Am I going to become the Black Sheep of the forum if I admit I'm actually excited to see what RFK can do with proper resources?
He has some unconventional stances and is obviously a bit of an odd ball, but I get the sense that he's truly well-intentioned and cares about all American people, and he’s the first person I’ve seen in a position of power wanting to focus on:
• Reducing ultra-processed foods in the American diet
• Removing harmful chemicals, carcinogens, and additives out of American food offerings
• Addressing childhood obesity and diabetes
• Potentially exploring alternative approaches to treating chronic conditions
• Investigating the impact of environmental toxins on public health
If effective, it’s an objective good to come out of a bad situation. Dare I say a good that would be far more impactful for the wellbeing of the American people than most of what I've seen from any sitting president in recent memory?
Bonus: He HATEESSSS Big Pharma and wants to take the fight to them for what they've done to Americans with predatory pharmaceuticals. Also a proponent of stuff like MDMA, ketamine, and psychedelic therapies.
While I agree that his stance on healthy foods is refreshing, he also is a proponent of things like raw milk, which is at best, only safe if you are milking the cow right there and has the potential to be life threatening.
When I worked at the Louisiana public health institute, we had an initiative to try to get healthy food into the food desert that was left of NOLA after hurricane Katrina. It was eye opening to see how difficult it was to stock fresh foods, especially for small neighborhood convenience stores, simply due to spoilage. Many of the stores couldn’t have offered healthy foods had it not been for subsidies. The power of highly processed foods is that they don’t go bad which is why they cost so little. We also had to be mindful that many people were living in trailers and hotel rooms that had little to no access to kitchen equipment, except maybe a microwave. Many people live in places where they can’t cook because there is no kitchen available to them. Yes, it’s nice to say that we are going to remove these items, but what and how are we replacing them? This is a question of economic viability over just an availability of bad for you food. When people have the luxury of time and the resources to buy food, people will tend towards eating better—as evidenced by the wealth having better nutrition and smaller waistlines. I would like for them to remove harmful chemicals from food, but this largely means that we need to take plastics out of food packaging. This, again, works well on a micro level if you have a strong web of food production in your immediate vicinity. If you live in a densely populated area, especially where there are already food deserts due to groceries leaving citing economic viability, this is going to be a challenge—that again, makes this a problem that only wealth can solve, but since RFK is ultimately out of touch with the issues that arise from extreme poverty, he won’t address properly.
My big concern is that he vows to get rid of a lot of FDA top level people. The FDA is already stretched for resources. Removing bodies will impact drug approvals and the rigor that drug trials are given. This will slow down drug approvals, including those for life saving drugs. It’s going to be a poop show if he gets rid of leaders at the FDA and there will be real world consequences that will negatively impact the public having access to new drugs.
Yeah, I'm aware. As long as they aren't pulled in the meantime, who cares? I'm very pro-vaccine, but I guess my life has also been a case study in the effects of the gross ways big pharma and western medicine intangle. So perhaps I have a little more tolerance for questioning the system.
I was on Ritilan + welbutrin for ADD by the time I was in 2nd grade. By 7th grade, I had been misdiagnosed as bi-polar after a half-heartened suicide attempt. I spent my teenage years on a grip of mood stablizers that made me act legit bi-polar. Many of them are no longer on the market and had wild side effects like causing me to put on 30 lbs in less than a month (after being drastically underweight from the adderall).
My freshman year of college, I went off all the meds, and, shocker, I wasn't anything close to actually being bi-polar. Just ADD. Now I have a chronic auto-immune disorder that I can't help but wonder is a ripple effect of all the drugs. And meanwhile, I had to experiment with my diet and attempt acupuncture on my own before discovering them life altering.
And again, I want to clarify, I am very pro-vaccine and the such. I'm eagerly awaiting the one for Epestein-Barr. The same Peruvian friend I mentioned earlier, is still alive because Stanford found a cure for cystic fibrosis and works in vaccine research. I also think the silver lining of the pandemic is going to MRNA tech.
But that doesn't mean that it's long gone ignored that huge chunks of our system are broken.
I do have Celiac and I went around and around with doctors chasing all sorts of wild diagnoses. I also saw how incredibly broken the system is for anyone with a chronic condition. The system we have only works for acute care because we have a very transactional health system. I am sick; I pay for these three procedures-test, exam, and pharmaceutical for instance. If I remain sick after that, I must, then, have another transactional encounter. This person cannot help so they add in a specialist and if you do not fit into that specialist’s box, you keep paying, but see no difference. The specialist, just like the first doctor, do not have any repercussions from your illness, but you keep paying and continue to be sick. Once you run out of money, you can no longer get care for your illness, so you are left on your own—but now, you have no money and it is harder for you to work and get more money to pay for your care.
This is the reality of most people. We go to the doctor expecting them to give us answers, because we are in a transactional system where we pay money for diagnoses. What doctors charge for procedures is also partially driven by those diagnoses—so a doctor who sees a hypertensive diabetic can charge more for the same 15 minutes than they can for a person who has no chronic conditions who is just in for a check up. The system rewards doctors who see sick patients as long as the doctors don’t have to spend too much time in treatment. And with the alarming rate that private equity is snapping up medical hospitals and practices, doctors are now not allowed to spend too much time with patients. The private equity restraints are making them less effective, more expensive, and more likely to burn out. Most other countries have figured out that if you make healthcare for profit, it produces the worst possible outcomes.