With grocery prices going up, what little progress has been made might get reversed, unfortunately. Making America healthy again means making non-ultraprocessed groceries available to everyone & cheaper, and ensuring that working families have time to cook. Pressuring Coke to create a new product with sugar is not going to move the needle.
I'd like to have an app that estimates the cost of groceries, including the long term health effects of regular consumption, and interpreting early death as a cost rather than savings. For me I think ribeye would end up being cheaper than Doritos.
1. Mandating lower amounts of sugar, and significantly switching to zero calorie non glycemic sweeteners.
2. Removing plastic packaging and eliminating sources of microplastics and other endocrine disruption contamination of our food supply/
3. Banning most of the stuff that the European food agencies ban
4. Getting GLP-1's in the hands of every overweight person in America.
It's that easy, but "Make America Healthy Again" was made by a guy who had a worm eat his brain.
People assume ultra processed came about due to demand side factors but it’s actually more about supply side supply chain management and the scale in size of the US. By processing the food into more constructed ingredients they always enter a state where they’re easy to package and distribute across vast distances in that state. They can then be combined into food that is palatable through additives. Indeed the process disrupts the natural structure and content of the food - but that was necessary to feed everyone at a reasonable price a variety of foods grown across a vast distance at a reasonable price.
Obviously this led to demand because the food was more complete and varied than was generally available at the fresh grocer. Convenience was a side effect as well that was well capitalized.
These arguments actually hold until pretty recently. Even in my lifetime grocery stores growing up were pretty stark affairs with a few expensive fresh products that you splurged on for a special dinner like thanksgiving. Daily food was basically processed rations with a fancy box. It’s only in my adulthood, and the lifetime of the millennials, that there was really much optionality as supply chains globally and fresh food distribution with widely available refrigerated trucking with ethylene gas storage proliferated, free trade opened, etc.
Before all this, in my parents generation, the other option for ultra processed foods was malnutrition and wide spread rickets. It was when we tried to draft for WWII and the majority of rural young men were so malnourished as to be unfit for war that things really changed.
To sit today and compare the options of fresh food available and wonder how we got here ignores the reality of how we got here. But we are here so indeed, eat fresh and be happy we have free trade!
I suppose that the article hits on it a bit but a lot of the popular brands were great depression era hits. Most of us grew up on various forms of slop: hamburger helper, velveeta mac n cheese, spam, etc. The common link between everything I ate was it was easy, and allowed you to significantly stretch the meat in a dish. These days, now that we can afford more, it's most likely a matter of simplicity and brand affiliation. When you have 2/3 of an average store stuffed with ultraprocessed crap and even in the remaining 1/3 you have to be careful it's pretty easy to eat poorly. A perfect example would be "wheat" or "rye" bread which is basically the same as white bread with a little extra added. Though, these days, many even major supermarket chains offer reasonably high quality bread.
"The Extraordinary Science of Addictive Junk Food"
https://www.nytimes.com/2013/02/24/magazine/the-extraordinar...
Insanity•1h ago
Even something as simple as Yogurt is usually insanely sweet / sugary compared to European variants. Ingredients that are banned in Europe are regularly found in products, and something as simple as bread has a ton of preservatives (as the article shows).
And I'm vegetarian, I assume for people who eat meat there's the additional concern of antibiotics resistance due to the antibiotics given to livestock.
dkga•1h ago
colechristensen•54m ago
The concern isn't eating meat from an animal treated with antibiotics infecting you with resistant bacteria.
The concern is treating animals with antibiotics puts evolutionary pressure towards breeding resistant bacteria that spill into the ecosystem and eventually get back to us. But not through meat consumption, it effects everyone regardless of diet.
0xbadcafebee•49m ago
Antibiotic resistant bacteria isn't the only harmful downstream effect of factory farms of course. Regular-old harmful bacteria are in the runoff, as well as super-high levels of nutrients that harm waterways, plants and animals. Algal blooms, oxygen dead zones, contaminated water table, etc.
All because we really like cheap pork, beef and chicken.
colechristensen•8m ago
I'm not saying eating a bit of cow poop on your lettuce never gets anyone sick, but that's not the mechanism of concern.
One: poop is mostly bacteria, by mass. It isn't infected with ... it is. Some can be "pathogens" but that's what the last stage of digestion is, fermentation with mostly a wide array of bacteria.
The concern is these gut bacteria developing antibiotic resistance and bacterial infections in the animal developing resistance. Then infections are spread between animals and across species and the waste is reintroduced into the environment. Resistant bacteria in the environment share. Horizontal gene transfer between species of bacteria can lead to these resistance genes being popular and everywhere. It's not cow poop infecting you, its the genetics getting spread into the environment and eventually ending up in a human pathogen.
>animal waste is sometimes used as fertilizer
More or less all industrial farmed animal waste ends up as fertilizer. Also a major component of the kinds of soil we grow crops in is bacteria, much of which has been through the digestive system of an animal. Again I don't know what people think soil is. If you want "clean"(?) never been poop growth medium for your plants you have to go completely artificial. And manure isn't sterilized before it goes into fields, it's alive.
nradov•47m ago
Antibiotic resistance is a concern but the FDA has made progress in that area.
https://www.fda.gov/animal-veterinary/safety-health/antimicr...
The EU bans routine antibiotic use for promoting animal growth but antibiotics are still widely used for other purposes.
https://www.ema.europa.eu/en/news/first-report-eu-wide-sales...
0xbadcafebee•40m ago
throwway120385•33m ago
yesb•23m ago
For example this contains only milk, cream, bacteria: https://www.traderjoes.com/home/products/pdp/plain-whole-mil...
This is basically sugary milk with thickeners added to make it vaguely like yogurt: https://www.yoplait.com/products/original-single-serve-straw...
nradov•17m ago
https://www.traderjoes.com/home/products/pdp/greek-whole-mil...
Or you can buy essentially the same thing for less at Walmart.
https://www.walmart.com/ip/Mountain-High-Low-Fat-Yogurt-Vani...
While there are some people who live in "food deserts" with very limited options, complaints by most HN users about the difficulty of finding healthy food don't align with reality.
technothrasher•14m ago
yesb•9m ago
But not sure I would consider fermented milk to be an "adulterant" in a different fermented milk product...
vector_spaces•25m ago
Large parts of the US are designated as food deserts, where one's best option for groceries might be the convenience store attached to a gas station. Good luck finding plain yogurt with no sugar added there. Your specific experience is exactly that.
[1] https://ers.usda.gov/data-products/charts-of-note/chart-deta...
nradov•15m ago
https://news.uchicago.edu/story/food-deserts-not-blame-growi...
SirFatty•47m ago
Sure, if you limit your purchases to Dollar General and Casey's. If you spent time in an actual grocery store, you'd find that your comment isn't true.
garciasn•45m ago
vel0city•34m ago
garciasn•18m ago
And I’m not sure why folks are downvoting this; objectively, Target has limited and terrible selection compared to standalone grocers.
SirFatty•30m ago
atmavatar•14m ago
There exist Wal-Mart Supercenters which are basically a full-blown grocery store combined with a traditional Wal-Mart store.
There also exist Wal-Mart Neighborhood Markets which are regular grocery stores.
It's not uncommon for some people to refer to all of them as simply "Wal-Mart", especially if only one of them exists locally.
0xbadcafebee•36m ago
(i'm ignoring the additional fact that the US has many more food deserts than abroad. even within rich neighborhoods with many expansive grocery stores, those stores have more unhealthy options and fewer healthy options than abroad, unless it's specifically a "health food store")
FirmwareBurner•32m ago
Also as "an European" whatever that means, I only spent a couple of months in the US as a tourist, and had no issues finding healthy foods from leafy greens, to good meats in places like Wholefoods.
If he couldn't find it while actually living there, tells me he's not commenting in good faith.
thatfrenchguy•22m ago
Jensson•13m ago
Sure it might be possible to find that in USA as well, but its so much harder as not every store has it.
nradov•6m ago
https://www.siliconvalley.com/2025/06/26/cupertino-whole-foo...
vector_spaces•29m ago
I am familiar with what the grandparent is referring to, having spent a decade running purchasing teams in US grocery stores. Even in urban areas with many different food retail stores, a typical supermarket in the US is a fairly difficult place to shop for someone with specific food sensitivities. Hopefully folks here who live in the SF Bay Area appreciate that it's a total outlier in both the diversity of stores available and the assortment of products sold in a typical Bay Area supermarket
[1] https://ers.usda.gov/data-products/charts-of-note/chart-deta...
SoftTalker•17m ago
nradov•9m ago
Der_Einzige•29m ago
1. Upscale western grocery stores and markets, ideally located within the biggest and most affluent city possible. Pikes place market would be a great example of what I'm talking about for you seattle folks.
2. Asian grocery stores, like "H-mart"
3. Farmers markets, but these are hit and miss, especially in smaller communities
Most other grocery stores, including Costco, Trader Joes, etc are full of extremely unhealthy trash slop. It's still extremely hard to find reliable low sugar options nearly anywhere, including at health and "organic" oriented grocery stores.
America just sucks for foodies who don't have unlimited time to get through the slop.
dgfitz•16m ago
I think by definition, being a “foodie” means you have, and enjoy finding, the time to sort the wheat from the chaff. Nobody has unlimited time for anything.
“I want to be be a ‘foodie’ but really I just want to be judgy” is a weak argument.
Der_Einzige•10m ago
When I travel to Japan, for example, I interpret a bad google maps review score for a location as a GOOD thing, because the average white tourists palette is incompatible with the local cuisine.
I can walk to basically any random place, anywhere in Japan, or France, or Singapore and get very high quality food that I don't have to worry about being full of bullshit. That's not true in America.
Yizahi•26m ago
jeffbee•41m ago
at-fates-hands•36m ago
If you want to eat healthy, you certainly can, but takes quite a bit of effort and some additional cost. Processed and ultraprocessed food has just made us lazy - like eating at fast food restaurants became easier than going home and preparing something from scratch.
COVID and the huge surge in prices that have yet to come down essentially forced my hand to find a better, healthier way to eat. It sucks, but at the end of the day, I know myself and my family are eating healthier regardless of the effort it takes.
SoftTalker•14m ago
jjtheblunt•34m ago
i.e., these same revelations and frustrations are shared by a huge swath of people born in the States (probably Canada too), and it is indeed a pain in the neck being continually paranoid about what nutritional rubbish is included in ingredient lists.