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What does it really mean to take charge of your health? Lucy McBride MD, believes it involves much more than tracking your numbers. Good health is also about understanding the less measurable parts: what’s happening in your life, your relationships, stress, habits, emotional patterns, and your history.
Dr. Lucy McBride, a primary care physician and author of Beyond the Prescription: A Doctor’s Guide to Taking Charge of Your Health, joins us to discuss how to become a more informed, proactive annd empowered partner in your own healthcare.
We discuss the difference between control and agency, why your bio contains important health data, the “patient personality” each of us brings into the doctor’s office, when health tracking helps (and when it doesn’t) and why the transition to retirement can make structure, movement, social connection, and daily routines even more important.
Lucy McBride, MD joins us from Washington DC.
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Bio
Dr. Lucy McBride is a board-certified internist who has practiced primary care medicine in Washington, DC, for over two decades. She is a native Washingtonian who attended the National Cathedral School before earning her undergraduate degree from Princeton University. She graduated with honors from Harvard Medical School and earned a Master’s Degree in Pharmacology as a Fulbright Scholar at the University of Cambridge, U.K. She completed her internship and residency in Internal Medicine at Johns Hopkins Hospital.
Dr. McBride has become a nationally recognized voice in healthcare transformation and patient empowerment. She believes that health is not a checklist or an outcome, but rather a lifelong process that requires awareness, acceptance, and agency over what you can change.
She is the author of Beyond the Prescription: A Doctor’s Guide to Taking Charge of Your Health (Simon & Schuster, August 2026), which offers a five-step framework for patients to reclaim agency over their health. The book has been praised for bridging the gap between conventional medicine and holistic wellness, refusing false binaries and empowering patients to make informed
decisions.
She writes the widely-read medical newsletter Are You Okay?, which reaches over 39,000 subscribers weekly with evidence-based guidance on navigating mental and physical health in tandem. She also hosts the top-rated podcast Beyond the Prescription. Dr. McBride’s work has been published in The Atlantic, The Washington Post, and USA Today. She is a frequent media commentator, appearing on NPR, CNN, MSNBC, Morning Joe, and PBS NewsHour, where she provides evidence-based medical advice and advocates for a more comprehensive approach to healthcare.
Her mission extends beyond individual patient care to transforming the healthcare system itself. She believes that empowering individual patients creates systemic change—and that primary care relationships, enhanced by technology but centered on human connection, are the foundation of sustainable healthcare transformation.
Dr. McBride lives in Washington, DC with her husband and three children.
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For More on Lucy McBride
Beyond the Prescription: A Doctor’s Guide to Taking Charge of Your Health
Beyond the Prescription Podcast
You can learn more about Dr. McBride here.
You can subscribe to her free newsletter here.
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Other Retirement Podcasts You’ll Love
Eat Your Ice Cream – Ezekiel Emanuel, MD, PhD
What Matters Most – Diane Button
Inside The Healthcare Heist – Jordan Grumet, MD
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Wise Quotes
On Agency
“People often don’t realize how much agency they have over their health…When we stop fighting unwinnable battles, we then open up brain space, time, energy to then fight the battles we want to be fighting. That’s the birthplace of agency.”
On Your Story & Your Health
“We love collecting data. Cholesterol levels, blood pressure, body mass index, right? All the things we can measure in a test tube. But it turns out the most important data is actually something only you have access to. It’s your biography. Your biographic data matters, I would argue, even more than your biometric data, and your biographic data informs your biometric data.”
On Self-Compassion
“When I was able to connect the dots between her story, which is very relevant, those biographic pieces of data from when she was a kid, and her blood sugar readings, her blood sugar readings that go up when she’s stress eating and she’s not taking care of herself, that’s me handing power to the patient. That’s me saying, “Look, you have more agency than you think.” It’s not that understanding the relationship between childhood traumas and your diabetes, the knowledge alone isn’t enough, but it’s to say that there’s no GLP-1, there’s no shot, there’s no medication that’s going to practice self-compassion for you and for you to make peace with your body and to, and to feed your body the way it wants to be fed.”
On Taking Charge
“The idea of being the CEO of Your Health is being someone who can understand at its core where you have agency and where you do not, and knowing the difference. It sounds a lot like the Serenity Prayer, right? It’s basically the wisdom to understand where you can execute in your life, habit changes, relationship changes, whether the relationships to food or alcohol or other people or your retirement, and where you have to cede control, like you’re aging, you have a genetic predisposition to a disease you don’t like, you have medical conditions that you’d rather not have. Because it turns out that the best CEOs in the world are people who don’t try to control everything. They also don’t outsource everything to somebody else. They know the difference between where they have control and where they don’t, and then they ask for help. My book is essentially a guide to making sense of your health in a more nuanced way because you do have more control than you think.”
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About The Retirement Wisdom Podcast
There are many podcasts on retirement, often hosted by financial advisors with their own financial motives, that cover the money side of the street. This podcast is different. You’ll get smarter about the investment decisions you’ll make about the most important asset you’ll have in retirement: your time.
About Retirement Wisdom
I help people who are retiring, but aren’t quite done yet, discover what’s next and build their custom version of their next life. A meaningful retirement doesn’t just happen by accident.
Schedule a call today to discuss how the Designing Your Life process created by Bill Burnett & Dave Evans can help you make your life in retirement a great one — on your own terms.
About Your Podcast Host
Joe Casey is an executive coach who helps people design their next life after their primary career and create their version of The Multipurpose Retirement.™ He created his own next chapter after a 26-year career at Merrill Lynch, where he was Senior Vice President and Head of HR for Global Markets & Investment Banking.
Joe has earned Master’s degrees from the University of Southern California in Gerontology (at age 60), the University of Pennsylvania, and Middlesex University (UK), a BA in Psychology from the University of Massachusetts at Amherst, and his coaching certification from Columbia University.
In addition to his work with clients, Joe hosts The Retirement Wisdom Podcast, ranked in the top 1% globally in popularity by Listen Notes, with over 2 million downloads. Business Insider recognized Joe as one of 23 innovative coaches who are making a difference. He’s the author of Win the Retirement Game: How to Outsmart the 9 Forces Trying to Steal Your Joy.
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The views and opinions expressed by guests on The Retirement Wisdom Podcast are those of the guests and do not necessarily reflect the policy or position of the host or Retirement Wisdom, LLC. The Retirement Wisdom Podcast covers the non-financial aspects of retirement. From time to time we may invite guests who discuss other aspects of retirement planning, solely for educational purposes. Listeners are advised to consult qualified financial and/or medical professionals on those matters.

