Medicine doesn't really ignore nutrition, but the problem is:
1. Most people don't believe it anyway. People want to hear they can eat hamburgers and milkshakes and be healthy. Telling them "we know that gives you heart disease and cancer" does nothing.
2. Nutrition is complicated and different for every person, because everyone has different things they can tolerate. The "perfect" diet is actually worthless because it has a 0% success rate. Really, we have to optimize for how miserable people are willing to be.
3. Most people are unhealthy enough that nutrition is the least of their concerns. That sounds crazy, I know, but if you're obese (which most people are!), then priority is being not obese. Not your nutrition. I know those sound related but they're way less related than you think.
You don’t have to wonder. It’s public record that 45% of the FDA’s budget incomes from user fees that companies pay when they apply for approval of a medical device or drug.
In the drug division specifically, the number is about 75%.
Medicine doesn't ignore nutrition, you just don't like the answers.
And it shows on the research: e.g. does creatine help muscle building? No.[1] But cue some anecdote from someone where they also changed a dozen other things at the same time but are sure it was that.
But there's a core problem with this, in many states doctors are legally forbidden to give nutrition advice. The academy of nutrition and dietetics has worked very hard to make it so that only dietitians can provide nutrition advice. Take Ohio for example, a medical doctor in Ohio is legally forbidden and actually in jeopardy of losing their license and going to jail if they were to provide nutrition advice without a dietetics license. Dietitians are not doctors, but the academy of nutrition and dietetics wants you to think they are.
Doctors in the US receive an average of under 20 hours of training in nutrition over four years of medical school. What little they do receive is often focused on nutrient deficiencies rather than on meal planning for health and chronic disease prevention. Less than 15% of residency programs include anything on nutrition.
To become a registered dietician requires at least a Master's degree in dietetics or nutrition or a related field, and at least 1000 hours of supervised internships.
PS: before any Europeans hold this up as an example of the poor US health care system, doctors in Europe average 24 hours of nutrition training.
Aren't doctors actually exempted specifically from such regulations in almost all states? AFAIK they can actually give nutritional advice legally in nearly every jurisdiction in the US.
Both "contiguous us" and "continental us" are correct terms for referring to sets of US states, even though they are mistakenly often used interchangeably in casual talk:
"On May 14, 1959, the U.S. Board on Geographic Names issued the following definitions based partially on the reference in the Alaska Omnibus Bill, which defined the Continental United States as "the 49 States on the North American Continent and the District of Columbia..." The Board reaffirmed those definitions on May 13, 1999."
"The contiguous United States, also known as the U.S. mainland, officially referred to as the conterminous United States, consists of the 48 adjoining U.S. states and the District of Columbia of the United States in central North America."
"Continental" is also a casual way to refer to European things, but that's a different overloading of the term. Continental is not confined to meaning "European", except where the context implies so (e.g. "continental philosophy", or "continental breakfast"). A leftover from the British refering to Europe as "the continent", it being the nearby continental body next to them.
Agreed, the ultimate state-monopoly on use of force, right to private property, legislated penalties and remedies, the time and expense of pursuing fairness, in the absence of full moral consideration, or common sense for lack of a better term, is a giveaway to entrenched authority, attorneys or deep-pockets, and not a sensible approach to dynamic real world right and wrong.
I like this take. Fluid and dynamic are keys here. There are almost always fluctuating differences in power, status, preparedness, or individual goals that ought to be considered, rather than an abstract ideal equality or fixed structural relationship. The fight, flight, or freeze and other instinctive responses may defy logic but need to be tolerated and respected, and the give and take over time balanced out fairly.
You make a distinction without a difference. In either case, without providing for compromise or alternative mutual understanding, it is likely confounding and demanding.
Meta is not blameless here. Responsibility can be shared when Meta (and others) are essentially preying on children. It’s an uphill battle for parents by Meta’s design.
Sure, parents do bear some responsibility here too. But we are talking about a platform that is engineered to be addictive to adults too. So it’s not as if the platform isn’t still predatory even if we find a way to parent every child on the internet.
You might want to look into the industry funding of environmental organizations and the decline of union membership before you decide with your whole heart.
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