Currently browsing posts about: MAHA

From last week’s The Guardian: “Inside the Republican network behind big soda’s bid to pit Maga against Maha: A Guardian investigation finds the US soda and snack-food industries, threatened by RFK Jr’s movement to change Americans’ eating habits, have turned to a group of well-connected strategists, shadowy pollsters and ‘anti-woke’ influencers.”

The ongoing influence campaign is being spearheaded by the American Beverage Association with help from the Consumer Brands Association, two prominent trade groups in the food industry. Coca-Cola, PepsiCo and Keurig Dr Pepper, the three largest soft-drink corporations in the United States, as well as packaged-food conglomerates like General Mills, Kraft Heinz, Mondelēz and Nestlé, are among those that pay dues for the right to have a say in either or both of the trade groups’ strategies.

All three soda-makers identified the Maha efforts as significant threats to their bottom lines in their most recent annual reports, delivered to investors after Trump nominated Kennedy to be secretary of US Health and Human Services. Coke and Dr Pepper went as far as to suggest such risks would be compounded if unnamed “government officials” were to voice health concerns about their products.The three soda makers did not respond to questions about the lobbying effort.

The article goes on to explain the lobbying methods and paid influencer campaigns, at the federal level but also in states considering legislation on food dyes (which take care of many ultra-processed foods) and restrictions on sodas in SNAP.

Whether the MAHA food agenda is real or a smokescreen (see yesterday’s post), anything useful it tries to do will come up against this kind of concerted, well-funded effort, which may be why the second MAHA report backed off on so many issues.

The September 22 New Yorker had an article titled “Mommy Issues,” a profile of an influencer in the Make America Healthy Again (MAHA) movement.

I was stopped cold by its quoted comment from Del Bigtree, “an anti-vaccine activist who had served as the communications director of [Robert F.] Kennedy’s Presidential campaign.” At a MAHA Action dinner in Washington, DC, Bigtree offered a toast to RFK, Jr, and

thanked the assembled group, singling out [Calley] Means, who, he said, deserved credit for “reaching out and bringing in the food issue, which was such a great cover to get Bobby all the way through.” The room erupted with guffaws.

The real agenda?  Getting rid of vaccines.

Will the MAHA movement make any real progress on major food issues?

I consider food dyes and closing the GRAS loophole to be long overdue improvements, but minor.

If MAHA wants to improve the nutritional healthy of American children, it needs, for starters, to enact policies to:

• Stop marketing unhealthful foods to kids
• Reduce consumption of ultra-processed foods
• Make school meals universally available
• Improve the quality of school meals
• Make sure every child has access to sufficient, high-quality food

The FDA is starting the regulatory process to close the GRAS Loophole.

This proposed rule, if finalized, would amend the Generally Recognized as Safe (GRAS) regulations in 21 CFR [Code of Federal Regulations] parts 170 and 570 to require the mandatory submission of GRAS notices for the use of human and animal food substances that are purported to be GRAS.

What?  You mean manufacturers are not already required to tell the FDA when they are putting new additives into foods?

No, they are not.  Hence, the “GRAS Loophole.”  Food manufacturers have been allowed to decide for themselves whether a new additive is safe and also to decide whether to inform the FDA about it.

Closing the loophole is a long-standing goal of food advocates.  Even I got into this one.

In 2013, I wrote a short editorial about the history and significance of GRAS determinations: Nestle M. Conflict of interest in the regulation of food safety: a threat to scientific integrity. JAMA Internal Medicine. 2013;173(22):2036-8. 

Here’s the FDA’s version of this history.

And Food Dive explains: FDA takes first step toward closing GRAS ingredient ‘loophole’

Dive Brief:

• The FDA proposed a rule that companies provide health data and other documentation when declaring a new food ingredient or additive is safe, a step toward eliminating a voluntary approval process decried by Health Secretary Robert F. Kennedy Jr.
• The rule would require companies to submit mandatory notices when declaring an ingredient is Generally Recognized as Safe, or GRAS. Currently, notices are voluntary, though strongly encouraged by the FDA.
• The proposal is included among a list of upcoming regulatory priorities by the Trump administration. In March, Kennedy directed the FDA to explore rulemaking to eliminate companies’ ability to self-affirm that an ingredient is safe.

If the FDA can pull this off, it will indeed be a MAHA Win.

I hope it can, given how many FDA employees are no longer with the agency (~3,500 according to reports).

The USDA issued an announcement last week: Secretary Rollins Announces Reinvigorated Farm to School Grants Supporting American Farmers and Children.   And here’s her video announcement.

I love the way the USDA uses Orwellian language (meaning the opposite of what it says).

New this year, USDA reimagined the Farm to School Grant program, implementing several improvements, including streamlining the application, removing barriers to innovation, and emphasizing partnerships to give small family farms the best chance at success.

“Yesterday at the MAHA Report announcement, alongside Secretary Kennedy, we announced one of the key actions USDA has already taken to contribute to making our children healthy again – Farm to School Grants. These initiatives are one of the best ways we can deliver nutritious, high-quality meals to children, while also strengthening local agriculture,” said Secretary Brooke Rollins. “These grants will open new doors for small family farms, expand access to healthy food in schools, and inspire the next generation of Great American Farmers. Under President Trump’s leadership, USDA is proud to streamline this program, so it works better for families, farmers, and communities across our nation. Putting America’s Farmers First starts with putting our children first.”

Yes, but.

Somehow, Secretary Rollins failed to mention that the Trump Administration cancelled the $1.13 billion farm-to-school program announced last December.

It’s great that USDA is bringing back this program, a win-win for farmers and schools.

But “up to $18 million” falls far short–16%—of what was meant to be invested in such programs, but cancelled.

Reinvigorated?  Maybe.

Hence Orwellian.

Yesterday, USDA and HHS released the official version of the leaked draft:  Make Our Children Healthy AgainStrategy 

It’s pretty much the same as the one I saw previously and posted about.

A bunch of reporters sent me copies of the draft for comment.  I wrote up some general comments:

Comments on MAHA Strategy Report

First impression:  Wait!  I’ve seen this before.  Make Our Children Healthy Again?  Isn’t that exactly what Michelle Obama was trying to do in 2010 with a Task Force Report, greeted by outrage and disdain for nanny-statism.  So here’s the RFK Jr version of the nanny state.

The report has a lot of ideas for actions that really could improve health, but is short on specifics and weak on regulatory action.  It has not changed much from the leaked version.  Its overriding message is still “more research needed.”   It does not say nearly enough about what needs to be done to improve the diets of America’s children.

On reducing intake of ultra-processed foods, it says it will try to develop a definition as a basis for future research and policy—a distant goal.

On school food, it says it will improve farm-to-school grants without noting the contradiction: this was one of the first programs eliminated by the Trump administration.

It gives a big win to the dairy industry: allows whole milk, eliminates low-fat requirements.

It does promote increased awareness of physical activity in schools but nothing about how schools are to pay for healthier meals or get more time.

It dropped any mention of reducing sugar and salt in processed foods.

What’s still missing is regulation.  So much of this is voluntary, work with, promote, partner.

The big issue for me is what are they going to do about food marketing to children?  They will “explore” “potential” guidelines for industry.  Really?  That’s all?

This is such an opportunity.  I sure wish they had taken it.

MAHA has so much bipartisan support.   This was the time to regulate food marketing to kids—not “explore,” get ultra-processed foods out of schools, and promote farm-to-school programs and school gardens—all shown to improve kids’ dietary intake.  Where’s the policy?

The bottom line: Where’s the action?

Press coverage

• Press release:  MAHA Commission Unveils Sweeping Strategy to Make Our Children Healthy Again
• Video of the press conference
• The Hagstrom Report interviewed lots of groups on reactions. Farm Action reprinted them.  The Ag industry is enthusiastic; others not so much.
• Food Fix: also has lots of comments from various groups
• Scientific American (I’m quoted)
• The New Lede (I’m quoted)
• Reuters (I’m quoted)
• Ag Funder News (I’m quoted)
• ABC News (I’m quoted)
• PBS News interview transcript  The video on X
• Time Magazine (I’m quoted)
• CSPI

Michael Jacobson, founder and former president of the Center for Science in the Public Interest, is now promoting development of a National Food Museum.  One of its projects is keeping score on administration food policies.

He lists them as positive or negative, like this.

The most recent entry is dated June 26, a negative: the huge cut in SNAP benefits.

Alas, the negatives far outweigh the positives.  Take a look.

Thanks to Food Fix for this collection of tracking sites

• STAT News: Isabella Cueto’s report on MAHA’s minimal progress
• HHS: “MAHA in Action” public health wins (Food Fix says this is more like a campaign site).
• FDA:  Food industry pledges to remove food dyes (promises, but not much action yet)

The big news in my world last week was the leaking of drafts of the forthcoming MAHA strategy report.

At least four reporters sent me copies for comments.

• Leaked version dated August 6 (highlighted to indicate food issues)
• Leaked version dated August 11 (no highlights)

I did not do a careful comparison.  The main difference seems to be that the earlier version had this useful graphic about MAHA’s strategic intentions.

All of this may change when the final report is released, but here are my initial thoughts on its food sections.

First, the background: The first report, despite the hallucinated references, was a strong indictment of this country’s neglect of the health of our children. It stated the problems eloquently. It promised that the second report would state policies to address those problems.

As for this report: No such luck.

It states intentions, but when it comes to policy, it has one strong, overall message: more research needed.

Regulate?  Not a chance, except for the long overdue closure of the GRAS loophole (which lets corporations decide for themselves whether chemical additives are safe).

Everything else is waffle words: explore, coordinate, partner, prioritize, develop, or work toward.”

One good thing: the report mentions marketing to children, but only to “explore development of industry guidelines.”  Nothing about regulation.  This is too little too late.  We know what food marketing does to kids.  It’s way past time to stop it.

A few comments on specific issues mentioned.

• “USDA will prioritize precision nutrition research…”  USDA?  NIH is already doing that, and it is the antithesis of public health research, the kind that really will make Americans healthier.
• The report emphasizes color and other chemical additives (we knew it would), a definition (not regulation) of ultra-processed foods, and a potential front-of-pack label (unspecified).
• It says it will modernize infant formula (really? how?), and will work to increase breastfeeding (again, how?).

And then there are the contradictions:

• Improve hospital food, but the administration is taking money away from hospitals.
• Teach doctors about nutrition (how?)
• Prioritize “whole healthy foods” in nutrition assistance programs (but cut SNAP and WIC)
• Expand EFNEP (but eliminate SNAP-ED)
• Promote healthy meals in child care settings (also defunded)
• Encourage grocery stores in low-income areas (how?)

How are they going to do this?  It doesn’t say.

Are there any teeth behind it?  It doesn’t look like this is anything more than voluntary (and we know how voluntary works with the food industry; it doesn’t).  None of this says how or has any teeth behind it.

And oh no!  MAHA boxes.  I’m guessing these are like what got given out—badly—during the pandemic. 

Resources

• Politico: it published the first leak.  Its current headline: “quite industry friendly”
• Stat News (I’m quoted): This covers the entire report and emphasizes the reneging on trying to reduce pesticides in response to industry lobbying
• New York Times (I’m quoted): also a much longer story emphasizing the pesticide problem
• Washington Post: also emphasizing ag issues
• CNN (I’m quoted): lots on processed foods, as well
• Civil Eats: Should Regenerative Farmers Pin Hopes on RFK Jr.’s MAHA?
• Center for Science in the Public Interest: 

It is striking that the leaked Make America Healthy Again (MAHA) Strategy Report, like its AI-assisted predecessor, embodies much of the idiosyncratic beliefs about food and drugs of one person: Robert F. Kennedy, Jr. He might be right about food dyes, but the report’s recommendations to alter our vaccine framework, restructure government agencies, and promote meat and whole milk are going to promote disease, not health…

The report…seems to twist itself into knots to make it clear that it will not be infringing upon food companies….But we also need to judge the administration by what it does, not what it says. And the administration’s attacks on SNAP, Medicaid, the health insurance exchanges, and the FDA and USDA workforces are poised to make America sicker, hungrier, and more at risk from unsafe food.

• John Oliver on the MAHA movement’s lack of genuine policy initiatives (I’m quoted!)  Do not miss this one.

David Kessler, a physician, lawyer, and former FDA Commissioner, has done a great service for the Make America Healthy Again movement.  He has written a letter to RFK Jr presenting a Citizen’s Petition to the FDA: “Petition to Limit the Exposure of Refined
Carbohydrates used in Industrial Processing in order to Prevent Obesity, Diabetes, and Cardiovascular Disease in Children and Adults.”

His petition argues that processed refined carbohydrates should no longer be considered Generally Recognized As Safe (GRAS).

These are:

1) refined sweeteners, including corn syrup, corn solids, glucose syrups, dextrose, invert sugar, xylose, maltose, and high fructose corn syrups; and maltodextrin

2) refined flour and starches that are subjected to food extrusion technology, including wheat, corn, tapioca, oat and potato  flour, and starches that are processed by extraction or similar technology, and

3) sucrose, refined flours, or starches that are used with emulsifiers (e.g. mono- and diglycerides of fatty acids, DATEM, sodium stearoyl lactylate, polysorbates); dough conditioners and strengtheners (e.g. azodicarbonamide, L-cysteine, calcium peroxide); humectants (e.g. propylene glycol); stabilizers and gums (e.g. carboxymethylcellulose, methylcellulose); or modified starches and fillers (e.g. regelatinized starch, modified food starch, dextrins).

The carefully argued and lengthy petition makes a strong case for the unhealthy nature of processed refined carbohydrates.

Wow.

If the FDA agrees—and it has to deal with the petition within 180 days—these ingredients would no longer be GRAS and foods containing them would be considered adulterated and illegal to sell.

Here’s what I said to the press:

• This would cover an extraordinarily large percentage of foods that are ultraprocessed…an extraordinarily impressive document” (New York Times).
• Kessler has given the FDA a way to define the vast majority of ultra-processed foods. In doing so, he has handed RFK Jr a huge gift on the path to regulating these products. It’s just what MAHA has asked for. I hope they take it seriously (CNN).

Can’t wait to see how RFK Jr and the FDA handle this.