. When distrust in the healthcare system collides with the seductive simplicity of wellness messaging, people may delay or forgo treatments that could save their lives. I’ve seen patients spend thousands on alternative therapies for conditions that required medical intervention. I’ve seen people turn to restrictive diets and expensive functional medicine testing in an effort to explain their symptoms, all while missing a medical diagnosis that could have been made in a well-conducted primary care visit.
THE WELLNESS INDUSTRY DOESN’T KNOW YOU
I realize that your doctor may not know you either, but one of the biggest ironies of wellness culture is that while it claims to offer a personalized approach to health, it often treats people just as generically as conventional medicine does.
Doctors are frequently criticized for their one-size-fits-all approach—dispensing the same advice to every patient, regardless of individual circumstances. And yet, wellness influencers and brands do the very same thing. They push restrictive diets, expensive detoxes, and supplement regimens as if they are universally beneficial, when in reality, what works for one person may be entirely ineffective—or even harmful—for another.
Good health is personal. It cannot be prescribed through an Instagram post or a one-size-fits-all wellness program. It requires an understanding of your unique medical history, genetics, lifestyle, and values. It requires nuance, trade-offs, and, above all, a partnership with a trusted medical provider who can help you navigate the complexities of your body and mind.
SO, WHERE DO WE GO FROM HERE?
None of this is to say that all aspects of wellness culture are bad. Movement, mindfulness, sleep, and nutrition are undeniably important aspects of health. Many people (including me) find value in practices like yoga, meditation, and integrative approaches to care. The problem isn’t wellness itself—it’s the way it has been commercialized, oversimplified, and sold as a substitute for actual healthcare.
So, how do we reclaim wellness without falling into its pitfalls?
Be a skeptical consumer. If a wellness product or practice sounds too good to be true, it probably is. Question the evidence behind health claims, and be wary of those who profit from your fears.
Know your medical facts. Seek out sources that prioritize science over anecdote. A compelling personal story does not equal medical evidence.
Resist the pressure to optimize for the sake of optimizing. Health is not a competition, nor is it a full-time job. You do not need to be constantly tracking, tweaking, or biohacking your body.
Find balance. Use wellness practices that enhance your well-being, but don’t let them replace necessary medical care. There is no shame in needing a doctor, even if it takes you a few weeks to get an appointment!
Define health for yourself. Wellness is not about achieving an idealized version of yourself; it’s about feeling well in your body and mind, on your own terms.
At the end of the day, true health is not something you can track on an app or hack your way into. There is no special formula behind a velvet curtain. Sometimes, you need the medical test, the surgery, or the prescription drug. Health is a lifelong process—one that requires honesty, critical thinking, and self-compassion. It is about listening to your body and making educated choices that align with your unique needs and values.
The wellness industry has its place. But it should not be mistaken for medical care. And it should never replace the most fundamental ingredient in health—your ability to think critically and advocate for yourself.
What are your thoughts? I’m all ears!
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Disclaimer: The views expressed here are entirely my own. They are not a substitute for advice from your personal physician.
This is one of your best and most important articles. It should be widely distributed. Thank you, Dr. McBride!
This is one of your very best articles. Your definition of wellness is wisdom this 80-year-old needed to read today -- and embrace. Thank you.