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RFK Jr.’s FDA chief says diabetics should take cooking classes instead of insulin
(www.the-express.com)
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And that’s basically it!
Industrialization of agriculture is what keeps enough calories flowing from the farms to the people.
Commercialization of foods - processed foods, fast food restaurants, chain restaurants, ex-tobacco industry leadership of the food companies, that's the biggest driver of "horrible" - unless you're profiting from the healthcare costs that are ballooning with American waistlines.