It’s that first sentence I struggle with, the idea that being healthy is primarily a choice.
In the abstract, yes, people make choices. But in practice, especially in the U.S., those choices are tightly constrained by cost, time, stress, and availability.
For someone working multiple jobs, relying on SNAP, and living in an environment saturated with cheap, calorie-dense food, “just choose better” isn’t a neutral proposition, it’s a luxury position.
You can technically eat rice, beans, oats, and bananas. You can technically exercise after a long shift. But framing health this way ignores basic human behavior and economic reality. When healthy options require more time, money, energy, and planning than unhealthy ones, outcomes stop being about choice and start being about structure.
That’s why the “personal responsibility” framing is so appealing: it allows only marginal changes while leaving the underlying system untouched.
On the second point, I agree with you, removing genuinely harmful substances like carcinogenic dyes is a good thing. But it’s also limited. It improves the quality of bad food without changing why bad food dominates in the first place.
My concern isn’t that RFK’s proposals are harmful in isolation, although some of his proposals undoubtedly are; it’s that they risk being treated as a solution when they don’t alter the economic incentives that drive diet and health outcomes, especially for the poorest Americans.