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The exchange crystalizes a very basic difference of opinion that exists among nutrition researchers today: those who question the basic tenets of our nutritional guidelines vs. those, such as Marion Nestle, who insist that we know what a healthy diet is, and that obesity/diabetes continue to rise simply because Americans fail to follow the guidelines.See also:
My own view is that we can no longer blame the American public and all people worldwide for failing to follow nutritional guidelines. This is not a plausible explanation, nor is it based on the best available data.
In this video, it is notable that Kessler acknowledges the failure of nutrition policy and states that obesity is the result of "metabolic chaos." He also gives a nod to "insulin resistance" as playing a role in the etiology of type 2 diabetes, a more nuanced view than the calories-in-calories-out model of thinking which Nestle still promotes.
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Many people strive faithfully to be healthier. We are not all lazy junk-food eaters. So why can we not improve our health? Conventional explanations are no long sufficient or convincing.
Despite questioning the safety and efficacity of vaccination by reputable medical men since its introduction, debate has been, and is, increasingly discouraged. Information published in scientific journals is used to support this position, other views being regarded as "unscientific."
It was a received "article of faith" for me and my contemporaries, that vaccination was the single most useful health intervention that had ever been introduced. Along with all my medical and nursing colleagues, I was taught that vaccines were the reason children and adults stopped dying from diseases for which there are vaccines. We were told that other diseases, such as scarlet fever, rheumatic fever, typhus, typhoid, cholera, and so on, for which there are no vaccines at the time, diminished both in incidence and mortality (ability to kill) due to better social conditions.
You would think-as medical students who are supposed to be moderately intelligent-that some of us would have asked, "But if deaths from these diseases decreased due to improved social conditions, mightn't the ones for which there are vaccines also have decreased at the same time for the same reason?" But we didn't.
The medical curriculum is so overloaded with information that you just have to learn what you hear, as you hear it: nonvaccinatable diseases into the social conditions box and vaccinatable diseases into the vaccines box and then onto the next subject.
Comment: More on the concerns regarding CRISPR gene editing technology: