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The Problem Americans are living shorter, sicker lives due to poor quality diets. Although our nutrition crisis began pre-Covid, it has made Covid twice as severe because our food made us so vulnerable. Other countries have been galvanized to confront diet issues. The U.S. has had no such wakeup call. Diet-related illnesses are the leading cause of poor health in the U.S., exacerbating health disparities and straining health care spending, worker productivity, and military readiness. It’s an alarming trend that keeps getting worse, without an effective response. Beyond effects on health, our food system is draining our natural resources and accelerating climate change. Diet-driven illness and death are the third of three major food and nutrition crises our country has faced in the past 100 years. At the turn of the 20th century, chemical and microbiological contaminants in food were among the 10 leading causes of death. Then in the 1960s, we recognized calorie-protein-micronutrient malnutrition was driving poor health outcomes in significant areas of our nation. We met these first two crises with bold, effective solutions; we dramatically reduced food contamination through aggressive food safety legislation, and we launched robust federal food programs that significantly improved food security. It’s time to tackle our third food crisis head on. Our efforts to understand and decrease food-driven chronic health conditions are grossly inadequate. The scope and pace of nutrition science are insufficient to address the country’s pressing nutrition-related challenges. The federal government’s investment in nutrition research has remained flat or declined over several decades, even as diet-related conditions and their societal burdens have climbed. Paradoxically, nutrition research funding to prevent diet-related diseases is dwarfed by research funding to treat them.

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