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> the real reason for US health decline is too much sugars/carbs, too little exercise, and addiction to opioids and nicotine.

I think a more fundamental root cause is that US regulation has failed to adequately keep up with the playbooks of large companies that stand to profit from various products that result in compromised health.

Take a look at what's being heavily advertised/marketed. If it contains ingredients people haven't been consuming for thousands of years, I think it's suspect and should be subject to intense scrutiny. (Same goes for widely used B2B products that affect what people consume.)

Unfortunately, there's too much "we only test in prod" going on, so it's hard to isolate widespread problems to a single source. That's why (in my opinion) the FDA should require clinical trials and use an allowlist-based approach to food additives. Currently it's a denylist, which amounts to testing in prod.

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cogman10 6 days ago | parent [-]

> If it contains ingredients people haven't been consuming for thousands of years, I think it's suspect and should be subject to intense scrutiny.

There are plenty of carcinogenic ingredients that have been consumed for thousands of years. There are plenty of additives that are effectively just refined versions of chemicals commonly/naturally consumed.

A prime example of a commonly consumed cancerous ingredient is alcohol.

My point being that prod is already littered with bugs and the most responsible thing to do is continuing research on what is being consumed to figure out if it is or is not problematic.

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TimTheTinker 6 days ago | parent [-]

I mean within reason. Of course the FDA can't and shouldn't ban alcohol.

I mean things like BHT, FD&C colors, and anything else artificial that hasn't passed clinical trials.

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cogman10 6 days ago | parent [-]

> I mean within reason. Of course the FDA can't and shouldn't ban alcohol.

Certainly, but we are now at a sticky point where "reason" can be different things to different people.

Both BHT and FD&C are far less toxic than alcohol is. BHT and FD&C have both been integrated into the food supply for decades. The question would be, what would we learn from a clinical trial that we wouldn't learn from the ongoing population study?

I'm certainly not advocating for deregulation or looser standards for food safety. I certainly support the FDA being fully funded and actively investigating ingredients to ensure public health isn't being torpedoed because it turns out too much salt actually causes cancer (I don't believe it does, this is just an example). But also, I'd say that ingredients that have already been in the food supply for a generation are probably not the danger their detractors claim. At this point, we need evidence to say these additives are dangerous as the current weight of evidence (a generation eating this junk) points to them not being a primary contributor to negative health outcomes.

All that said, I certainly support the idea of applying a very high level of scrutiny to new ingredients. How the current set of GRAS ingredients made it onto the market was reckless.

	▲	TimTheTinker 6 days ago \| parent [-]
		I'm advocating for a much harder-line stance than that. Europeans are generally far healthier than folks in the US -- let's start from there. Also, autism rates are dramatically increasing decade-over-decade.