Recent laws in New Jersey and California represent a disturbing trend that will negatively impact a practice’s ability to collect monies from patients, as well as expose them to significant penalties if the practice does not follow the mandatory guidelines to a T. Please be aware that a similar law may be coming to your state. The time to act is before the law is passed.
American Food
It has been no secret that the standard American diet (SAD) is less than optimal. Unfortunately, many countries are starting to pick up some of our bad habits. The U.S. Department of Agriculture keeps statistics on the amount of food sold in this country each year. Based on sales, consumption statistics are calculated. This data is generally slightly higher than actual values, the result of factors such as loss, waste, spoilage, not consuming everything purchased, and not finishing everything prepared. Unfortunately, the categories that contain the greatest overestimates are those foods that have a shorter shelf life, i.e., fruits and vegetables.
The following numbers are estimates per person per year:
Sweetened Beverages (includes soda and sweetened fruit drinks)
 1970: 25 gallons 
1997: 61 gallons 
Beer
 1970: 28 gallons 
1997: 32 gallons 
Fruit Juice
 1970: 5 1/2 gallons 
1997: 9 1/2 gallons 
Bottled Water
 1970: trace 
1997: 13 1/2 gallons 
Coffee
 1970: 34 gallons 
1997: 24 gallons 
Tea
 1970: 6 gallons 
1997: 7 gallons 
Sugars(including table sugar, high fructose corn syrup, dextrose, and honey)
 1970: 121 pounds 
1997: 154 pounds 
Beef
 1970: 80 pounds 
1997: 64 pounds 
Chicken
 1970: 28 pounds 
1997: 51 pounds 
Turkey
 1970: 8 pounds 
1997: 14 pounds 
Pork
 1970: 49 pounds 
1997: 49 pounds 
Fish (including shellfish)
 1970: 11 pounds 
1997: 14 pounds 
Flour (white, wheat)
 1970: 104 pounds 
1997: 138 pounds 
Flour (other grains)
 1970: 11 pounds 
1997: 23 pounds 
Flour (pasta)
 1970: 6 pounds 
1997: 13 pounds 
Oats
 1970: 5 pounds 
1997: 7 pounds 
Rice
 1970: 6 pounds 
1997: 20 pounds 
Eggs
 1970: 310 
1997: 243 
Whole Milk
 1970: 25 gallons 
1997: 8 gallons 
Low-Fat Milk (2%)
 1970: 3 gallons 
1997: 8 gallons 
Low-Fat Milk (1%)
 1970: trace 
1997: 2 gallons 
Nonfat Milk
 1970: 1 gallon 
1997: 4 gallons 
Cheese
 1970: 11 pounds 
1997: 28 pounds 
Ice Cream
 1970: 18 pounds 
1997: 16 pounds 
Yogurt
 1970: 1/2 pound 
1997: 5 pounds 
Low-Fat Ice Cream
 1970: 8 pounds 
1997: 8 pounds 
Fresh Vegetables (except potatoes)
 1970: 90 pounds 
1997: 138 pounds 
Fresh Fruit
 1970: 100 pounds 
1997: 133 pounds 
Fresh Potatoes
 1970: 61 pounds 
1997: 49 pounds 
Beans
 1970: 5 pounds 
1997: 6 1/2 pounds 
Canned, Dried and Frozen Fruit
 1970: 41 pounds 
1997: 35 pounds 
Frozen Vegetables (except potatoes)
 1970: 15 pounds 
1997: 22 pounds 
Canned Vegetables
 1970: 100 pounds 
1997: 106 pounds 
Frozen Potatoes
 1970: 29 pounds 
1997: 59 pounds 
Butter
 1970: 5 pounds 
1997: 5 pounds 
Margarine
 1970: 10 1/2 pounds 
1997: 9 pounds 
Salad and Cooking Oil
 1970: 15 pounds 
1997: 28 pounds 
Shortening
 1970: 17 pounds 
1997: 21 pounds 
Total fat consumption peaked in 1993 at 70 pounds. Total beef consumption peaked in 1977 at 90 pounds. Sugars, soft drinks, cheese, fresh fruits and fresh vegetables all hit new highs in 1997.
When reviewing the numbers, it is nice to see we are eating more of what we should eat (fresh fruits and vegetables). Unfortunately, we are also eating more of what we shouldn't eat. Further analysis also reveals a tremendous increase in total calories and exceptional opportunities for 21st century entrepreneurs to figure out how to suppress man's genetic drive to overindulge.
Resources
Liebman B. The changing American diet. Nutrition Action Health Letter April 1999.