Our dysfunctional health care system has been likened to an overflowing sink, with physicians continuously mopping the floor, and hospitals, and Big Pharma gleefully supplying expensive paper towels and mops \u2014 when the obvious thing to do would be to turn off the faucet.<\/p>\n
There was an article in the Aug. 26 edition of the N.Y. Times titled \u201cOur Food Is Killing Too Many of Us, improving American nutrition would make the biggest impact on our health care.\u201d It was written by Dariush Mozaffarian, dean of one of the most prestigious nutrition science schools in the country \u2014 Tufts; and Dan Glickman, who was secretary of agriculture from 1995 to 2001. The column pointed out that no matter what form of health care system we have (single payer, current system or whatever), costs will continue to rise unless we address the reason Americans are so sick.<\/p>\n
Americans are indeed sick \u2014 more of us are sick than are healthy:<\/p>\n
\u2022 Half the adult population have pre-diabetes or diabetes \u2014 conditions that cost $327 billion annually.<\/p>\n
\u2022 About 122 million Americans have diagnosed cardiovascular disease, which costs $351 billion and results in 840,000 deaths annually.<\/p>\n
\u2022 Three out of four adult Americans are overweight or obese, estimated to cost $1.72 trillion a year.<\/p>\n
The N.Y. Times article points out that we need to figure out what is making us so sick and how we \u201ccan reverse this so we need less health care.\u201d It goes on to note that \u201cthe answer is staring us in the face, on average three times a day: our food.\u201d<\/p>\n
Following are some of the \u201cfood as medicine\u201d solutions suggested in the article.<\/p>\n
\u2022 Nutrition assessment should be a part of all electronic medical records.<\/p>\n
\u2022 Medical training should include information about how food causes disease and how it can prevent, treat and reverse disease.<\/p>\n
\u2022 Licensing exams for health care providers should include a section on nutrition.<\/p>\n
\u2022 Updated nutrition information should be included in required continuing medical education courses.<\/p>\n
\u2022 There should be programs that would enable physicians to offer prescriptions for healthy produce.<\/p>\n
\u2022 For the sickest patients, home-delivered, medically tailored meals should be covered by Medicare and Medicaid and by private insurance. It is estimated that this could \u201csave a net $9,000 per patient per year in health care costs.\u201d<\/p>\n
\u2022 There should be taxes on sugary beverages and on junk food.<\/p>\n
\u2022 Healthy foods such as fruit, vegetables, beans, nuts, seeds and whole grains should be subsidized.<\/p>\n
\u2022 Work sites should demand healthy food when negotiating with cafeteria vendors and should include incentives for their employees that encourage healthy eating.<\/p>\n
Unfortunately, none of our current leaders are talking about this, nor are the candidates running for office in 2020. Whether citizens want to maintain the current system, improve it or have a single-payer Medicare for all system, these issues need to be discussed.<\/p>\n
Retired physician Greg Feinsinger, M.D., is author of new book \u201cEnjoy Optimal Health, 98 Health Tips From a Family Doctor,\u201d available on Amazon and in local bookstores. Profits go towards an endowment to the University of Colorado School of Medicine to add prevention and nutrition to the curriculum. He is available for free consultations about heart attack prevention, diabetes reversal, nutrition, and other health issues. Call 379-5718 for an appointment. For questions about his column, email gfeinsinger@comcast.net<\/a>.<\/p>\n