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1

When Art DeVany's website started charging, I jumped ship (even though Art was one of my earliest influences). What do you think of paleo membership sites in general, with respect to benefit and cost, in comparison to the abundant free sites?

Now I see that Jack Kruse is charging, with a tiered plans ranging from "Kruse Karnivore" to "Kruse Kruisers", ranging up to $248 per month. Is anybody going to join from here? And no, I'm not making those names up. And yes, I'm aware that most neurosurgeons make close to a cool million a year already. Good old Quilt, where did his love for free information go?

What strikes me as interesting is this: Jack appeared to have used paleohacks to gain a foothold into the paleosphere, and after transferring his audience to MDA and his blog, now regularly ridicules paleohacks because people have been critical of his citations, logic, etc. He has also ridiculed almost all the moderators on this site at least once, along with anyone who questions his ideas.

Also, he has said about a hundred times that he doesn't charge or have ads, and has implied that this nobility was rare in the paleosphere. These aren't even the best quotes, but they'll do for now.

"See Patrik this is where you are wrong.......there is no duty i have to you or anyone else. That perception is yours and the other lackies you have here...Here on the net I am not your doctor or anyone elses. You are not paying me and I dont give you advice. I give ideas and thoughts without a doctor patient relationship. There is a big difference."

"Im not selling my cure for obesity.....im open sourcing it."

So let's talk costs and benefits of paying for paleo info in general. And this doesn't mean paying someone like Chris Kresser for a visit or consultation. This means membership sites. Personally, I don't get it. Is this like practicing medicine over the internet, which has been decried by Kurt Harris and Emily Deans?

Paleo is awesome because the information is free from hundreds of awesome researchers. I mean, you've got Guyenet, Harris, Masterjohn writing some damn clear information to get ideas flowing. Am I missing something? I'm actually afraid that someone first intro to paleo might be through Kruse and his ummm...unorthodox ideas and Kruse Klub Karnivores membership site.

4/9/12 EDIT: It appears that Quilt has quite the entrepreneurial spirit! As Paula mentions above, he's endorsing Bulletproof coffee. He also seems to have struck a deal with Nutiva coconut oil and manna. He's mentioned two books he has in the works, as well as a revised cookbook. He's developing his own compression shirts for people to wear when they're freezing their nuts off . . . err, practicing cold thermogenesis. And he's offering a new "Consultation Package" (Konsultation Package?) for $299 for the first month and $149 for each subsequent month. Oh, and I almost forgot that he's soliciting suggestions for t-shirt ideas (e.g., "If you don't know Optimal, you don't know Jack!") from members of his forum. It's been a busy few weeks for the irrepressible Dr. Kruse. Between his full-time neurosurgery practice, maintenance of his blog and Facebook pages, and daily ice baths, you'd think he wouldn't have time for much else. I'm interested to hear from anyone who has signed up as a paid subscriber on Quilt's site. Worth the money?

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I would say people here were not critical enough of Kruse if somebody like him used this platform to build enough mindshare to start charging money. Most of his comments here have been scatter-brained at best, and just plain woo wrapped in sciencey words like "quantum" at worst. (And now he has Jimmy Moore championing him...) – Paleo2.0 Mar 31 2012 at 12:50
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Many of us here challenged Kruse from the very beginning. Honestly, I blame the paleo "luminaries" who continue to enable this unvetted person who's now been elevated to guru status. It's mindblowingly irresponsible and I'm still flabbergasted that it was allowed to happen. – luckybastard Mar 31 2012 at 14:15
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There is no free lunch ... but there are free snacks and appetizers ... There's a lot of free info on in the internet - good blogs, recipes, etc. But some people want an organized way of reading and using info so they will buy the book, consultation, etc. It just depends on your goals. If free advice can solve ALL your health issues, good for you. But if someone still has lingering problems (or wants great optimization), they may get good ROI (time and $) by finding an expert they trust and fine-tuning their ancestral lifestyle. That said - nobody is perfect. – Lady_Arwen Mar 31 2012 at 15:53
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is there a correlation between how much woo the gurus use and whether or not they charge/how much they charge for the 'real advice?' If so, there's your heuristic for predicting future Kruses. – Nandalal_Rasiah Mar 31 2012 at 16:02
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Kruse talks about his philosophy on making money and "spreading the word" on Jimmy Moore's Livin' La Vida Lo-Carb Show #474 @ about 40:30 where Jimmy asks him about his book(s). I had never heard of him until I listened to that podcast, back on 5-26-2011 (fyi - basic nobody info on me here) – PaulaMend Mar 31 2012 at 19:36
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24 Answers

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For $248/mo:

  • Take a jumper flight from Hanoi to Singapore - round trip
  • Live in Mexico for two months in my favourite twee fishing village
  • Buy groceries
  • Get a 1-month unlimited Metro card and explore tasty off the Brooklyn beaten path foods

For $2976/year:

  • Fly business class to Japan
  • Jump into a zipcar and go on an amazing road trip
  • Pay rent and bills

Obviously there are way more things I could do but these were kind of top of the list ::slowly sips coffee while pondering adventures::

Wait. What was the question?

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+1 Very insightful for a "9 year old" ;-) – Wcc Kamal Stabby fan Mar 31 2012 at 15:49
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You can't just type these things without saying which you have done. Do it JSJ. – Kamal Mar 31 2012 at 16:20
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Even better send me $248 and I will go and live in Mexico for two months in your favourite twee fishing village and save you the trouble :) – Matt Mar 31 2012 at 16:53
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Okokok.. on each monetary breakdown there is one thing thing I haven't done. Yet. @Matthew - NO. – jesuisjuba - paleorepublic.com Apr 1 2012 at 13:30
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I love how you put paying rent and bills at the bottom of the list. Adventurer's spirit. – David Csonka Apr 1 2012 at 14:06
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Kruse has his Capitalist Kingdom of Cold! Good for him. I think you can get nipple stimulation elsewhere on the internet for less, however.

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+1 for awsome humor!! The Capitalist Kingdom of Cold!! – Evelyn aka CarbSane Mar 31 2012 at 13:54
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don't you mean Kapitalist Kingdom of Kold? – Marie Mar 31 2012 at 14:36
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I didn't want to kudgel anyone. – Evolutionarypsy Mar 31 2012 at 16:58
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This comment just got me to register on this site. – SeraSoleil Apr 1 2012 at 15:56
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I don't have any money to spend, so it's a philosophical question for me.

1) Without pronouncing a verdict on the why's/merit, etc., I have to say if I were Dr Kruse I'd hate PH also. As we saw with Dr Harris this week, there is a subset here that behaves as if they are the Congressional Watergate Committee. Rather than exchanging ideas--in which case everyone should wind up with slightly altered opinions and information--many threads become "blood in the water" shark attacks looking for typos and negative interpretations rather than listening/thinking/questioning conversations. Just saying.

2) It's hard for me to know if Dr Kruse had a commercial agenda all along or whether he simply feels he's reached the point that he has learned so much that he has value to offer that's worth paying for. For example, I reacted positively this morning to David Czonka's offer of an Affordable Ancestral Eating Guide. Should I be assassinating his character just because I'd have to choose between doing laundry or paying $8 for his guide? Does charging eliminate the value he's offering?

Personally, I'm pretty close to logging off PH and moving on because I'm not interested in attacking everyone who offers opinions and/or offers products for my consideration. If we can talk about ideas based on risk/merit rather than whether or not we like someone I'll stick around. But this type of interaction is not on my "how to live a healthy, reduced/stress lifestyle" list.

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You suck Nance. I'm never going to pay $9 for your ebook on kefir. Hold on, why don't you make an ebook on kefir and charge money for it? I'd pay up to $8 for sure :) – Kamal Mar 31 2012 at 16:23
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You just want to believe there is some kind of conspiracy against Dr. Kruse, rather than looking at his ideas critically. Have you ever tried to find the actual references that back up his contentions? Like that cold leads to autophagy? – Bread-Eating Beelzebub Mar 31 2012 at 17:36
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As far as the numbers go, both Dr. Kruse's site and paleohacks have enjoyed healthy growth in the past few months. I think of it as a Venn Diagram, as I do of everything. If you are very interested in cold baths, brown fat, telemores, and leptin, Kruise on over there. If you like browsing a variety of health-related topics and can handle a variety of online personalities, hack away over here. Or you can choose to do both. – Kamal Mar 31 2012 at 17:41
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Haha, you call me the Hunt Gather Bitch on your website and YOU are calling for civility? Let's be consistant here please. – Bread-Eating Beelzebub Mar 31 2012 at 18:02
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When you and Stabby team up it becomes the unholy alliance of Hunt Gather...Stab!! – Kamal Mar 31 2012 at 18:28
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Interesting thoughts, but Quilt appears to be finished with paleohacks, after 662 answers and thousands of comments.

"I'm here on Paleohacks giving free advice. I'm not selling supplements. I'm just helping people."

Technically that is true. He has thrown out lots of information without charging. Say what you will about Quilt, but he definitely brought a different package to the scene. It's like on Brady Bunch, when Oliver appeared on the show. Or Van Halen with Sammy Hagar at the helm. Or Fresh Prince, when they switched out the mom and brought in a kid brother. Totally changed the flavor of the conversation.

You can argue that it's for the better or for the worse, but it's all just subjective. When Kruse appears on Oprah, we can say that he was on our forum before getting his own thread at MDA, before getting his own blog, before creating the Kruse Kruisers and Kruse Karnivors. He's a funny guy and probably a magnetic personality, and I can't wait to meet him. It's going to be surreal!

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Hold on, sorry, this didn't answer your question at all! I agree with gilliebean above...you and you alone can judge what is worth paying for. Some people who have health issues that aren't responding to other things will find it to be valuable, while others chortle. People's utility functions in behavioral economics have a huge fudge factor at the end, that represented their intuition. People's intuition towards Quilt varies greatly. – Kamal Mar 31 2012 at 16:04
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^ Kamal, do affiliate links count as selling supplements? > jackkruse.com/recommended-products – No more. Mar 31 2012 at 16:34
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Just curious--do you often exchange comments back and forth with yourself? Because I do and I find myself extremely intelligent and frequently worth listening to. :-)) – Nance Mar 31 2012 at 16:35
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+1 for Oliver on Brady Bunch reference! – Wcc Kamal Stabby fan Mar 31 2012 at 22:10
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The only time I've seen him speak in person was when he lobbed a vaguely condescending insult at Chris Masterjohn at AHS 2011. Prefacing a rebuttal to a doctoral candidate with, "Well, I AM a doctor, so..." is pretty lame. – David Csonka Apr 1 2012 at 14:08
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I'm extremely disheartened at the numbers of folks looking to Kruse for FREE advice, let alone that anyone would pay membership for his site or consultation or whatever. In his recent interview with Sean Croxton on Underground Wellness Radio, Jack tells us why he's "paleo" -- pretty much it seemed like a good place on the internet to "dump" his ideas. He used sites like this one and MDA (Sisson is such a good businessman for his brand, I remain amazed he let Jack get away with that).

The first time I addressed Jack was because of his comments on the Taubes/Guyenet dust up at AHS11. I called him a LLVLC "flavor of the month". He came on my blog blasting me for calling him low carb and insisting that he wasn't a low carber. Don't get me started on Jimmy Moore's promotion of Quack Frost who he now describes as a stalwart low carber. My how things change, eh?

I suppose if WAPF can have its Mercola, the paleo community can have its Kruse. Sigh.

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I wonder if they'd be interested in a trade? – Shari Bambino Mar 31 2012 at 14:10
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Would we want that trade? – Evelyn aka CarbSane Mar 31 2012 at 18:48
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It's a valid point, Evelyn. "Wait a minute, you want us to pay for this Kool-Aid, Mr. Jones?" – tonysolo Apr 1 2012 at 15:09
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He is also offering consults now. $299 first month 1hr consult, follow up months, 30 mins $149. – Sue Apr 7 2012 at 13:34
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I think it's great. Hopefully he'll use the money to hire someone who is a really good writer and editor to help clean up his writing. Check spelling, check references, insert proper footnotes, format correctly, etc. You can't expect to be good at everything. I don't do my own surgery, I would hire a surgeon if I needed to do that. They do train science PhDs on science writing (I was in classes with a lot of them when I took editing and science writing classes), but they usually do not train MDs in this.

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There might be a little less material if he got an editor to do all of those things for him... – Dylan Mar 31 2012 at 22:37
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But, I think they do train surgeons to avoid MRSA and stuff. He claimed at his TED talk to injecting himself with it during his last "epic biohack" right before some sort of surgery (which was without anesthesia and used cold only) to prove that CT works. I guess the unanesthetized surgery alone would have proven a point, but he really hit it out of the park with the highly contagious bacteria. Hope his surgeon knew. Hope anyone who shakes his hand knows too! – none Apr 1 2012 at 0:02
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I can claim bullshit too. I injected myself with ebola and survived. Whoopdy do. – conciliator Apr 1 2012 at 0:06
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Kruse streamed his talk himself on ustream. I watched both the presentation and viewed the Twitter stream. I suspect he had a better presentation and reception at paleofx, as I don't think it is a good thing that "I think we're listening to the origin story of a super-villain" was tweeted and RT'd several times by folks there! – Beth-WeightMaven Apr 1 2012 at 2:23
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Jaminet thinks the surgery that Kruse had was liposuction. – Sue Apr 1 2012 at 10:46
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My views of Kruse are complicated, yet I always find myself defending him on PH. Here are some pro-Kruse thoughts to consider.

  1. You say that paleo is awesome because the information is free from hundreds of awesome researchers. Yes, I agree. However, Kruse contributes to this wealth of free information. The content of his blog remains free, and it is considerable (regardless of whether you find his delivery palatable).

  2. Most paleo bloggers monetize to varying degrees. Ads are the most obvious. Amazon links provide income. Sisson and Kresser sell a wide range of products. As has been noted, DeVany requires a small annual fee just to access his site. John Durant offers consultations for a fee. Wolf has a nytimes bestseller and has joked about his high income (which I take no issue with). The paleo bloggers who are doctors all make money as doctors, of course. Kresser charges very high fees for consultations.

  3. The only unusual thing happening in Kruse's case is that the 30-minute consultations fall somewhere in between advice on a blog and proper medical consultations with a doctor. This, however, is a legal issue, and I am sure that he is smart enough to navigate these waters safely - after all, as a surgeon he has a lot of experience with these tricky matters.

  4. Kruse's paid memberships are services like any other. Think about Amazon Prime. People are free to choose whether or not the services are worth the cost.

  5. Personally, I think that an obese person's money is better spent on accessing Kruse and his products - whatever those might be - than on more mainstream services like Jenny Craig or Weight Watchers.

  6. Opportunity costs: consider the case of Kurt Harris as a cautionary tale. He didn't monetize as much as he could have. As a result his blog is pretty inactive these days. That's because, in part, according to him, he is pursuing other investment opportunities. The takeaway is that bloggers who don't make money from their activities are more likely to pursue other activities that do make them money. The time of doctors is especially valuable because they stand to earn so much money just from going to work (rather than blogging for our enjoyment and enrichment).

  7. Related, academic bloggers like Guyenet and Masterjohn are already making income for their research - qua professional researchers - and they are also accustomed to the fact that their labors entail a sacrifice: all academics could have made more money as professionals, but chose to sacrifice income to pursue their research careers (this is something a PhD student like me knows a lot about).

So give Kruse a break. You might not like him, his message, or his style - that's fine. But his choice to monetize a membership that offers a bundle of goods does not deserve to be a topic of controversy.

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All excellent points made thoughtfully ... – Lady_Arwen Apr 11 2012 at 15:39
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Always knew Kruse had these intentions.

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Really? I've never sensed any sort of ego on him. Har har har! – Chauncey Gardner Mar 31 2012 at 6:53
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"Dr." Jack Kruse is the original paleo hack.

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I see what you did there.... – Satchmo Apr 16 2012 at 15:32
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Spread the word!

Oh and now there is a website too: http://freepaleo.com.

FREE PALEO

Files available for download:
free-paleo-vlarge.png (1124×248) http://bit.ly/HC9d8t
free-paleo-large.png (562×124) http://bit.ly/HC99Wk
free-paleo-medium.png (281×62) http://bit.ly/HC9kkm
free-paleo-small.png (140×31) http://bit.ly/HC9mJc

10 points if you know the bumper sticker reference.

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Free Kevin! With every happy meal. – Joshua Mar 31 2012 at 14:37
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Not until after we free Donny Wahlberg – David Csonka Mar 31 2012 at 16:14
The "O" was added? – PaulaMend Mar 31 2012 at 19:04
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(*) with purchase of second Paleo of equal or greater value. – uep Mar 31 2012 at 21:21
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I am not a Kruse paid subscriber. If I choose to survey his goods and decide I want to partake, I'll sign up and I'll pay the requisite fee. If Kruse does well financially with his paid venture, we can assume it's because others make the same choice. If his new enterprise fails -- well, you get the point. I have no idea why Kruse evokes such incendiary emotion among so many, but I'm guessing he finds it all amusing. Want to rid your life of his influence? Simple. Stop reading, stop stalking, stop paying attention. Ignore the guy.

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^ I get upset when I read the forums about desperate people who are now sitting in cold tubs for hours and are having an amplification in symptoms. I don't think that Kruse is a bad guy but some of his recommendations I truly feel are hurting people. And that makes me angry and sad. – No more. Mar 31 2012 at 16:43
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I get your point re people who offer advice that seem be nutty and then the advice gets followed. Especially advice givers who did enough education to be allowed to put MD after their name. Still, isn't it up to each of us to guard our own boundaries carefully re information absorption? I used to buy all kinds of unverified ideas, on face value, like vegetarianism as the supposed optimal state for humans. Because I read a lot about health, I continue to encounter claims that cause me to be skeptical — yet this doesn't stop me from examining them in the cold eye of empiricism. Caveat emptor. – Dorado Galore Mar 31 2012 at 21:07
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Not a Doctor - might you not pop over there and explain to these people what they are doing to themselves, if you have such conviction and get so upset. Wouldn't that be the RIGHT thing to do? Yes, personal responsibility, and you have no obligation to the these desearate folks, and all that. But if you have compassion, you might be trying to correct the wrongs! IMO :) – PaleoBarbie Apr 2 2012 at 12:48
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I would not pay to access a website.

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Well this makes no sense either. – tonysolo Apr 1 2012 at 15:13
Then you probably shouldn't buy anything online. Websites when they get big enough need advertising revenue and/or product selling. It takes time and/or money to maintain a website. When you shop on Amazon, or whatever large website you buy from you think it is free??!! Amazon has website costs too - you don't see the hidden costs because you're paying for it when you buy products from them. – Lady_Arwen Apr 1 2012 at 15:18
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I have no problem with buying something online or having adds on the website. – Eric Apr 1 2012 at 22:20
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Jack Kruse,the P.T. Barnum of Paleo

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Is he selling white salmon too? – Satchmo Apr 2 2012 at 21:50
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The way I understand it, and from everything Kruse has said, this new paid membership will be in Addition to the free content he will continue to post/provide... I think people are blowing this way out of proportion. It's not like he's taking all of his content and making it a paid-only thing (didn't DeVany do this?), he's just adding a paid option for those that can afford it or need the extra guidance...

Whether you like the guy or not, I really don't see why this is getting everyone so hot and bothered...

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It does appear that people who think the criticism, I mean kriticism, is about "liking the guy" are simply baffled by all of this. – Shari Bambino Mar 31 2012 at 19:46
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@Shari Bambino, I'm feeling neither baffled nor enrolled-in-cold-adaptation-practices. I'm feeling turned off. I'll happily read insatiably about differing logic/interpretations/findings/experiences. This is more like a high school debate IMO. – Nance Mar 31 2012 at 20:36
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But see that's the problem Nance. People see his detractors as playing "high school" when in fact they have very valid concerns. The Kruse Kids just call names instead of hearing the concerns and having a dialogue about the issues. Jack's critics are criticizing not because they hate him but because they love the paleo community and see what he is doing to it as a negative. This "if you don't like it don't listen" stuff is just crap. We should be able to talk about it. We are required to talk about it. Sorry but I am just sick to death of the patronizing crap coming from Kruse Kamp. – Shari Bambino Mar 31 2012 at 22:52
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Kruse is a pseudoscientific buffoon. His comments on PH have mostly been buffoonery. I just don’t understand why every buffoon scientific theory he spits out should be subject to courteous, reasoned debate, especially when he himself fails to do this. Of the dozens of his comments that I have seen that are blatantly false, I have never seen him say “oops, my bad.” He never retracts his inane, blatantly false, pseudoscientific comments. If you want to spend your time courteously giving equal standing to buffoonery, then more power to you, but some people think we would still be in the Dark Ages – Paleo2.0 Apr 1 2012 at 3:29
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@Paleo2.0 you may be correct, but another possibility is that positions/recommendations that are ignored shrivel and die. Drama, on the other hand, ensures lots of attention and attracts people to see what the fuss is about. – Nance Apr 1 2012 at 3:39
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Does it come with thermo adapted hookers and guaranteed super long telemeres?

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How is this comment more offensive than than the pirate and hookers one? It got a +12. – primallykosher Mar 31 2012 at 17:05
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@primallykosher, fair question. I could have done fine without yours or the others, but I'm not the down-voter and none of it ruined my day. I just shrugged, and said, Must be guy humor." – Nance Mar 31 2012 at 17:09
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Someone also flagged Dr. Emily Dean's comment as offensive. Guy humor there too? – Bread-Eating Beelzebub Mar 31 2012 at 17:36
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She made a sinfully fleshful comment about nipple stimulation that is surely an offense to the neolithic proprietary deity of Middle Eastern monotheism. – Alex Mar 31 2012 at 19:02
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I was flagged as offensive? Do I get a badge for that? – Evolutionarypsy Apr 1 2012 at 1:03
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For healthy people, it may not be a big decision whether to pay for paleo products and services, or not. We already pay for everything from the food choices we make, gym memberships, health insurance, co-pays and deductibles, etc.... When I add up what I pay for health insurance, including deductibles and co-pays, it adds up to a lot. If I had a choice on how to spend some of my own health care allowance (which I should!), I would much rather channel some to a program that offered lab prescriptions-interpretations-consultations rather than the regular doctors I've had to deal with for the last 30 years. In a way, I hope what Kruse is offering is a type of virtual clinic and that the concept catches on with other progressive physicians. That would be cool. Now that I'm well on my way to better health, I probably don't need much in the way of health care except for annual monitoring of certain labs. That was not the case 18 months ago when I started out. I had metabolic syndrome, TTD, hypothyroid, fatty liver, sleep apnea. Good health comes with a price tag, which is more than just the monetary aspect. I wish I knew ten years ago, what I know now.

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This question was already asked here.

My answer...

I was 10 years old when my mother said something I've never forgotten. We were shopping and I asked her why she picked up the more expensive brand of an item. She said, "I pay money for quality." Basically, you get what you pay for (ideally - provided all the relevant information is available to you).

Also, I should mention that both of my parents are educators. My mother taught at a private elementary school and my father teaches MBAs and PhDs at an expensive business school. I've been taught that quality knowledge is valuable and is worth my time and money.

I recognize that I have a bias; but, I'm definitely of the camp that says, "I'm willing to give a little of my resources (time or money or both) to get something of quality." Fair exchange for quality information, ya know? I certainly run away screaming when I smell consumerism lurking in the dark (but flashy) corners of the interwebs; but if I deem something worth a monetary (or other kind of resource) value, I'll happily pay.

That said, is going to a CrossFit gym worth the monthly fee? Or can I get a similar benefit following the Primal Blueprint Workout Plan? I guess it depends on my goals. And in the paleo community, there surely is a wide range of fitness goals!!

Some paleo people will gladly pay the membership fee for Art Devany's website or buy some articles over at Performance Menu. Others are content with simply listening to podcasts and watching videos (both of which have a price of time).

Bottom line: only you can determine the value of something to your own life.

Now, I wrote this before "The Quilt" became the "thing" he is and began charging. Notice that I said above "provided all the relevant information is available to you." Unfortunately, that's not always the case. But my opinion stands.

Also, I should mention, I have since started paying the monthly fee for the CrossFit gym and I love love love it.

P.S. Let's be sure to keep the debate to talking about "costs and benefits of paying for paleo info in general. ...This means membership sites."

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Seriously? This is a question for PH? Like the dude? Pay. Don't like him? Don't. Ridiculousness. J

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I was going to suggest that the good doctor throw in a complimentary lobotomy for the highest membership level.

I then realized that it was a prerequisite for any of them.

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Compared to other resources, it's really not even worth your own free time to go to Jack Kruse's website. I know that sounds really inflammatory, but the fact is that there are so many good free resources that paying for anything has never even crossed my mind.

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If he's charging, he really should have some concrete medical research to back up his claims. His medical specialty isn't in the area he's blabbing about, so what exactly is he charging for besides his time? – Cameron Apr 1 2012 at 0:05
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$248 per months sounds like a lot, but it does include a monthly 30 minute private consultation with Dr. Kruse. Despite all the woo he seems to embrace, he's still a trained medical professional who can charge accordingly. That said, he's ventured far enough into Wooville that I would no more pay to consult him than I would Don Matesz.

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Can anyone comment on the legality of online medical consultations? Are they regulated at all? – Bread-Eating Beelzebub Mar 31 2012 at 15:08
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The AMA considers first time online medical consultations to be unethical. It is permitted to have follow up visits via phone or video conference. It also gets dicey when you consult with folks in other states so far as licensure. However, if you consult for the benefit of the patient's personal physician (even initial evals) it is considered kosher. So let's say a psychiatrist approached me about a patient wanting my opinion. I could legally charge for a consultation and meet with that patient online without ethical problems. The doc-patient relationship is still with the initial MD. – Evolutionarypsy Mar 31 2012 at 16:55
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I hope Dr. Kruse is careful. I mean, kareful. Combining ice baths, keto diets, heavy supplementation, etc with people having complex medical conditions could lead to some very dicey situations. – Kamal Mar 31 2012 at 17:56
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I think 19% of neurosurgeons are being sued anyway at any given moment so maybe he doesn't care. @Evelyn, it isn't so simple. Obtaining a history and giving advice could constitute doc/patient relationship unless he consults with another physician (the personal one taking care of the patient). Doctors can't even help at the scenes of accidents without risking lawsuits. "Good samaritan" laws do not apply to docs. – Evolutionarypsy Mar 31 2012 at 18:01
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Yup, that was me! "Hi Dr. Kruse, this is Kamal, you're best friend from paleohacks..." Oh man, that was priceless. – Kamal Mar 31 2012 at 19:27
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If you don't like it - just ignore it. do you people listen to a radio sataion that plays music you don't want to listen to then call the satation to complain? Or take out an ad in the paper decrying the awful music you were somehow "forced" to listen to?

Do you sit though a stupid television commercial, or an offensive television show, watch the wntire thing and then complain about it later? My God, grow up. If you don't like what the guy says, then just ignore it an move on. My father once told me "It's easy to be AGINST something, but what are you FOR??", and in the same breath, "If you can't say something nice about someone, keep your %%&^(^( moth shut!"

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I think this is a typo since the next level up is $48pm. Even so if it is it's a silly mistake for them to make.

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It's $48/month to be a Kruse Karnivore. It's $248/month to be a member of the elite Kruse Klub. – Chauncey Gardner Mar 31 2012 at 10:30
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Just...craziness! – Sunny Beaches Mar 31 2012 at 11:07
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No @sunny beaches, it's kraziness. – jesuisjuba - paleorepublic.com Mar 31 2012 at 16:04
Yes, My initial thought is wrong and you are right it is indeed $248. Wow, takes a lot of earning. – CheshireCat57 Apr 27 2012 at 18:13
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We don't know what he plans to do with the money so it's a bit early to judge. I would love to see him use that money to run some clinical trials. OTOH, surgeons in particular tend to be narcissistic, obnoxious, and have an exaggerated sense of entitlement, not unlike other exceptionally well paid professions, so there's probably reason to take offense. It's hard to believe that $250/mo could be worth it.

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