Dr. Robert Pearl’s latest opinion poll, part of his “Monthly Musings” newsletter, asked readers about their health goals and habits for 2026 (note: studies show most Americans have already quit their resolutions for the year). The result? People want to eat better, workout more and lose weight. And yet, the behaviors that lead to those outcomes are cited as the most difficult things to maintain: good sleep, time management, stress reduction.

In this episode, Pearls joins cohost Jeremy Corr and cardiologist and burnout expert Jonathan Fisher for an “Unfiltered” conversation about why so many resolutions, intentions and goals fail.

The conversation quickly evolves into an evidence-based exploration of human behavior, motivation and the modern forces working against sustained change.

Drawing on psychology, neuroscience and lived experience, the trio explores why knowledge alone rarely changes behavior, how digital environments hijack attention and emotion, and why willpower may be the most overrated concept in self-improvement.

Along the way, the conversation touches on doom scrolling, burnout, fear, parenting in a digital age and the quiet erosion of habits that support mental and physical health. The result is a candid and deeply human examination of why change is so hard … and what might actually help.

Some of the key ideas discussed:

Resolutions don’t fail because people are ignorant or lack willpower. Most people already know what they “should” do to improve their health or happiness. The real challenge is not information, but the gap between intention and action.
Willpower is a fragile strategy. The group challenges the idea that success depends on moral strength or discipline. Instead, they emphasize designing environments and systems that make healthy choices easier.
Doom scrolling as emotional regulation. Dr. Fisher describes how endless scrolling often isn’t about boredom, but about managing discomfort, anxiety or feeling low.
Identity shapes behavior more than goals. Habits are easier to sustain when they align with how people see themselves. Someone who identifies as “an athlete” behaves differently than someone who is merely trying to exercise more.
Burnout is both systemic and personal. While organizational pressures matter, Jonathan argues that individual boundaries, values and behavior patterns also play a role in chronic exhaustion and disengagement.
Fear is rising. Robbie reflects on the paradox of growing anxiety despite improvements in crime rates, employment and longevity — and points to social isolation as a key driver.
Phones are changing how we relate to each other. Jeremy raises the now-familiar sight of groups sitting together while staring at screens. The three discuss what this means for connection, attention and the ability to tolerate boredom, especially for children watching adults model behavior.

In classic Unfiltered fashion, the episode resists easy answers. Instead, it invites listeners to rethink how change actually happens: not through sheer determination, but through awareness, structure and a more honest understanding of human nature.

For more unfiltered conversation, listen to the full episode and explore these related resources:

‘Just One Heart’ (Jonathan Fisher’s newest book)
‘ChatGPT, MD’ (Robert Pearl’s newest book)
Monthly Musings on American Healthcare (Robert Pearl’s newsletter)

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Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple Podcasts or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

The post FHC #202: Willpower, doom scrolling & the illusion of control appeared first on Fixing Healthcare.