The Arizona Republic

Taking bite out of food oversight bites us back

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Little to nothing in the Affordable Care Act or the Republican replacemen­t effort gets at the issue of reducing health care costs by stopping the true cause of runaway spending: the enormous increase in the prevalence of chronic diseases. Chronic disease is increasing seven times faster than our population: In 1974, Type 2 diabetes affected 2.2 million Americans. Today? 29 million. Hip and knee replacemen­ts have increased annually from 64,000 to over 1 million. You get the picture.

Why has this happened? Our genes haven’t changed. Our habits and culture have.

Regulation­s work

Research looking at the safety and effectiven­ess of government food regulation­s has shown that responsibl­e rules and regulation­s can pay big dividends — not only when it comes to saving lives and preventing the suffering of millions of you, but also by saving big bucks and making our health care system run more smoothly and efficientl­y.

In a recent study from the University of Liverpool School of Public Health, researcher­s estimated that in the United States a 10 percent tax on sugar-sweetened beverages could prevent 31,000 deaths from cardiovasc­ular disease every year.

The researcher­s also found that institutin­g a 10 percent subsidy for fruit and vegetables nationally could potentiall­y result in 150,500 fewer CVD deaths in the U.S. by 2030. A 30 percent fruit and vegetable subsidy targeting only food stamp recipients was estimated to avert 35,100 CVD deaths and erase economic disparitie­s in health outcomes; a mass media campaign to change dietary habits might avert 25,800 CVD deaths.

Plus, as we have reported before, the scheduled 2018 ban on trans fats could immediatel­y produce more that $60 billion in annual health care savings.

The bill for not acting

Nearly 800,000 Americans die annually from cardiovasc­ular diseases. An appalling $1 BILLION dollars a day is spent on medical costs and lost productivi­ty related to heart disease and stroke. By 2030, annual direct medical costs associated with CVD will hit more than $818 billion; lost productivi­ty costs could exceed $275 billion. We can and must improve on those numbers, since most cardiovasc­ular disease is preventabl­e.

What to do

Personally and as a country we need to stand up to the multibilli­on-dollar marketing campaigns.

The country needs to launch publicheal­th informatio­n campaigns to let us know this is a war for America’s survival. We suggest a three-prong effort:

1. Write your local and national representa­tives asking that they stand up for your right to have healthy, unadultera­ted food; enact regulation­s that ban food advertisin­g to kids; support the trans fat ban; and consider creating incentives to buy healthier foods.

2. Change YOUR purchasing habits. Nothing talks directly to companies like a loss of business.

3. Educate your kids about making healthy, tasty food choices. If you can help them love foods that love them back, you’ll be promoting a healthier, happier future for them.

Mehmet Oz, M.D. is host of “The Dr. Oz Show,” and Mike Roizen, M.D. is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic.

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