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Inside RFK Jr's conflicted attempt to rid America of junk food
Inside RFK Jr's conflicted attempt to rid America of junk food

The Guardian

time08-07-2025

  • Health
  • The Guardian

Inside RFK Jr's conflicted attempt to rid America of junk food

Over the space of the last year, Robert F Kennedy Jr. has made the term 'ultra-processed foods' something of a household phrase. Once a term only used by nutritionists and food policy researchers to describe the most processed foods in the supply chain (think: chips and sodas, packaged bread, microwave dinners and even some yogurts), ultra-processing has become a calling card of the 'Make America Healthy Again' ('Maha') movement. The movement, which is focused on addressing 'America's escalating health crisis' by investigating food, pharmaceuticals, vaccines and environmental contaminants (and has frequently platformed pseudoscience), found a home in Donald Trump's administration after Kennedy endorsed the president. Indeed, during his confirmation hearings to become head of the Department of Health and Human Services, Kennedy called ultra-processed foods 'poison' and the main culprit of the United States's 'chronic disease epidemic'. Many food experts were surprised, and grateful, to find an ally in Trump's administration. Today, ultra-processed foods make up 73% of the US food supply and are linked to a range of health conditions including diabetes, obesity, depression and certain cancers. Despite this rhetoric, experts are skeptical that ultra-processed foods will go anywhere. Rather than reining in ultra-processing, the Trump administration's food policy has mostly undermined Maha's stated goals. The first report of the Maha commission made headlines in May when it raised concerns about a 'chronic disease crisis' in children. Echoing language that Kennedy campaigned on, the report argued that 'the American diet has shifted dramatically toward ultra-processed foods' and that 'nearly 70% of children's calories now come from UPFs, contributing to obesity, diabetes, and other chronic conditions'. (The report also received criticism for including fake citations, though those in the food policy sections appeared accurate.) Those are concerns that food policy experts share – and the report listed many expert-backed solutions to rein in ultra-processing. 'The greatest step the United States can take to reverse childhood chronic disease is to put whole foods produced by American farmers and ranchers at the center of healthcare,' the report found. It went on to describe the dismal state of nutrition research in the United States: 'Government funding for nutrition research through the NIH is only 4-5% of its total budget and in some cases is subject to influence by food industry-aligned researchers.' It is 'extraordinary' how quickly Kennedy's Maha commission has 'made chronic disease, specifically big food' a political priority, said Jerold Mande, a nutrition professor at the Harvard TH Chan School of Public Health and a former food policymaker who served under Bill Clinton, George W Bush and Barack Obama. 'It's a bit breathtaking and refreshing to see this administration put out a report where they just clearly say a root cause of all of this sickness and death is the industry.' As head of the Maha commission, Kennedy has also promised to introduce regulatory reforms, including phasing out synthetic food dyes, ending a loophole for untested food additives, introducing a new regulatory program and restricting how supplemental food funding is spent. Under Kennedy's direction, the Food and Drug Administration has begun asking companies to voluntarily stop using six common food dyes, and outright banned two others. Food policy advocates have long called for greater regulations on synthetic dyes, and some states, most notably California, have already begun banning certain dyes. Kennedy has ordered the FDA to explore how to eliminate a policy that allows food companies to decide themselves whether food additives are safe, called the Generally Recognized as Safe (Gras) loophole. 'That's a really, really big deal,' says Dariush Mozaffarian, a cardiologist and director of the Food is Medicine Institute at the Friedman School of Nutrition Science and Policy at Tufts University. 'Ninety-nine per cent of compounds in food were added through this loophole.' In May, the FDA and National Institutes of Health also announced a new joint Nutrition Regulatory Science Program (plans to form such a program were finalized under the Biden administration). In recent weeks, the program issued requests for research proposals specifically tied to two themes: contaminants in school meals and exercise (food companies have emphasized the individual responsibility to exercise as a distraction from reformulating food). Meanwhile, at Kennedy's encouragement, several states are also pursuing policies that would limit spending from the Supplemental Nutrition Assistance Program (Snap) on 'junk food'. To date, the federal government has approved waivers for six states to ban such purchases. Mande thinks that's an effective strategy to motivate food companies to reformulate their products. 'Snap is just by far the biggest lever the government has that the food companies are going to do what Snap policy requires of them,' he said. Despite the Maha report and other recent moves by Kennedy to call out ultra-processed food and its role in the chronic disease crisis, some food policy experts warn that the administration's actions are undermining that goal. That came into focus earlier this year when Trump appointed several nominees who favored deregulatory policies, or had outright ties to the food industry, to his cabinet. One of the key ways to rein in ultra-processing is to make sure that youth have access to fresh produce, says Mande. Yet the administration has slashed the very programs that do that. In March, Trump's agriculture department cut a host of previously approved grants, including the Patrick Leahy Farm to School Grant and Local Food for Schools and Childcare program, which paid farmers and ranchers to supply schools with local foods and build gardens. Those cuts don't only harm schools, but farmers as well, says Marion Nestle, a professor emerita at New York University and author of the book 'Food Politics'. Mozaffarian called the choice to cut the Farm to School Grant 'a bizarre decision that goes completely against the goals to make America healthy again'. Nestle believes that misalignment between promise and practice is purposeful. The Trump administration and Maha movement have 'hijacked the food movement in order to use it as publicity for the kind of cuts that are being made', she said. It's also being used to 'forward an agenda which is exactly the opposite of what you would hope' – one that's focused more on cutting programs than reforming industry. Nestle says the administration's calls to end subsidies for 'junk food' with Snap are disingenuous, and just a guise for cutting the program altogether. 'The business about taking sodas out of Snap is a cover for cutting Snap benefits,' she said. The current Republican budget bill, which Trump signed into law last week, proposes a 20% cut to the program. In addition to increasing access to fresh produce, the other most effective way to tackle ultra-processed foods, Mande says, is robust industry regulation – which also hasn't happened. 'It's become a pattern that they announce ambitious plans, they say a lot of the right things about what the problem is and what we broadly need to do about it, but the specifics are either missing or really not properly aligned to the task,' said Mande. 'It's still early, but it's happened repeatedly enough to be concerning.' The Trump administration's announcements about combatting food dyes and additives, for instance, have not been paired with specific plans or funding details or regulations. 'Historically, Republican administrations have been reluctant to use some levers of government, particularly funding and regulation to advance policy, but there is no way to tackle this issue successfully and effectively without funding and regulations,' said Mande. 'At each juncture, when one would expect or hope to see funding or regulation as a step to achieving a policy that they played out, they haven't done that.' Even with funding, Nestle wonders how effective those reforms will be 'when the FDA's workforce has been decimated'. In April, the Department of Health and Human Services laid off 10,000 workers, about an eighth of its workforce. More than a third of those fired were at the Food and Drug Administration. In the wake of those layoffs, the National Institutes of Health's leading nutrition researcher, Kevin Hall, opted to take an early retirement offer. Hall has conducted one of the most cited studies on ultra-processed foods, which found that people who ate an ultra-processed diet consumed nearly 500 calories more a day than those who did not, and had other projects in the pipeline. 'Unfortunately, recent events have made me question whether NIH continues to be a place where I can freely conduct unbiased science,' Hall wrote in a social media post announcing his decision. In an interview with the New York Times, Hall described multiple incidents where NIH officials censored his work, including altering his responses to journalists and asking him to remove language about 'health equity' from his research (he opted to remove his name from the paper instead). In May, he told Stat News that he's unlikely to return to the scientific agency. That said, Mozaffarian believes there are still powerful ways the Trump administration could regulate ultra-processed foods with minimal staff or funding. Funding and a plan are key to making that work successful, he said, but if that's not possible, the agency could take other actions. He suggests three such alternatives for ending the Gras loophole: requiring 'public notice and public disclosure of all the safety data that would then be put on a searchable public database' that other groups, like academics and consumer watchdogs, could review themselves; implement stricter standards for which foods are allowed to call themselves 'generally recognized as safe'; or adopt the food regulations of other countries, such as Europe, Australia, New Zealand or Canada which have already banned 'many substances that are allowed in the US'. Nestle is more skeptical that incremental change could tackle ultra-processing and chemicals in the food supply. Addressing color additives, for example, she says is a 'no brainer' because companies are already 'using alternatives in Australia and New Zealand.' What could be more difficult is getting other chemicals out of food, like the mercury, arsenic and other heavy metals emitted by coal-burning power plants that also contaminate soil and waterways. 'Nobody has ever been able to get coal burning power plants to clean up their emissions' and in fact the Trump administration has directed the Environmental Protection Agency to relax controls on those emissions, she adds. 'There's no policy here.'

Inside RFK Jr's conflicted attempt to rid America of junk food
Inside RFK Jr's conflicted attempt to rid America of junk food

The Guardian

time08-07-2025

  • Health
  • The Guardian

Inside RFK Jr's conflicted attempt to rid America of junk food

Over the space of the last year, Robert F Kennedy Jr. has made the term 'ultra-processed foods' something of a household phrase. Once a term only used by nutritionists and food policy researchers to describe the most processed foods in the supply chain (think: chips and sodas, packaged bread, microwave dinners and even some yogurts), ultra-processing has become a calling card of the 'Make America Healthy Again' ('Maha') movement. The movement, which is focused on addressing 'America's escalating health crisis' by investigating food, pharmaceuticals, vaccines and environmental contaminants (and has frequently platformed pseudoscience), found a home in Donald Trump's administration after Kennedy endorsed the president. Indeed, during his confirmation hearings to become head of the Department of Health and Human Services, Kennedy called ultra-processed foods 'poison' and the main culprit of the United States's 'chronic disease epidemic'. Many food experts were surprised, and grateful, to find an ally in Trump's administration. Today, ultra-processed foods make up 73% of the US food supply and are linked to a range of health conditions including diabetes, obesity, depression and certain cancers. Despite this rhetoric, experts are skeptical that ultra-processed foods will go anywhere. Rather than reining in ultra-processing, the Trump administration's food policy has mostly undermined Maha's stated goals. The first report of the Maha commission made headlines in May when it raised concerns about a 'chronic disease crisis' in children. Echoing language that Kennedy campaigned on, the report argued that 'the American diet has shifted dramatically toward ultra-processed foods' and that 'nearly 70% of children's calories now come from UPFs, contributing to obesity, diabetes, and other chronic conditions'. (The report also received criticism for including fake citations, though those in the food policy sections appeared accurate.) Those are concerns that food policy experts share – and the report listed many expert-backed solutions to rein in ultra-processing. 'The greatest step the United States can take to reverse childhood chronic disease is to put whole foods produced by American farmers and ranchers at the center of healthcare,' the report found. It went on to describe the dismal state of nutrition research in the United States: 'Government funding for nutrition research through the NIH is only 4-5% of its total budget and in some cases is subject to influence by food industry-aligned researchers.' It is 'extraordinary' how quickly Kennedy's Maha commission has 'made chronic disease, specifically big food' a political priority, said Jerold Mande, a nutrition professor at the Harvard TH Chan School of Public Health and a former food policymaker who served under Bill Clinton, George W Bush and Barack Obama. 'It's a bit breathtaking and refreshing to see this administration put out a report where they just clearly say a root cause of all of this sickness and death is the industry.' As head of the Maha commission, Kennedy has also promised to introduce regulatory reforms, including phasing out synthetic food dyes, ending a loophole for untested food additives, introducing a new regulatory program and restricting how supplemental food funding is spent. Under Kennedy's direction, the Food and Drug Administration has begun asking companies to voluntarily stop using six common food dyes, and outright banned two others. Food policy advocates have long called for greater regulations on synthetic dyes, and some states, most notably California, have already begun banning certain dyes. Kennedy has ordered the FDA to explore how to eliminate a policy that allows food companies to decide themselves whether food additives are safe, called the Generally Recognized as Safe (Gras) loophole. 'That's a really, really big deal,' says Dariush Mozaffarian, a cardiologist and director of the Food is Medicine Institute at the Friedman School of Nutrition Science and Policy at Tufts University. 'Ninety-nine per cent of compounds in food were added through this loophole.' In May, the FDA and National Institutes of Health also announced a new joint Nutrition Regulatory Science Program (plans to form such a program were finalized under the Biden administration). In recent weeks, the program issued requests for research proposals specifically tied to two themes: contaminants in school meals and exercise (food companies have emphasized the individual responsibility to exercise as a distraction from reformulating food). Meanwhile, at Kennedy's encouragement, several states are also pursuing policies that would limit spending from the Supplemental Nutrition Assistance Program (Snap) on 'junk food'. To date, the federal government has approved waivers for six states to ban such purchases. Mande thinks that's an effective strategy to motivate food companies to reformulate their products. 'Snap is just by far the biggest lever the government has that the food companies are going to do what Snap policy requires of them,' he said. Despite the Maha report and other recent moves by Kennedy to call out ultra-processed food and its role in the chronic disease crisis, some food policy experts warn that the administration's actions are undermining that goal. That came into focus earlier this year when Trump appointed several nominees who favored deregulatory policies, or had outright ties to the food industry, to his cabinet. One of the key ways to rein in ultra-processing is to make sure that youth have access to fresh produce, says Mande. Yet the administration has slashed the very programs that do that. In March, Trump's agriculture department cut a host of previously approved grants, including the Patrick Leahy Farm to School Grant and Local Food for Schools and Childcare program, which paid farmers and ranchers to supply schools with local foods and build gardens. Those cuts don't only harm schools, but farmers as well, says Marion Nestle, a professor emerita at New York University and author of the book 'Food Politics'. Mozaffarian called the choice to cut the Farm to School Grant 'a bizarre decision that goes completely against the goals to make America healthy again'. Nestle believes that misalignment between promise and practice is purposeful. The Trump administration and Maha movement have 'hijacked the food movement in order to use it as publicity for the kind of cuts that are being made', she said. It's also being used to 'forward an agenda which is exactly the opposite of what you would hope' – one that's focused more on cutting programs than reforming industry. Nestle says the administration's calls to end subsidies for 'junk food' with Snap are disingenuous, and just a guise for cutting the program altogether. 'The business about taking sodas out of Snap is a cover for cutting Snap benefits,' she said. The current Republican budget bill, which Trump signed into law last week, proposes a 20% cut to the program. In addition to increasing access to fresh produce, the other most effective way to tackle ultra-processed foods, Mande says, is robust industry regulation – which also hasn't happened. 'It's become a pattern that they announce ambitious plans, they say a lot of the right things about what the problem is and what we broadly need to do about it, but the specifics are either missing or really not properly aligned to the task,' said Mande. 'It's still early, but it's happened repeatedly enough to be concerning.' The Trump administration's announcements about combatting food dyes and additives, for instance, have not been paired with specific plans or funding details or regulations. 'Historically, Republican administrations have been reluctant to use some levers of government, particularly funding and regulation to advance policy, but there is no way to tackle this issue successfully and effectively without funding and regulations,' said Mande. 'At each juncture, when one would expect or hope to see funding or regulation as a step to achieving a policy that they played out, they haven't done that.' Even with funding, Nestle wonders how effective those reforms will be 'when the FDA's workforce has been decimated'. In April, the dDepartment of Health and Human Services laid off 10,000 workers, about an eighth of its workforce. More than a third of those fired were at the Food and Drug Administration. In the wake of those layoffs, the National Institutes of Health's leading nutrition researcher, Kevin Hall, opted to take an early retirement offer. Hall has conducted one of the most cited studies on ultra-processed foods, which found that people who ate an ultra-processed diet consumed nearly 500 calories more a day than those who did not, and had other projects in the pipeline. 'Unfortunately, recent events have made me question whether NIH continues to be a place where I can freely conduct unbiased science,' Hall wrote in a social media post announcing his decision. In an interview with the New York Times, Hall described multiple incidents where NIH officials censored his work, including altering his responses to journalists and asking him to remove language about 'health equity' from his research (he opted to remove his name from the paper instead). In May, he told Stat News that he's unlikely to return to the scientific agency. That said, Mozaffarian believes there are still powerful ways the Trump administration could regulate ultra-processed foods with minimal staff or funding. Funding and a plan are key to making that work successful, he said, but if that's not possible, the agency could take other actions. He suggests three such alternatives for ending the Gras loophole: requiring 'public notice and public disclosure of all the safety data that would then be put on a searchable public database' that other groups, like academics and consumer watchdogs, could review themselves; implement stricter standards for which foods are allowed to call themselves 'generally recognized as safe'; or adopt the food regulations of other countries, such as Europe, Australia, New Zealand or Canada which have already banned 'many substances that are allowed in the US'. Nestle is more skeptical that incremental change could tackle ultra-processing and chemicals in the food supply. Addressing color additives, for example, she says is a 'no brainer' because companies are already 'using alternatives in Australia and New Zealand.' What could be more difficult is getting other chemicals out of food, like the mercury, arsenic and other heavy metals emitted by coal-burning power plants that also contaminate soil and waterways. 'Nobody has ever been able to get coal burning power plants to clean up their emissions' and in fact the Trump administration has directed the Environmental Protection Agency to relax controls on those emissions, she adds. 'There's no policy here.'

Crunchy moms come to blows over Trump surgeon general picks
Crunchy moms come to blows over Trump surgeon general picks

Telegraph

time08-05-2025

  • Health
  • Telegraph

Crunchy moms come to blows over Trump surgeon general picks

Followers of the Make America Healthy Again (Maha) movement are locked in a furious row over Donald Trump 's nominations for surgeon general. The president on Wednesday withdrew his pick of Dr Janette Nesheiwat – a doctor and Fox News contributor whose confirmation hearing was scheduled for Thursday – amid claims she lied about her qualifications and was too supportive of the Covid-19 vaccines programme. In her place, Mr Trump announced he will nominate Robert F Kennedy ally Dr Casey Means, boasting of her 'impeccable MAHA credentials'. The US surgeon general is considered the leading authority on matters of public health, overseeing a staff of 6,000. 'Her academic achievements, together with her life's work, are absolutely outstanding,' Mr Trump wrote. 'Dr Casey Means has the potential to be one of the finest surgeon generals in United States history.' However, the announcement has split opinion among Trump supporters. While prominent Maga podcasters Charlie Kirk and Megyn Kelly praised Dr Means as a 'brilliant pick', Nicole Shanahan, a lawyer and Mr Kennedy's former running mate, said she was not qualified for the role and that the health secretary had promised he would not offer her a job. 'I was promised that if I supported RFK Jr in his Senate confirmation that neither of these siblings would be working under HHS [health and human services] or in an appointment (and that people much more qualified would be),' she wrote on X. Sit in silence Others criticised Dr Means, a wellness influencer and staunch critic of the food and drug industry, for not being sufficiently critical of giving Covid-19 vaccines to children, which they claim are unsafe despite World Health Organisation (WHO) advice. Dr Mary Bowden, who was suspended from a Texas hospital for allegedly spreading vaccine misinformation and now has a sizable online following, said: 'All the people celebrating Casey Means… Give it a month. See if she continues to sit in silence while millions of children continue to get the shots.' Laura Loomer, a staunch ally of Mr Trump branded his pick a 'woo woo woman'. The comments were accompanied by screenshots, allegedly taken from Dr Means' newsletter, in which she claimed to have 'worked with a spiritual medium', attended 'full moon ceremonies' and 'talked (literally out loud) to the trees'. Ms Loomer had posted on X over the weekend that she also opposed Dr Neshiewat's confirmation, owing to her support for Covid-19 vaccines during the pandemic. Ms Loomer is an influential figure in Maga circles who allegedly played a key role in the ousting of several national security agency staff in April, after she marched into the Oval Office and accused them of disloyalty, according to The New York Times. The purge was followed last week by the removal of Mike Waltz, Mr Trump's former national security adviser and the sister-in-law of Dr Neshiewat. Path of curiosity Liz Wheeler, a conservative commentator with one million followers on X, thanked Mr Trump for changing his decision and called Dr Nesheiwat 'a Covid freak who supported masking kids'. Dr Means is a Stanford Medical School-trained surgeon who opted to leave 'traditional medicine' and devote her career to 'tackling the root cause of why Americans are sick' after her mother died of pancreatic cancer. Dr Means and her brother soared to prominence after co-authoring the best-selling book Good Energy, which argued their mother had been 'simply prescribed pills and not set on a path of curiosity about how these conditions are connected and how the root cause can be reversed'. The founder of Levels, a health app that monitors blood glucose levels, Dr Means was a close ally of Mr Kennedy during the campaign, while her brother, Calley Means, already works alongside the health secretary as one of his key strategists. The Means siblings have strongly advocated for a crackdown on unhealthy foods and additives such as synthetic food dyes. Dr Means has also claimed it is 'criminal' to require vaccinations, writing on her website last year that the 'current extreme and growing vaccine schedule' could be 'causing health declines in vulnerable children'.

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