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Government Makes a Poor Physician
Federal health guidelines do more harm than good.

By Mona Charen


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Conservatives, particularly those of libertarian bent, have always bristled at government efforts to do good, believing that the state has no business performing any but essential functions. They’re the ones who, when a government shutdown loomed and it was announced that only “essential” workers should report to work following a budget impasse, asked, “Why the heck to do we have non-essential workers?”

Neoconservatives, at least in their early incarnation in the late ’60s and ’70s, tended to stress that the unintended consequences of government efforts to do good were often more important (and usually more harmful) than the intended consequences.

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Writing in City Journal, Steven Malanga reminds us of another reason to resist government-sponsored attempts to improve us — government frequently gets it wrong. They don’t intend to do harm, but through a combination of zeal and haste, they often do.

American life is characterized by pervasive, low-level anxiety about health risks in our air, water, cellphones, power lines, chemicals, prescription drugs, and, most of all, food — punctuated by periodic panics about this or that (avian flu, “flesh-eating” bacteria, H1N1, SARS, and on and on). We are healthier than human beings have ever been in the history of the world, but we are beset by an epidemic of worry.

The federal government both responds to and contributes to this fear. Picking up on the then-fashionable view that dietary cholesterol and saturated fat were responsible for heart disease and other ailments, the Senate Select Committee on Nutrition and Human Needs, chaired by George McGovern, issued food guidelines in 1977. All Americans were urged to reduce the proportion of fat in their diets from 40 percent to 30 percent, and to increase the percentage of carbohydrates to 60 percent of daily calories.

Though some members of the committee, notably Republican Charles Percy, demurred, noting that there was considerable debate within the scientific and medical worlds about the role of dietary fat in disease, the guidelines were embraced by busybodies and earnest improvers of their fellow men.

As Malanga details, when large studies on the effects of low-fat diets were conducted during the 1980s and beyond, researchers found that the link between dietary fat and heart disease was not clear at all. One study found no difference between a group assigned to limit dietary fat and cholesterol and a control group that was simply urged to see the doctor regularly. Further research continued to undermine the government guidelines. One study showed no effect for women who reduced their cholesterol levels. Another found that men with elevated cholesterol were more likely to suffer heart attacks, but that those who reduced their cholesterol to very low levels were more likely to die of all causes.

Malanga writes: “There was little doubt that some public-health researchers wished such research would go away. ‘Some people don’t want to talk about it,’ said Michael Criqui, an epidemiologist at the University of California at San Diego and an associate editor of Circulation . . . ‘They think it is going to impede public-health measures.’”

Arguably, Americans followed the government guidelines first promulgated by McGovern’s committee and later updated with minor changes. Yet, as three prominent physicians concluded in a 2008 article for The American Journal of Preventive Medicine, the government’s guidelines may have harmed public health. During the past three decades, American men, on average, cut their fat intake from 37 percent of calories to 32 percent and increased their consumption of carbohydrates from 42 percent to 49 percent. Over the same 30 years, “the fraction of men who were overweight or obese increased from 53 percent of the population to about 69 percent.” As the doctors concluded in their piece, “it now seems clear that the U.S. guidelines recommending fat restriction may have worsened rather than helped the obesity epidemic and, by so doing, possibly laid the groundwork for a future increase in cardiovascular disease.”

Woody Allen used ever-changing health recommendations to comic effect in Sleeper, when his health-food-store-owning hero wakes up in the 22nd century to find that cigarettes are healthy, but lettuce will kill you.

The lesson of the past few decades of government-issued health guidelines is not that nothing is knowable, but that skepticism, flexibility, and an open mind are required to make sense of constantly shifting information. Those are not the qualities for which government is known.

The feds are moving against salt next. Take it with a grain.

— Mona Charen is a nationally syndicated columnist. © 2011 Creators Syndicate.

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COMMENTS   8

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 JEM
   04/19/11 08:42

The task of writing the regulations for McGovern fell to a young, radical vegan, in one of the government agencies, I think the USDA but I could be wrong. He was "anti-anything to do with meat" and when the giant grain processing companies found out they backed him to the hilt for if fats were to be reduced, their products would then gain favor and market share.

Scary really. Once again an activist government providing cover for an interested party to use the power of government to advance a private agenda.

What the article also fails to mention is the explosion of diabetes, as the combination of carbs (in essence sugars) with an ever increasing sedentary lifestyle overwhelmed the nation's pancreases. Thank you govt bureaucrats.

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   04/19/11 09:26

It is also true that as manufacturing jobs have left the country and farm jobs have gotten more automated, the workforce doesn't get as much exercise from working. High-tech and intellectual jobs tend to be more sedentary. It isn't impossible to be healthy and have such a job, but it requires working out on your own time. Yet knowledge workers go home feeling tired and wanting to rest, even as those with more physical jobs do.

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   04/19/11 11:04

As Jonah Goldberg once penned, "Cows taste good." That's why people eat them. But the problem is, when it comes to "lite" and "low salt," "low fat" foods, there's gold in them thar hills. Need I remind everyone that when it comes to books and TV shows, "diet" themes run right up there with "cooking/restaurant" themes?

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   04/19/11 11:50

"Woody Allen used ever-changing health recommendations to comic effect in Sleeper, when his health-food-store-owning hero wakes up in the 22nd century to find that cigarettes are healthy, but lettuce will kill you."

Wait till the 22nd Century? Pish! At least wiith marijuana we are told it is the miracle drug that magically makes the pain go away!

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   04/19/11 11:52

Americans have just gotten fat. Look at the some of the potential presidential candidates (including Barbour, Christie, et al).

You can ignore government all you want when it comes to guidelines, but we'll end up paying for all of those diabetes treatments one way or another.

Pure libertarianism defies common sense.

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   04/19/11 14:07

A regular guy forgets William Howard Taft and William Jennings Bryan. One wonders if obesity in men was more accepted a century ago as a sign of wealth; with it falling out of favor in the mid 20th century.

I'll take a pudgy Chris Christie as president over that scarecrow Obama anyday.

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   04/20/11 12:49

You have to remember that Irregular Bowels wants the govt to completely take over health care.

So it's quite logical to him to use govt to force everyone else to be as healthy as possible. Your ill health is coming out of his pocket.

The solution is not to make govt everyone's nanny, it's to get govt out of the health care business altogether. That way someone else's lifestyle choices have no impact on your pocketbook.

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Jprev40
   04/20/11 18:25

Was the governmant wrong on cigarettes? Is fat good for you.

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