also, the only man who can turn a four-letter word into an international smash hit. ♪ see you driving around town with the girl i love and i'm like forget you ♪ >> what's up, man? i'm so anxious to talk tour, the anticipation is killing me. >> my exclusive with cee lo green. you have got probably more money in those diamonds in your teeth than i have earned in a lifetime. how many have you got? >> would you stop being modest please? plus, only in america. a lesson for all those new facebook millionaires on the right way to spend their money. this is "piers morgan tonight." very few television programs could actually improve your health. i'm hoping this one will because dr. oz is the kind of guy that makes you feel better and not just in that kind of cozy convivial sense. dr. oz, welcome. >> thank you very much. >> originally said heart surgeon, author, research, philanthropist, tv star. >> oh, please. >> read all that. >> be sealy wand's husband. i had the best time. >> it was brilliant, you interviewed my wife for a british newspaper. she is a journalist. and she came back bubbling with enthusiasm because you had actively instructed her to improve her health by drinking more wine and having more sex. >> yes, i did that as a favor to you, piers. >> thank you. >> it helps a lot. the fascinating thing, and you know, talked to celia, doing a free clinic in los angeles. i gained a lot of insight into how she thought about health in this country, and, of course, when you are talking to someone who is a foreign national about where we stand in america, you see there are huge opportunities to maybe nudge ourselves in a better direction, which fundamental, what my whole life had been about. >> a fascinating exercise, thousands of people turning up from the lowest elements of society, in terms of ability to pay for health care or anything like that and someone suffering appalling, long-term tumors and so on. what do you do that for? what is the motivation for you when you have those kind of open, free clinics? >> piers, i get letters in the mail daily from folks who say you are my doctor. not just figuratively because i watch you in television, literally you i don't have a doctor. you have 50 million people without health care coverage, many of them are going to seek out whatever resources they exist. the tv show happens to be one of those resources. we began running these free clinics in part because i could hear the shame in the voices of people who were writing. they felt they didn't matter, they didn't have a voice, they were invisible in so we have a covenant that we make with each other as part of society that i think allows us to feel like wary member of that community and whether we have insurance or not, we should at least be counted on those regards. we runt clinics to embrace folks who cannot get care otherwise and there are some tragic elements of this >> what is the simple answer for the tens of millions of people in america who simply will never be able to afford health care? how does america look after its most needy people with a system that often doesn't allow them to have anything? >> everyone has to be in the system. you cannot drive a system that is going to be aiming at preventing illness if everyone is not in it the whole gaming of health insurance and health care in america is based on that fundamental principle, insure people who aren't sick and you don't have to pay more money on them. if everybody is in the system it pace all of us to it pay attention, 80 million people, diabetic or prediabetic. >> 18 million people? >> 80 people people. diabetes is like broken glass shards scraping the delicate lining of your arteries. the number one cause, which i will measure on you, is blood pressure. a simple cuff like this which hope everybody could hear my voice -- >> normally my blood pressure is okay, but even talking to you about this, probably sending it racing you. >> since you kindly, i don't know a prop this is a supply i had in the -- carrots and celery sticks here. >> quite a healthy green room. >> i had to swipe away the doughnut remnants of the croissants left behind. these simple decisions impacted us dramatically f we are going to have a true preventative health care approach to taking care of people, basically about making easy to do the right thing, everybody has to be in the system. the tough decisions shouldn't be that, piers. the tough decisions should be how we are going to be able to give affordable care to people and get our value back. >> what is the simple answer? >> the simple answer is the most expensive thing we do in medicine is provide bad care. when i get a patient cared for poorly or if i make a mistake, without being wise about what i'm doing, prescribing this harmful, that costs us all a lot of money. i'm of turkish origin you may know, you throw a coin into a well, right, one foolish person can do that but takes 1,000 wisemen to get it back out again. we are spending most of our time in american health care fixing the mistakes that either we in the profession are causing or our patients are, without recognizing it, causing to themselves. >> how limiting and how much more complicated is the system in america because of the massive overreliance on bureaucracy and threat of lid lithe gauges which leads to more bureaucracy and so on? how restrike stiff that to you as a practitioner? >> we estimate 20 to 25% of the health care expenses, a huge amount of money is driven by the bureaucracy, fear of making mistakes, might be higg significantly more than that. hard to measure anything. here is the big message i think everybody in the world getting, you cannot be a healthy country you are you are not a healthy country. what china is worried about is the health of their citizens, strip away the vitality. corporate leaders worry they are spending so much on health care, they can't keep up with the expenses required to make simple productsship. a serious issue you at its root lies the challenges that we all face. we can fight about how to move around those deck seats on the "titanic." tend of the day, we will have to get away from that and start making serious choices. >> if you were analyzing and summing up the state of america's health, 1 to 100, how bad is it with the higher number being bad, lower number being good? comparative to, say, other main countries, major countries in the world? >> you know, again, using your scaling system, i would probably give us an 80. it is not where it should be. a couple reasons for that first off, i don't think we are very efficient in how we invest our resources of health. but mostly, we have made our society into a perfect storm for making mistakes in your health. if you're making hard to do the right thing, the right thing is not gonna happen f there are no sidewalks in neighborhoods, people aren't going to go out there and walk. you department didn't grow up in this country, our viewers might resonate this, did you walk to school when you were a kid? >> yeah. >> 60, 70% of folks watching this show now, our able, walked to school when they were kids. >> i read if you do a brisk half an hour walk a day whoever you are, that would maintain a pretty high level of fitness over time. >> absolutely right. let me accentuate this. you go around the world, look at people that lift longest that is the one secret they all share. >> movement. daily, vigorous physical activity. >> people in america and the same applies to britain, are just very sedentary in their lives. >> every hour you sit at work increases your mortality 11%. think about that go back to the statistics how far we walk to school. the average number, adults today, generally walk to school more than half the time. today's children walk to school about 10% of the time. we have created a society where it is acceptable to be sedentary. similar examples exist for many, the decisions we make, what foods are available, junk food, fast food, et cetera. >> hold that thought. i want to talk specifically about american health, how people are getting it wrong what they should do to get it right and be healthy. >> the many time, i am going to check your blood pressure on the break. >> come on. let's do it. an airline has planes... and people. and the planes can seem the same so, it comes down to the people. because, bad weather the price of oil those are every airlines reality. and solutions won't come from 500 tons of metal and a paint job. they'll come from people. delta people. who made us one of the biggest airlines in the world. and then decided that wasn't enough. listen to what mvp justin verlander thinks about it. i would say the source of most of my muscle pain would be in my shoulder. my trainer kevin rand recommended it to me. i was kind of skeptical at first, but i tested it out, and bayer advanced aspirin relieved my pain fast. feeling 100% every start, every fifth day, i think definitely gives me a little bit of an edge. but don't take his word for it. put bayer advanced aspirin to the test for yourself at fastreliefchallenge.com my high school science teacher made me what i am today. our science teacher helped us build it. ♪ now i'm a geologist at chevron, and i get to help science teachers. it has four servo motors and a wireless microcontroller. over the last three years we've put nearly 100 million dollars into american education. that's thousands of kids learning to love science. ♪ isn't that cool? and that's pretty cool. ♪ it's the travelocity spring into summer sale. you can save up to 50% on select hotels and vacation packages. so book your summer vacation now and save up to 50%. offer ends soon. book right now at travelocity.com. so this is a bit of tv history for me. i have just had my blood pressure taken by dr. oz. i have no idea about the results. you are about to find out on this show whether i'm going to be alive next week or possibly dead. or dead. >> your number is 134/82. >> how good is that? >> 134 is average for america. let me take this off and talk about what is average in america. >> yeah. yeah. >> so when you're average, in most things, that's okay. but when you are average with your blood pressure it doesn't mean you're optimal. >> right. >> the goal should be -- >> what should i be looking for? >> 115/75 is the optimal number. the hypertensive number too high you 140/90 f you are 134/82, which is what you were, and that means that you're average, it translates to is that your life expectancy is going to be several years shorter than if your number was the optimal number that is a big deal for folks because they don't realize the number one driver of all aging is high blood pressure, like a fire hydrant that is ruck off the lining of your arteries. by doing that, forces your arteries to have to repair themselves continuously. if i punch a hole in this table here, how i do fix that hole? i fix the hole by putting plaster in. the body's blaster is called cholesterol. the more holes i have, the more i have to use my cholesterol to fix it. if i have the wrong kind of cholesterol, bad food gives me, i'm stuck, making that plaque that causes everything from erectile disfunction you and sealy were talking about. >> i'm not talking about that. what the hell are you talking about? >> i'm sorry. >> talking about your problems, not mine. >> the wine and the -- intimacy issues we were talking about earlier all drive back to that insight. the blood pressure problem a bigger issue from your heart and brain. >> coming from europe, i was stunned by how much food americans consume. i mean it is probably -- not exaggeration to say probably twice as much physical food being consumed on a daily basis, the size of the portions. >> no question the portion control is a big part of it. i spend every day talking about portion control are cheat the system, get what you need out of t people know what to do often times and they can't do it emotionally. you have to ask yourself, why is that? what is that deep empty hole inside they are trying to fill? i think a lot of it comes down to the fact that a lot of people in america feel out of control. so, if i can't control my job or my spouse or the people in my life, the only thing i can control is my arm and the fork that it's holding. so i use t so i think when we talk about obesity in america, part to have is the system, the environment we have crafted around this, portion scream good example. part of it is that we don't treat food like it's sacred. the brain is smart, piers. it is not looking for calories it is looking for nutrients. if i'm giving myself junk food, a lot of calories in it, my brain is going to say that is fantastic, but where's my goodies? >> is the american diet, the main american die yet, the masses, for want of a better phrase, would eat on a regular basis? is that worse as a diet than a country like britain, like india, like china? give me some comparison to play with here about the quality of the diet. >> well, the united kingdom has the highest incidence of hardening of the arteries of any of the countries i'm aware of, i'm sure there are a couple higher, this is the major countries, near the top, many of the studies are done there, because of that the british die yet, think is much better than u.s. diet. china, india, many parts of europe, people eat real food. they -- the foods they eat came out of the ground looking the way it looks when they eat it not processed. don't go for the head fakes. somebody say is that low fat food, it means we took food and adulterated it. what do you add back? add sugar back. one example, skim milk, good for you or bad for you >> sure about to tell you it is not good for you. >> exactly. >> why. >> if i take the fat out of milk what is left? sugar. crazily. >> what is the best milk to drink? >> regular milk, just less of it. if i give you a low-sugar alternative, it is mucking it up. that is why artificial sweeteners don't look. >> it lasts longer in the fridge or sitting outside, it lasts days longer. bread, a loaf of bread here will survive two weeks before it starts to mold. in britain, it will go in two or three days. what does that mean? it made me think this is odd, how many preservatives are in this food? >> many of the preservatives good for shelf life but bad for human life. insect sweetener, a lot were designed not for human use but industrial use. you know, when there was a problem with reading the right kinds of fats for candles, started using transfats, vegetable oils and manipulated them. the scientists did the right thing to make candles, you extrapolate that into human consumption, it raises major red flags for tt. part is the biology of british, understanding how your body responds -- >> biology of blubber? >> it's yours, please use it. the biology of blubber, understanding what naturally happens to your body when you do these things, part is the emotional burdens that drive us to do things we shouldn't do give you one good metaphor. 1,000 years ago, since you asked about stress, 1,000 years ago, what was stress? wasn't a deadline for a tv show, wasn't a ratings point, wasn't someone criticizing you, it was famine, not having enough food. so, when we feel chronic stress, we think we are in a famine. what happens in a table, we release chemicals in our brain that force us to eat more of things we don't like. voila. french word. that's what -- that's what happens in america and other societies when we feel chronic stress and we see this especially in parts of the country where people are under chronic stress, socioeconomic stress in particular is one that drives obesity levels. that, my friend, mortgages our nation's future. you don't deal with obesity when people are young, they will carry it to a disease much earlier. i have started operating, piers, on 25-year-old people, 25-year-olds with hardening of the arteries. unheard of a generation ago. why? they grew up as 10 and 12-year-old diabetics with high cholesterol and using medications to get treated. by the time we are done with this you and i and everybody else paying to take care of people not going to get a high-quality return to that investment. >> one of the biggest problems americans facing with health they could easily fix what are the most common mistakes people make with their health? >> five major themes that drive 70% of how long and how well we age. five theme, one is blood pressure we checked yours, yours is the average blood pressure, the average isn't good enough. need to be optimal. number two daily physical activity, which we have talked about. number three diet you love. i'm not saying more important than one good four, you can find foods that you love good for you, if do you that you will eat those foods. >> tell me about the mythology of diet. what is the best way to lose weight without having to just eat carrots? >> first off, carbohydrates, i think we have a problem with simple carbohydrates, white foods, white rice you white pasta, the whites that we bake with, all problemses for us, but carbo high dplats general stimulates your thyroid gland, if you take out your carbohydrates, you drop your metabolism, people trying to diet hard, they don't succeed, the body is too smart four the biology of blubber will catch you and pull you back to rate. in order keep your metabolism high to burp off the calories you are eating, you want carbohydrates, you want to diet smart not hard h keith to long-term established weight loss it is all about losing 100 calories from your diet every day not more. you true i do cut off 400 calories, your metabolism showdown t. >> too dramatic? >> your body is geared a dozen systems to keep you eating. if i told you, piers, hold your breath underwater indefinitely, you can't do that can't hold your breath forever, everybody knows that, same for dieting, there are a lot of reasons your body would not want you to do that never in our history ever would you need that. >> focus primarily on losing 100 cal days are from the way would you normally lead your life what kind of results would you see and what kind of time span? >> just give you an idea of 100 calories, half a dough nut you half a soft drink, a small nudgy move take off 12 or 13 pounds a year. >> what is your regimen like in terms of diet and fitness, you are absurdly fit, houfld are you? >> 51 >> you are look fitter than me, 46. we have an issue here. but tell me what you do to maintain good level of fitness, personally. >> get up at the same time every morning. >> which is? >> 6:00, 5 or 6 for rage come to in a second, get up at 5 or 6 because i know will create a routine for me, i control my future destiny. as soon as i get up, first thing i do is seven minutes of exercise. >> seven? >> i will tell you why it is he haveson, do what i want to do a sun salutation, a series of yoga moves, not touchy feely, i played football in college, preseason football practice stuff with some sit-ups and pushups. in seven minutes i do it because i know even me can make seven minutes in their life. and i challenge anyone watching -- >> seven minutes is enough? >> enough to get you going in the morning, get your metabolism up, pushups and sit-up with us my stretching exercises, i feel like i control what i'm doing the rest of the day. big reason itselfen, no the 15, 25, challenge everybody out there now to ask themselves, am i so disorganized in my life i can't carve out seven minutes? i get my -- >> go to the gym at all? >> no. >> do you run? >> i do. i do lots of activity, play basketball, lots of activities, not then, the core to my health is the seven minute us in the morning if i'm so busy all day long, don't have time, so exhausted i can't get it in i got my seven minutes every single day the consistency that helps. date time, i run a lot, you should-getting up from your deck go the to the person's cubi