American Healthcare continues to go backward

This can't be more true.
There is a reason why African American females are the most obese demographic on the planet, and it isn't genetic. It's socio-economic-cultural.

The last time I was in Atlanta, for the birth of my grandson, there was a Popeye's chick across from my hotel. It had been maybe 20 years since I had Popeye's. So on the way back to the hotel one night I stopped and got some and took it back to the room. It was absolutely disgusting. A mouthful of grease in every bite. I didn't remember it being that way. Maybe it always was and it had just be so long since I had eaten like that, i seldom eat fast food any more, and I seldom eat out, that I just didn't remember.

You eat garbage and you get fat. But garbage food is cheap. I can't tell you how many patients I've sent to the nutritionist and they've come back and said, "I can't afford to eat the way she wants me to eat."
 
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