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Patrick D Hahn

Patrick D Hahn
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JUNE 12, 2011 8:02AM

Myplate: should the government be telling us what to eat?

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myplate

On 3 June, First Lady Michelle Obama along with Secretary of Agriculture Tom Vilsack and Surgeon General Regina Benjamin unveiled the new US Department of Agriculture “myplate,” an icon designed to replace the USDA Food Pyramid. The icon depicts a plate with approximately 20% of the space devoted to fruit, 30% to vegetables, 30% to grains, and 20% to “protein.” The icon also depicts a cup representing dairy products.  

If your dinner plate looks like the icon, with lots of fruits and vegetables, “Then we’re good, it’s as simple as that,” the First Lady explained.  

The USDA has created a website, choosemyplate.com, offering nutritional information and tips on meal planning. The site also offers advice on steps to a healthier weight, counseling obese people to increase their physical activity levels and watch their portion sizes.  

Surgeon General

Surgeon-General Regina Benjamin

All this begs a more fundamental question: why is the government telling us what to eat?  

This is the same Department of Agriculture that takes our tax money and uses it to find propaganda campaigns to tell people to eat less cheese, while at the same  time taking more of our tax dollars to fund propaganda campaigns telling people to eat more cheese.

It also takes billions of our tax dollars every year to subsidize the production of corn,wheat, and soybeans, which are made into high-fructose corn syrup, white flour, and soybean oil, which in turn are transmogrified into a dizzying variety of junk foods. Federally subsidized corn and soybeans are also fed to livestock to ensure an abundance of cheap meat. And then people react the way anyone who has taken half a semester of Econ 101 would predict: they eat more meat and junk food, and fewer fruits and vegetables.

Now the government is demanding even more of our tax dollars to tell us to stop eating so much meat and junk food. Does anyone see a problem here?

Anyway, the notion that "experts" know what we "should" be eating is absurd. As Michael Pollan points out in In Defense of Food, almost the whole of nutritional science is built on shifting sand. The nutritional scientists don’t know what people should eat because they don’t even know what people are eating now. How could they? Do you think they follow someone around for a year and write down everything she eats? Of course not. 
 

The only way to measure this sort of thing is through surveys, which are notoriously inaccurate. I’ll bet there is not one person reading this who could accurately recall everything he has eaten in the past three days, let alone the past three months. I know I couldn’t. To give you an idea of how wildly inaccurate these surveys are, they usually report the average person eats something like 2,000 calories a day, whereas the United States produces almost 4,000 calories per day for every man, woman, and child.

And so they generate reams of data with huge margins of error, which they mine endlessly for tiny correlations. That’s why every week there is either a new panacea (fish, or olive oil, or oat bran, or nuts will make you live forever) or a new poison (saturated fat, or high-fructose corn syrup, or meat, or eggs, will make you fall over dead).  

The only way they can really know what a person is eating is by means of inpatient studies which measure only extremely short-term outcomes, often in the context of highly artificial clinical situations which may not have any relevance to real life. For example: it’s true that giving people extremely high doses of salt, much more than any normal person would ever eat, can raise their blood pressure. That does not prove that moderately elevated salt intake over the long term will produce the same effect on blood pressure, let alone increase the risk of any adverse clinical outcome. Have these people never heard of a threshold effect?  

I see the self-appointed experts went into conniptions recently when a study was published in JAMA showing that the people who ate the most salt were no more likely to develop high blood pressure and actually had lower rates of heart attacks and strokes than those with the lowest salt intake. They blasted the study, finding problems with the methods and complaining the sample sizes were too small, as if the same problems couldn’t be found in the studies on which they base their recommendations.  

And these studies never take into account the effects of exercise. My guess is that people who exercise strenuously every day really don't need to worry about sodium or cholesterol or saturated fat or glycemic load or whatever the media is telling us this week we should worry about.

weightlifting

I freely admit I don't know this for sure. But then, neither do the self-appointed "experts."

Anyway, who ever said the only function of food is fuel for the body? Food has many other functions as well, as a way of expressing ethnic identity, as a means to help us celebrate holidays and special occasions, and simple comfort. I believe we all retain fond memories of special meals from our childhood, be it the Thanksgiving turkey and stuffing, the summertime backyard barbeque, or a simple grilled cheese sandwich and bowl of tomato soup our mothers made for us when we were children.

So why is it the business of the government to be telling us what to eat? This article in the San Francisco Chronicle provides us with the answer:
 

[Surgeon General] Benjamin said good eating habits are at the crux of saving health care costs in this country, where one in three children are overweight.” 

Oh Gawd, not the health care cost argument again. Sorry, doc, the reason health care costs are soaring is not because we dummies don’t know what we should be eating, it’s because your professional colleagues are Hell-bent on foisting on people as many expensive and invasive interventions as the traffic will bear, often without any data that these interventions result in clinically significant benefits.

When the same folks point to soaring health care costs and click their tongues and say, "Look at how health care costs are going up -- you better let us tell you how to run your lives," it's time to for the rest of us to pelt them with rotten vegetables.  

Weightlifting photo by author 

All other photos via Wikimedia Commons











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For the record, I'm not against fruits and vegetables. I'm against using soaring health-care costs as a justification for telling people how to run their lives.
I wonder how many millions of dollars they spent coming up with these recommendations which boil down to little more than telling people, "Eat your vegetables." And once they go beyond the broadest of generalizations, they also go beyond the available evidence. Remember the Food Pyramid? They told everyone they all need to eat 6-11 servings of grains a day. What happens if I eat 12? Or five? Or none? Will I turn into a Pumpkin?

Thanks for reading and commenting.
I think it's a good service of the government to put out information. It's not forcing people to eat their damn broccoli. But I agree with you about the other stuff - subsidizing junk food and somewhat questionable meat practices. Given that obesity (and, yes, lack of exercise is a big culprit) does produce extra medical costs, just like smoking, or not wearing seat-belts, etc., it seems reasonable to consider same.

Real culprit is evolution, which gave us a fixation on high-fat-and/or-sugar things, rare in nature, but all too common now. It will be hundreds of thousands of years for evolution to breed that out of us...
I remember back in the nineties the gubmint came out with similar guidelines which dictated that a child's serving of meat should be the size of a pack of cigarettes. I thought that was in interesting simile. I guess a child's serving of vegetables should be the size of a dime bag of pot.

Thanks to everybody for reading and commenting.
@ Joisey Shore:

It's easy to demontrate that barrier contraceptive methods prevent conception and sexually transmitted disease. The question of what we "should" eat is infinitely more complex, and I submit there are no "experts" on this matter. The self-appointed "experts" don't know what people "should" be eating. They don't even know what people are eating now.

The new guidelines amount to little more than an admonition to eat your vegetables, which most of us heard from our mothers. Some kids listen, some don't, but if a kid isn't going to listen to his own mother, I doubt he's going to listen to Tom Vilsack. And the moment they go beyond such vague admonitions, they go preposterously beyond any available evidence.

Furthermore, the reason medical costs are soaring is because our Medical-Industrial Complex is Hell-bent on shoving down people's throats as many expensive and invasive treatments as they will stand for, often without any evidence that these interventions do any good, outside of fattening the investment portfolios of the doctors, as well as the people who own the drug companies, the manufacturers of medical devices, etc. When these same people point to soaring medical costs and use this as an excuse to tell us how to run our lives, it's time to beware.

I don't any substantial difference between "telling us" us and "suggesting." Either way, the taxpayers are picking up the tab. If they don't have anything better to do with our tax dollars, I suggest they apply those monies to deficit reduction.

Thanks for reading and commenting.
If the governing class really wanted us to eat more fruits and vegetables, they would a) stop subsidizing the producton of meat and junk food, and b) stop punishing people who seek to buy and sell (at their own expense) wholesome nourishing food for their families (cf. my essay, "War On Food").

I think we need to be wary of people whose idea of promoting the general welfare always seems to coincide with the expansion of their own power and privilege.
I haven't even mentioned the absurdity of an officially approved plate which stipulates eight ounces of dairy products, as if the people making these guidelines don't know perfectly well that tens of millions of Americans cannot digest dairy products.
@Joisey Shore

“I guess I take the greatest issue with how you assert that "the government" is a single, every-department-in-step entity where different divisions conspire to push us all into a cattle line.”

You are putting words in my mouth. In fact, in the fifth paragraph, I specifically drew attention to the absurdity of a Department of Agriculture which takes people’s tax dollars to fund propaganda campaigns to tell people to eat less cheese, and also takes their tax dollars to fund propaanda campaign to tell people to eat more cheese. I’d say this does not bode well for their efforts to tell us (or “suggest” to us) what we should eat.

“…the newest food guidance advice is not connected to (your assertion) that it assists the medical profession in having a pool of expensive-procedure-patients in their pipeline.”

It is connected if they are using soaring medical costs as an excuse to take our money and tell us (or suggest to us) how to run our lives. The cure for soaring medical costs is for them to stop spending money on overpriced and/or useless and/or dangerous interventions. As our nation’s most prominent representative of the Medical Profession, Regina Benjamin has as much responsibility for this sort of thing as any individual I can think of offhand. She ought to accept responsibility for this, instead of demanding even more power and privilege at our expense.

I am fifty years old and I can do 100 pushups without stopping. I don’t think Regina Benjamin has anything to teach me on the subject of healthy living. If looking like her is a step up for you, you’re in trouble.

As for my contention that we are spending billions of dollars on overpriced and/or useless and/or dangerous interventions, well, I have written dozens of posts on that subject. I can’t re-hash all of that here. Interested readers are invited to scan my posts and make up their own minds. They are also invited to consult any or all of a plethora of books on the subject, including Overtreated by Shannon Brownlee; Worried Sick by Nortin M. Hadler, M.D.; Should I Be Tested for Cancer? Maybe Not and Here’s Why, and Overdiagnosed, both by H. Gilbert Welch, M.D., M.P.H.; As Nature Made Him, by John Colapinto; My Lobotomy by Howard Dully; The Lobotomist by Jack El-Hai; The Emperor’s New Drugs, by Irving Kirsch, Ph.D.; Blaming the Brain by Eliot Valenstein, Ph.D.; Our Daily Meds by Melody Peterson; The Truth About the Drug Companies by Marcia Angell, M.D.; Selling Sickness by Ray Moynihan and Alan Cassels; Overdo$ed America by John Abramson, M.D.; Medical Nemesis by Ivan Illich; and Confessions of a Medical Heretic by Robert S. Mendelsohn, M.D., for starters.

As for your contention that doctors would not foist useless and/or dangerous interventions on the family members, I find that laughable. Most people tend to believe in their own innate goodness, and most people tend to believe that all’s well with the universe when all’s well with themselves. I see no evidence that doctors are immune to either tendency. These are folks who get paid to foist upon others any as many interventions as the traffic will bear. The more interventions they perform, the more money they make.

Self-deception makes for more effective deception of others. R.J. Reynolds, the founder of the tobacco company of the same name, died of pancreatic cancer; his son, R.J. Reynolds Jr., died of emphysema; his daughter, Nancy Reynolds, died of lung cancer and emphysema; his grandson, R.J. Reynolds III, died of emphysema. R.J. Reynolds chewed tobacco, and all the other above-mentioned folks were smokers. Whatever else you can say about them, you cannot accuse them of not believing in the product which bought them the wealth that cosseted them all their lives.
It is not the government's constitutional BUSINESS to be involved in this at all. If we remember this, we don't even have to bother with worrying about the effectiveness of this stuff.
Myriad, extra medical cost - if you'd stay out of MY MEDICAL CARE - are not your concern. My body belongs to me. And if you don't try to force me to have others pay for my medical care, you won't have to worry about how much my choices cost you. So leave me the hell alone. Bye now.