Kleinunternehmerregelung und E-Rechnungspflicht 2025: Was Selbstständige mit §19 UStG jetzt wissen müssen

 Die Kleinunternehmerregelung nach §19 UStG ist für viele Freelancer und Selbstständige in Deutschland der einfachste Einstieg ins Unternehmertum. Keine Umsatzsteuer auf Rechnungen. Keine Umsatzsteuervoranmeldung. Weniger bürokratischer Aufwand.

Aber 2025 bringt eine Frage, die viele Kleinunternehmer verunsichert: Gilt die E-Rechnungspflicht auch für mich? Muss ich jetzt XRechnung und ZUGFeRD 2.3 kennen, obwohl ich ohnehin keine Umsatzsteuer ausweise?

Die Antwort ist differenzierter als ein einfaches Ja oder Nein. Und sie hängt davon ab, mit wem Sie Geschäfte machen.

Dieser Artikel klärt die wichtigsten Fragen rund um Kleinunternehmerregelung und E-Rechnungspflicht – praxisnah, ohne Gesetzestexte, mit konkreten Handlungsempfehlungen.

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Was ist die Kleinunternehmerregelung – kurze Wiederholung

Die Kleinunternehmerregelung nach §19 UStG erlaubt es Selbstständigen, keine Umsatzsteuer auf ihre Rechnungen auszuweisen und abzuführen, wenn ihr Jahresumsatz im Vorjahr unter 22.000 Euro lag und im laufenden Jahr voraussichtlich 50.000 Euro nicht übersteigt.

Das hat Vorteile: Einfachere Buchführung, keine Umsatzsteuervoranmeldung, günstigere Preise für Privatkunden.

Und Nachteile: Kein Vorsteuerabzug, geringere Professionalität bei größeren Unternehmenskunden, Umsatzgrenzen können einschränkend wirken.

Für viele Freelancer – besonders am Anfang – ist die Kleinunternehmerregelung der richtige Weg. Aber auch Kleinunternehmer sind von der E-Rechnungspflicht nicht vollständig ausgenommen.

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Gilt die E-Rechnungspflicht auch für Kleinunternehmer?

Die kurze Antwort: Ja – zumindest teilweise.

Die E-Rechnungspflicht unterscheidet nicht primär nach Unternehmensgröße oder Umsatz. Sie unterscheidet nach Geschäftsbeziehung.

B2B-Transaktionen – also Rechnungen zwischen Unternehmen – sind betroffen. Und zwar unabhängig davon, ob der Aussteller Umsatzsteuer ausweist oder nicht.

Das bedeutet konkret:

Wenn Sie als Kleinunternehmer eine Rechnung an ein anderes Unternehmen stellen, fällt diese Transaktion grundsätzlich unter die E-Rechnungspflicht. Ab Januar 2025 müssen Sie in der Lage sein, E-Rechnungen zu empfangen. Ab 2027 oder 2028 – abhängig von Ihrem Umsatz – müssen Sie auch E-Rechnungen ausstellen.

B2C-Transaktionen – also Rechnungen an Privatpersonen – sind von der E-Rechnungspflicht ausgenommen. Wer ausschließlich an Privatpersonen verkauft, muss keine E-Rechnungen ausstellen.

Die entscheidende Frage für jeden Kleinunternehmer ist also: An wen stelle ich meine Rechnungen?

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Drei Szenarien für Kleinunternehmer

Szenario 1 – Ausschließlich B2C:

Sie sind Freelancer und arbeiten ausschließlich für Privatpersonen – zum Beispiel als Grafikdesigner für Privatleute, als Nachhilfelehrer oder als freier Fotograf für Hochzeiten.

In diesem Fall sind Ihre Rechnungen von der E-Rechnungspflicht ausgenommen. Sie können weiterhin PDFs ausstellen. Allerdings müssen Sie trotzdem in der Lage sein, E-Rechnungen zu empfangen – falls Dienstleister oder Lieferanten Ihnen E-Rechnungen senden.

Szenario 2 – Gemischtes B2B und B2C:

Sie arbeiten sowohl für Unternehmen als auch für Privatpersonen. Das ist der häufigste Fall bei Freelancern.

In diesem Fall gilt: Für Rechnungen an Unternehmen gelten die E-Rechnungspflichten. Für Rechnungen an Privatpersonen nicht. Sie brauchen eine Lösung, die beide Szenarien abdeckt – und die richtige Rechnung im richtigen Format ausstellt.

Szenario 3 – Ausschließlich B2B:

Sie arbeiten ausschließlich für Unternehmenskunden – zum Beispiel als IT-Freelancer, Unternehmensberater oder Texter für Agenturen.

In diesem Fall sind Sie vollständig von der E-Rechnungspflicht betroffen. Ab Januar 2025 müssen Sie E-Rechnungen empfangen können. Ab 2027 oder 2028 müssen Sie E-Rechnungen ausstellen – unabhängig davon, ob Sie Umsatzsteuer ausweisen oder nicht.

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Was muss auf einer Kleinunternehmerrechnung stehen?

Auch wenn Sie keine Umsatzsteuer ausweisen, muss eine Kleinunternehmerrechnung bestimmte Pflichtangaben enthalten.

Die wichtigsten sind:

Vollständiger Name und Anschrift des Ausstellers und des Empfängers. Ausstellungsdatum der Rechnung. Eindeutige Rechnungsnummer. Beschreibung der Leistung oder Lieferung. Nettobetrag ohne Umsatzsteuer. Hinweis auf die Kleinunternehmerregelung – zum Beispiel: „Gemäß §19 UStG wird keine Umsatzsteuer berechnet." Bankverbindung für die Zahlung.

Bei E-Rechnungen im Format ZUGFeRD 2.3 oder XRechnung müssen diese Angaben zusätzlich in strukturierter, maschinenlesbarer Form vorliegen. Der Hinweis auf §19 UStG muss auch im XML-Teil der Rechnung korrekt abgebildet sein.

Moderne Rechnungssoftware wie Clever Invoice unterstützt die Kleinunternehmerregelung vollständig. Sie können einstellen, dass Ihre Rechnungen keinen Umsatzsteuerausweis enthalten und den §19-Hinweis automatisch einfügen – sowohl im lesbaren PDF als auch im eingebetteten XML.

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GoBD gilt auch für Kleinunternehmer

Ein weiterer wichtiger Punkt, den viele Kleinunternehmer übersehen: GoBD-konforme Archivierung ist keine Frage der Unternehmensgröße.

Auch Kleinunternehmer müssen ihre Rechnungen unveränderbar, vollständig und für mindestens zehn Jahre aufbewahren. Die Aufbewahrungspflicht gilt unabhängig vom Umsatz, unabhängig von der Rechtsform, unabhängig davon, ob Umsatzsteuer ausgewiesen wird oder nicht.

Wer seine Rechnungen in einem normalen Desktop-Ordner speichert, Dateien löscht wenn der Speicher voll wird, oder Rechnungen nachträglich bearbeitet, verstößt gegen GoBD – auch als Kleinunternehmer.

Die einfachste Lösung: Eine Rechnungssoftware nutzen, die GoBD-konforme Archivierung automatisch übernimmt. Keine manuelle Sortierung, keine Backups, keine Sorge bei Betriebsprüfungen.

Clever Invoice archiviert jede Rechnung automatisch GoBD-konform – unveränderbar, dauerhaft und jederzeit abrufbar. Das gilt auch für Kleinunternehmer, auch für Rechnungen ohne Umsatzsteuerausweis.

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Wann lohnt es sich, aus der Kleinunternehmerregelung herauszuwachsen?

Diese Frage stellen sich viele Freelancer, wenn ihre Umsätze wachsen. Die Antwort hängt von mehreren Faktoren ab.

Pro Kleinunternehmerregelung: Einfachere Buchführung. Günstigere Preise für Privatkunden. Weniger administrative Pflichten.

Contra Kleinunternehmerregelung: Kein Vorsteuerabzug – alle Ausgaben müssen voll getragen werden. Bei hauptsächlich B2B-Kunden ist die fehlende Umsatzsteuer oft kein Vorteil, da Unternehmenskunden die Vorsteuer ohnehin abziehen können. Ab gewissen Umsätzen ist der Wechsel zur Regelbesteuerung fast immer sinnvoller.

Unabhängig davon, ob Sie Kleinunternehmer bleiben oder zur Regelbesteuerung wechseln: Die E-Rechnungspflicht betrifft Sie ab 2025. Und die richtige Rechnungssoftware macht den Wechsel zwischen beiden Regelungen einfach und nahtlos.

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Die richtige Vorbereitung für Kleinunternehmer – Schritt für Schritt

Schritt 1 – Analysieren Sie Ihre Kundenbasis. Stellen Sie überwiegend Rechnungen an Unternehmen oder an Privatpersonen? Die Antwort bestimmt, wie dringend die Vorbereitung ist.

Schritt 2 – Stellen Sie sicher, dass Sie E-Rechnungen empfangen können. Ab Januar 2025 Pflicht für alle. Ihre E-Mail-Software allein reicht nicht – Sie brauchen ein System, das ZUGFeRD 2.3 und XRechnung verarbeiten kann.

Schritt 3 – Wählen Sie eine Rechnungssoftware, die Kleinunternehmer unterstützt. Nicht jede Software kennt die deutschen Besonderheiten. Achten Sie auf vollständige Unterstützung der Kleinunternehmerregelung, automatischen §19-Hinweis, GoBD-konforme Archivierung und E-Rechnungsformate.

Schritt 4 – Sprechen Sie mit Ihrem Steuerberater. Besonders wenn Sie kurz vor den Umsatzgrenzen stehen, lohnt sich eine Beratung. Der Wechsel zur Regelbesteuerung hat steuerliche Konsequenzen, die gut geplant sein wollen.

Schritt 5 – Stellen Sie früh um. Wer jetzt umsteigt, hat Zeit, die neue Software kennenzulernen und Prozesse anzupassen. Wer wartet, wird 2027 oder 2028 unter Druck handeln müssen.

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Fazit

Die Kleinunternehmerregelung und die E-Rechnungspflicht schließen sich nicht aus. Auch Kleinunternehmer sind betroffen – zumindest wenn sie B2B-Rechnungen ausstellen.

Die gute Nachricht: Die Vorbereitung ist einfacher als gedacht. Mit der richtigen Rechnungssoftware werden XRechnung, ZUGFeRD 2.3, GoBD-konforme Archivierung und der korrekte §19-Hinweis automatisch gehandhabt.

Clever Invoice unterstützt die Kleinunternehmerregelung vollständig – inklusive automatischem §19-Hinweis, GoBD-konformer Archivierung und vollständiger E-Rechnungs-Compliance.

Jetzt kostenlos testen und in wenigen Minuten compliant werden: clever-invoice.com

Athletic Performance Models - Celebrating Flexible Structure

So back to the muscle guy image,
the white parts, or connective
tissues are vitally important to the
nature of movement.

Let's call the guy on the left Athletic Stance.

Guy on the right we'll call Horse Stance.

Look at this anterior view and match it up
in your mind with the Horse Stance
above-right.

Horse Stance relaxes the muscles and
allows the weight of the body to rest
on the tendons. To say this is "different"
than the common practice is a gross
understatement.

              

            

With the weight resting comfortably on the tendons,
the body has considerably more tonus, or state of
relaxation.

This facilitates movement in ways Athletic Stance
can never know.

Athletic Performance Models - The White Stuff

Have yourself a good look at the
image above. What do you see ?

The red muscles jump right out
at you. If you have any education
about the muscles, your mind
starts to piece together how the
muscle groups actuate and move
the bones using the joints as
fulcrums and levers.

But MUSCLE-BOUND does not
denote "bounding with muscle,"
or even "muscular and strong."
Muscle-Bound means "having the
muscles large, overstrained, and
inelastic, as by overexercise; it
means tied up with one's own
muscles. The overdeveloped muscles
actually inhibit range of motion.
The fastest sprinters never look
like power lifters, and neither
do figure skaters or ballerinas.

This is what I like to call the
"Nose Plumb," and I want you
to adopt this idea for yourself.
From a side view draw an
imaginary line from anyone's
nose straight down to the floor.

If the nose-plumb line lands
out in front of the feet, or even
on the toes, it indicates a real
tendency to lean forward--
and a real ignorance of the
White Stuff, or connective
tissues.

This is commonly termed the
"athletic stance," or a return
to a state of correctness. But
you don't have to think hard as
to whether or not this body
position is balanced sagittally--
or front to back. This guy
is forward, and he ain't going
back.

And it's nearly ubiquitous.

Weight is on the toes.

Even this guy--

What if I told you that a real
parallel universe exists where
the red muscles in this image are
not the important parts. What if
I said, "focus on the white parts.
They are the most important."

After all, if the tendons do not
function correctly the muscles
do not matter.

Did I lose you ?

Did you say, "Yeah, tendons.
Okay, so what ?"

If you did, you're going to have
to stretch out your mind now
and use your imagination.



Old Shaolin illustration attempting
to explain the spirals of the tendons

So, imagine the ability to rest
your weight comfortably on
your system of tendons. Imagine
relaxing deeply and expending
very little energy in maintaining
an upright position, or even an
athletic stance with your knees
bent.

The iliotibial bands (that wrap
helically around your legs)
stretch and suspend your weight
the way a hammock does.

Your spine is straight and bears
the weight of the upper body
easily.

Your muscles relax deeply--
except those wrapped around
your pelvis.

Your weight is on your heels.

With a little imagination (and Photochop)
this is the same guy back to back
with his exact doppleganger--
but the one on the right has some
of the skills to correctly take
advantage of the White Stuff:

Athletic Performance Models - Overview

Now I'd like to take a short detour
and create a series aimed at discussing
optimum athletic performance.

To start, I want to explain a concept
called athletic performance models.
You see, athletic coaches and trainers
work with athletes to develop them
from point A to point Z. First the
trainers work to hone basic skills;
then they integrate exercises to gain
physical capabilities such as strength,
flexibility, or cardiovascular endurance.

As athletes improve, trainers teach
theory and sports-specific movements
to help the athletes help themselves.
There is an adage that goes something
like, "Teach the athlete the concept
and let her (or him) figure it out for herself."

For example, let's say one trainer tries
to work up a 14 year old boy to become
a football player; while another trainer
invests time in a 14 year old girl to
become a figure skater. Like an artist
creating a beautiful sculpture, each
trainer has an image in his or her mind.
This image is the athletic performance
model. It is a vision of what the coach
wants to catalyze the athlete to become.

The football trainer might imagine a
physically strong yet graceful man who is
tough, coordinated, explosively fast, and
intellectually savvy to react to various
strategic plays on the field with finesse.
Of course coach may well imagine many
more goals on his training wish list
depending on the specific position.

The skating trainer might imagine a
graceful, flexible, fluid young lady
who is also coordinated and explosively
powerful, yet as soft and resilient as
a tender, new blade of grass.

What do the two different performance
models have in common ? Both
trainers imagine their young athlete
becoming strong, coordinated, healthy--
and having rehearsed ability to return
to a balanced position. But the major
point I want to make is that even
though the coaches include stretching
they will both focus their training on
muscular development and strength.
After all, it's the muscles that make
the movement.
(more text after photos...)

The World's Greatest Athlete is
the title bestowed on the athlete who
wins the Olympic decathlon--
which is a multi-disciplinary event
involving running, jumping and
various feats of strength. The all-
around requirements of the event
typically demand that this "word's
greatest athlete" is proportionally
muscular, and also flexible, toned
(meaning relaxed-- not trim and fit),
and highly efficient in movement.

Whole-Body Power and Coordination

Even if you don't like martial arts much, watch
this video and check out this guy's power.

At the 0:20 mark, he clearly references turning
his waist to create whole-body power-- which
extends out to his arms. In kinesiology, this is
called the "Serape Effect."

The Serape Effect is the coordination of the
trunk and the extremities to create incredibly
powerful movements like a pitcher throwing
a 90-mile-per-hour fastball, or a football
player kicking the ball way down the field.

You have to watch the movements in this
video very closely to see that coordination
and power originate at the waist, and that
the rest of the body has to follow along.
The only way to get it all to work is to
relax deeply, and control the body with the mind.

On Memory

Some time ago, maybe 15 years ago,
I read a story about a brain researcher
who had a vivid memory of being
a young child in England during WWII.

Around the age of 20, he recounted
his memory to his mother, of bombs
dropping and his neighborhood being
destroyed-- then his mother corrected
him. She told him that while those events
certainly did happen, their whole family
had gotten out of England, and were
hiding safely in the country somewhere
else in Europe at that time. The young
man was in disbelief from what his mother
was telling him because his memories
were so clear and so real.

This event shocked the bright young man
so much that he studied psychology and
the brain at university, and went on to
research memory and the effects of trauma
and suggestion. His false memory became
the catalyst for his life's work.

Now imagine for yourself some traumatic
instance that sometimes haunts you, or
even some sour memory of how someone
insulted you or did you wrong. Admit to
yourself that your mind may be inflating it,
or if radical enough, that it may not have
happened at all. Think you were abducted
by aliens ? Eh, probably not.

The point of this exercise is to root yourself
in the now. The past can really hamper
your ability to be all you can be. What
really matters is "the now."

Focus on the now, and focus on your self.

Missing From Your Exercise: Stance Training

I'll tell you a little story.

Once there was a boy in China who
wanted to learn martial arts. At the age
of 10, he saw the martial arts of a great
master, and asked to become his student.
The master found the boy's character to
be satisfactory, so he asked the boy if
he were willing to endure any kind of
pain and suffering in order to learn.
The boy said he would.

The master taught the boy one stance,
and said he would be back to check
on him. The boy practiced the stance
every day for a year with no other
practice. When the master returned,
he asked to see the stance. The boy
positioned his body, and the master
struck him hard on the back. The boy
did not lose his balance.

The master was pleased, and went on
to teach the boy many more skills. The
lesson here is that great balance can be
attained from practicing a special stance.

By the way, the boy's name was
Sun LuTang, and the stance is
called San Ti.

Many western trainers teach "athletic stance."
This is usually a wider-platform,
bent-knee position for "readiness."

Some trainers teach "wall sits."

Most yoga instructors teach a myriad
of straight-leg standing postures.

But these do not have the same kind
of benefit as what I'm suggesting.

The most common Chinese stance
is called the Horse Stance.

Tai Chi and BaGuaZhang use "Zhan Zhuang"
called Wuji or Quiet Stance.
(although it doesn't look it, his knees are bent)

Or, they use various other postures.

Many kung fu teachers (sifus) explain
that stances are to develop "strong
legs," "rooting" and internal energy.
These are true, but let's take a more
simple approach.

If you try to stand in a horse stance,
and don't have much practice, you
probably won't last long. Your
muscles will contract isometrically
and give out in about a minute.

But with practice, you will last
longer, and be able to develop
a lower stance. The reason is not
because of muscle strength--
but muscle relaxation and control.

When you can relax, curl your
tailbone under, and twist the knees
to the outside, the IllioTibial
Bands act like hammocks for
the weight of your body. Your
glutes stretch, and your weight
rests in these giant rubber bands.

This creates an entirely new dynamic

for relaxed balance, and for impulse

power amplified by coordination.

Trust me, if you don't have this as

part of your physical training, you're

really missing something awesome.

And then there's Fu Style.
We also use Horse Stance, but we
simultaneously move the upper body
around in circles, coils, or both.

Please try Fu Style Rolling Stretch, and
feel free to leave a comment with
your e-mail address if you want more.
We have a more advanced version of
this exercise we call "Grinding Waist."

The Brain in Your Stomach

Did anyone ever tell you that
you have guts ? Did you ever
get a gut feeling ? Or have a
gut reaction ? Did some ever tell
you to "spill your guts"? Or that
they "hate your guts"?

If something is difficult or tough,
you either can't stomach it, and
give up trying; or you exhibit
"intestinal fortitude," meaning
you're tougher than the problem.
If you're a real dragon slayer,
someone might say you have a
"fire in your belly."

These expressions didn't just come
by way of happenstance. We have
a brain in our head that does the big
thinking, and we have a second
"Enteric Nervous System" in our
viscera. Scientists describe the latter
as being separate from the autonomic
nervous system, but it "receives
considerable innervation from it."

How many times have you heard
someone talk about the "head and
heart"? This is generally the same
concept. The head does the "thinking,"
and the stomach-brain does its best
to protect you.

Imagine you're walking along the
beach when suddenly you step on
something sharp. It could be glass,
or a nail, or just a piece of shell.
Before you can even look down,
some part of your being instantly
tried to remove your weight from
that object, even if it meant you
had to fall down. That's your "heart,"
or the nerve-center that's always
trying to keep you from getting hurt.
When you say the wrong thing to
your mom, or your best friend,
maybe that's your heart trying to
protect you from something too.

This ever-present "angel" looking
out for your health and best
interest is a real blessing. It gave
you butterflies when you were
not supposed to ride that roller
coaster, and it saved your precious
foot when you stepped on the sharp
object on the beach.

But as you grow older, it gets more
cautious. It shortens your steps to
make sure you don't fall, and starts
to suggest more and more that you
don't take risks. It wants you to sit
more and walk less. It wants you to
avoid the crazy stuff.

This also seems beneficial, but the
reduction of movement takes a real
toll on the body. The joints gets very
stiff without the full range of movement.
Bones literally start to fuse together.
Then when you slip on the ice, or
step on that sharp object on the beach,
you lack the skills to keep from
hurting yourself.

When I started Tai Chi in 2003, I could
feel that my "heart" or brain-stomach
did not want me to move in that way.
It resisted. But I followed the instruction
of my teacher, and over-rode my
stomach's resistance. Gradually and
gently, I began to reorganize my body.

The scar tissue in my ankle starting
going away, and my right knee fixed
itself. I went through myriads of aches
and pains that started and ended in less
than a week. And the aches were always
in a different place. It's been weird.

Now after more than 10 years of practice,
my head-brain and my stomach-brain
are in great alignment. I think they even
talk to each other.

Tai Chi looks slow and dumb, but there
is just nothing like it to reorganize and
fix your body. That's why they say it's
the fountain of youth.

PSAs & Mammograms Do More Harm Than Good

It's February 13, 2014.

And like so many facets of human
history, the CURE we created and
thought was perfect turns out to be
the DISEASE.

A humongous new study on the
effectiveness of mammography
indicates that it's not effective;
and worse yet, it's damaging.

If you don't like the format and
language of white papers, you
can read the distilled version
in the New York Times article.

Essentially, 90,000 women took
part in a 25-year study on the
outcomes of mammography. Some
say the study was imperfect,
especially "scientists" who want
to prove the opposite; but the
well-designed and enormous
study demonstrates a pretty
clear conclusion:

Annual mammography
in women aged 40-59
does not reduce mortality
from breast cancer beyond
that of physical examination
or usual care when adjuvant
therapy for breast cancer is
freely available. Overall,
22% (106/484) of screen-
detected invasive breast
cancers were over-diagnosed,
representing one over-
diagnosed breast cancer
for every 424 women who
received mammography
screening in the trial.

A three--year old study from the

U.K. basically said the same thing.

The para-conclusion offered in

conjunctive-opinion is that "more

money needs to be spent on research

to find out what causes breast cancer."

But that would be a waste too.

I'm going to shock you here, because

I know what causes breast cancer.

You will believe it, but can you

actually do something about it ?

Ready ?

Breast cancer is caused by folding,
caressing, sucking, biting, squeezing,
smooshing, (ugh) slapping, twisting,
pinching, and general idiotic abuse of
breasts.

Dr. Steven T. Chang, who is both

a Medical Doctor and a Chinese

Doctor, has this to say about the

breast:

"The delicate intertwinings of
numerous capillaries, nerves,
lactation glands, lymphatic vessels,
and other delicate structures of
the breast are easily damaged by
improper handling. Any damage
to breast tissue can lead to
accumulations and blockages.
These can then lead to lumps, or
possibly cancer. (The breast is so
delicate that caffeine can cause
lumps and cysts to form inside
the breast, as was shown in recent
studies).
Therefore, the sensitive and easily
over-stimulated breasts must never
be mishandled by the woman or
her sexual partner. A woman's
partner should never BITE, SUCK,
or PINCH the breast. Contact
should be limited to a very gentle
caress or kiss.
The breast and nipple can, however,
accomodate themselves to a limited
period of stimulation, that is nursing.
Pregnancy will change the breasts
and nipples drastically, so that the
mother will be able to tolerate the
sucking of the baby. But even the
stimulation for which the breast was
designed must end after eight to ten
months. After (that) further sucking
will cause blockages to form."

(The Tao of Sexology, 1986

ISBN 0-942196-03-1)

PSA tests for men are just as bad,

if not worse.

I've already condemned the issues

with our health system's suggestion

that mammography and PSA tests

are "preventive health care." But

they are not, and should not be

considered viable and beneficial.

Preventive Health Care is taking

care of yourself. It is not something

a doctor can do to you or for you.

Warding off damaging hands and

mouths from your breasts is in fact

preventive health care.

Holding your semen instead of

throwing your life away is in fact

preventive health care.

Use your mind and take better care

of yourself.

Helmet Theory

People wear helmets for alpine skiing
because a helmet will save your head.

But a theory exists that the helmet
actually encourages you to take
unnecessary risk because you think
you're safer. People ski crazier because
of the helmet.

This theory is poo-pooed, but
let's test it:

If the NFL made a rule change
so that none of the players could wear a helmet,
I bet the frequency of concussions
would go way, way down.

Transmission of Knowledge

Imagine that you aspire to be a TENNIS STAR

(and let’s say you have unlimited resources).

Where would you go for your training ?

Would who be the best trainer or coach ?

Who has the best knowledge; and who might

have the rare ability to teach (or transmit)

that knowledge to someone else ?

It has been proven that the best way to learn
something is to learn it from someone who
already has that knowledge.

So let’s say you use your best resources

to obtain John McEnroe as your coach--

tee, hee. McEnroe can probably speed you

through the training in ways the YMCA

just can’t. Five years of training (without

injury) under the tutelage of a great

master will skyrocket almost anyone’s

skill.

How did McEnroe become the world's
number one champion ? His coach was
Harry Hopman, a world-acclaimed coach.

And how did Alberto Tomba, a rich kid from
the city of Bologna, become the best ski
racer in the world ? His dad hired the ski
racing legend Gustavo Thoeni.

Was Mike Tyson destined to become the
greatest boxer of all time ? Or was his
skill carefully developed by his amazing
coach, Cus D'Amato ?

Some of the very best skiers I know

cannot teach a damn thing to someone

else.  I don’t shame them for it. They

just don’t know how to teach.

Of course, Venus and Serena Williams
learned tennis from their dad, who was
not a premier coach--
so not all stars are created by another star.

And there are lots of other variables.

Most people do no become tennis stars,
nor do they have the resources.

This blog is about the transmission

of knowledge. Because that’s what

they call it in the internal martial arts.

If you want to learn something, go find
the best teacher you can. If you want to
learn Tai Chi and martial arts, go see
Grandmaster Fu.

Ten Reasons Why Our Health System Sucks

George W. Bush confidently told us that
we have “the best health care system in
the world.”

Rudolph Giuliani echoed that moronic 
statement by claiming we provide
the “best medical care in the world.”

Not even close.

In fact, the U.S. has the most expensive
health care system in the world; but the
health care outcomes-- which are the
statistical considerations of things like
infant mortality, life expectancy, length
of hospital stays and appropriateness
of medications-- demonstrate to the world
that the U.S. health care system ranks
below most other developed countries,
down by Czech Republic.

In a recent Bloomberg study of 48 countries
for Most Efficient Health Care, the United
States ranked 46th, right behind Iran,
Turkey and Dominican Republic.

When I point my finger here, I'm not
pointing it at the hospital system, or
insurance system, or some twisted
account of what the government should
provide; I'm pointing my finger as us,
the U.S. of A. And by "health care system,"
I am including the WAY WE LIVE.

Here's why our health system sucks:

1. Diet
Diet isn't what you avoid eating, it's
what you eat. Sugar correlates directly
with diabetes; greasy foods are now
said to contribute to Alzheimer's;
and both contribute to obesity. But
on the other side, people who try to
lose weight or stay thin end up in the
E.R. or the hospital because they don't
eat things like meat. Most of the vege-
heads and vegans I've known get sick
all the time. Alcohol is dietary; and
though we don't drink as much as
many places, our drunks are as
drunk as anywhere. Our diet sucks.

2. Exercise
"Whaaat ?" you say, how can exercise
be part of the problem ? Check out
the injury rate of bicycling; it's worse
than football. It's been two years
since The New York Times expounded
on How Yoga Can Wreck Your Body.
Everyone knows that running causes
degeneration of the joints and puts
people in the hospital for knee and
hip surgeries. Tons of people tear
a muscle lifting weights. And the new
Cross-Fit fad is hurting people all
the time. Injuries from exercise
costs money, missed work and ends
up causing more and more problems
as life goes on. We're hurting us.

3. Sports
Apart from mere exercise, "Athlos"
or competition pushes people to do
all kinds of crazy. Kids get hurt
playing football, basketball and
soccer. Adults get hurt running
marathons, triathlons and "tough
mudder" competitions. Ballet and
gymnastics are likely to tweak your
body for life. But wait-- there's more !
Now we have "extreme sports," where
people go bigger and faster than
ever before; hell, they even make
stuff up to be extreme. Broken
bones and collapsed lungs have
nothing on the cost of traumatic
brain injuries and shattered spines.
Subtract that from your bottom
line, America.

4. Lack of Self-Care
In China, people take care of
themselves. Here, we run to the
doctor just as soon as something
goes wrong. There's a tremendous
difference between the two. The
Chinese exercise for health and
longevity. We exercise to look
good and to get six-pack abs.
The Chinese carefully choose
each food for its medicinal
benefits. We eat whatever sounds
good or is lying around. Simply
put, we just don't take care of
ourselves. The Chinese must take
care of themselves because they
don't have the option to run to a
hospital. An ounce of Prevention
is worth seven pounds of Cure.

5. "Preventive Healthcare"
Alright, you understand the point
that we don't self-care--
but little do people realize that
our medical system has a function
it calls "prevention" that can make
things much worse. In essence,
these are the medical screenings
to indicate pre-cancer cells and
the like. The problem with these
screenings are the high percentage
of "false positives," meaning the
test will "indicate a problem" that
will likely never manifest as a
disease. For men, the Prostate-
Specific Antigen (PSA) test tells
the likelihood of prostate cancer.
One in 1000 men will be saved by
the test; but 4-5 will die from
cancer even though they've been
screened. Most men with elevated
PSA levels turn out to not have
cancer; and only about 25 percent
of men who get a prostate biopsy
(flesh removed and tested) due to
elevated PSA levels actually have
prostate cancer. But the elevated
PSA makes men very anxious, and
many times they demand the doc
perform surgery; this can lead to
all kinds of successive problems
like impotency and urinary issues.

6. Infliction
That's the best word I could
come up with to describe the
U.S. phenomenon of people
shooting each other and
running into each other with
automobiles. Both of these two
situations are unique to the U.S.
They are cultural issues created
through our rich but short history.
No where in the world do so
many people get shot by firearms
or find themselves in car accidents.
We do inflict sexually-transmitted
diseases upon each other too.

7. M.D. Ego
The reason guys like Bush and
Guiliani proclaim our health care
system as the best is because of the
unparalleled egos of medical
doctors. They go to school for a long
time, have to endure rigorous job
training, and end up feeling god-like.
Mis-diagnosis is rife in the U.S., and
so is misappropriate choice of med's.
M.D.s refuse to have anyone looking
over their shoulders, check ing their
work. But 40 out of 100 medical
charts have glaring mistakes, and
98,000 people die every year from
mistakes doctors make. Doctors are
messed  up !  As my Chinese doctor
says all the time,
"Western doctors kill people !"

8. Ignorance of Other Systems
To make matters even worse, there are
arrogant groups of assholes out there
who still demand that Science-based
medicine is the only way-- even
though our health system is as bad as
it is, and these assholes have no other
ideas on how to make things better. They
ignore the 5000-year old Chinese
system, even though it's fare more
cost effective and kills way fewer
people.

9. Pharmaceuticals
Pharmaceuticals are killing people.
Have you heard the news about
statins ? Statins are the drugs to
help control cholesterol. Well,
they are killing people ! Hormone
therapy is killing people. Doctors
prescribe Prednisone for everything--
and it robs you of your immune
system. Listen to the commercials;
since drug companies have to list
the possible side-effects, you get to
hear all kinds of crazy things that
drugs can do-- but most important
is when they say "can sometimes
cause death."
One hundred years ago, cocaine
was the hot pharmaceutical. Now
they say aspirin would never get
through FDA approval. What does
that tell you ?

10. Stress
Money, marriage, sex, love, cars,
kids, driving, sitting, family, health,
addiction; Lust, Gluttony, Greed,
Sloth, Wrath, Envy, Pride.
The American lifestyle is rife with
catalysts of stress; and it is well short
of remedies.
Alcohol is temporary.
Vacation is temporary.
Most of the common fixes are just
band-aids, and just about as temporary.