4.6 • 8.7K Ratings
🗓️ 16 August 2019
⏱️ 7 minutes
🔗️ Recording | iTunes | RSS
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How much personal choice do we really have when it comes to our food choices? The science is clear—our processed, sugary, starchy diet is the single biggest cause of disease and death. And health outcomes are disproportionately worse in minority communities. There are social and cultural inputs at play and many reasons we need to begin looking at health beyond the individual to a community and population-based level.
In this mini-episode, Dr. Hyman speaks with Dr. Sonia Angell about how when it comes to social determinants and what we view as cultural tendencies for food choices, much has been imposed from outside influences. He also speaks with Pam Koch about the need to move away from a system that overwhelmingly supports growing commodity crops such as corn, soy, and wheat, and move toward incentivizing the production and purchase of fresh fruits and vegetables.
Dr. Sonia Angell is a former Deputy Commissioner at the New York City Department of Health and Mental Hygiene (DOHMH), where she oversaw the Division of Prevention and Primary Care. Dr. Angell is a practicing physician, board certified in internal medicine, and on faculty at the College of Physicians and Surgeons of Columbia University and New York Presbyterian Hospital.
Pam Koch, EdD, RD. Pam teaches both Nutritional Ecology and Community Nutrition to master and doctoral students at Teachers College, Columbia University. She conducts research about the connections between a just, sustainable food system and healthy eating. She translates her research into curricula for schoolteachers and recommendations for policymakers.
Find Dr. Hyman’s full length conversation with Dr. Sonia Angell:
https://DrMarkHyman.lnk.to/DrSoniaAngell
Find Dr. Hyman’s full length conversation with Pam Koch:
https://DrMarkHyman.lnk.to/PamKoch
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| 0:00.0 | Coming up on this week's episode of the Doctors Pharmacy. |
| 0:03.2 | It's very hard for people to feel like they have the ability to control their life and their destiny. |
| 0:10.5 | I think it's really tough to own that and you know, |
| 0:15.8 | scientific research is really clear about this. When you look, for example, at your socioeconomic status |
| 0:22.3 | and your risk of disease, some more of a risk than obesity or smoking or line exercising, |
| 0:27.7 | and the defining aspect of that is paralysis. |
| 0:33.3 | Hi, I'm Kaye Perot, one of the producers of the Doctors Pharmacy Podcast. |
| 0:37.2 | Research shows that your social environment, a lack of access to healthy food, |
| 0:41.2 | your level of education, and even the safety of your neighborhood to determine your health outcomes. |
| 0:46.7 | Yet when it comes to chronic disease, we often place a blame on the individuals. |
| 0:51.2 | In this many episodes, Dr. Hyman speaks with former New York City Department of Health Deputy |
| 0:55.7 | Commissioner Dr. Sonia Angel about the social determinants and the fallacy of personal choice |
| 1:01.2 | in our food system. You were part of the initiative in New York that said no more trans fats in the |
| 1:06.3 | deep friars. Right, and I think you know it because nobody goes into a fast food restaurant and says, |
| 1:11.2 | I want my french fries with trans fats in them. Like that's a false choice. We didn't ever have that |
| 1:16.6 | choice. It was put in there and we just received it that way. And when we talk about added sugar |
| 1:21.6 | or sodium, right? The vast majority of sodium in our diet is already in the food when you |
| 1:26.8 | purchase it. It's coming from processed and packaged foods. It's not what you're putting on at |
| 1:30.8 | the table. It's not the salt that you're putting in your food when you're cooking. |
| 1:34.8 | That seems to be the most difficult thing for me to tackle with because how do we start to push |
| 1:40.0 | the food industry to do the right thing? Yeah, I mean, the first thing that we need to acknowledge is |
| 1:45.3 | that the healthiest diet is one that's based on whole foods, not a processed food diet and not |
... |
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