Currently browsing posts about: MAHA

5 food experts making sense of MAHA’s vision for a new way of eating

Marion Nestle

Marion Nestle, a nutritionist at New York University, molecular biologist, and the author of more than dozen books, has been a prominent voice on nutrition and advocate for food policy reform for years. But as a New York Times headline recently declared, “At age 88, she’s meeting her moment” in the MAHA-verse.

Nestle isn’t on board with all of Kennedy’s food concerns — she’s pretty neutral on seed oils, for example. But they share many criticisms of the food industry, arguing that the rise of addictively delicious, nutritionally deficient ultra-processed foods is linked to higher obesity levels in the U.S. and favoring measures like banning soda from the Supplemental Nutritional Assistance Program. (Nestle wrote the book on the soda industry’s threat to public health, 2015’s “Soda Politics.”) As such, Nestle’s commentary is a valuable guide to understanding the logic behind Kennedy’s proposals, whether or not you agree with them.

It’s actually six others: Dariush Mozaffarian (Tufts), Susan Mayne (former FDA official), Eri Schulze (UPSIDE Foods), Jerold Mande (Nourish), and Helena Bottemiller Evich (Food Fix).

I’m happy to be in their company.

The President’s proposed budget cuts are worth a close look.

In addition to what I’ve posted this week, I have a few comments about it.

Most of the government’s budget cannot be cut; it is mandatory.

Mandatory expenditures include defense, interest payments, social security, Medicare and Medicaid, and, yes, SNAP.   These can only be cut by an act of Congress.

The cuttable discretionary programs are the ones aimed at helping everyone, but especially the poor and vulnerable (they grey parts in this chart). 

The rhetoric—anti-woke, anti-Biden, anti-science—reminds me of the McCarthy era anti-Communist rhetoric.

Anything that Biden did is bad.  Anything aimed to help minorities or women is bad.  Anything that promotes research or tries to mitigate climate change is bad.

Is the Trump Administration engaging in “soft” eugenics, as The Guardian puts it?

By avoiding discussion of education, employment, social support networks, economic status and geographic location – the social determinants that public health experts agree influence health outcomes – Kennedy, in lockstep with top wellness influencers, is practicing soft eugenics…At the heart of all these policies is soft eugenics thinking – the idea that if you take away life-saving healthcare and services from the vulnerable, then you can let nature take its course and only the strong will survive….Maha perfectly mimics Maga’s deregulatory ethos: cut social services for vulnerable populations while parroting populist language that further helps consolidate power for the most well-off.

Food for thought, as we say.

Resource

Civil Eats on the effects of Trump’s first 100 days on the food system

I’m struck by the harshness of the USDA’s recent press announcement:  In First 100 Days, Secretary Rollins Puts Farmers First, Reverses Woke Priorities of Biden Administration

“It is absurd that while the Biden Administration was driving up inflation, American taxpayers were forced to fund billions in woke DEI initiatives. American farmers and ranchers don’t need DEI, they need reduced regulations and an Administration that is actively putting them first. In the first 100 days of the Trump Administration, USDA has done exactly that, by cancelling over 3,600 contracts and grants saving more than $5.5 billion. I look forward to finishing our work of cleaning out Biden’s bureaucratic basement and moving forward with this Administration’s priorities that put American farmers first,” said Secretary Rollins.

The statement boasts that Secretary Rollins

• Issued a memorandum to rescind all DEI programs and celebrations.
• Directed USDA to review Inflation Reduction Act funding to ensure that programs are focused on supporting farmers and ranchers,
• Terminated 597 grants, which totaled more than $3.45 billion and over 3,000 contracts totaling $1.8 billion…in unnecessary and wasteful spending.
• Canceled nearly 1,000 employee trainings, more than 750 of which focused on DEI alone.
• To ensure that taxpayer dollars are directly supporting farmers and not serving as a Green New Scam slush fund for non-governmental organizations, Secretary Rollins announced the cancellation of the Partnerships for Climate-Smart Commodities (PCSC).

I am having a hard time understanding how these actions will help farmers and ranchers, especially because one of the cut programs was the Patrick Leahy Farm to School Grant, which paid farmers to provide fresh food to schools—a totally win/win program costing a tiny fraction of USDA’s budget but of inestimable worth to participating local farmers.

The anti-woke rhetoric reminds me of the McCarthy anti-Communist era.  If Biden did it, it’s bad.  If it helps vulnerable Americans, well, it’s “leftist ideology.”

I do not see how any of this will Make America Healthy Again.

If you think it will, please explain.

Thanks to Jim Krieger of Healthy Food America, for sending this one.

According to the Daily Beast: MAGA Influencers Caught Red-Handed Shilling for Big Soda

A string of MAGA influencers appear to have been caught taking money from Big Soda to undermine the government’s attempts to ban people from buying soda with food stamps.  Last week, a host of influential online pro-Trump personalities…raised eyebrows on X when they all appeared to abruptly change their views on Robert F. Kennedy Jr.’s push to pass legislation which would ban food-stamp recipients from spending their money on soft drinks and junk food….conservative journalist Nick Sortor posted an expose of the offending posts side-by-side on X, alongside claims they had been paid to adopt a pro-soda stance by a social media PR company named Influenceable….“Not a SINGLE ONE of them disclosed they were paid for these posts, which led readers to believe a general SODA BAN was in the works.”

According to The Daily Wire: Soda Lobby Group American Beverage Denies Paying Influencers To Fight SNAP Restrictions

In a statement sent to The Daily Wire on Tuesday, ABA President and CEO Kevin Keane further echoed the denial, saying it had conducted a “thorough vetting” and is “confident” that it was not involved in the effort.

Whew.  What is this about?

The issue of adding sugar-sweetened beverages to the short list of food items that cannot be bought with SNAP benefits (Alcohol, Cigarettes, prepared foods, medicines, supplements) is a difficult one, splitting some public health advocates from some anti-hunger advocates and forging unexpected political alliances.

RFK Jr’s MAHA movement wants sodas out of SNAP.  The MAHA arguments:

• Sodas contain sugars (lots) but no other nutrients.
• Drinking a lot of them correlates with poor health.
• SNAP recipients buy a lot of soda.
• SNAP benefit are not taxed, making the cost of sodas cheaper for them in some states.
• SNAP recipients could still buy sodas with their own (non-SNAP) money.
• The WIC program specifies which foods (all of them healthy) recipients can buy with their benefits; it works fine.

Arguments against:

• Poor people should be able to eat just as unhealthfully as everyone else.
• Blocking them from buying sodas is condescending.
• Doing this removes choice and is unfair.
• A ban will hurt the profits of the soda industry and retailers who sell sodas.

For years, public health advocates and some states have called for pilot projects (“waivers”) to see how removing sodas might work.  The USDA has always rejected such petitions.

I favor pilot projects, in part because of what I learned as a member of the SNAP to Health Commission, and also because of the letters I received after publication of Soda Politics.  SNAP recipients wrote me that they viewed their benefits as a license to buy junk food and would welcome restrictions.  They would not buy as much soda if they had to pay for it with non-SNAP funds.

The new USDA Secretary says she will agree to waivers.  Good.  Let’s try this and see how it works.

There is never a dull moment with Robert F. Kennedy Jr’s taking over the Department of Health and Human Services.

The Wall Street Journal announced this first: RFK Jr. Plans 10,000 Job Cuts in Major Restructuring of Health Department

Kennedy on Thursday said the agency would ax 10,000 full-time employees spread across agencies tasked with responding to disease outbreaks, approving new drugs, providing insurance for the poorest Americans and more. The cuts are in addition to roughly 10,000 employees who chose to leave the department through voluntary separation offers since President Trump took office, according to the department.

Together, the cuts would eliminate about one-quarter of a workforce that would shrink to 62,000. The department would lose five of its 10 regional offices.

The White House posted this video last week.

I can’t figure out how to make it play on this site, but you can watch it at this link.

It’s worth watching:

• It comes straight from the White House.
• Robert F. Kennedy Jr, the new Secretary of Health and Human Services, does not recognize or know how to pronounce the vitamin riboflavin.
• USDA Secretary Brooke Rollins appears in this as a self-identified MAHA mom.
• It makes the point that food labels are hard to read.
• It issues a direct threat to the food industry to get artificial colors out of their products.
• It’s fun.

It also says a lot about MAHA priorities.  I’m all for getting artificial colors out of the food supply, but I view other food issues as far more important.

I want to see RFK Jr videos about what FDA is planning to do to really Make America Healthy Again.  What, for example, is the agency planning to do about:

• Food safety
• Ultra-processed foods
• Food marketing to kids
• Toxic chemicals in the food supply
• Mercury in fish
• School food

These are all issues he has raised, many of them requiring collaboration with USDA, EPA, FTC, and other agencies.

Tomorrow: Dietary Guidelines.

Food Fix broke the news: Jim Jones, FDA Deputy Commissioner for Human Foods , resigned saying that the firings of the staff he had recruited over the last year made his job impossible.

The New York Times quotes Jones. 

They’ve created a real pickle for themselves,” by cutting staff members working on a key priority, Mr. Jones said. “You just can’t do an assessment [of food additives] for free and you can’t ban chemicals by fiat.

But wait!  Maybe you can.

The FDA is an agency of the Department of Health and Human Services (HHS).  And that brings me to its new secretary’s astonishing opening statement on his first day on the job.

I’m totally for making chronic disease a national priority for intervention, for getting conflicts of interest out of the FDA, and for focusing on child health.  And for Making America Healthy Again (MAHA).

I am eager to see what he does.

The FDA has long been plagued by cumbersome procedures (many of which do protect the public), conflicts of interest (especially the “revolving door” between the agency and industry), and apparent capture by the industries it is supposed to regulate.

Can RFK Jr address those problems in a way that promotes the public interest?  We shall see.

In the meantime, Jim Jones is being replaced by Kyle Diamantas, a lawyer from the large firm, Jones Day.

Not much is known about Mr. Diamantas, beyond his hunting turkeys with President Trump.

Food Fix quotes Vani Hari, the Food Babe as saying Diamantas “has a lot of Big Food contacts…I think that actually serves him. It puts him in an interesting position because he understands the stakeholders at play….I think that puts him in a good position to figure this out…He gets this issue.”

The nominee to be the new FDA Commissioner,  Martin Makary, has not yet been confirmed.

So much remains uncertain.  I am following all this with great interest.

Update on the chaos

The FDA has now rehired some of the people who were fired (particularly those supported by user fees).  Presumably, Jim Jones remains out.

I.  Darius Mozaffarian, a nutrition professor at Tufts University, has an editorial in the American Journal of Clinical Nutrition:“The Dietary Guidelines for Americans—is the evidence bar too low or too high?”

He writes about an analysis of the systematic literature reviews SRs) that form the basis of science-based decisions in the guidelines.  His comments gives an insight into the Dietary Guidelines process worth seeing.

For the 2025–2030 DGAC, I served as a peer reviewer for the SR on UPFs…I felt that the SR’s question, design, and planned methods were appropriate, but that its implementation and conclusions were weakened by important deviations from these standards. For example, contradicting its stated eligibility criteria, the SR included numerous studies that did not appropriately or adequately define or assess UPF. Following inclusion of such heterogeneous studies, the SR concluded that the scientific evidence on UPF was limited due to many studies having serious concerns around exposure misclassification as well as evaluating dietary patterns not directly varying in amounts of UPF. This demonstrated a circular and dismaying reasoning: the SR included studies it should not have that had heterogeneous and poorly characterized assessments of UPF, and then concluded that heterogeneous and poorly characterized assessments of UPF limited the strength of the evidence.

He observes:

Most importantly, the DGA and SR requirements make clear that guiding Americans toward a healthier diet is an unfair fight from the start. The food industry can do almost anything it wishes to our food, combining diverse ingredients, additives, and processing methods with virtually no oversight or required evidence for long-term safety  In contrast, the DGAs and other federal agencies can only make recommendations to avoid certain foods or limit certain manufacturing methods when there is extensive, robust, and consistent evidence for harm. In this severely imbalanced playing field, industry wins again and again.

II.  Senator Bernie Sanders posted on Facebook Sanders Statement on How to Make America Healthy Again.  Among other issues, he’s taking on the food industry.

Reform the food industry. Large food corporations should not make record-breaking profits addicting children to the processed foods which make them overweight and prone to diabetes and other diseases. As a start, we must ban junk food ads targeted to kids and put strong warning labels on products high in sugar, salt and saturated fat. Longer term, we can rebuild rural America with family farms that are producing healthy, nutritious food.

III.  California Governor Gavin Newsom “issues executive order to crack down on ultra-processed foods and further investigate food dyes.”

The food we eat shouldn’t make us sick with disease or lead to lifelong consequences. California has been a leader for years in creating healthy and delicious school meals, and removing harmful ingredients and chemicals from food. We’re going to work with the industry, consumers and experts to crack down on ultra-processed foods, and create a healthier future for every Californian.

Comment

Mozaffarian offers these opinions despite disclosing financial ties to food companies.  Sanders is a welcome addition to the handful of legislators concerned about food issues.  Newsom is making it easier for other states to take similar steps.

Maybe there’s a glimmer of hope for coalition building among advocates for healthier food systems.  Maybe this really is a movement!

How’s that for a cheery thought for 2025.  Happy new year everyone!