WEBVTT 00:00:13.088 --> 00:00:15.070 All right. The world's a mess. 00:00:15.070 --> 00:00:16.537 (Laughter) 00:00:16.537 --> 00:00:18.186 Climate change. 00:00:18.186 --> 00:00:19.669 Farmlands turning to desert. 00:00:19.669 --> 00:00:22.038 Depletion of our water resources. 00:00:22.038 --> 00:00:24.970 Chronic disease and obesity everywhere. 00:00:24.970 --> 00:00:27.073 Social injustice, violence, poverty. 00:00:27.073 --> 00:00:29.026 Learning gaps in kids. 00:00:29.026 --> 00:00:31.540 Threats to national security. 00:00:31.540 --> 00:00:32.950 Oy. 00:00:32.950 --> 00:00:33.990 (Laughter) 00:00:33.990 --> 00:00:36.606 It's enough to make you just give up and feel hopeless. 00:00:36.606 --> 00:00:42.816 But there is something that you do every single day 00:00:42.816 --> 00:00:47.155 that can radically change all of that. 00:00:48.189 --> 00:00:49.637 You eat. 00:00:51.055 --> 00:00:55.014 You see, I've been connecting the dots as a doctor for 30 years, 00:00:55.014 --> 00:00:57.686 treating thousands of patients. 00:00:58.025 --> 00:01:00.753 And I've been able to use a powerful tool 00:01:00.753 --> 00:01:06.175 to prevent, treat and reverse most chronic disease, 00:01:06.175 --> 00:01:08.580 and it's nothing I learned about in medical school, 00:01:08.580 --> 00:01:11.302 and you can't find it in a pharmacy. 00:01:11.302 --> 00:01:12.302 [A new drug] 00:01:12.302 --> 00:01:13.805 It's food. 00:01:14.967 --> 00:01:19.450 Now, food has the power to cure or to kill. 00:01:19.450 --> 00:01:23.696 And it's the nexus where everything that matters comes together. 00:01:24.106 --> 00:01:30.753 Most of us believe that what we eat is just about personal choice, 00:01:31.554 --> 00:01:33.151 that if you're sick and fat, 00:01:33.151 --> 00:01:35.437 it's because of bad habits or lack of willpower, 00:01:35.437 --> 00:01:38.486 that it's sort of your fault you're fat and sick. 00:01:38.486 --> 00:01:41.343 It's what the government and the food industry tells us. 00:01:41.343 --> 00:01:43.186 It's all about moderation, 00:01:43.186 --> 00:01:45.638 about more exercise, about personal responsibility. 00:01:45.638 --> 00:01:47.782 There are no good and bad calories. 00:01:47.782 --> 00:01:52.169 But what if I gave you a Big Gulp, which has 46 teaspoons of sugar, 00:01:52.169 --> 00:01:55.985 or 21 cups of broccoli, which has 35 grams of fiber - 00:01:55.985 --> 00:01:57.985 same calories - 00:01:57.985 --> 00:02:00.142 are they going to effect you the same? 00:02:00.832 --> 00:02:04.502 No, they change your hormones, your brain chemistry, your metabolism. 00:02:04.502 --> 00:02:06.486 They're very, very different, 00:02:06.486 --> 00:02:08.861 and yet the party line 00:02:09.321 --> 00:02:13.134 from doctors, scientists, nutritionists, the government, the food industry 00:02:13.134 --> 00:02:16.669 is that they're exactly the same; there's no difference. 00:02:16.669 --> 00:02:17.981 Eat less, exercise more. 00:02:17.981 --> 00:02:20.010 How's that working out for all of you? 00:02:20.010 --> 00:02:22.672 Right? Not so good. 00:02:23.502 --> 00:02:28.235 And so in a world of misinformation, 00:02:28.235 --> 00:02:31.051 in a world of marketing, 00:02:31.051 --> 00:02:34.284 the whole concept of personal choice is a little more complicated, 00:02:34.284 --> 00:02:38.466 and I began to really understand this when I met this young man, Brady, 00:02:38.466 --> 00:02:40.416 as part of the movie "Fed Up," 00:02:40.416 --> 00:02:43.632 about the food industry's role in the obesity epidemic. 00:02:43.632 --> 00:02:46.300 I went down to Easley, South Carolina - small town. 00:02:46.300 --> 00:02:49.277 One of the worst food deserts in America. 00:02:49.597 --> 00:02:50.927 Visited his family of five, 00:02:50.927 --> 00:02:53.443 who lived in a trailer on food stamps and disability. 00:02:53.443 --> 00:02:54.631 All sick, morbidly obese. 00:02:54.631 --> 00:02:57.785 The father had type 2 diabetes, on dialysis at 42, 00:02:57.785 --> 00:03:00.702 couldn't get a new kidney because he couldn't lose the weight. 00:03:00.702 --> 00:03:02.386 They were desperate to lose weight, 00:03:02.386 --> 00:03:04.377 doing all the right things, they thought: 00:03:04.377 --> 00:03:06.778 eating a low-fat diet, having diet this, diet that. 00:03:06.778 --> 00:03:08.893 So I went to their trailer, 00:03:08.893 --> 00:03:11.532 and I took out all the food from their cupboards. 00:03:11.532 --> 00:03:12.948 We looked at the packages. 00:03:12.948 --> 00:03:14.672 I covered over the front of the box. 00:03:14.672 --> 00:03:17.881 I said, "Can you tell me what this is?" 00:03:17.881 --> 00:03:21.552 And they couldn't tell if it was a Pop-Tart or a corn dog. 00:03:21.982 --> 00:03:23.582 You know what this is? 00:03:23.962 --> 00:03:25.362 Anybody? 00:03:26.402 --> 00:03:27.553 It's a Twinkie. 00:03:27.553 --> 00:03:28.614 (Laughter) 00:03:28.614 --> 00:03:31.575 It's not food. It's a food-like substance. 00:03:31.575 --> 00:03:32.998 (Laughter) 00:03:34.567 --> 00:03:37.863 So we know what this is. It's just food. 00:03:37.863 --> 00:03:43.739 It doesn't have a label, ingredient list or a Nutrition Facts on it, right? 00:03:44.589 --> 00:03:49.880 And so I so simply cooked a meal with them, of real food, 00:03:49.880 --> 00:03:52.092 and they loved it, surprisingly. 00:03:52.092 --> 00:03:53.673 I said, "You can do this." 00:03:53.673 --> 00:03:56.493 I gave them a guide on how to eat well for less, a cookbook. 00:03:56.493 --> 00:03:58.827 They lost 200 pounds in the first year, together. 00:03:58.827 --> 00:04:00.197 The father got a new kidney. 00:04:00.197 --> 00:04:03.026 Brady lost 50 pounds, and then he went to work at Bojangles' 00:04:03.026 --> 00:04:05.381 because it's the only place to work down there. 00:04:05.381 --> 00:04:08.930 And he said, "It's like sending an alcoholic to work in a bar." 00:04:08.930 --> 00:04:10.595 (Laughter) 00:04:10.595 --> 00:04:12.669 And he gained the weight back. 00:04:13.229 --> 00:04:15.028 And then some. 00:04:15.178 --> 00:04:19.111 And finally, he got his act together, and he lost 140 pounds, 00:04:19.111 --> 00:04:21.918 and last week I got an email from him, saying, "Hey." 00:04:21.918 --> 00:04:23.429 (Applause) 00:04:25.668 --> 00:04:27.192 I got an email from him, saying, 00:04:27.192 --> 00:04:30.686 "Hey, can you write me a letter of recommendation for medical school?" 00:04:31.096 --> 00:04:33.329 So what I learned from Brady, 00:04:33.329 --> 00:04:34.525 what I learned from Brady 00:04:34.525 --> 00:04:39.915 was that in a world where supermarkets are food carnivals 00:04:39.915 --> 00:04:42.961 filled with biologically addictive foods, 00:04:43.861 --> 00:04:46.084 it's not about personal choice. 00:04:46.084 --> 00:04:49.811 It's about fixing the food environment. 00:04:49.811 --> 00:04:51.244 So I began to wonder, 00:04:51.244 --> 00:04:55.112 like, what is the impact of our food on our world, right? 00:04:55.112 --> 00:04:58.228 I began to think about it and wondered, "What's going on?" 00:04:58.228 --> 00:04:59.524 So let me take on a journey 00:04:59.524 --> 00:05:02.699 from the field to the fork to the hospital to Congress and beyond. 00:05:02.699 --> 00:05:04.638 We know chronic disease is epidemic. 00:05:04.638 --> 00:05:06.543 One in two of us have a chronic disease. 00:05:06.543 --> 00:05:10.726 One in two Americans has prediabetes or type 2 diabetes. 00:05:10.726 --> 00:05:12.460 70% of us are overweight. 00:05:12.460 --> 00:05:14.960 And it's crippling our economy. 00:05:14.960 --> 00:05:18.354 Medicare and Medicaid are buckling under the weight of chronic disease. 00:05:18.354 --> 00:05:19.384 In 20 years, 00:05:19.384 --> 00:05:22.343 it's estimated that it will comprise our entire federal budget. 00:05:22.343 --> 00:05:26.778 And it's global: $47 trillion will be spent globally, across the world, 00:05:26.778 --> 00:05:30.309 fighting chronic disease that's mostly diet driven. 00:05:30.309 --> 00:05:32.574 And we have tremendous loss of productivity: 00:05:32.574 --> 00:05:35.573 2 trillion a year from what I call "FLC syndrome." 00:05:35.573 --> 00:05:36.975 You know what that is? 00:05:36.975 --> 00:05:38.706 That's when you feel like crap. 00:05:38.706 --> 00:05:40.068 (Laughter) 00:05:40.068 --> 00:05:41.786 And we have achievement gaps in kids 00:05:41.786 --> 00:05:44.675 who go to school on Doritos and Flamin' Hot Chips and soda. 00:05:44.675 --> 00:05:47.740 Of course they can't focus or learn or succeed or go to college. 00:05:47.740 --> 00:05:49.575 We have analysis 00:05:49.575 --> 00:05:55.524 that food has enormous impact on the brain and mood and behavior. 00:05:56.008 --> 00:06:00.488 And the studies in prisons - violent crime in prisons and prisoners 00:06:00.488 --> 00:06:04.408 goes down by 56% if you feed them a healthy diet 00:06:04.408 --> 00:06:07.389 and 80% if you give them a multivitamin. 00:06:07.389 --> 00:06:09.300 What are the implications of that? 00:06:09.300 --> 00:06:12.224 And we've usurped the food systems of many poor communities, 00:06:12.224 --> 00:06:14.272 the Native Americans especially. 00:06:14.272 --> 00:06:17.040 We took away their food system, gave them commodities: 00:06:17.040 --> 00:06:19.373 sugar, flour, shortening. 00:06:19.373 --> 00:06:20.770 And there's a word for people 00:06:20.770 --> 00:06:23.173 who on the reservations eat those commodity foods. 00:06:23.173 --> 00:06:25.699 It's called "commod bod." 00:06:25.959 --> 00:06:30.857 I remember going on a rafting trip last summer with a Hopi elder, Hopi chief. 00:06:31.577 --> 00:06:34.230 And he had terrible diabetes, massively overweight. 00:06:34.230 --> 00:06:35.422 He was so sick. 00:06:35.422 --> 00:06:37.389 I said, "You can fix this." 00:06:37.389 --> 00:06:38.958 He said, "What do I have to do?" 00:06:38.958 --> 00:06:41.823 I said, "You have to give up sugar and flour and starch." 00:06:41.823 --> 00:06:43.686 He says, "Well, what are we going to do 00:06:43.686 --> 00:06:46.239 with our traditional Hopi ceremonial foods?" 00:06:46.239 --> 00:06:47.755 I'm like, "What foods?" 00:06:47.755 --> 00:06:50.473 He says, "Cookies, cakes and pies." 00:06:50.473 --> 00:06:51.472 (Laughter) 00:06:51.472 --> 00:06:55.338 And I thought to myself, those are not his traditional ceremonial foods. 00:06:55.338 --> 00:06:56.456 (Laughter) 00:06:56.456 --> 00:06:59.722 So not only are those problems real, 00:06:59.722 --> 00:07:01.873 but we have, now, in analysis, 00:07:01.873 --> 00:07:05.571 that our food system as a whole, collectively all the aspects of it, 00:07:05.571 --> 00:07:07.757 is the number one driver of climate change, 00:07:07.757 --> 00:07:10.205 more than the energy sector, 00:07:10.205 --> 00:07:13.536 and that the way we farm depletes our soils. 00:07:13.536 --> 00:07:16.737 We mine the soils; we deplete our aquifers and water resources. 00:07:16.737 --> 00:07:18.508 It's estimated that maybe in 50 years 00:07:18.508 --> 00:07:21.950 we're going to have no water or soil left to feed us. 00:07:22.590 --> 00:07:27.221 So I began to question: what is going on here? 00:07:27.221 --> 00:07:30.937 If this is the food system, and it creates the food we have, 00:07:30.937 --> 00:07:34.269 then how did we get here? 00:07:34.269 --> 00:07:36.845 The heart of the matter is this: 00:07:37.355 --> 00:07:40.002 our food system is not designed 00:07:40.002 --> 00:07:42.050 to create healthy people or a healthy world. 00:07:42.050 --> 00:07:45.402 It's designed to maximize profits. 00:07:45.402 --> 00:07:49.435 So what are the policies that drive our food system? 00:07:49.435 --> 00:07:51.466 How do we rethink what we're doing? 00:07:51.466 --> 00:07:55.452 Well, our subsidies, for example, are for commodities - 00:07:55.452 --> 00:07:56.885 wheat, corn and soy - 00:07:56.885 --> 00:07:59.019 that get turned into processed food. 00:07:59.019 --> 00:08:01.208 It's 60% of our calories in America, 00:08:01.208 --> 00:08:04.571 and those who consume the most of those calories 00:08:04.751 --> 00:08:07.398 are the sickest and the fattest. 00:08:07.768 --> 00:08:13.599 And those foods are then turned into processed food, 00:08:13.599 --> 00:08:16.013 which then we pay for with our Food Stamp Program. 00:08:16.013 --> 00:08:18.953 $85 billion a year, and most of that is for junk food - 00:08:18.953 --> 00:08:22.384 $7 billion alone is for soda. 00:08:22.384 --> 00:08:27.198 That's 20 billion servings a year we give to the poor with food stamps. 00:08:27.198 --> 00:08:29.204 Our food labels are so confusing 00:08:29.204 --> 00:08:31.481 you need a PhD in nutrition to figure it out, 00:08:31.481 --> 00:08:32.731 and even then, good luck. 00:08:32.731 --> 00:08:34.682 You know, we have food marketing to kids, 00:08:34.682 --> 00:08:37.686 where they see 6,000 ads for junk food every year on television. 00:08:37.686 --> 00:08:40.415 It's unrestricted and probably much more on social media. 00:08:40.415 --> 00:08:43.550 We know the average two-year-old can go in a grocery store 00:08:43.550 --> 00:08:47.567 and name brand-name products before they can barely walk or talk. 00:08:48.067 --> 00:08:51.115 And we have dietary guidelines that are so confusing 00:08:51.115 --> 00:08:54.318 because they're corrupted by food-industry influence 00:08:54.318 --> 00:08:56.634 and by ignoring huge amounts of relevant science. 00:08:56.634 --> 00:09:00.653 And this was from a report from the National Academy of Sciences. 00:09:00.983 --> 00:09:06.422 So clearly, these policies are not working to serve us, right? 00:09:06.422 --> 00:09:09.966 The reason is money, money in politics. 00:09:09.966 --> 00:09:14.265 We have half a billion dollars spent by 600 lobbyists on the farm bill, 00:09:14.265 --> 00:09:16.082 which is essentially our food bill. 00:09:16.082 --> 00:09:20.208 We have nutrition science being corrupted by the food industry, 00:09:20.208 --> 00:09:22.498 which funds much of our nutrition science. 00:09:22.498 --> 00:09:26.098 If a nutrition science study is funded by a food corporation, 00:09:26.098 --> 00:09:30.480 it's 8 to 50 times more likely to show benefit for that food. 00:09:30.480 --> 00:09:33.408 For example, if a food company studies artificial sweeteners, 00:09:33.408 --> 00:09:35.832 99% of the time, it's fine. 00:09:35.832 --> 00:09:40.756 If independent scientists study it, 99% of the time, it's not fine. 00:09:41.006 --> 00:09:43.004 And then our public health organizations - 00:09:43.004 --> 00:09:46.729 the American Heart Association, Diabetic Association, Cancer Association, 00:09:46.729 --> 00:09:49.581 even the Academy of Nutrition Dietetics - 00:09:49.581 --> 00:09:52.327 40% of their revenue comes from the food industry. 00:09:52.327 --> 00:09:55.330 How can we trust what they say? 00:09:55.330 --> 00:09:59.147 Of course, there's this wonderful effort of corporate social responsibility, 00:09:59.147 --> 00:10:01.829 where Coca-Cola funds NAACP, 00:10:02.424 --> 00:10:04.279 of course, and the Hispanic Federation. 00:10:04.279 --> 00:10:06.682 Of course they're going to oppose the soda tax. 00:10:06.682 --> 00:10:10.163 They have the consumer front groups, like the Center for Consumer Freedom, 00:10:10.163 --> 00:10:11.622 which says obesity is a hoax. 00:10:11.622 --> 00:10:14.579 Well, go to WalMart or Costco, look around. 00:10:15.699 --> 00:10:16.708 Amazing. 00:10:16.708 --> 00:10:18.915 And the American Council on Science and Health, 00:10:18.915 --> 00:10:19.915 (Laughs) 00:10:19.915 --> 00:10:24.211 which is basically telling us that pesticides and smoking is okay. 00:10:24.211 --> 00:10:27.977 I went to show the movie "Fed Up" at the King Center, 00:10:27.977 --> 00:10:29.694 and it was all set up. 00:10:29.694 --> 00:10:31.075 Bernice King was all into it. 00:10:31.075 --> 00:10:33.501 Got a call the day before - we can't show the movie. 00:10:33.501 --> 00:10:36.385 Why? King Center's funded by Coke. 00:10:36.385 --> 00:10:37.562 Martin Luther King says, 00:10:37.562 --> 00:10:38.658 "Our lives begin to end 00:10:38.658 --> 00:10:41.878 the day we become silent about things that matter." 00:10:41.878 --> 00:10:45.945 And of course, since their products are getting less and less popular here, 00:10:45.945 --> 00:10:47.457 they're going around the world, 00:10:47.457 --> 00:10:49.908 and now China and India are one and two in diabetes: 00:10:49.908 --> 00:10:52.417 80% of the world's diabetics in the developing world. 00:10:52.417 --> 00:10:57.889 So if businesses are beholden to their shareholders only, 00:10:58.699 --> 00:11:02.562 then they don't prioritize the suffering of millions of people. 00:11:02.562 --> 00:11:08.577 We allow them to privatize profits and socialize the costs 00:11:08.577 --> 00:11:12.427 and put profits ahead of public good and public health. 00:11:12.427 --> 00:11:17.193 What if all the externalities in our food system 00:11:17.193 --> 00:11:18.893 were embedded in the price of food? 00:11:18.893 --> 00:11:21.059 How much would a can of soda cost? 00:11:21.059 --> 00:11:22.583 $100? 00:11:22.583 --> 00:11:25.307 What if the impact on health, the environment, the economy 00:11:25.307 --> 00:11:26.510 were all included? 00:11:26.510 --> 00:11:29.123 What would a cost of factory farm meat be for a pound? 00:11:29.123 --> 00:11:30.770 $1,000? 00:11:31.211 --> 00:11:34.643 We can no longer ignore 00:11:35.343 --> 00:11:39.275 the impact and the consequences of our food system 00:11:39.275 --> 00:11:41.752 on everything that matters. 00:11:42.142 --> 00:11:44.594 We cannot do that any longer. 00:11:45.964 --> 00:11:47.808 And we have to rethink this. 00:11:47.808 --> 00:11:52.997 And the good news is there are efforts happening around the world to change this. 00:11:52.997 --> 00:11:54.894 Paul Hawken has estimated 00:11:54.894 --> 00:11:59.157 that if we change all the aspects of our food system in the right way, 00:11:59.157 --> 00:12:01.778 that we could draw down carbon to pre-industrial times, 00:12:01.778 --> 00:12:03.407 like regenerative agriculture. 00:12:03.407 --> 00:12:06.700 We have health systems, like Geisinger, paying for food pharmacies, 00:12:06.700 --> 00:12:09.772 giving diabetics $2,400 a year in food 00:12:09.772 --> 00:12:13.243 and reducing healthcare costs by 80%. 00:12:13.883 --> 00:12:18.381 We have countries, like Chile, being brave and going up against the food industry 00:12:18.381 --> 00:12:21.505 with 18% soda tax. 00:12:21.505 --> 00:12:26.288 They've eliminated food marketing on TV, radio, in print, in movie theaters. 00:12:26.288 --> 00:12:28.585 They put warning labels, like on cigarette boxes, 00:12:28.585 --> 00:12:29.813 on the front of cereals, 00:12:29.813 --> 00:12:31.945 and they've gotten rid of cartoon characters. 00:12:31.945 --> 00:12:34.440 They've killed Tony the Tiger. 00:12:34.440 --> 00:12:36.506 (Laughter) 00:12:36.506 --> 00:12:41.100 So there are some things we cannot change, 00:12:41.100 --> 00:12:42.428 but this we change. 00:12:42.428 --> 00:12:46.571 We vote three times a day with our fork. 00:12:47.001 --> 00:12:49.765 What we do to our bodies, we do to the planet. 00:12:49.905 --> 00:12:52.897 What we do to the planet, we do to our bodies. 00:12:53.437 --> 00:12:59.437 It's time that we step up and speak and act about things that matter, 00:12:59.437 --> 00:13:02.014 and food matters most. 00:13:02.014 --> 00:13:03.305 Thank you. 00:13:03.305 --> 00:13:05.004 (Applause)