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California Study To Examine the Influence of a Healthy Diet On Patients (nytimes.com)
"According to The New York Times, the state of California is funding an experiment through The Ceres Community Project to test the influence of a healthy diet on the recovery of state Medicaid patients with long-term serious illnesses," writes Slashdot reader MonteCarloMethod. From the report: Over the next three years, researchers from the University of California, San Francisco, and Stanford will assess whether providing 1,000 patients who have congestive heart failure or Type 2 diabetes with a healthier diet and nutrition education affects hospital readmissions and referrals to long-term care, compared with 4,000 similar Medi-Cal patients who don't get the food.
The California study will build on more modest and less rigorous earlier research. A study in Philadelphia by the Metropolitan Area Neighborhood Nutrition Alliance retroactively compared health insurance claims for 65 chronically ill Medicaid patients who received six months' of medically tailored meals with a control group. The patients who got the food racked up about $12,000 less a month in medical expenses. Another small study by researchers at U.C.S.F. tracked patients with H.I.V. and Type 2 diabetes who got special meals for six months to see if it would positively affect their health. The researchers found they were less depressed, less likely to make trade-offs between food and health care, and more likely to stick with their medications.
The California study will build on more modest and less rigorous earlier research. A study in Philadelphia by the Metropolitan Area Neighborhood Nutrition Alliance retroactively compared health insurance claims for 65 chronically ill Medicaid patients who received six months' of medically tailored meals with a control group. The patients who got the food racked up about $12,000 less a month in medical expenses. Another small study by researchers at U.C.S.F. tracked patients with H.I.V. and Type 2 diabetes who got special meals for six months to see if it would positively affect their health. The researchers found they were less depressed, less likely to make trade-offs between food and health care, and more likely to stick with their medications.
The journalist Michael Pollan calls the ideology of treating food like a drug "nutritionism". It has a very poor track record stretching back over a hundred years, when protein was the evil macronutrient and carbs were the good macronutrient.
His alternative proposal: eat food, mostly plants, and not too much. By "food" he mean something your (or somebody's) great-grandmother would recognize as food, not some highly processed industrial convenience product.
Take Cheetos -- from a marketing perspective there has never been a more perfect consumable product. Each puff is designed to give you a little burst of pleasure, but to have zero satiation value. It's engineered to make you eat forever.
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Your argument looks good on paper. Yet the US has worse outcomes for most people, at a higher cost than most first world countries - who are running some flavour of socialised healthcare.
Of course, they can distinguish between idealised 'pure' socialism of knee jerk rhetoric and practical, regulated socialised policies designed to try and prevent the abuses you cite.
Seriously. Take a look outside the US for other models and for examples of limited and regulated soclialism especially with respect to healthcare.
It's more than self control, it also takes knowledge, which is not easy to come by. For example, if I say "red meat should not be eaten too often" there will be several commenters, and some of them smart, who reply to me in disagreement. Nutrition science isn't easy.
"First they came for the slanderers and i said nothing."
Good food is cheap if you cook it yourself. Big bag of salad greens: $2. Big bag of tomatoes: $4. Cheese $3. Onion $1. Pepper $2. $12 + oil/vinegar gives you salad for approximately a week, even in an expensive area like NYC. Chicken/fish aren't expensive, nor are rice, potatoes, or greens. You can eat well for less than fast food costs every day if you know how to cook half decently.
Salad stays good for a week? Maybe, if you really luck out ... or like half frozen salad.
Keep in mind that to be an ideal healthy hipster, you can't lug those ingredients home in a car. You have to bike or take the bus. So you are not going to be able to lug huge amounts of fresh stuff (for your four kids and spouse) home on the bus once a week, even if it would keep. You'll have to do it every day, or almost every day. Not very practical.
There are more factors in play on this than most people want to admit.