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Public health crisis: Healthy foods are ‘inaccessible’ for many Americans

Crystal Graham

farm action The White House released a national strategy to improve public health outcomes and healthy food access this week.

This occurs at a critical moment for the U.S. food system, in which inflation has reached record highs, farmers’ share of the consumer dollar has plummeted, and the country faces a public health crisis — all while food and agriculture corporations rake in record profits.

According to a news release from Farm Action, consolidation in our food and farming system has empowered corporations to cheat consumers, farmers and food system workers by price-gouging them under the cover of “supply chain disruptions” or rising operational costs.

The national strategy aims to implement policy solutions for this crisis, and includes several measures Farm Action recommended in its report to the White House and in its Fair Farm Bill Policy Handbook.

Increasing access to fruits and vegetables is a critical step in reducing diet-related diseases, and “Food is Medicine” interventions are a big winner. The national strategy includes plans — via legislation, state-federal collaborations, and public-private partnerships — to offer medically-tailored meals and produce prescriptions to Medicare and Medicaid recipients and other vulnerable populations. The strategy also encourages a greater focus on nutrition education among medical professionals.

The strategy emphasizes the importance of connecting people to nutritious foods, and seeks to accomplish this by strengthening local and regional food systems. Measures toward this include: promoting urban agriculture projects; establishing Regional Food Business Centers; using USDA’s procurement to purchase from small and underserved farmers and businesses for schools and federal prisons; and making investments to support local and regional food and farm businesses through grants and other financial assistance.

Food sovereignty efforts, particularly among Tribal communities, have been gathering momentum, and this Strategy supports them by expanding the Food Distribution Program on Indian Reservations (FDPIR) Self-Determination project.

This strategy confronts the hazardous conditions faced by food system workers by generally recommending greater worker protections and collective bargaining abilities.

The White House acknowledges the role consolidation of our food system has played in contributing to the hunger and health epidemic by directing the FTC to “vigorously enforce antitrust laws” in a whole-of-government effort to expand food access for underserved communities, according to the release.

Farm Action is hopeful for future bipartisanship on these matters because there is so much more to accomplish beyond what the document includes.

The 2023 Farm Bill is an ideal opportunity to achieve the objectives from Farm Action’s recommendations, including the following, which were not addressed by the strategy:

  • Aligning farm support subsidies with dietary guidelines. Farm subsidies are a huge driver of what is available and how much it costs: corn and soybeans are heavily subsidized, and so we have abundant animal feed, cheap sugars, and fats. If only 2 percent of our farm supports go to fruits and vegetables, why are we surprised that 9 out of 10 Americans do not eat enough vegetables and many cannot access or afford them? We need to prioritize Americans’ health over corporate profits and shift our farm supports to reflect our own government’s dietary recommendations.
  • While Farm Action appreciates the strategy’s general recommendation for greater worker protection, the organization urges action on the harms of agrichemicals and dangerous line speeds, which are two ways that consolidation has created hazardous working conditions.
  • Farm Action calls for more research on how production methods affect the nutritional content of food.
  • Farm Action has remained engaged in the months-long process of informing the White House Conference on Hunger, Nutrition and Health.

In addition to its formal policy recommendations, the organization attended and co-hosted several events to guide the National Strategy.

“Farm Action will continue working with Congress and the White House to realign our food and farm policies so that healthy fruits, vegetables, legumes, grains and regeneratively-raised animal proteins are accessible and affordable to all,” read the release.

Crystal Graham

Crystal Graham

Crystal Abbe Graham is the regional editor of Augusta Free Press. A 1999 graduate of Virginia Tech, she has worked for nearly 25 years as a reporter and editor for several Virginia publications, written a book, and garnered more than a dozen Virginia Press Association awards for writing and graphic design. She was the co-host of "Viewpoints," a weekly TV news show, and co-host of Virginia Tonight, a nightly TV news show. Her work on "Virginia Tonight" earned her a national Telly award for excellence in television.