by Marion Nestle

Currently browsing posts about: GAO(Government Accountability Office)

Jan 25 2023

Vindicated! GAO issues report critical of USDA’s treatment of the Economic Research Service

One of the great tragedies of the Trump Administration was its attempt to thoroughly destroy the Economic Research Service by moving it out of Washington DC to Kansas City, Kansas.

I wrote about this repeatedly a few years ago (see links at end)) as did—and does–AgriPulse.

USDA should have planned better for staff attrition when it moved the Economic Research Service and National Institute of Food and Agriculture to Kansas City,  in 2019, the Government Accountability Office says in a new report that notes the department “minimally involved employees, Congress, and other key stakeholders in relocating the agencies.”  The controversial moves during the Trump administration were vocally opposed by many employees and outside groups that said USDA had not adequately justified its decision.

The GAO has now documented exactly what critics predicted.

Coinciding with the loss of staff in fiscal years 2019 and 2020, ERS produced fewer key reports, and NIFA took longer to process grants…Two years after the relocation, the agencies’ workforce was composed mostly of new employees with less experience at ERS and NIFA than the prior workforce.

In addition, a decline in the number of employees in certain protected groups persisted. For example, the proportion of Black or African American staff at NIFA declined from 47 percent to 19 percent (see fig.).

The report says ERS has recovered.  I disagree.  As far as I can tell, ERS still produces basic reports on farming but is no longer producing the kind of hard-hitting critical analyses of food and farming issues that it used to.  I miss it.  A lot.

Some (not all) previous comments on the ERS move

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Aug 19 2022

Weekend reading: GAO’s big picture on healthy eating

The Government Accountability Office has produced a “snapshot” on Healthy Eating: Government-wide solutions for promoting healthy diets, food safety, and food security.  It’s only two pages; take a look.

As of July 2022, many of our recommendations for developing strategies on healthy eating have not yet been addressed.

1. Strategy Needed to Address Diet-Related Chronic Health Conditions
Three diet-related chronic health conditions (cardiovascular diseases, diabetes, and cancer) were among the 10 leading causes of death in 2018, according to CDC. Men, Black or African Americans, and people living in southern states had disproportionately higher mortality rates from diet related conditions. Dietary changes could have prevented some of these deaths.

Additionally, in 2018, about three in four adults in the U.S. had excess weight, which can be associated with poor diet and lead to cardiovascular diseases, diabetes, and cancer.

The GAO recommends that the federal government establish leadership for strategies:

  • On diet-related efforts
  • Food-safety oversight
  • Nutrition assistance programs to respond to emergencies

Excellent suggestions.  If only they could be implemented.

May 4 2022

GAO says moving USDA’s ERS to Kansas was not such a great idea

The Government Accountability Office has just issued this report:  Evidence-Based Policy Making: USDA’s Decision to Relocate Research Agencies to Kansas City Was Not Fully Consistent with an Evidence-Based Approach

You may recall that in October 2019, USDA relocated most Economic Research Service staff positions from Washington DC to Kansas City, MO.  At the time, USDA Secretary Sonny Perdue said the move would save taxpayers more than $300 million over ten years.

This defied credulity.  The real reason had to be that politically appointed USDA officials wanted to destroy the ERS.  Its economists produce reports that tell truths inconvenient for political expediency.

An easy way to destroy an agency is to move it half way across the country.  That way three-quarters of the professional staff would quit or retire.

I considered this move a national tragedy, and said so repeatedly.

The GAO is more polite than I am.  Here is a summary excerpt from the report’s Highlights.

USDA’s stated objectives for relocation were to improve its ability to attract and retain highly-qualified staff; place its resources closer to stakeholders and consumers; and reduce costs to taxpayers.

However, GAO found that the economic analysis did not fully align with those objectives. ..USDA omitted critical costs and economic effects from its analysis of taxpayer savings, such as costs related to potential attrition or disruption of activities for a period of time, which may have contributed to an unreliable estimate of savings from relocation.

Overall, GAO found that USDA’s development and usage of evidence had significant limitations… As a result of the weaknesses GAO found, USDA leadership may have made a relocation decision that was not the best choice to accomplish its stated objectives.

But it did achieve its unstated objective: to weaken, if not destroy, ERS.   This agency is still publishing reports, but most of them are uncontroversial estimates of food production and use.  Occasionally I see glimmers of the kinds of reports the agency used to produce.  Let’s hope more of them are on their way.

Sep 21 2021

At last, a call for leadership to prevent diet-related chronic disease

Chronic (“noncommunicable”) diseases—heart disease, cancer, and diabetes—account for half of annual deaths in the United States at enormous physical and economic cost to individuals and to society.  These conditions are related to diet; obesity is a risk factor for all three.

Despite the widespread prevalence of obesity (the CDC says 73.6% of American adults are overweight or severely overweight) and its associated chronic conditions, no concerted government effort is aimed at prevention.

This is also true on the international level.  The UN’s Sustainable Development Goals barely mention reduction of noncommunicable diseases.  You have to go to the fourth sub-goal of SDG 3, Good Health and Well-Being, to find:

By 2030, reduce by one third premature mortality from non-communicable disaeases through prevention and treatment and promote mental health and well-being.

Why is so little attention focused on diet-related conditions?  To prevent them, people have to eat more of healthier foods and less of unhealthier foods—public health measures strongly opposed by the food industry.  [For detailed evidence on this point, see Swinburn BA, et al.  The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission reportLancet. 2019;393:791-846].

Representatives Rosa DeLauro and Tim Ryan have the same question.  They asked the Government Accountability Office (GAO) to look into government efforts to prevent chronic disease.

The result: Chronic Health Conditions:Federal Strategy Needed to Coordinate Diet-Related Efforts.

It’s not that the US government ignores chronic disease; on the contrary.  The GAO identified an astounding 200 federal efforts to reduce these conditions—but fragmented among an even more astounding 21 federal agencies.

Most of these are focused on research.

These programs are all over the place, and nobody is in charge.

Agency Officials Say They Lack Authority to Lead a Federal Strategy on Diet:  Despite their support for a federal strategy to coordinate diet-related efforts, no agency officials we interviewed asserted that their agencies had the authority to lead a federal strategy that would have reasonable assurance of being sustained across administrations. Officials from six agencies said they would not have the authority, and officials from the remaining 10 agencies said they did not know or were not in a position to comment. Some officials stated that they would have the authority to lead a strategy for their agency alone but not for the entire federal government.

The GAO came to the obvious conclusion.

Congress should consider identifying and directing a federal entity to lead the development and implementation of a federal strategy to coordinate diet-related efforts that aim to reduce Americans’ risk of chronic health conditions. The strategy could incorporate elements from the 2011 National Prevention Strategy and should address outcomes and accountability, resources, and leadership.

Leadership!  Here’s my list.

  • Say what a healthy diet is in plain English.
  • Tell the public to avoid or minimize ultra-processed foods.
  • Establish policies—from agriculture to public health—to promote healthful diets and discourage unhealthful diets.

This will take courage.  Hence: Leadership.

Mar 27 2019

GAO’s 40-year plea for better oversight of food safety

Food safety seems very much on the agenda this week.

The Government Accountability Office (GAO) has released its latest biennial High Risk list of programs “vulnerable to fraud, waste, abuse, and mismanagement, or that need transformation.”

Of interest is this listing: Improving Federal Oversight of Food Safety. The report finds not much change from goals set two years ago; the goal for an action plan is still not met:

Without a government-wide performance plan for food safety, Congress, program managers, and other decision makers are hampered in their ability to identify agencies and programs addressing similar missions and to set priorities, allocate resources, and restructure federal efforts, as needed, to achieve long-term goals. Moreover, without a centralized collaborative mechanism—like the FSWG [Food Safety Working Group]—to address food safety, there is no forum for agencies to reach agreement on a set of broad-based food safety goals and objectives that could be articulated in a government-wide performance plan on food safety.

The GAO explains why inadequate federal oversight of food safety poses a high risk.  Safety issues, it says,

are governed by a highly complex system stemming from at least 30 federal laws that are collectively administered by 15 federal agencies. For more than four decades, we have reported on the fragmented federal food safety oversight system, which has caused inconsistent oversight, ineffective coordination, and inefficient use of resources. We added federal oversight of food safety to the High-Risk List in 2007. In recent years, moreover, we have made recommendations aimed at helping to reduce fragmentation in federal food safety oversight. As of November 2018, two of three recommendations related to this high-risk area had not been implemented.

In 2017, I wrote about how the GAO has been calling for decades—more than 40 years—for better coordination of food-safety oversight, and my post lists a selection of GAO reports dating back to 1970.

The GAO is still at it.

We should not give up either.

Jul 14 2017

Do memory supplements help boost memory (oh how I wish)

The Government Accountability Office (GAO) has a new report out calling for better federal oversight of memory supplements.

These are a growing market with sales estimated at $643 million in 2015, almost double since 2006.

FDA and FTC share oversight of memory supplement labeling and advertising, respectively, but neither approves claims in advance.  For this, thank the Dietary Supplement Health and Education Act of 1994 which pretty much lets supplement makers claim whatever they like for their products, as long as they word the claims carefully.

GAO found ads for memory supplements claiming that they would boost, enhance, improve, increase, or maintain a healthy memory.  They also made claims related to general brain health, cognitive function, and well-being.

Amazon sells these things. It advertises them like this:

Brain and Memory Booster – All Natural Formula- Brain supplement helps improve memory, mood, clarity and focus and protect against mental decline, depression, anxiety.

Do they work?

Alas, no, according to Consumer Reports.  But that doesn’t stop Americans from spending $91 million on them in 2015.

Really, something needs to be done about DSHEA.

Here’s the GAO report: Memory Supplements: Clarifying FDA and FTC Roles Could Strengthen Oversight and Enhance Consumer Awareness.
GAO-17-416.

Jul 1 2013

USDA issues rules for competitive school foods. Yes!

At long last the USDA released Interim Final Rules for competitive foods—the snacks and sodas sold from vending machines and carts outside of federally supported school lunches.

They were worth the wait.

The new  standards are tough and will change the food landscape in schools much for the better.  They are summarized in a handy flier.   The new rules require:

  • Snacks to be rich in whole grains, have real food as a first ingredient, and provide nutritional value.
  • Drinking water to be available to all students at no cost.
  • Other drinks to contain no more than 40 calories per 8 fl oz, or 60 calories per 12 fl oz.  This excludes all regular sodas, even Gatorade. 

USDA summarizes the changes in its Smart Snacks in School Infographic:

Competitive foods have long been a bone of contention.  They compete for kids’ food money with the school meals.  Although USDA regulates where and when they can be sold, schools routinely violate such rules.  I’ve seen for myself  how many schools allow vending machines to be open during lunch periods.

The USDA issued nutrition standards for school meals early in 2012, but it’s taken this long to issue the ones for competitive foods, no doubt because of the expected uproar from food and drink producers whose products will now be excluded.

To back up the rules, the USDA has produced a vast array of materials and documents.

One web page is devoted to a toolkit of materials for “the healthier school day.”

A separate web page links to all of the legislative and other documents, videos, issue briefs, Q and A’s, statement from First Lady Michele Obama, and other items of technical assistance to the new “smart snacks in schools” program and rules.

Also see:

But note: the rule is “interim” because the 120-day comment period is now open.  USDA can still make plenty of changes.  Schools will have a year to implement the final standards.

Watch the lobbying begin.

You think there won’t be opposition?  Think again.

The Government Accountability Office (GAO) has just released a report recommending that USDA ease off on restricting the amount of meat and grains allowed in the school meal standards that went into effect this year.   Apparently, USDA agrees.  GAO reports are usually requested by members of Congress and this one is no exception.  Guess which party these particular requesters belong to, and who funds their election campaigns.

USDA deserves much applause and support for its courage in issuing rules for competitive foods that might actually help kids stay healthier.

May 10 2012

GAO says U.S. food safety system needs work, resources

The Government Accountability Office is complaining again about the inadequacies of the American food safety system, and with good reason.

Its 2012 Annual Report, Opportunities to Reduce Duplication, Overlap and Fragmentation, Achieve Savings, and Enhance Revenue, says that the food safety system is:

fragmented and results in inconsistent oversight, ineffective coordination, and inefficient use of resources.

In 2007, GAO added food safety to its list of high-risk areas that warrant attention by Congress and the executive branch.

More recently GAO found that this fragmentation extends to the responsibilities across multiple agencies to defend food and agricultural systems against terrorist attacks and natural disasters…Many of these activities are everyday functions or part of the broader food and agriculture defense initiative and would be difficult for the agencies to separately quantify.

This report repeats what the GAO has been saying since the early 1990s:

there is no centralized coordination to oversee the federal government’s overall progress in implementing the nation’s food and agriculture defense policy.

Because the responsibilities outlined in this policy (HSPD-9) are fragmented and cut across at least nine different agencies, centralized oversight is important to ensure that efforts are coordinated to overcome this fragmentation, efficiently use scarce funds, and promote the overall effectiveness of the federal government.

Reminder: the present food safety system is mainly divided between two agencies: USDA (meat and poultry) and FDA (everything else).

Centralized oversight of food safety?  What a concept.