In a country that spends more on healthcare than any other nation on Earth, you would expect doctors to understand the foundational role nutrition plays in human health. Yet most can’t explain how insulin resistance works, what magnesium deficiency does to the heart, or how processed food contributes to chronic inflammation. Why? Because they were never taught.

Health and Human Services Secretary Robert F. Kennedy Jr. recently announced that medical schools must begin teaching nutrition or risk losing federal funding. This announcement is long overdue — not just because poor diet is the leading cause of chronic disease, but because the failure to train doctors in nutrition has had generational consequences, especially in Black America.

Let’s be clear: This isn’t about intentions. It’s about outcomes. When doctors don’t understand food, they default to pills. The result? More prescriptions, more side effects, and more dependence — not better health.

Take hypertension, a disease disproportionately affecting Black Americans. We are told to “take our meds,” but few physicians ever mention potassium-rich foods that lower blood pressure, or the devastating effects of sodium-loaded processed meals marketed directly to our neighborhoods. Why? Because many physicians don’t know, and frankly, don’t care to know. Their education hasn’t required it. Their incentives don’t reward it. Their system isn’t built on prevention — it’s built on pharmaceutical maintenance.

This is what happens when we prioritize credentialism over competence. Medical degrees without practical knowledge of nutrition create a health system where lifestyle diseases are treated with lifelong prescriptions — not lifestyle change. And it’s not a coincidence that these policies thrive in poor and minority communities, where diet-related illnesses are most prevalent and most profitable for the pharmaceutical industry.

The Hidden Cost of the Pill Economy

Studies have shown what common sense should have told us long ago: long-term use of many medications leads to more problems, not fewer.

Take statins, for example. Prescribed to lower cholesterol, they’re among the most widely used drugs in America. But over time, many users report side effects like muscle pain, liver damage, and increased risk of Type 2 diabetes. A 2012 study published in The Lancet found that statin users had a 9% increased risk of developing diabetes — the very disease they’re told these drugs help prevent.

Or consider proton pump inhibitors (PPIs) like Prilosec or Nexium, used for acid reflux. Initially intended for short-term use, millions take them for years. The long-term outcome? Increased risk of kidney disease, vitamin B12 deficiency, magnesium deficiency, and even dementia. A 2016 JAMA Internal Medicine study found that PPI users had a 44% higher risk of dementia compared to non-users.

Then there are SSRIs and antidepressants, which can chemically flatten emotional response, lead to dependency, and disrupt serotonin pathways over time. Withdrawal symptoms can be so severe that some patients feel trapped in a pharmaceutical loop. Worse, these medications are often prescribed without addressing basic nutritional deficiencies — like low omega-3s, vitamin D, and B vitamins — all of which affect mental health.

And let’s not forget insulin and metformin, prescribed to diabetics — particularly in Black communities — as lifelong treatments. Yet the American Diabetes Association reports that most Type 2 diabetes cases can be prevented or reversed through lifestyle changes. But again, doctors are trained to manage disease, not reverse it.

The pattern is clear: one drug leads to another, which leads to another side effect, and another prescription. This isn’t healthcare — it’s dependency management. And the bill is being paid by our health, our families, and our futures.

The data doesn’t lie, even if the culture does.

If outcomes matter — and they must — then the answer is not more prescriptions. It’s more education, prevention, and personal responsibility, starting with the people we trust to care for us: our doctors.

If your doctor doesn’t understand nutrition, they don’t understand healing. And if our medical schools don’t teach healing, they don’t deserve our trust — or our tax dollars.


Sources:

  1. Ridker, P.M. et al. (2012). Statin therapy and risk of developing diabetes. The Lancet. https://doi.org/10.1016/S0140-6736(12)60206-8
  2. Gomm, W. et al. (2016). Association of Proton Pump Inhibitors With Risk of Dementia. JAMA Internal Medicine. https://doi.org/10.1001/jamainternmed.2015.7929
  3. Fava, M. et al. (2006). Side effects of SSRIs. The Journal of Clinical Psychiatry. https://pubmed.ncbi.nlm.nih.gov/16889463
  4. American Diabetes Association. (2022). Type 2 Diabetes Preventionhttps://www.diabetes.org/diabetes/type-2
  5. Harvard T.H. Chan School of Public Health. (2025). Nutrition education in medical schoolshttps://hsph.harvard.edu

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