In a move that he hopes will set precedence for a national model, California Governor Arnold Schwarzenegger signed a bill on Sept. 30, 2008, that requires chain restaurants with 20 or more locations to put calorie counts and other nutritional information on their menus. California is the first state to enact a law to battle the ever-increasing rates of obesity in the United States.
The new law will require more than 17,000 restaurants statewide to post information on calories, saturated fat, carbohydrates and sodium for each menu item by 2011. Restaurant chains that fail to comply could face fines by county health officials. Currently, some restaurant chains supply nutritional information, but it is done so on a voluntary basis.
In Section 1 of the bill, legislators emphasize the need for greater consumer awareness and education regarding their nutritional decisions:
"When I was in the Austrian army, I drove a tank that weighed 50 tons," said the governor at a press conference. "Now multiply that by 3,500. That's as many pounds as California has gained in the past decade. This legislation will help Californians make more informed, healthier choices by making calorie information easily accessible at thousands of restaurants throughout the state."(a) Over the past two decades, there has been a significant increase in the number of meals prepared or eaten outside the home, with an estimated one-third of calories being consumed in, and almost one-half of total food dollars being spent on, food purchased from or eaten at restaurants and other food facilities.
(b) Increased caloric intake is a key factor contributing to the alarming increase in obesity in the United States. According to the Centers for Disease Control and Prevention, two-thirds of American adults are overweight or obese, and the rates of obesity have tripled in children and teens since 1980.
(c) Obesity increases the risk of diabetes, heart disease, stroke, some cancers, and other health problems.
(d) Broader availability of nutrition information regarding foods served at restaurants and other food service establishments would allow customers to make more informed decisions about the food they purchase.
(e) Three-quarters of American adults report using food labels on packaged foods, which are required by the federal Nutrition Labeling and Education Act of 1990.
(f) Availability of nutrition information regarding restaurant food assists consumers who are monitoring their diets or dealing with chronic diseases, such as cardiovascular disease and diabetes.
(g) Consumers should be provided with point-of-purchase access to nutritional information when eating out in order to make informed decisions involving their health and diet.
(h) It is the intent of the Legislature to provide consumers with better access to nutritional information about prepared foods sold at food facilities so that consumers can understand the nutritional value of available foods.
References
Many relevant diagnostic signs are not performed deliberately by the examiner or by the patient at the examiner’s direction. They are observed as the patient reacts to their condition. Fortin’s finger sign, Minor’s sign, and Vanzetti’s sign are three examples of this principle.
Spearheaded by burgeoning scientific and clinical research literature, psychedelics have reached a level of media coverage and popular interest that has not been seen for over half a century. By “psychedelics,” we are referring to the unique class of substances that includes psilocybin (the active compound found in so-called “magic mushrooms”), LSD, dimethyltryptamine (DMT), ayahuasca, 5-MeO-DMT, and mescaline – each of which occurs in the natural world (except for LSD, which is a semi-synthetic compound).
While working at the Lovelace Medical Center in Albuquerque, N.M., one of the primary care physicians stated that imaging every patient prior to receiving chiropractic was not medically necessary. It was at that point I reconsidered the need for the imaging of every patient to avoid malpractice.
