Lifestyle behaviors are the key to health. Where people successfully manage their eating, exercise, sleep, stress and combine it with spiritual activities, the rate of cardiovascular disease, diabetes, dementia to name just three, are all significantly reduced. If behavior change is so critical, why is it effectively ignored by the medical profession? Rather than giving out ineffective fact sheets and information which we know have little impact, what would happen if more resources were given to health coaches to customize programs for individual patients and increase their adherence to the programs that could save their lives? Leaha and Howard provide their usual insight, intelligence and inspiration to this important issue.