What, then, do I think we can and should do about all this? Glad you asked:
- Recognize that the overall pattern of the diet matters
- Recognize that the best way to avoid bad foods is to eat good foods instead
- Talk about nutrients less, and foods more
- Acknowledge that the quantity of calories does, of course, count
- Acknowledge that the quality of calories does also, of course, count
- Acknowledge that the best way to control the quantity of calories without being hungry forever is to improve the quality of those calories
- Acknowledge that daily use of feet and forks does involve personal choice, and thus requires personal responsibility
- Acknowledge that to be responsible for anything, people need to be suitably empowered
- Acknowledge that choices we make are in turn dependent on choices we have- both need to be good
- Acknowledge that impulses related to food are deeply rooted in both biology and culture, and thus hard to change
- Acknowledge that culture must adapt to compensate for Stone Age biological impulses that otherwise do harm- whether they are about sex, or food, or anything else
- Acknowledge that no one thing is THE thing wrong with our diets, and no one food or nutrient change will fix it all
- Acknowledge that we need to change the world around us, but can’t just wait on the world to change; in the meantime, we need to empower, and change, ourselves
- Acknowledge that most expert opinion and the weight of scientific evidence support a basic set of fundamentals of healthful eating
- Recognize that the imperfect knowledge we have of optimal nutrition is still enough to eradicate 80% of the total chronic disease burden. If ever there was a case not to make perfect the enemy of good, this is it
- Emphasize to the public what we know best and agree on most about healthful eating, rather than an endless “my diet can beat your diet” parade of contestants
- Work out what we don’t know, while applying to good effect what we do
- Establish a reliable, objective, operationally useful definition of junk food- and then ban all of it. Junk is not food, and food is not junk.
- Identify gaps in the prevailing skill set for healthful living, and establish programs to fill those gaps in all of the relevant settings: schools, worksites, churches, restaurants, cyberspace, supermarkets, and so on.
- Keep pushing on the food supply to change, but take better advantage of the most effective, least contentious way of changing it: changing our demand.
- For fully fleshed out approaches to these and related ideas, see:
- http://www.huffingtonpost.com/david-katz-md/obesity-epidemic_b_3292179.html
- http://www.davidkatzmd.com/admin/archives/Obesity%20be%20Dammed.Katz.Fall-06.pdf
- http://www.huffingtonpost.com/david-katz-md/healthy-life_b_1176506.html
- http://health.usnews.com/health-news/blogs/eat-run/2012/07/18/i-love-you-have-another-helping
- http://www.huffingtonpost.com/david-katz-md/holistic-nutrition_b_842627.html
- https://www.linkedin.com/today/post/article/20131119151551-23027997-fixing-food-stamps-for-all-could-be-a-snap
