Information about the Aspen Ideas Festival is here. I am scheduled for a session, The American Wellness Paradox, currently scheduled from 11:00-11:50 a.m., at the East Lawn Tent. This will be a discussion with senior HHS policy advisor, Calley Means. Here’s the blurb on it: “Americans are spending more than ever on healthcare, supplements, wellness trends, and “clean eating,” yet rates of chronic disease and metabolic illness continue to climb. As skepticism fuels the rise of movements like MAHA, debates over what Americans should eat have become deeply cultural, political, and economic. Two influential voices with sharply different perspectives on nutrition and food science explore how food systems, farming practices, consumer culture, and the wellness industry collided to create one of the defining public health debates of our time.”
The MAHA Dietary Guidelines VI. Some Concluding Thoughts.
Let’s start with what I like about the 2020-2030 Dietary Guidelines and New Pyramid, taken together.
Eat Real Food
It’s how I eat, and prefer to eat.
It’s consistent with Michael Pollan’s Eat food. Not too much. Mostly plants.
Pollan’s version, to which I subscribe, is supported by at least three of the guidelines:
- Eat vegetables & fruits throughout the day
- Focus on whole grains
- Limit highly processed foods, added sugars, & refined carbohydrates
The New Pyramid

It’s bright and cheerful.
It illustrates a basic nutrition message: eat a wide variety of foods from all food groups.
It’s possible to eat healthfully following this diagram if eating a wide variety of foods and balancing calories.
It’s consistent with food movement objectives, and is bringing attention to these objectives.

What’s missing and I wish were included
- Eat Real Food as the first dietary guideline
- Greater emphasis on plant sources of protein
- Inclusion of whole grain foods in the “eat more” part of the pyramid
- Policy support
The need for policy
Much about these guidelines and food guides connects with long-desired objectives for a food system aimed at promoting the health of people and the planet. As I noted in an earlier post, these guidelines focus explicitly on personal responsibility, not system change.
To create a food system that supports eating according to these guidelines and pyramid, we need:
- Agricultural subsidies: for foods for people (not feed for animals or fuel for automobiles, as the current system does)
- School food: kitchens and cooks in every school, gardens wherever possible, and enough money to pay for real food
- Education: cooking classes for kids and adults, men as well as women
- Equity: enough money to buy real food, and the space, equipment, and time to prepare it
I will have more to say about all this as time goes on, so stay tuned.

