by Marion Nestle

Currently browsing posts about: MAHA

Apr 3 2025

Paid influencers opposing soda restrictions on SNAP

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.

Apr 2 2025

Keeping up with MAHA: RFK Jr’s latest actions

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.

RFK Jr explained what all this was about in a six-minute video) on Twitter (X: “We’re going to eliminate an entire alphabet soup of departments and agencies while preserving their core function.”The agency said the 25% reduction in workforce would not affect essential services.

That, however, is a matter of opinion.  As Politico put itRFK Jr.’s massive cuts stun staff, leave senior employees scrambling, which, one can only suppose, is the point.

To further explain, HHS issued Fact Sheet: HHS’ Transformation to Make America Health Again.

You can read it for yourself, but here are selected items that got my attention [my comments follow]

    • FDA will decrease its workforce by approximately 3,500 full-time employees, with a focus on streamlining operations and centralizing administrative functions. This reduction will not affect drug, medical device, or food reviewers, nor will it impact inspectors. [This is hard to believe.  Many staff have already left.  Were they scientists?  Who is left who can write Federal Register notices, for example].
    • The CDC will decrease its workforce by approximately 2,400 employees, with a focus on returning to its core mission of preparing for and responding to epidemics and outbreaks. [But the first layoffs were of probationary staff of the Epidemiology Intelligence Service.  They may have been hired back, but it’s hard to imagine what morale is like]
    • The consolidation and cuts are designed not only to save money, but to make the organization more efficient and more responsive to Americans’ needs, and to implement the Make America Healthy Again goal of ending the chronic disease epidemic. [How, pray tell]
    • A new Administration for a Healthy America (AHA) will…coordinate chronic care and disease prevention programs and harmonize health resources to low-income Americans. [This could work if done right and if adequate personnel are still available]

My question here is to what end?  What, exactly, does RFK Jr plan to do to Make America Healthy Again?

So far, he has done a few things:

  • Made it clear that food companies have to stop using artificial color dyes.
  • Started talking about closing the GRAS loophole (that allows companies to say whether additives are safe)
  • Indicated that he prefers beef tallow to seed oils.

I am all for getting rid of artificial colors and closing the GRAS loophole but neither of those is a major cause of obesity and its health consequences.  Nor will replacing seed oils with beef tallow addresss that problem; both have about the same number of calories.

If RFK Jr really wants to Make America Health Again, he needs to get American eating less junk food and more real food.  Yes, food colors are a marker of ultra-processed foods but they are mainly in candy, confectionary, and kids’ cereals.

I’m eagerly waiting to hear what RFK Jr plans to do to help Americans reduce calorie intake, reduce intake of ultra-processed foods, stop smoking, avoid drinking too much alcohol, become more physically active, and eat more vegetables.

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Mar 18 2025

The latest on MAHA: a video

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.

 

 

 

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Feb 25 2025

What’s going on with the FDA? And MAHA?

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.

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Jan 10 2025

Weekend reading: Three thoughts on the MAHA “movement”

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!

Jan 9 2025

A Thursday giggle: Politics makes strange bedfellows

How did a nice girl like me end up in New York Magazine’s MAHA issue?  I was amazed to find myself in this.

MAHA is the Trump Administration’s Make America Healthy Again campaign.

For the record: I’m totally for making America healthy, and especially for doing everything possible to reduce risks from chronic disease.  I’m for some of what RFK, Jr wants to do (reduce intake of ultra-processed foods, get toxins out of the food supply, reduce conflicts of interest) but by no means all.

Oh well, I didn’t want you to miss this. Enjoy (?).