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Tag: TIME100 Talks

  • 10 Ways to Gracefully Change the Subject

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    There you sit, happily spooning mashed potatoes onto your plate, when Uncle Larry starts spouting off his unique views about politics and the conspiracy theory he read about on Facebook that morning. Or a play-by-play deep dive into his cat’s gastrointestinal issues. Or how angry he still is that Great-Great-Grandma Mildred cut him out of her will 30 years ago.

    It’s time to change the subject—but doing so gracefully is an art. “It’s not about moving away from or avoiding someone,” says Chad Littlefield, the co-founder and chief experience officer of We and Me, an organization that aims to help leaders, educators, and event organizers facilitate better conversations. “We want to redirect without breaking connections.”

    We asked experts exactly how to change the subject so smoothly that no one will even realize it’s happening.

    “I hear you. Hey, what does everyone think? Will the Lions get the W this week?”

    One of the best ways to dodge a conversational landmine is with a comment like “That’s interesting”—or the even more neutral “I hear you”—followed by a quick jump to safer terrain.

    “You want to acknowledge what was said, and then you want to pivot to something else,” says Jayson Dibble, chair of the communication department at Hope College in Holland, Mich. “You don’t have to agree with someone in order to acknowledge them.”

    This approach works because the norms of conversation generally prescribe turn-taking; one person can’t do all the talking, which means when someone uses their turn to mention something you’d rather not discuss, you can then use yours to address it in a way that doesn’t take sides but still fits before moving on to a safer topic. Plus, the original speaker won’t feel ignored, Dibble says.

    “We can talk about politics any day. What I’d love to hear is, when did Grandma come up with her top-secret recipe for cranberry sauce?”

    Pivoting to nostalgia is an almost foolproof strategy, Dibble says—everyone loves to talk about the good old days. You could approach the conversation like this: “We only get together once or twice a year as a big group like this. I’d love to hear more about what some people’s favorite Thanksgiving memories are.” Or: “Tell us some stories about what your early Thanksgivings were like.”

    Read More: 7 Polite Phrases That Are Still Worth Saying

    “If you’re wondering what to pivot to, you can always pivot to nostalgia,” Dibble says. “It’s easy to think back on a wonderful memory and get them to talk about it—and to invite more people into the conversation.”

    “Whoa, that’s above my pay grade—I’m just here for the food!” 

    Humor is a coping tool and a great way to defuse tension from almost any situation. That’s why Joy Parrish, a therapist and senior therapy manager at Headspace, likes this way of acknowledging an inappropriate comment and making it clear it’s not the time or place. “You’re doing it in a way that’s like, ‘I love you, but we’re not going to go there,’” she says.

    “OK, let’s pause. Does anyone need a refill?”

    Sometimes the best way to shut down a conversation involves a physical distraction. “Even if there’s a bunch of people around the table, the act of someone getting up and leaving turns the attention away from whatever’s happening,” Parrish says. “That focus is immediately broken.” By the time you sit back down, the mood and everyone’s attention span will have been reset, and you can wade into new, more enjoyable topics.

    “Speaking of politics, who’s hungry for meatball subs right now?”

    What does the politician you don’t want to hear about have to do with a juicy foot-long sandwich? Nothing—and that’s the point. One of Littlefield’s favorite ways to change the subject is pivoting with a non-sequitor, delivered in a playful way that makes it obvious you’re aiming for humor. “Laughter can totally purge the nerves in a room,” he says. “When you say, ‘Speaking of politics,’ or ‘Speaking of talking about super contentious issues at Thanksgiving, let’s go play Taboo,’ it’s a very obvious redirection without breaking connection.”

    “You mentioned [noteworthy detail]. I’m so curious, what’s the story behind that?”

    If you listen closely during even the briefest conversation, you’ll realize there are countless nuggets you can follow-up on. Maybe while she was ranting about politics, your aunt mentioned the town she grew up in—so why not ask her what it was like to live there, or how often she returns to visit?

    Read More: 10 Questions to Ask Your Parents While You Still Can

    There’s just one requirement to this approach: “Your question’s got to be rooted in your natural, genuine curiosity,” Littlefield says. “If you’re doing this just as an escape, it’s not going to work,” because people will be able to tell and will respond accordingly.

    “I’ll think about that.”

    These four magic words can disarm almost any situation, says Parrish, who considers them her favorite communication trick. If someone is trying to sell you something? You’ll think about it. Cousin Brady wants you to join his church or vote for his favorite candidate or loan him a large sum of money? You’ll think about that, too.

    “You’re not saying no—you’re saying that you’ll consider it,” she says. “It leaves the door open, and you don’t have to resolve the situation right then.” That allows you to change the subject to something with much lower stakes.

    “I love you—I’m just not comfortable talking about that. Can we talk about the Lakers instead?”

    Sometimes, you’ll need to be “brutally honest” and set a boundary, Dibble says. If your family member doesn’t get the point, tell them directly that you’re not up for continued discussion and want to talk about something else. “You don’t have to feel bad about it; you didn’t say anything bad about Uncle Larry,” he says. “You didn’t put down his belief. You didn’t take away his right to think. You’re just saying, ‘I’m not comfortable going there today.’”

    “You’re always so thoughtful about this stuff, and I can tell you really care. Speaking of which, you made that amazing pie last year, right?”

    Complimenting someone can smooth the transition away from a heated subject. If you have strong opinions about whatever Grandma is talking about, it might be hard to muster such kind words, Parrish acknowledges.

    Read More: How to Reconnect With People You Care About

    But if you can swing it, latch onto the fact that she obviously put a lot of thought into whatever it is she’s so passionately ranting about, and then segue into something else that same dedication translates to, like baking or decorating. “You’re pivoting to make it more global instead of honing in on this one topic they want to talk about,” she says.

    “We see this differently, and that’s OK. What matters most to me today is that we’re all together.”

    This is the kind of sentiment we could all benefit from saying to each other more often. Parrish thinks of it as saying, “I really value your presence here today,” which means a lot to people on the receiving end. “It’s important to acknowledge that we have other things that connect us in such a deep, meaningful way that this one opinion isn’t going to cause a rift,” she says. “You can’t argue with me being like, ‘I really, really just want to spend time with you today.’”

    Wondering what to say in a tricky social situation? Email timetotalk@time.com

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    Angela Haupt

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  • Health Panelists Talk Vaccines, Weight Loss, and the Importance of Respectful Discussion

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    Three panelists engaged in a spirited discussion about longevity and disease prevention at a TIME100 Talks event moderated by TIME senior health correspondent Alice Park in New York City on Wednesday.

    Dr. Raj Panjabi, senior partner of the bioplatform innovation company Flagship Pioneering, leading its Preemptive Health and Medicine Initiative; Jillian Michaels, creator of The Fitness App and host of the podcast Keeping It Real: Conversations with Jillian Michaels; and Dr. Nir Barzilai, director of the Institute for Aging Research at the Albert Einstein College of Medicine and president of the Academy for Health and Lifespan Research, joined Park on stage to discuss topics ranging from vaccines to weight-loss drugs.

    During the conversation, Park asked Panjabi, who previously served as White House Senior Director for global health security and biodefense during the Joe Biden Administration, about growing mistrust in vaccines in the U.S. Panjabi emphasized that it’s important to approach any claim made about vaccines “with curiosity” and “help folks understand the science.” 

    He said, for instance, that scientists learned that the COVID vaccine was more effective at preventing hospitalizations than it was at preventing infection. In the first two years after the COVID vaccine was distributed in the U.S., more than 18 million hospitalizations and more than 3 million deaths were prevented, according to a 2022 report from The Commonwealth Fund.

    “The takeaway that I have, from the work of vaccinations, is that it is still a proven, effective intervention. It’s worth studying them, continuing to study them, but then it’s worth actually looking at the data,” Panjabi said.

    Park went on to ask Michaels what questions she has about the safety of vaccines, in light of a post on X in September in which she said, “If we can recognize the undeniable success of vaccines historically, why is it treated as dangerous or taboo to raise legitimate questions about how we use them today?” 

    Michaels has sparked controversy in the past for expressing support for the Make America Healthy Again (MAHA) movement, led by prominent vaccine skeptic and Health and Human Services Secretary Robert F. Kennedy Jr. A New York Times story published over the summer described Michaels as “concerned vaccines haven’t been studied vigorously enough (though she does not consider herself broadly anti-vax).”

    Michaels replied that her questions weren’t necessarily about safety but about some aspects of the vaccine schedule. She criticized the fact that the Centers for Disease Control and Prevention (CDC) recommends that the first dose of the hepatitis B vaccine, which protects against a highly infectious disease that can damage the liver, is given at birth. 

    Critics, like Michaels, have questioned why a newborn should be vaccinated against a virus that can be transmitted through unprotected sex or shared needles. “Parents want to know these things,” she said. (Public health experts have emphasized that the sooner the vaccine is administered, the greater the chances of preventing early childhood exposures, including mother-to-child transmission of hepatitis B.)

    Panjabi said that a key part of recommending any medical intervention—whether that be vaccines or drugs—is whether the benefits outweigh the risks. He urged people to have respect for one another when engaging in those discussions.

    Park turned the conversation to GLP-1 weight-loss drugs, asking Barzilai if they are a good thing, to which he replied “definitely yes.” He said that “obesity accelerates aging,” so treating that can address that issue. And he cited new research that suggests that GLP-1 weight-loss drugs may have other positive health effects, such as reducing the risk of Alzheimer’s disease.

    The topic sparked a question from an audience member. Andrea Deierlein, director of Public Health Nutrition and associate professor at the New York University School of Global Public Health, expressed concerns that the drugs could be used to replace other aspects of a healthy lifestyle. Barzilai replied that exercise, diet, sleep, and social connectivity are “good for everyone,” but as people age, it becomes harder to “optimize” those aspects of a healthy lifestyle.

    “What we determined is that there are drugs that could, when you’re old, change the rate of your aging,” Barzilai said. But, he said, in a conclusion that spoke to the state of play across the topic: “How we’re going to do it and to whom is still a discussion.”

    TIME100 Talks: Living Better, Longer—Reimagining Healthcare from Sickcare to Wellcare was presented by Shaklee.

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    Chantelle Lee

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  • TIME100 Health Panel: Experts Reimagine Heart Care

    TIME100 Health Panel: Experts Reimagine Heart Care

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    More than 184 million people—about 61% of U.S. adults—are likely to have some type of cardiovascular disease by 2050, the American Heart Association (AHA) reported earlier this month. That will lead to a tripling in the costs related to heart disease. It’s a statistic that TIME senior health correspondent Alice Park cited to begin her discussion about the future of healthcare with AHA CEO Nancy Brown; cardiologist Kiran Musunuru; and Andres Acosta, associate professor of medicine at Mayo Clinic, for a TIME100 Health panel in New York on Tuesday.

    The event was sponsored by AHA and is part of the TIME100 Talks series. The TIME100 Health list includes the most influential people in the health industry around the world.

    Heart disease has been the leading killer of Americans since 1950. Brown, who has been CEO of the AHA since 2008, said the number of people in the U.S. living with the risk of heart disease—and the resulting cost—is “staggering.” Part of the issue, she said, is the lack of equal access to healthcare and to social determinants of health, such as healthy food and a living wage. But another issue is the way the U.S. healthcare system approaches these types of medical conditions.

    “I think that this country focuses a lot on treating conditions,” Brown said. “But we’re not focusing enough on prevention and helping people earlier in their lives understand the power of things that make a difference in their life. You know, 80% of cardiovascular disease is preventable.”

    Musunuru, a professor of cardiovascular medicine and genetics in the Perelman School of Medicine at the University of Pennsylvania, said cardiovascular disease can be attributed to about half genetics and about half environment or lifestyle. There are ways to reduce risk factors for developing cardiovascular disease, such as cholesterol levels, blood pressure, and even obesity. The challenge, he said, is that these risk factors develop over time. And the country’s current healthcare system attempts to cope with chronic disease with chronic treatment. While there can be merits to that approach, Musunuru said, it also puts “an outsized burden” on patients.

    He suggested the healthcare system shift its focus to preventing chronic diseases, starting at an early age—like we do with vaccines to prevent infectious diseases.

    “You’re not going to eliminate heart disease, but can you push off heart attack and stroke by decades?” Musunuru said. “Instead of suffering a bad heart attack at age 60, maybe dying from it, it happens at age 100 and you enjoy 40 years of life you might not have otherwise had.”

    Acosta, who codirects the Nutrition Obesity Research Program and directs the Precision Medicine for Obesity Program at Mayo Clinic, discussed how some treatments can also help with reducing the risk of other diseases. Obesity, for instance, is one of the major risk factors for heart disease, and weight loss drugs like Wegovy and Zepbound are having a significant impact on treating it. AHA previously reported that people taking Wegovy decreased their risk of heart attack, stroke, or death from cardiovascular issues by 20%, compared to those taking a placebo. Acosta said this data was a “game changer” and marked a “new era” in the management of obesity and cardiovascular disease.

    The panelists also highlighted the importance of genetic testing. Few people have their genetics tested, Brown said, and a priority for the AHA is encouraging people to do so.

    Musunuru researches the genetics of heart disease and aims to identify genetic factors that protect against disease. Having genetic information, he said, can help medical practitioners know early on what patients’ risks are for developing certain diseases and can allow patients to take a “proactive” approach to their health.

    “Your genes are the same on the day you’re born as the day you die,” Musunuru said. “If you know what’s in your genes at the time you’re born, that gives you a forecast of what your life will look like as it unfolds.”

    TIME100 Talks: Reimagining the Future of Healthcare was presented by the American Heart Association.

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    Chantelle Lee

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