The Healthcare Gold Rush
In 1848 gold was discovered at Sutter’s Mill in central California.
The word spread slowly at first, but within a year the Gold Rush was on! Would-be miners flocked to California by the tens of thousands. Virtually overnight the state was transformed from a nowhere into a land of opportunity.

Mining work was brutally hard and the available food of poor nutritional quality. Epidemics of infectious diseases were common. Many prospectors had only their ruined health to show for years of toil.
The non-native population of California rose by over 40-fold from 1846 to 1860. More than 300,000 immigrants had arrived to seek their fortunes.
Now you already know that most of the miners didn’t get rich. Some did of course, but for many, perhaps most, the journey was a bust. Even if they found a modest amount of gold, the inflated local prices prevented them from becoming rich.
In addition the mining work was brutally hard and the available food of poor nutritional quality. Epidemics of infectious diseases were common. Many prospectors had only their ruined health to show for years of toil.
Commonly, men who had been bit with the gold bug left jobs and families behind. These weren’t drifters or “failures” in life. They were men caught up in a get rich quick mentality — a belief that they could take a speedy shortcut to vast wealth.
Forget slow and steady progress at home. The ticket to a better life was a ticket to California. After failing to strike it rich, many of these men felt too ashamed to return home to their families and friends and “disappeared” in California. It’s sad to think about it.
Not everyone was a loser in this mass money mania.
One man who did strike it rich was Levi Strauss, the inventor of blue jeans. He journeyed to San Francisco in 1853, not to prospect for gold, but rather to sell dry goods to the miners.
Like other merchants, he saw opportunity in the prospectors and he went for it. In fact, being a merchant was probably the best way to get rich during the Gold Rush, and there was no backbreaking work needed. Retailers of goods and services cleaned up compared with the gold seekers.
Today the masses seek health through healthcare.
Let’s find a shortcut to good health — replace a knee, take a pill, stent an artery.
The slow and steady method is not for us. We’re in love with the idea of high-tech healthcare that will save us.
But just as most of the “Miner forty-niners” did not find riches in California, most of today’s patients do not find health from more healthcare. Yet the healthcare merchants are doing quite well.
Do you think any of the shopkeepers of the California Gold Rush met the boys off the boat and told them to go home, get a steady job, marry their sweethearts and have a nice life? Probably not.
There’s no money in it. And truly, the newly minted prospectors probably wouldn’t have listened anyway.
Will any of today’s healthcare merchants try to talk you down from your healthcare mania? Will any offer to help you to change your life, to take the slow and steady approach to building health and wellbeing, to have more health and less care?
Will you listen if they do?
