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[birds twittering]

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[Dan] I wanna tell a story
about the one person

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who changed my entire way
of thinking about Blue Zones,

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a man who lived on Ikaria, Greece,
named Stamatis Moraitis.

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[ethereal music playing]

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[chuckles]

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That's him.

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As a young man, Stamatis leaves Ikaria
and moved to the United States

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because he wants to make
a life for himself.

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A hard-working Greek, he gets a job
as a painter, quickly starts making money.

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He earns enough to buy a Chevrolet,

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to marry a Greek American,

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and he buys a house in the suburbs.

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Has a few kids,
lives a nice American life.

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But at age 66,
he finds himself short of breath.

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He goes to three doctors,
all of whom give him the same diagnosis.

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"Terminal lung cancer.
You'll probably be dead in six months."

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So he says to himself, "Well,
you know, I get buried here in America,

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or I can get buried in Ikaria,
the land of my forefathers."

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So he and his wife move to Ikaria
to basically die.

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[church bell tolling]

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[pensive music playing]

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[Dan] But over that next six months,
he starts breathing the air,

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drinking the Ikarian wine,

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he reconnects with his friends.

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And he goes out back,
and he plants a vineyard.

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And he thinks to himself,

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"Well, I'm not gonna be alive
to see these grapes,

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but my wife will,

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and my wife will think of me
when she harvests these grapes."

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[video camera whirs]

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[Dan] Months go by,

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then a year,

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and more years.

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[Dan on video] How are you?
Dan Buettner. Nice to see you.

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-Thank you.
-[Dan laughs]

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[Dan] For some reason,
I thought you would look old.

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I'm old.

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Yeah, but you don't look old. [laughing]

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[Dan] Thirty-five years later,
when I'd meet him at 102,

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he's not only still alive,
he's harvesting all these grapes.

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Being a journalist,
I asked him, "What's your secret?"

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He just kinda shrugs his shoulders
and goes, "I don't know!"

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"I guess I just forgot to die."

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[both laughing]

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[Dan] So Stamatis
didn't start exercising more.

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He didn't start a new drug regimen.

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In fact, he didn't do anything consciously
to try to get healthier.

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All he did was change his environment.

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[mysterious music playing]

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[Dan] I'm a big believer if you're
overweight and unhealthy in America,

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it's probably not your fault.

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We've engineered most
of the physical activity out of our lives

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with mechanical gadgetry.

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You can't walk more than a few steps

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without running into cookies
or chips or sodas.

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And we're genetically hardwired
to crave fat and salt and sugar

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and take rest whenever we can.

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We evolved in this environment
of hardship and scarcity,

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and now we live in this environment
of ease and excess.

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I think we're mostly
victims of our environment.

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And it leads to this bigger idea
that if we want a healthier America,

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we shape our environment
the way that the environments are

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in places that are producing
the longest-lived people on earth,

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which is to say, Blue Zones.

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So after exploring all these Blue Zones,

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collecting thousands of pages of research,

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amassing years of observation,

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even though these are disparate places,

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you start to see a pattern emerge.

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No matter where you go in the world
and you see longevity,

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you see the same things happening
over and over and over again.

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So, by and large, they're not exercising.

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Instead, every time they go to work
or a friend's house

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or out to eat, it occasions a walk.

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They have gardens out back

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where they're doing gentle,
low-intensity physical activity.

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They don't have mechanical conveniences
to do their housework or their yard work.

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The point is they're moving naturally,

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and I believe that they get
way more physical activity

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than if they went to the gym.

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[in Japanese] This is the key to health.
Moving fast.

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[in English] Look at that! [laughing]

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They have the right outlook.

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They suffer from the same stresses
that we suffer,

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but they have these sacred daily rituals

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to help unwind that stress
and the inflammation that comes with it.

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I would say I'm generally at peace.

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Worry can do nothing for you.

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[Dan] They tend to belong
to a faith-based community,

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and they show up.

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They take naps.

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They do happy hours.

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They also have a vocabulary for purpose.

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The Okinawans have ikigai.

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The Costa Ricans have plan de vida.

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But the point is, they know
why they wake up in the morning,

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and they're putting their gifts
to work every day.

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When it comes to what they eat,
the big point

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is they enjoy eating delicious food.

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The vast majority of it

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is whole, plant-based food,
like whole grains,

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greens,

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tubers like sweet potatoes,

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nuts.

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Bean seems to be the cornerstone
of every longevity diet in the world.

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And the good news?
There's a little bit of wine.

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What's the best tea
to drink on a daily basis?

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-[speaking Greek]
-[in English] Wine.

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[Dan and women laugh]

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[Dan] So it's also about
what they don't eat.

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The Okinawans have this ingenious saying,

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"hara hachi bu,"

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which reminds them to stop eating
when their stomachs are 80% full.

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They eat with family.

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They express gratitude before their meal,

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and they're slowing down

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because they're having conversation
with their food,

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so at the end of the day,
they're not mindlessly overeating.

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So the most important is how they connect.

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It's probably 50%
of the longevity formula,

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the fact that they put family first.

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I found that they keep
their aging parents nearby

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as opposed to putting them
in a retirement home.

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They invest in their partners
and their spouses so people stay together,

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and they invest in their children

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so their children don't end up
putting them in retirement homes.

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And then they pay special attention
to their immediate social circle.

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You know, the Okinawans call it a moai,

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but it's a circle of friends
that you invest in for life.

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Having the right friends,
that is the biggest secret

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to help these people
in Blue Zones do the right things

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and avoid the wrong things

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so they're not developing a disease
that will foreshorten their lives.

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So I know, beyond a shadow of a doubt,

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that these common denominators
of all five Blue Zones, they work!

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Now what I needed
was a chance to prove it.

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[tape whirring]

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[all chattering]

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[man on video] After the mayor speaks,
you take it over and expand.

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Oh, okay, great.

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-[man] All right?
-Great.

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-All right. You guys ready?
-[camera clicks]

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The goal of this project is to give
an extra 10,000 years of life expectancy.

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Sounds like a big, grand number,
but what does that mean?

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The goal is to give
participants in Albert Lea

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an extra two years of life expectancy.

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[Dan] So, in 2009,
I actually started thinking,

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could I take these ideas
I'd learned in the Blue Zones,

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apply them in America,

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and put them to work
in a community that actually needs it?

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I reached out
to the top experts at the time.

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They told me,
"If you wanna create a Blue Zone,

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start with a city of about 20,000 people."

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That's enough people
so you have a city hall.

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We ended up choosing
this city of 18,000 people

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called Albert Lea, Minnesota.

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Like most small towns,

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it pretty much reflected
the health of the rest of America,

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but it had the bones of a beautiful city.

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I remember our first day in Albert Lea.

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I got all the town's leaders in a room,
and I give this presentation.

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It means that they'll look younger,
feel younger,

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um, they should live longer,

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but they also have
lower rates of cardiovascular disease.

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[Dan] And people were kind of befuddled.

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Like, you know, I was sweating

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'cause I just thought,
"They don't get it."

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Are there any questions?

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But I remember
the local State Farm Insurance salesman,

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a tall guy,

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stood up, and he said,

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"This city needs this."

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And Bob Graham,
you know, another stalwart of the city,

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a kind of older guy, he said,
"Yes, we need to make it happen here,"

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and then, you know,

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once these leaders say it,
it falls like dominoes.

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[drumming and chanting]

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[Dan] We developed something
called the True Vitality Test

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to calculate
the average person's life expectancy.

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So we learned people's BMI, what they ate,

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and many of their other health behaviors,
which gave us a starting point.

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And then we started
methodically changing their environment,

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little by little.

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Traveling throughout the five Blue Zones,
I now knew

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what the longest-lived people did
to live a long time.

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They ate wisely, they moved naturally,

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they had the right outlook,
and they knew how to connect.

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But the big idea
was trying to put these ideas to work.

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The first thing we tried
is this idea of a moai.

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We gathered people in Albert Lea together
and then broke them up into little groups.

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And I didn't even know if this would work.
I had no idea.

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I challenged them.
"For the next ten weeks,

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I want you to walk together."

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And you know what? A few years later,
news reports actually found

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that nearly half
of all these friendships lasted,

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all thanks to those moai.

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Alice, would you have ever
run into each other

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if not for this walking group?

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I… No. No, I don't think so.

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-[reporter] Brand-new friendships?
-New friendships.

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All these Blue Zones
have a vocabulary for purpose.

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Loma Linda taught us
the power of volunteering,

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of taking care of others.

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We immediately set up
curated volunteer opportunities for them.

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We know that people who volunteer
have lower rates of heart disease,

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they weigh less,

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and they have
measurably lower healthcare costs.

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And then we start bringing in
the food policies,

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and we start getting
healthier grocery stores

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and healthier restaurants.

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And then, finally,

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there was this great main street
that was dying a little bit,

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and of the four neighborhoods
in Albert Lea,

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none of them had
a clear walkway to this downtown.

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So we worked with the city
to make it more walkable and livable.

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We built bike lanes.

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We put walking paths around a nearby lake,

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and we built sidewalks

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so people from nearly every neighborhood
in Albert Lea could walk downtown.

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So we administered the True Vitality Test
a second time,

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and we found that life expectancy
was going up even more than we thought,

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and it was generating all this excitement,

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so much so that we had
national TV crews coming out to cover it.

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You did even better than expected.

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You were hoping to add
maybe two years on to people's lives,

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and you have added…

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-3.1 years. It's amazing.
-3.1 years!

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[crowd cheering]

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[uplifting music playing]

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[Dan] So, we now knew we could manufacture
a Blue Zone in small-town America,

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but could it work for a nation?

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That question took me
to the other side of the planet,

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where I found an island that offered
a vision for a future Blue Zone,

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a Blue Zone 2.0.

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[mellow electronic music playing]

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Singapore is
a completely manufactured society.

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Here we have this little island
in Southeast Asia,

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only about 30 miles long
and 16 miles wide.

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This is a complex urban society

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filled with futuristic high-rises
and 5.8 million residents.

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But it's not only producing
the happiest population in the world

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by many measures.

244
00:13:22,843 --> 00:13:24,595
It's also one of the richest.

245
00:13:25,095 --> 00:13:29,016
And what makes it really extraordinary
is you go back a little over a generation,

246
00:13:29,099 --> 00:13:34,814
Singapore is essentially a fishing village
with below-average life expectancy.

247
00:13:34,897 --> 00:13:36,732
And now a global study shows it

248
00:13:36,816 --> 00:13:41,237
to have the healthiest life expectancy
in the world,

249
00:13:42,029 --> 00:13:46,325
where a person can live in full health
without disease or disability.

250
00:13:51,372 --> 00:13:53,457
So, Dr. Chow, let me ask you,

251
00:13:53,541 --> 00:13:55,876
you know, we are here in Singapore

252
00:13:55,960 --> 00:13:58,254
because studies show that people here

253
00:13:58,337 --> 00:14:01,674
have the longest healthy life expectancy
in the world,

254
00:14:02,216 --> 00:14:05,261
and it occurs to us
that you're a perfect example of that.

255
00:14:05,344 --> 00:14:09,014
You're 93 years old,
and you still do surgery.

256
00:14:09,098 --> 00:14:10,683
You still do calligraphy.

257
00:14:10,766 --> 00:14:13,477
How do you explain
this incredible vitality?

258
00:14:13,561 --> 00:14:17,106
I never expected I can live until today.

259
00:14:17,189 --> 00:14:18,566
I enjoy that work.

260
00:14:19,066 --> 00:14:22,027
I treat that patient. Then I feel the joy.

261
00:14:22,736 --> 00:14:25,197
[Dan] So, uh, what are we gonna do here?

262
00:14:26,198 --> 00:14:27,491
Check your blood pressure.

263
00:14:27,575 --> 00:14:28,951
[Dan] All right. I have to…

264
00:14:29,034 --> 00:14:29,869
Very good!

265
00:14:29,952 --> 00:14:31,120
[Dan] Oh, good! What am I?

266
00:14:31,203 --> 00:14:35,124
[Dr. Chow] 122 over 80.
This is very standard.

267
00:14:35,207 --> 00:14:36,500
-Good, good.
-[Dr. Chow] Yeah.

268
00:14:36,584 --> 00:14:39,461
[Dan] So, if I wanted to live to 100,

269
00:14:39,545 --> 00:14:42,089
what advice would you give me?

270
00:14:42,172 --> 00:14:45,843
[Dr. Chow] We have to work hard
every day, honest.

271
00:14:46,468 --> 00:14:47,970
[Dan] Work hard, be honest.

272
00:14:48,053 --> 00:14:50,598
[Dr. Chow] Yeah.
Then most important, humble.

273
00:14:50,681 --> 00:14:52,433
Humble is not easy.

274
00:14:53,058 --> 00:14:58,689
[Dan] I heard you're a good tennis player.
I found out that of all sports,

275
00:14:58,772 --> 00:15:02,109
people who play tennis
have the highest life expectancy.

276
00:15:02,192 --> 00:15:03,986
Was that for tennis?

277
00:15:04,069 --> 00:15:05,654
Oh, no, this is karaoke.

278
00:15:05,738 --> 00:15:07,406
-[Dan] Oh, karaoke? [laughs]
-Yes.

279
00:15:07,489 --> 00:15:10,200
[Dan] That's amazing.
You're good at everything.

280
00:15:11,035 --> 00:15:14,788
I spent the better part of 20 years
finding these Blue Zones,

281
00:15:14,872 --> 00:15:16,081
and in most of them,

282
00:15:16,165 --> 00:15:18,751
it's a culture that's been around
for hundreds of years

283
00:15:18,834 --> 00:15:20,336
or a millennia.

284
00:15:20,419 --> 00:15:25,591
But life expectancy here in the 1960s
was about 20 years less than it is today.

285
00:15:25,674 --> 00:15:28,802
-Mm-hmm.
-So, how does Singapore achieve that?

286
00:15:28,886 --> 00:15:30,804
We don't have natural resources.

287
00:15:30,888 --> 00:15:33,641
People are our natural resource.

288
00:15:33,724 --> 00:15:37,937
To be in politics
is about improving the lives of people.

289
00:15:38,020 --> 00:15:42,524
And that's why, in Singapore,
we have very severe penalties on drugs

290
00:15:42,608 --> 00:15:44,944
and for people who carry guns,

291
00:15:45,027 --> 00:15:48,572
so that our people
would not fear for their safety.

292
00:15:48,656 --> 00:15:50,282
But it's not just that.

293
00:15:50,366 --> 00:15:52,701
There's a saying in the civil service.

294
00:15:52,785 --> 00:15:57,289
"Policy is implementation.
Implementation is policy."

295
00:15:57,873 --> 00:16:00,209
Singapore works on nudges.

296
00:16:00,876 --> 00:16:03,587
There's a war on diabetes,
for instance, in Singapore.

297
00:16:03,671 --> 00:16:07,549
People are taking too much sugar.
They eat the wrong foods.

298
00:16:07,633 --> 00:16:11,345
So, what do we do?
What does the government of Singapore do?

299
00:16:11,428 --> 00:16:14,098
They try to help you help yourselves.

300
00:16:23,148 --> 00:16:24,274
[Dan] In past decades,

301
00:16:24,358 --> 00:16:27,152
Singapore's food environment
wasn't all that healthy.

302
00:16:27,236 --> 00:16:28,404
They had junk food.

303
00:16:28,487 --> 00:16:31,115
They had lots of oil
and sugar in their food.

304
00:16:31,615 --> 00:16:36,286
But they were able to take steps
to change their environment

305
00:16:36,370 --> 00:16:39,456
so it was easier
to make the healthy choice.

306
00:16:39,540 --> 00:16:42,668
For example, brown rice is
a lot healthier than white rice.

307
00:16:42,751 --> 00:16:44,586
Brown rice has more fiber in it,

308
00:16:44,670 --> 00:16:46,922
so they subsidize brown rice

309
00:16:47,006 --> 00:16:49,174
to make it more affordable
and more popular.

310
00:16:51,635 --> 00:16:53,637
Soda pop, sugar-sweetened beverages,

311
00:16:53,721 --> 00:16:57,516
number one source of refined sugar
in most diets.

312
00:16:57,599 --> 00:16:59,268
Well, Singapore made an agreement

313
00:16:59,351 --> 00:17:02,438
to actually cap
the amount of sugar allowed in soda,

314
00:17:02,521 --> 00:17:06,150
an idea nearly unheard of
in places like the United States.

315
00:17:08,110 --> 00:17:11,196
And then, finally,
they create this program for vendors,

316
00:17:11,280 --> 00:17:13,073
or hawkers, as they call them,

317
00:17:13,157 --> 00:17:16,368
to put a sign up
if they're offering true healthier food

318
00:17:16,452 --> 00:17:20,497
to attract the customers
who want a healthier choice.

319
00:17:20,581 --> 00:17:23,417
So, you see, they're just making
this environment,

320
00:17:23,500 --> 00:17:26,003
setting up nudges and defaults

321
00:17:26,086 --> 00:17:29,506
to make the healthy choice
the unavoidable choice.

322
00:17:37,598 --> 00:17:41,518
This is the most densely populated country
on earth.

323
00:17:41,602 --> 00:17:44,772
We're driving during rush hour,
and the traffic's not bad.

324
00:17:44,855 --> 00:17:48,025
[man] Yep, because the high cost
of the cars.

325
00:17:48,108 --> 00:17:51,487
[Dan] And this car costs about $100,000
in the United States.

326
00:17:51,570 --> 00:17:54,156
What does this car cost here in Singapore?

327
00:17:54,239 --> 00:17:55,157
[Douglas] 250,000.

328
00:17:55,240 --> 00:17:57,576
-So two and a half times more.
-[Douglas] Yep, that's right.

329
00:17:57,659 --> 00:18:00,579
And then you have to pay
the right to drive, right?

330
00:18:00,662 --> 00:18:02,039
-[Douglas] Yeah.
-How much is that?

331
00:18:02,122 --> 00:18:06,335
[Douglas] Yeah. Right now, that today
is about 100,000 Singapore dollars.

332
00:18:06,418 --> 00:18:08,253
Just the paper. No car, nothing.

333
00:18:09,254 --> 00:18:11,632
[Dan] So I keep hearing about this
and asking,

334
00:18:11,715 --> 00:18:15,302
"What is the wisdom
in making cars exceedingly expensive?"

335
00:18:15,385 --> 00:18:18,972
And to really understand that,
I found that you have to look to America.

336
00:18:19,765 --> 00:18:23,185
You see, after World War II,
we had such a good economy going

337
00:18:23,268 --> 00:18:27,731
that we built new homes
outward from the cities.

338
00:18:27,815 --> 00:18:31,110
And to get to these suburbs,
we built highways to go out even further,

339
00:18:31,735 --> 00:18:38,408
and people had to drive longer distances
until we created this dependency on cars.

340
00:18:38,492 --> 00:18:41,912
The American Dream said
you can get a house, a yard, and a car

341
00:18:41,995 --> 00:18:44,164
and drive to your job in the big city.

342
00:18:44,248 --> 00:18:49,128
And the cost is that the streets
that were once designed for pedestrians

343
00:18:49,211 --> 00:18:52,798
were now expanded to make more car lanes.

344
00:18:52,881 --> 00:18:56,260
Today we're spending
about twice the amount of time in cars

345
00:18:56,343 --> 00:18:57,845
than we did in the 1980s.

346
00:18:57,928 --> 00:19:01,807
All this is great for car companies
and fast food restaurants,

347
00:19:01,890 --> 00:19:03,725
but we bought into that too.

348
00:19:04,726 --> 00:19:08,272
As Singapore grew,
it likely saw a similar problem

349
00:19:08,355 --> 00:19:11,525
as the population
of this small island expanded.

350
00:19:12,609 --> 00:19:14,987
If everybody had two cars,

351
00:19:15,070 --> 00:19:18,574
so you had ten million cars
on this tiny piece of land,

352
00:19:18,657 --> 00:19:20,200
what would this look like?

353
00:19:20,284 --> 00:19:22,327
Uh, a traffic jam.

354
00:19:22,411 --> 00:19:24,413
[both laughing]

355
00:19:26,373 --> 00:19:28,125
Nobody is going anywhere!

356
00:19:29,459 --> 00:19:32,379
[Dan] In the United States,
about 80% of people own cars,

357
00:19:32,462 --> 00:19:34,882
and here, it's about 11%,

358
00:19:34,965 --> 00:19:38,844
but yet you don't see people
having trouble getting around.

359
00:19:38,927 --> 00:19:41,263
[Douglas] The public transport is
very convenient.

360
00:19:41,346 --> 00:19:43,140
Wherever you live,

361
00:19:43,223 --> 00:19:46,518
in about ten, 15 minutes,
you can walk to a train station.

362
00:19:48,562 --> 00:19:52,858
[Dan] Singapore's public transportation
is so widespread and accessible

363
00:19:52,941 --> 00:19:55,819
that it is used
by nearly half the population

364
00:19:55,903 --> 00:20:01,450
on a daily basis,
compared to the U.S. average of 5%.

365
00:20:01,533 --> 00:20:05,370
People reach the trains
and buses using bike lanes

366
00:20:05,454 --> 00:20:08,665
and protected walkways
paid for by the car taxes

367
00:20:08,749 --> 00:20:12,628
and often pass through
one of the island's 350 parks.

368
00:20:12,711 --> 00:20:15,964
Here, you find
government-sponsored exercise programs

369
00:20:16,048 --> 00:20:18,425
that build community and friendship,

370
00:20:19,134 --> 00:20:23,722
and all of this
from favoring people over cars.

371
00:20:39,154 --> 00:20:41,198
Have you always been in this good a shape?

372
00:20:41,281 --> 00:20:45,577
[in Mandarin] I came from Hong Kong, where
we did not have such sports facilities.

373
00:20:45,661 --> 00:20:50,666
When I came to Singapore, I saw
these sports facilities everywhere,

374
00:20:50,749 --> 00:20:53,085
so I started to practice bar and pull-ups.

375
00:20:53,168 --> 00:20:56,171
[in English] Every residence,
there is a fitness corner. See?

376
00:20:56,255 --> 00:20:59,424
And the government encourages us
to exercise.

377
00:21:00,300 --> 00:21:03,762
[Dan] So, how do you get around?
Do you guys own cars?

378
00:21:03,845 --> 00:21:07,933
[in Mandarin] I walk to subway stations
and go shopping.

379
00:21:08,642 --> 00:21:10,394
I'm still working,
so I'm taking the subway.

380
00:21:10,477 --> 00:21:13,522
[Dan in English]
How many kilometers do you walk a day?

381
00:21:13,605 --> 00:21:15,357
[Ngai in Mandarin] Over 10,000 steps.

382
00:21:15,440 --> 00:21:17,693
[in English] That's almost
four miles of walking,

383
00:21:17,776 --> 00:21:19,778
which probably takes an hour and a half.

384
00:21:20,737 --> 00:21:24,700
You're getting three times as much
physical activity just living your life

385
00:21:24,783 --> 00:21:26,660
than you are doing exercise.

386
00:21:27,744 --> 00:21:29,329
[Victor] We are very fortunate.

387
00:21:37,337 --> 00:21:39,298
[Dan] Another interesting dimension
of Singapore is

388
00:21:39,381 --> 00:21:42,926
over 80% of everyone there
owns their own home.

389
00:21:43,010 --> 00:21:45,595
When they own their own home,
they take better care of it.

390
00:21:45,679 --> 00:21:48,598
They invest in their neighbors.
You get a better community.

391
00:21:49,099 --> 00:21:52,477
One exceptional example
is the Kampung Admiralty,

392
00:21:53,770 --> 00:21:57,899
an affordable,
government-subsidized housing project.

393
00:21:57,983 --> 00:22:00,819
It's designed for citizens over 55

394
00:22:00,902 --> 00:22:02,821
to own their own homes.

395
00:22:04,489 --> 00:22:06,241
[woman] This being a kampung,

396
00:22:06,325 --> 00:22:08,910
which is "village" in the Malay language…

397
00:22:09,870 --> 00:22:14,374
The vision of the team then was really,
how do we create a kampung here?

398
00:22:14,958 --> 00:22:17,919
The simple concept is a club sandwich.
We will--

399
00:22:18,003 --> 00:22:20,172
-[Dan] A club sandwich?
-Yeah, it's a club sandwich.

400
00:22:20,255 --> 00:22:24,968
We want to layer
all the users vertically. Yeah.

401
00:22:25,052 --> 00:22:27,721
At the top, elderly apartments.

402
00:22:27,804 --> 00:22:29,931
Our rooftops are all landscape.

403
00:22:30,015 --> 00:22:33,101
So that's true.
Actually helps the elderly keep active.

404
00:22:33,185 --> 00:22:35,937
The second layer is this medical center.

405
00:22:36,021 --> 00:22:38,315
The bottom layer is the public plaza,

406
00:22:38,398 --> 00:22:42,736
a space where people can find
a lot of space to interact.

407
00:22:42,819 --> 00:22:44,321
The surrounding residents,

408
00:22:44,404 --> 00:22:47,908
they are always streaming through
this building to take the train.

409
00:22:47,991 --> 00:22:50,744
[Dan] So, it's easy to get here
through public transportation?

410
00:22:50,827 --> 00:22:53,663
So you don't necessarily
push them together,

411
00:22:54,164 --> 00:22:55,665
but you nudge them together.

412
00:22:55,749 --> 00:22:58,752
You create a space
where they're gonna bump into each other.

413
00:22:58,835 --> 00:22:59,961
[Pearl] Correct.

414
00:23:00,045 --> 00:23:05,342
When I think about Costa Rica
or Okinawa or Sardinia,

415
00:23:06,134 --> 00:23:08,428
I see people who live in a village.

416
00:23:08,512 --> 00:23:10,639
They're very close to nature.

417
00:23:10,722 --> 00:23:12,808
-The old and the young interact.
-[Pearl] Hmm.

418
00:23:12,891 --> 00:23:16,853
[Dan] There is a center
where you can find a place to eat.

419
00:23:16,937 --> 00:23:18,397
[Pearl] I think that's very healing,

420
00:23:18,480 --> 00:23:23,402
but sometimes it's really hard
to scientifically quantify it, you know?

421
00:23:23,485 --> 00:23:26,655
[Dan] There's actually been a study
that has shown

422
00:23:26,738 --> 00:23:33,245
that the casual social interactions
we have during the day with the postman,

423
00:23:33,328 --> 00:23:37,457
with the person you meet at the bus stop,
with the baristas,

424
00:23:37,541 --> 00:23:41,294
are actually a better predictor
of longevity than diet and exercise.

425
00:23:41,378 --> 00:23:43,755
And I think what people miss

426
00:23:43,839 --> 00:23:46,967
is that loneliness
is a function of our environment.

427
00:23:47,050 --> 00:23:50,846
[Pearl] Because I'm in the environment,
it's different from the past.

428
00:23:50,929 --> 00:23:54,015
We are living in a very urbanized setting,

429
00:23:54,099 --> 00:23:58,478
and we need to create a prototype
for the present and the future.

430
00:24:06,403 --> 00:24:08,613
[man] Long before I retire,

431
00:24:08,697 --> 00:24:10,866
they say one of the things you do

432
00:24:10,949 --> 00:24:15,495
is not to sit down
and watch the TV all the time.

433
00:24:15,579 --> 00:24:19,332
-That make you a potato, a couch potato.
-[Dan laughing]

434
00:24:20,000 --> 00:24:24,087
[Tze] Yeah, I know I got to keep
both my body and mind active,

435
00:24:24,171 --> 00:24:26,339
have to go out and mix with people.

436
00:24:26,423 --> 00:24:27,340
[Dan] I love that.

437
00:24:27,424 --> 00:24:31,052
And then…
Because no man is an island, right?

438
00:24:31,136 --> 00:24:33,472
So you have to be with people

439
00:24:33,555 --> 00:24:34,931
to be happy.

440
00:24:35,015 --> 00:24:37,350
Because then we come to the next element.

441
00:24:37,434 --> 00:24:40,854
If you are not happy,
then you cannot live long.

442
00:24:42,898 --> 00:24:47,068
No point living alone, you know,
and never speaking to anybody, you know.

443
00:24:47,152 --> 00:24:49,696
-Do you live here with your family?
-Yes.

444
00:24:50,197 --> 00:24:55,410
[Dan] Do you think living with your family
is helping with your longevity?

445
00:24:55,494 --> 00:24:56,786
[Tze] Definitely, yeah.

446
00:24:56,870 --> 00:25:01,208
They are quite happy that I'm here,
and I'm very happy to be here.

447
00:25:01,291 --> 00:25:04,586
My grandchildren, I took the opportunity

448
00:25:04,669 --> 00:25:08,089
to give them tuition in mathematics
because I--

449
00:25:08,173 --> 00:25:11,384
-[Dan] So, you're their tutor?
-I'm quite good in mathematics.

450
00:25:11,927 --> 00:25:15,430
And in return,
they will help me with the computer

451
00:25:15,514 --> 00:25:17,474
because I'm a computer idiot.

452
00:25:17,557 --> 00:25:21,269
[laughs] Computer idiot? I love that.
So yet another two-way street.

453
00:25:21,353 --> 00:25:22,354
[Tze] Yeah.

454
00:25:22,854 --> 00:25:26,525
Oh-two, uh? Now this two becomes six

455
00:25:27,859 --> 00:25:29,528
because it's times three.

456
00:25:30,237 --> 00:25:32,155
[Dan] How does your father contribute to--

457
00:25:32,239 --> 00:25:36,284
Oh, he helps out
with my younger kids, you know, um,

458
00:25:36,368 --> 00:25:38,328
when I was still working full-time.

459
00:25:38,411 --> 00:25:40,247
I'm now doing part-time.

460
00:25:40,330 --> 00:25:45,168
He helped me to bring the younger two home
when I'm working late.

461
00:25:46,044 --> 00:25:48,380
Uh, making sure they have good breakfast

462
00:25:48,463 --> 00:25:51,675
because I tend to go very early
and kind of rush them for breakfast.

463
00:25:51,758 --> 00:25:53,468
He takes them out for breakfast

464
00:25:53,552 --> 00:25:56,555
before sending them
to school for me, yeah?

465
00:25:56,638 --> 00:25:59,099
I'm the strict mom. I'm the…

466
00:25:59,182 --> 00:26:01,768
-[Dan] Tiger mom?
-Yeah, the stick mom.

467
00:26:01,851 --> 00:26:05,313
-And he is the carrot grandad.
-[Dan] The carrot grandad! I love that!

468
00:26:05,397 --> 00:26:10,193
And he says, "If you do the math
and score all correct, you get a dollar."

469
00:26:10,277 --> 00:26:11,444
[Dan] I love that.

470
00:26:12,904 --> 00:26:16,658
Do you think
that when you guys become parents

471
00:26:16,741 --> 00:26:19,744
that you'll invite your parents
to live with you?

472
00:26:20,870 --> 00:26:24,082
-I guess, yes.
-[Dan laughs]

473
00:26:24,165 --> 00:26:26,334
-[Wei] You guess?
-[all laughing]

474
00:26:30,255 --> 00:26:34,593
[Chan] When the founding fathers
started building Singapore,

475
00:26:34,676 --> 00:26:36,261
we were a young nation there.

476
00:26:36,344 --> 00:26:39,180
There were more young people
than there were old people.

477
00:26:39,264 --> 00:26:42,017
But as the society matured,

478
00:26:42,767 --> 00:26:45,937
longevity, aging became an issue.

479
00:26:46,021 --> 00:26:49,065
Now we have an aging problem coming up.

480
00:26:49,149 --> 00:26:52,527
By 2030, 25% of our population,

481
00:26:52,611 --> 00:26:55,780
one in four, will be above 65.

482
00:26:56,948 --> 00:27:00,452
It means, you know,
there's stress on your healthcare system.

483
00:27:00,535 --> 00:27:03,288
We are trying to deal with this issue.

484
00:27:03,955 --> 00:27:06,583
You know, the government
has been playing with the idea

485
00:27:06,666 --> 00:27:10,879
of how to get children
to look after parents

486
00:27:10,962 --> 00:27:12,589
and take care of them.

487
00:27:12,672 --> 00:27:18,887
The government of Singapore has a policy
called the Proximity Housing Grant,

488
00:27:18,970 --> 00:27:23,558
which encourages families
to live near each other.

489
00:27:23,642 --> 00:27:26,394
You get a sum of money just given to you

490
00:27:26,478 --> 00:27:31,399
if you are parents
choosing to live near your son or daughter

491
00:27:31,483 --> 00:27:34,903
or your son or daughter
chooses an apartment

492
00:27:34,986 --> 00:27:37,656
in a public housing estate near you.

493
00:27:37,739 --> 00:27:41,159
If children look after their parents,

494
00:27:41,242 --> 00:27:44,079
it means people don't get sick that often.

495
00:27:44,996 --> 00:27:49,793
[Dan] A study called Aging Alone
in America reported that 100 years ago,

496
00:27:49,876 --> 00:27:54,839
70% of American widows and widowers
moved in with their families.

497
00:27:54,923 --> 00:28:00,512
Today nearly the same proportion
of widows and widowers live alone.

498
00:28:00,595 --> 00:28:02,764
Singapore's Proximity Housing Grant

499
00:28:02,847 --> 00:28:06,017
is succeeding in combating
that kind of trend.

500
00:28:06,601 --> 00:28:10,939
Between 2015 and 2018,
the Housing Development Board

501
00:28:11,022 --> 00:28:14,025
announced that some 11,000 households

502
00:28:14,109 --> 00:28:18,405
have bought resale apartments
near their parents or married children

503
00:28:18,488 --> 00:28:21,825
with the help
of the Proximity Housing Grant.

504
00:28:22,784 --> 00:28:28,790
We know in the United States when you put
an older parent in a retirement home,

505
00:28:28,873 --> 00:28:32,127
their life expectancy drops
between two and six years.

506
00:28:32,627 --> 00:28:36,548
So there's a genius in this idea

507
00:28:36,631 --> 00:28:40,677
that you're not forcing Mom and Dad
to live with you,

508
00:28:40,760 --> 00:28:43,596
but you incent them to live nearby,

509
00:28:43,680 --> 00:28:45,598
which is not only good for the family,

510
00:28:46,599 --> 00:28:48,768
it adds life expectancy.

511
00:28:52,564 --> 00:28:56,151
If you scroll through social media
or look at #longevity,

512
00:28:56,234 --> 00:28:59,904
in America anyway,
it's always about anti-aging drugs

513
00:28:59,988 --> 00:29:02,490
and diet and exercise programs.

514
00:29:03,575 --> 00:29:07,245
But the United States is
the most prosperous country

515
00:29:07,328 --> 00:29:09,122
in the history of the world.

516
00:29:09,205 --> 00:29:12,417
Yet three-quarters of us
are overweight or obese.

517
00:29:12,500 --> 00:29:16,171
Happiness has dropped.
Life expectancy has dropped.

518
00:29:16,254 --> 00:29:19,299
Is what Singapore doing now,
is it scalable?

519
00:29:19,382 --> 00:29:21,801
-Could the United States, for example…
-Um…

520
00:29:22,469 --> 00:29:27,307
I… You know, I often say
Singapore is sui generis, one of its kind.

521
00:29:27,390 --> 00:29:29,392
[lively electronic music playing]

522
00:29:33,938 --> 00:29:35,732
[Chan] We are a small nation.

523
00:29:35,815 --> 00:29:39,527
It's really a city-state,
you know, and so it helps.

524
00:29:39,611 --> 00:29:44,616
You know, the city can write
free trade agreements.

525
00:29:44,699 --> 00:29:45,950
You can negotiate.

526
00:29:46,034 --> 00:29:51,122
But some measures
perhaps could be borrowed.

527
00:29:51,206 --> 00:29:56,544
First, you have to have a vision
and a desire and have those objectives.

528
00:29:56,628 --> 00:29:59,881
Then you have to have people
that have an investment

529
00:30:01,007 --> 00:30:05,136
in providing healthy lives,
healthy families.

530
00:30:05,220 --> 00:30:09,098
How do you create
this public-private partnership?

531
00:30:10,683 --> 00:30:13,728
I think if you can tell Americans

532
00:30:13,812 --> 00:30:17,690
that "I can help you
reduce your healthcare costs,"

533
00:30:17,774 --> 00:30:20,151
I think half your battle is won.

534
00:30:20,235 --> 00:30:23,363
So you make the economic argument
to produce a human benefit.

535
00:30:23,446 --> 00:30:25,865
-[Chan] Right.
-[Dan] Such a powerful idea.

536
00:30:28,076 --> 00:30:33,373
What Singapore teaches us is you can make
enormous changes population-wide.

537
00:30:33,456 --> 00:30:37,502
And I believe that, arguably,
the most powerful tool we have

538
00:30:37,585 --> 00:30:40,922
at shaping healthier environments
is through policy,

539
00:30:41,005 --> 00:30:43,383
and that's the lesson
America needs to learn.

540
00:30:44,551 --> 00:30:47,804
We need to identify the good policies
and implement.

541
00:30:50,640 --> 00:30:52,767
[pensive music playing]

542
00:30:55,854 --> 00:31:00,358
After proving a Blue Zones approach
could work in a small town, Albert Lea,

543
00:31:00,441 --> 00:31:02,443
then I decided to scale it.

544
00:31:03,152 --> 00:31:06,281
And we discovered that insurance companies

545
00:31:06,364 --> 00:31:09,492
and hospital systems
and private foundations

546
00:31:09,576 --> 00:31:13,913
were willing to make the investment
in keeping cities healthier.

547
00:31:13,997 --> 00:31:17,250
We were then able to take
the Blue Zone project from Albert Lea

548
00:31:17,333 --> 00:31:21,296
to the beach cities of Los Angeles,
to the whole state of Iowa.

549
00:31:22,338 --> 00:31:25,008
The Blue Zones project
continues to roll out

550
00:31:25,091 --> 00:31:27,135
easier ways to be healthy where you live.

551
00:31:27,218 --> 00:31:30,638
[Dan] But it wasn't until
Fort Worth, Cowtown,

552
00:31:30,722 --> 00:31:34,767
that we showed that this could really work
anywhere in America.

553
00:31:36,185 --> 00:31:40,565
We met the mayor, the city council,
the superintendent of schools…

554
00:31:40,648 --> 00:31:44,152
[reporter] Fort Worth's child obesity
rates have dropped 6%.

555
00:31:44,235 --> 00:31:47,280
A Gallup Poll
of America's healthiest city says,

556
00:31:47,363 --> 00:31:49,908
"Cowtown is changing its tune."

557
00:31:52,619 --> 00:31:53,995
[Dan] And after five years,

558
00:31:54,078 --> 00:31:57,457
Gallup calculated that we saved that city

559
00:31:57,540 --> 00:32:01,586
more than a quarter of a billion dollars
a year in projected healthcare costs.

560
00:32:01,669 --> 00:32:05,840
So I realized
that how we applied Blue Zone wisdom

561
00:32:05,924 --> 00:32:08,092
is ten times more important

562
00:32:08,176 --> 00:32:10,511
than having identified it
in the first place.

563
00:32:14,390 --> 00:32:17,644
What Blue Zones has now done
is go into communities

564
00:32:17,727 --> 00:32:22,023
that are interested in creating
a better environment.

565
00:32:22,941 --> 00:32:26,527
So we're here in South Phoenix,
launching a Blue Zone project.

566
00:32:26,611 --> 00:32:30,073
Any Blue Zone community
begins with listening.

567
00:32:30,949 --> 00:32:32,867
The next step is to make permanent

568
00:32:32,951 --> 00:32:35,828
or semi-permanent changes
to their surroundings.

569
00:32:36,537 --> 00:32:40,291
I'd love to hear
where in your neighborhoods

570
00:32:40,375 --> 00:32:45,880
we can make it better for human beings
so the healthy choice is the easy choice.

571
00:32:46,756 --> 00:32:50,969
We had a whole busload of experts,
and we started just by doing assessment.

572
00:32:52,387 --> 00:32:55,223
You know, I would argue
this is the best team in America.

573
00:32:55,848 --> 00:32:57,517
I would like to now challenge you

574
00:32:57,600 --> 00:33:03,022
to tell us how we're gonna really raise
the happiness level,

575
00:33:03,106 --> 00:33:05,024
raise the life expectancy.

576
00:33:05,692 --> 00:33:09,112
We have this open space.
What do we do with it?

577
00:33:09,195 --> 00:33:10,530
[Marion] Make a park!

578
00:33:10,613 --> 00:33:13,658
A place where the community
could come together,

579
00:33:13,741 --> 00:33:15,994
where you could have gardens.

580
00:33:16,077 --> 00:33:17,996
You know, you could have community gardens

581
00:33:18,079 --> 00:33:22,500
that are going to make it possible
for them to appreciate healthier food,

582
00:33:22,583 --> 00:33:24,419
but people have to learn how to do that.

583
00:33:24,502 --> 00:33:25,795
They have to have the seeds,

584
00:33:25,878 --> 00:33:30,383
and there has to be somebody
who encourages this kind of thing.

585
00:33:30,466 --> 00:33:33,553
You only have one choice,
and that's to go out to a busy street.

586
00:33:33,636 --> 00:33:35,471
People won't walk.

587
00:33:35,555 --> 00:33:38,016
This used to be a primary route.

588
00:33:38,099 --> 00:33:41,227
It had to carry 40,000 cars
before they had the freeways.

589
00:33:41,310 --> 00:33:44,564
So today it doesn't carry
anywhere near that traffic.

590
00:33:44,647 --> 00:33:48,901
If we could take out all the lanes
except for one in each direction,

591
00:33:49,861 --> 00:33:51,946
now the sidewalks become usable.

592
00:33:53,031 --> 00:33:55,450
[Dan Buettner] Cities have amazing power.

593
00:33:56,367 --> 00:33:58,536
If you have clear objectives,

594
00:33:58,619 --> 00:34:02,498
in just a handful of years,
they can make complete transformations.

595
00:34:02,582 --> 00:34:06,878
America, within the next ten years,
could be a Blue Zone.

596
00:34:06,961 --> 00:34:09,630
All we have to do is shift the focus

597
00:34:09,714 --> 00:34:14,010
from thinking that we're gonna change
330 million people's minds

598
00:34:14,677 --> 00:34:16,054
to changing their environment.

599
00:34:23,978 --> 00:34:26,564
[curious music playing]

600
00:34:36,449 --> 00:34:37,533
[Dan] Imagine a community

601
00:34:37,617 --> 00:34:41,579
where the cheapest,
most accessible, and most delicious foods

602
00:34:41,662 --> 00:34:43,039
are whole, plant-based foods.

603
00:34:43,122 --> 00:34:46,876
Imagine roads
that are not just built for cars,

604
00:34:46,959 --> 00:34:48,961
but they're also built for humans.

605
00:34:49,045 --> 00:34:52,548
Where it's easy to connect and socialize,

606
00:34:52,632 --> 00:34:56,969
where people are putting their purpose
to work every day.

607
00:34:57,053 --> 00:35:01,182
These are all things
that Blue Zones teach us are attainable.

608
00:35:03,518 --> 00:35:05,019
We have a new lens

609
00:35:05,103 --> 00:35:09,690
to look at how to generate health
and well-being in our country,

610
00:35:09,774 --> 00:35:12,485
a legitimate recipe for longevity.

611
00:35:12,985 --> 00:35:16,572
But at the end of the day,
the big epiphany

612
00:35:16,656 --> 00:35:20,952
is that the same things
that help us live a long, healthy life

613
00:35:21,953 --> 00:35:25,164
are the things
that make life worth living.

614
00:35:25,248 --> 00:35:27,250
[uplifting music playing]

615
00:35:31,754 --> 00:35:33,756
[gentle music playing]

