It is incredible. Americans are fatter by the year , each year fatter than the last but neither the doctors nor the patients engage in a Nutritional conversation. so many charlatan nutrition gurus on the net ..
and to make things worse, the QUALITY of food is never discussed and USA has one of the WORST quality food that is freely available and easily available and cheaply available for its burgeoning (bodily and in numbers) FAT population.
My own assessment is that under a fee for service system such as USA, time to explain does not lead to personal income which overrules the welfare of the patient. Most doctors are not capable of giving advice on Nutrition . as you can see Gastroenterologists score very low on their desire to educate or refer patient for Nutritional education. Once I wanted to discuss Microbiome with a gastroenterologist, his answer was I have no interest and i have no time, I have rather do Endoscopy and Colonoscopy, that is where the money is .
When a country is so INDIVIDUALISTIC, the welfare of the OTHER is not a priority.
In all other civilized countries of the world, health care is not just disease care but in the USA it is . and as the country is slipping in its international hegemony, the quality of medical care is slipping too with too many people who are not qualified to provide medical care appropriately dominating the scene .
US Politicians end their speeches with the phrase God Bless America but in this case even God if she or he exists cannot help America or its Obesity or its Chronic disease sufferers ..
