0:00:09.029,0:00:14.058
I would like to talk to you right now[br]about perhaps the most over-used

0:00:14.058,0:00:18.348
and misunderstood word[br]in the English language: "freedom."

0:00:19.194,0:00:23.653
Freedom has two parts: freedom from -[br]freedom from oppression,

0:00:23.653,0:00:30.233
freedom from search and seizure;[br]and freedom to - freedom to choose.

0:00:30.233,0:00:34.303
But freedom to choose has some[br]caveats, has some provisos.

0:00:34.303,0:00:38.343
The one we ascribe[br]is called "personal responsibility",

0:00:38.343,0:00:40.354
and that's an ideology.

0:00:40.354,0:00:43.664
And there are some basic principles

0:00:43.664,0:00:47.274
that we ascribe[br]to personal responsibility,

0:00:47.274,0:00:50.384
that is, we have to have knowledge.

0:00:50.384,0:00:55.343
The five-year old who accidentally[br]shoots his brother is not guilty,

0:00:55.343,0:00:58.833
because he didn't have the knowledge.

0:00:58.833,0:01:00.233
Access.

0:01:00.233,0:01:05.683
We have 57,000 people being thrown off[br]voting rolls right now in America

0:01:05.683,0:01:09.081
because of redistricting;[br]they don't have access.

0:01:09.081,0:01:11.698
They can't have personal[br]responsibility to vote.

0:01:11.698,0:01:13.088
And finally, affordability.

0:01:13.088,0:01:16.468
You have to be able to afford your choice,

0:01:16.468,0:01:20.150
and society has to be able[br]to afford your choice.

0:01:20.150,0:01:26.260
An example: In California we've just[br]released 100,000 inmates

0:01:26.260,0:01:27.710
who are drug addicts.

0:01:27.710,0:01:30.104
We said, "Drug addicts[br]have to be locked up."

0:01:30.104,0:01:30.834
You know what?

0:01:30.834,0:01:33.114
We can't afford it.

0:01:33.114,0:01:37.349
So, these are all caveats[br]to personal responsibility.

0:01:37.349,0:01:39.239
And then the last one,[br]really important,

0:01:39.239,0:01:43.799
is that your actions[br]can't hurt anyone else,

0:01:43.799,0:01:47.971
because if they do,[br]then that's breaking the law.

0:01:47.971,0:01:51.983
Well, the fact is,[br]we've got a healthcare crisis,

0:01:51.983,0:01:53.293
and it's a big one.

0:01:53.293,0:01:57.273
In fact, Medicare will be broke[br]by the year 2026.

0:01:57.273,0:02:02.643
We do not have the money[br]to keep doing what we've been doing.

0:02:02.643,0:02:07.717
And this healthcare crisis[br]is not due to physician reimbursements,

0:02:07.717,0:02:10.357
it is not due to hospital charges,

0:02:10.357,0:02:14.677
it is not due to infrastructure,[br]or administration.

0:02:14.677,0:02:19.367
This healthcare crisis is due[br]to chronic metabolic disease.

0:02:19.367,0:02:20.850
That's where the money's going.

0:02:20.850,0:02:25.155
$245 billion dollars last year[br]in America for diabetes.

0:02:25.155,0:02:29.444
$200 billion for dementia,[br]another chronic disease.

0:02:29.444,0:02:33.551
And Obamacare promises us[br]that we're going to be able

0:02:33.551,0:02:36.252
to put 32 million sick[br]people on the rolls,

0:02:36.252,0:02:39.232
and we're going to to do it[br]by providing preventative services.

0:02:39.232,0:02:40.211
Well, guess what?

0:02:40.211,0:02:44.871
There are no preventative services[br]for these chronic metabolic diseases.

0:02:44.871,0:02:45.966
They don't exist.

0:02:45.966,0:02:50.446
The only thing that works is prevention,[br]and we don't have a prevention.

0:02:50.446,0:02:52.636
So, what does this mean?

0:02:53.246,0:02:56.526
This means that we're screwed.

0:02:56.526,0:02:58.146
(Laughter)

0:03:00.036,0:03:04.860
The fact is, that we cannot afford this.

0:03:10.190,0:03:11.440
Where is this coming from?

0:03:11.440,0:03:14.423
It's coming from this thing[br]called the obesity epidemic, right?

0:03:14.423,0:03:21.244
Everyone says, "If only these people[br]could just eat less and exercise more,

0:03:21.244,0:03:24.109
we would solve this problem;[br]it's their fault."

0:03:24.109,0:03:25.497
That's where this comes from.

0:03:25.497,0:03:29.147
You know, we have these things[br]called the seven deadly sins.

0:03:29.147,0:03:32.632
We have absolved all five[br]of the other sins.

0:03:32.632,0:03:37.792
We've absolved jealousy,[br]greed, wrath, pride, and lust.

0:03:37.792,0:03:41.056
In fact, we have TV shows[br]that extort them.

0:03:41.056,0:03:44.304
The only two that we have not[br]been able to get rid of,

0:03:44.304,0:03:47.774
the only two that still stand[br]are gluttony and sloth.

0:03:47.774,0:03:49.754
It's your fault.

0:03:50.274,0:03:51.796
Well, you know what?

0:03:51.796,0:03:55.926
I'm a pediatrician,[br]and I take care of kids.

0:03:55.926,0:04:00.209
I have a hard time ascribing[br]personal responsibility to their obesity.

0:04:00.209,0:04:05.021
In fact, we have an epidemic[br]of obese newborns.

0:04:06.841,0:04:08.041
Obese newborns.

0:04:08.041,0:04:11.171
Now, you want to assign them[br]personal responsibility?

0:04:11.661,0:04:15.792
I take care of kids with brain tumors.

0:04:15.792,0:04:19.192
You can see right here this arrow[br]pointing to a goombah

0:04:19.192,0:04:23.396
sitting right in the middle[br]of this patient's energy balance pathway.

0:04:23.396,0:04:26.390
A brain tumor that is causing[br]massive obesity.

0:04:26.390,0:04:29.885
Let me tell you about[br]two of those patients.

0:04:29.885,0:04:33.317
Here's a patient that I took care[br]of many years ago.

0:04:33.317,0:04:38.827
She had a brain tumor,[br]and she gained 150 pounds.

0:04:38.827,0:04:42.324
You can see her here[br]right now at 220 pounds.

0:04:42.324,0:04:48.301
And we put here on an experimental[br]medication to lower her insulin level.

0:04:48.301,0:04:52.381
Remember, insulin is the diabetes hormone,[br]it's also energy storage hormone.

0:04:52.381,0:04:56.121
It's the hormone that tells your fat cells[br]to take up extra energy.

0:04:56.121,0:04:58.886
There is no weight gain without insulin.

0:04:58.886,0:05:01.856
And we knew that these patients[br]had very high insulin levels.

0:05:01.856,0:05:06.540
So we gave her a drug to drop her insulin[br]in an experimental fashion.

0:05:07.400,0:05:10.920
A week later, the mother called me up,[br]the kid hadn't lost any weight yet,

0:05:10.920,0:05:13.634
and she says, "Doctor Lustig,[br]something's going on here."

0:05:13.634,0:05:14.904
I go, "How do you mean?"

0:05:14.904,0:05:18.604
"Well, we would go to Taco Bell,

0:05:18.604,0:05:21.455
and she would eat five tacos[br]and an Enchirito,

0:05:21.455,0:05:23.163
and she'd still be hungry.

0:05:23.163,0:05:24.483
We just went to Taco Bell

0:05:24.483,0:05:27.723
and she only ate two tacos,[br]and she was full.

0:05:27.723,0:05:30.109
And she just vacuumed the house!"

0:05:30.109,0:05:31.979
(Laughter)

0:05:31.979,0:05:34.587
I go, "Really? Isn't that interesting."

0:05:34.587,0:05:38.337
In fact, we did this many times,[br]and the exact same thing happened.

0:05:38.337,0:05:43.412
And here she is, one year later[br]having lost 48 pounds,

0:05:43.412,0:05:46.327
and feeling much better[br]about herself, as you can imagine.

0:05:46.327,0:05:49.182
The next patient I'm going to show you[br]isn't even my patient.

0:05:49.182,0:05:51.916
This is a beautiful 13 year old girl[br]who lives in Hawaii.

0:05:51.916,0:05:54.124
Notice the lily in her hair.

0:05:54.124,0:05:58.294
And one month after this picture[br]was taken, she was in a car accident,

0:05:58.294,0:06:00.397
and she stroked her hypothalamus,

0:06:00.397,0:06:04.323
that area of the brain where[br]that tumor was for the other patient.

0:06:04.323,0:06:06.363
And this is her, one year later.

0:06:06.363,0:06:11.263
Now, does anyone really want to tell me[br]that this is personal responsibility?

0:06:11.263,0:06:14.627
That this was this young girl's fault?

0:06:14.627,0:06:17.561
Well, I was giving grand rounds[br]at Kaiser, Honolulu,

0:06:17.561,0:06:21.371
and they said maybe we should[br]put this girl on this same drug.

0:06:21.371,0:06:23.381
And there I am with her.

0:06:23.381,0:06:25.851
And her mother said,[br]"Yes, go ahead and try."

0:06:25.851,0:06:29.777
And here she is one and a half years later[br]at her high school graduation.

0:06:29.777,0:06:32.606
Now, does anybody really[br]want to make the argument

0:06:32.606,0:06:35.036
that this is this kid's fault?

0:06:35.666,0:06:38.036
I have a hard time with that.

0:06:38.036,0:06:41.713
In fact, what we learned[br]from these experiments

0:06:41.713,0:06:47.508
is that the behavior[br]is secondary to the biochemistry.

0:06:47.508,0:06:51.608
When you fix the biochemistry,[br]the behavior improves,

0:06:51.608,0:06:54.711
and we've seen it now in adults as well.

0:06:54.711,0:06:57.941
So, everyone says[br]the behavior's the problem.

0:06:57.941,0:06:59.080
No, it isn't.

0:06:59.080,0:07:01.789
The biochemistry[br]underlying is the problem.

0:07:01.789,0:07:03.169
Well, so now you say to me,

0:07:03.169,0:07:04.489
"What about the rest of us?[br]

0:07:04.489,0:07:06.190
We don't have brain tumors."

0:07:06.190,0:07:08.660
Well, in fact,[br]it's the exact same problem.

0:07:08.660,0:07:09.924
Nothing's different.

0:07:09.924,0:07:15.336
All of us now have insulin levels[br]three times higher than we used to.

0:07:15.336,0:07:18.006
and the question, of course,[br]is where did that come from?

0:07:18.006,0:07:20.316
Who in the audience has diabetes?

0:07:20.316,0:07:21.512
Anybody?

0:07:21.512,0:07:26.096
Must be a few of you, because [br]diabetes is pretty big problem here.

0:07:27.216,0:07:30.393
Here's the problem:[br]seven out of eight of you,

0:07:30.393,0:07:32.263
seven out of eight people with diabetes

0:07:32.263,0:07:33.913
don't even know they have it.

0:07:33.913,0:07:39.265
You are blind to diabetes,[br]until you become blind from diabetes.

0:07:39.265,0:07:43.295
So you don't even know[br]you have a problem yet.

0:07:43.295,0:07:45.562
So here's the way to look at this.

0:07:45.562,0:07:51.265
Here is the American population;[br]30% obese, 70% normal weight.

0:07:51.265,0:07:52.795
The standard mantra is,

0:07:52.795,0:07:58.277
"It's the obese people's fault because[br]80% of those obese people are sick."

0:07:58.277,0:08:01.583
They have type 2 diabetes;[br]they have hyperlipidemia;

0:08:01.583,0:08:04.541
they have cardiovascular disease;[br]they have hypertension;

0:08:04.541,0:08:06.340
they have cancer; they have dementia;

0:08:06.340,0:08:08.180
and they are breaking the bank.

0:08:08.180,0:08:10.570
Those 80%, those 57 million people,

0:08:10.570,0:08:16.462
if we could just get them to diet[br]and exercise, we could solve this problem.

0:08:16.462,0:08:18.188
That's the standard mantra;

0:08:18.188,0:08:20.138
this is incorrect.

0:08:20.138,0:08:26.857
Because 20% of those obese people[br]are actually metabolically healthy.

0:08:26.857,0:08:30.157
They will live a completely normal life,[br]die at completely normal age,

0:08:30.157,0:08:31.897
not cost the tax payer a dime. [br]

0:08:31.897,0:08:33.826
They're just that.

0:08:33.826,0:08:39.488
Conversely, up to 40%[br]of the normal weight population

0:08:39.488,0:08:41.758
have the exact same diseases.

0:08:41.758,0:08:45.755
They get type 2 diabetes, hypertension,[br]dyslipidemia, cardiovascular disease.

0:08:45.755,0:08:47.096
And you know what?

0:08:47.096,0:08:48.826
They don't know they have a problem.

0:08:48.826,0:08:51.650
When you add them up,[br]it's more than half the US population.

0:08:51.650,0:08:56.034
In other words,[br]this is a public health crisis.

0:08:56.034,0:08:58.573
Here is an example of how that works.

0:08:58.573,0:09:02.703
Here are two people of equal weight;[br]one's healthy, one is sick.

0:09:02.703,0:09:05.644
Want to take a guess[br]which one the sick one is?

0:09:05.644,0:09:07.229
Can you tell?

0:09:07.229,0:09:08.469
I can tell.

0:09:09.659,0:09:12.239
The one in the bottom is sick; why?

0:09:12.239,0:09:15.159
The guy on the top,[br]he's just got big love handles.

0:09:15.159,0:09:19.109
The guy in the bottom has got fat[br]all around his organs,

0:09:19.109,0:09:21.173
and that is what's making him sick.

0:09:21.173,0:09:23.547
And this is called TOFI; T,O, F, I.[br]

0:09:23.547,0:09:25.957
Thin on the outside, fat on the inside.

0:09:25.957,0:09:29.350
I venture to guess there's a few[br]TOFIs in the room right now,

0:09:29.350,0:09:33.590
and you think you are just fine,[br]and you are not.

0:09:34.490,0:09:39.969
So lets talk about the last public[br]health crisis that we experienced.

0:09:39.969,0:09:42.262
HIV; remember HIV?[br]

0:09:42.262,0:09:44.252
1979; Patient Zero.

0:09:44.252,0:09:46.812
1981; the term "AIDS" got coined.

0:09:46.812,0:09:50.842
1986, Everett Koop said,[br]"You know, we've got a problem."

0:09:50.842,0:09:54.836
When did HIV become[br]a public health crisis?

0:09:55.906,0:09:57.376
1991.

0:09:57.376,0:09:58.826
Why?

0:09:58.826,0:10:01.134
Because Magic Johnson got HIV.

0:10:01.134,0:10:06.384
And everybody said, "Holy ____,[br]this could happen to me."

0:10:06.384,0:10:09.780
This really is something[br]where everyone is at risk.

0:10:09.780,0:10:13.515
Because it's not a behavior,[br]it's an exposure.

0:10:14.825,0:10:17.665
So the question is,[br]how do we resolve this?

0:10:17.665,0:10:20.472
Well, here's the problem;[br]it's on this slide, right here.

0:10:20.472,0:10:25.376
This is Coca Cola's "beating obesity"[br]campaign, "Coming Together."

0:10:25.376,0:10:27.576
"Beating obesity will take[br]action by all of us,

0:10:27.576,0:10:29.775
based on one simple common sense fact:

0:10:29.775,0:10:32.545
All calories count, no matter[br]where they come from,

0:10:32.545,0:10:36.070
including Coca-Cola,[br]and everything else with calories."

0:10:36.070,0:10:39.400
A calorie is a calorie, and you can get[br]your calories from carrots,

0:10:39.400,0:10:41.530
or you can get your calories[br]from cheesecake,

0:10:41.530,0:10:42.916
or from Coca Cola,

0:10:42.916,0:10:44.963
or anything else[br]with a "C" for that matter.

0:10:44.963,0:10:47.903
It doesn't matter where[br]the calories come from,

0:10:49.143,0:10:52.655
it's, "a calorie is a calorie",[br]that's what they say.

0:10:52.655,0:10:53.985
Well, you know what?[br]

0:10:53.985,0:10:56.295
I don't believe in common sense.

0:10:56.295,0:10:57.413
I believe in data.

0:10:57.413,0:10:59.453
And the data say something else entirely.

0:10:59.453,0:11:02.700
What the data say is some calories[br]cause disease more than others,

0:11:02.700,0:11:05.323
because different calories[br]are metabolized differently,

0:11:05.323,0:11:07.103
because a calorie is not a calorie.

0:11:07.103,0:11:10.766
And when you believe that a calorie[br]is not a calorie, a whole world opens up,

0:11:10.766,0:11:15.244
and actually, how to fix this problem[br]becomes very clear.

0:11:16.704,0:11:21.224
This is because of our new diet.

0:11:21.224,0:11:24.694
It is 40 years old now.[br]It is called "the Western diet",

0:11:24.694,0:11:27.738
it is called "the industrial global diet",

0:11:27.738,0:11:30.302
and it is basically[br]the processed food diet.

0:11:30.302,0:11:33.082
And everyone of you[br]is eating it all the time,

0:11:33.082,0:11:34.632
whether you like it or not.

0:11:34.632,0:11:36.031
There are eight things wrong,[br]

0:11:36.031,0:11:39.741
not one, but eight things wrong[br]with processed food, and here they are.

0:11:39.741,0:11:43.046
Three thing too little,[br]five things too much.

0:11:43.586,0:11:47.166
Not enough fiber, not enough[br]omega-3 fatty acids,

0:11:47.166,0:11:50.051
which you get from wild fish [br]not farmed fish,

0:11:50.051,0:11:53.931
not enough micro-nutrients,[br]all the vitamins and minerals.

0:11:53.931,0:11:58.449
In addition, too much trans-fats,[br]but we know that they're coming down,

0:11:58.449,0:12:00.467
branched-chain amino acids;

0:12:00.467,0:12:06.321
they're amino acids you get[br]in corn-fed beef, chicken and fish,

0:12:06.321,0:12:12.969
omega-6 fatty acids in seed oils,[br]alcohol, and finally, the big kahuna,

0:12:12.969,0:12:18.273
the one that blows all the other[br]seven out of the water, sugar.

0:12:18.273,0:12:19.276
Sugar, okay?

0:12:19.276,0:12:22.986
We're going to talk about that[br]for the rest of the time.

0:12:22.986,0:12:26.396
Does sugar cause diabetes?

0:12:26.396,0:12:29.494
Everyone says, "Well, yeah,[br]but it's because of the calories."

0:12:29.494,0:12:31.931
"Sugars are empty calories,"[br]that's the mantra.

0:12:31.931,0:12:34.019
It is not; this is absolutely not true.

0:12:34.380,0:12:36.637
Sugars are "toxic calories".

0:12:36.637,0:12:41.365
In fact, studies from Europe show[br]that if you consume one soda per day,

0:12:41.365,0:12:45.128
your risk for diabetes goes up 29%,[br]irrespective of the calories,

0:12:45.128,0:12:48.968
irrespective of your weight,[br]irrespective of anything else you eat.

0:12:48.968,0:12:53.299
We've shown that for every[br]150 calories the world consumes,

0:12:53.299,0:12:58.093
diabetes prevalence goes up[br]a total of 0.1%, which is nothing.

0:12:58.093,0:13:03.455
But if those 150 calories happen to be[br]a can of soda, diabetes goes up 11 fold.

0:13:03.455,0:13:06.305
1.1%, and we're not consuming[br]one can of soda,

0:13:06.305,0:13:07.915
we're consuming two and a half.

0:13:07.915,0:13:11.146
So 29% of all the diabetes in the world[br]

0:13:11.146,0:13:14.926
is due to sugar, and sugar alone.

0:13:14.926,0:13:19.212
This study actually satisfies[br]both the scientific and legal criteria

0:13:19.212,0:13:20.758
for proximate cause.

0:13:20.758,0:13:24.488
You have to be able to show[br]that something causes something else

0:13:24.488,0:13:26.263
before you can do something about it.

0:13:26.263,0:13:28.654
Well, we've proven it; we've shown it.

0:13:29.684,0:13:31.954
It's shown here as well; same thing.

0:13:31.954,0:13:36.220
Now, the question is,[br]why does this happen?

0:13:36.220,0:13:40.240
Number one: sugar causes[br]liver fat accumulation.

0:13:40.240,0:13:42.780
All that fat around the organs[br]that I just showed you?

0:13:42.780,0:13:45.098
For sure, that's what that did.

0:13:45.098,0:13:48.958
And that's not love-handle fat,[br]that's inside you.

0:13:48.958,0:13:51.838
Number two: sugar's addictive.

0:13:51.838,0:13:54.989
Weakly so, but it's everywhere,[br]it's like alcohol.

0:13:54.989,0:13:57.239
And about 20% of people[br]are addicted to alcohol,

0:13:57.239,0:13:59.059
probably about the same for sugar.

0:13:59.059,0:14:01.007
So you can't stop.

0:14:01.007,0:14:04.102
So this slide over here shows[br]the prevalence of diabetes

0:14:04.102,0:14:07.235
worldwide as we speak right now.

0:14:07.235,0:14:08.475
Who's worst?

0:14:09.215,0:14:14.129
Saudi Arabia, Kuwait,[br]UAE, Qatar, and Malaysia.

0:14:14.469,0:14:15.729
The worst.

0:14:15.729,0:14:17.289
Why them?

0:14:17.969,0:14:19.569
No alcohol.

0:14:20.049,0:14:23.349
But they've got soft drinks[br]like they're going out of style.

0:14:23.362,0:14:27.844
Because it's hot, and the water[br]supply's a question mark,

0:14:27.844,0:14:30.667
and no alcohol.

0:14:30.667,0:14:31.667
(Laughter)

0:14:31.667,0:14:33.517
This is their reward.

0:14:34.487,0:14:36.970
But you know what,[br]I'd rather have alcohol.

0:14:36.970,0:14:40.866
Because you can only drink yourself[br]under the table once a day.

0:14:40.866,0:14:43.976
(Laughter)

0:14:46.666,0:14:51.028
But for soft drinks; all day, all night.

0:14:51.028,0:14:54.278
Sugar in the morning, sugar[br]in the evening, sugar at supper time.

0:14:54.278,0:14:55.941
That's what we're seeing.

0:14:55.941,0:15:00.319
So, we've been overdosed.

0:15:00.319,0:15:02.549
The American Heart Association says

0:15:02.549,0:15:06.663
we should be consuming[br]six to nine teaspoons of sugar per day;

0:15:06.663,0:15:08.793
we are up to 22.

0:15:08.793,0:15:15.402
And 80% of foods that are available[br]in the American grocery store today

0:15:15.402,0:15:16.952
are spiked with added sugar.

0:15:16.952,0:15:20.950
And that's for the food industry's[br]purposes, not for yours.

0:15:20.950,0:15:23.624
So, no access.

0:15:23.624,0:15:26.834
You don't have access[br]because it doesn't exist.

0:15:26.834,0:15:29.166
Real food is hard to find.

0:15:29.166,0:15:30.736
Number two:

0:15:30.736,0:15:33.776
How about that there are 56[br]names for sugar,

0:15:33.776,0:15:35.876
so you don't even know[br]what you're consuming.

0:15:35.876,0:15:37.858
And here there are.

0:15:37.858,0:15:39.601
No knowledge.

0:15:39.601,0:15:40.711
And how about this?

0:15:40.711,0:15:43.041
Everybody knows what[br]a "Nutrition Facts" label is.

0:15:43.041,0:15:45.609
There's a number[br]over there in the purple.

0:15:45.609,0:15:48.659
It's called the "Dietary Value".

0:15:48.659,0:15:51.141
Notice, there's none for sugar,[br]and that's on purpose

0:15:51.141,0:15:53.947
because they don't want you to know[br]how much is too much.

0:15:54.687,0:15:56.737
So, no knowledge.

0:15:56.737,0:15:59.791
How about the National[br]School Lunch Program?

0:16:00.761,0:16:02.761
Six cents extra.

0:16:03.581,0:16:06.397
Six cents, Michelle Obama[br]got out of Congress.

0:16:06.397,0:16:08.577
That's not even enough for two grapes.

0:16:08.577,0:16:12.496
And, if you are eating school breakfast,

0:16:12.496,0:16:15.246
you're getting Fruit Loops[br]and a glass of orange juice.

0:16:15.246,0:16:20.105
That's 11 teaspoons of sugar;[br]you're already over your limit.

0:16:20.105,0:16:22.366
You want to know why we have a problem?

0:16:22.366,0:16:24.456
This is why we have a problem.

0:16:24.966,0:16:27.012
So everyone says, "Education!"

0:16:27.012,0:16:31.002
"Educate the public, educate[br]the populace, tell them what's going on!"

0:16:31.022,0:16:34.779
Except for one thing: education hasn't[br]worked for any other substance of abuse.

0:16:35.509,0:16:39.147
Did Nancy Reagan's "Just Say No" work?

0:16:39.147,0:16:40.797
(Laughter)

0:16:40.797,0:16:42.406
Really?

0:16:42.406,0:16:43.606
(Laughter)

0:16:43.606,0:16:45.712
And you know what?

0:16:45.712,0:16:50.448
I can prove that it doesn't work[br]because here is the stock prices

0:16:50.448,0:16:54.234
against the S&P 500[br]for McDonald's, Coke, and Pepsi,

0:16:54.234,0:16:57.559
and look at what happened[br]at the economic downturn in 2008.

0:16:57.559,0:16:59.751
They did very well, thank you.

0:16:59.751,0:17:03.271
In fact, if you want make money,[br]invest in a food company.

0:17:03.841,0:17:06.546
So, where does that leave us?

0:17:06.546,0:17:10.796
It leaves us with this question[br]of freedom and personal responsibility.

0:17:10.796,0:17:13.694
What does personal[br]responsibility really mean?

0:17:13.694,0:17:19.274
Well, if the information is kept secret[br]and you don't have knowledge,

0:17:19.274,0:17:23.285
if your access is limited[br]because you can't even find it,

0:17:23.285,0:17:25.805
and if society can't afford it,

0:17:25.805,0:17:30.790
and we can't even give our kids[br]something healthy to eat,

0:17:30.790,0:17:33.153
is it really personal responsibility?

0:17:33.153,0:17:38.633
And lastly, if your decision[br]to drink a soda

0:17:38.633,0:17:42.424
lands you in the emergency room,[br]and costs me dollars,

0:17:42.424,0:17:46.021
and if your decision to be fat and sick

0:17:46.021,0:17:50.351
costs your employer $2750

0:17:50.351,0:17:54.366
per employee, whether you're obese or not,[br]you know what that is?

0:17:54.366,0:17:57.216
That's not called freedom,[br]that's called anarchy.

0:17:57.226,0:17:58.672
That's what we've got.

0:17:58.672,0:18:03.895
So the libertarians say, "Wait a second;[br]don't tell me what to eat!"

0:18:03.895,0:18:06.898
Well, you know what?[br]You've already been told what to eat.

0:18:06.898,0:18:09.128
Where were you for the last 40 years

0:18:09.128,0:18:12.709
as your food supply was being[br]changed under your nose.

0:18:12.709,0:18:14.849
Were you protesting then?

0:18:14.849,0:18:17.971
The libertarians say,[br]"Get government out of my kitchen!"

0:18:17.971,0:18:20.931
You know, I don't want[br]government in my kitchen either,

0:18:20.931,0:18:25.349
unless there's somebody[br]more dangerous already there.

0:18:27.789,0:18:32.735
So the real question is, who the hell[br]do you want in your kitchen?

0:18:32.735,0:18:37.342
The government, who will take[br]your freedom and your wallet?

0:18:37.342,0:18:38.847
Or the food industry,

0:18:38.847,0:18:43.407
whose already taken your freedom,[br]your wallet, and your health?

0:18:43.407,0:18:45.069
That's your only choice.

0:18:45.499,0:18:48.079
Now, having said all this,

0:18:49.249,0:18:52.979
the food industry[br]is composed of a lot of people,

0:18:52.979,0:18:54.027
and you know what?

0:18:54.027,0:18:56.306
They really want[br]to do the right thing, they do.

0:18:56.306,0:18:59.425
Individually, they would actually[br]like to do the right thing.

0:18:59.425,0:19:03.363
And I have met with these people,[br]and they are actually very nice people,

0:19:03.363,0:19:06.674
but, they work for a food company.

0:19:07.834,0:19:11.474
and contrary to what[br]the Supreme Court says,

0:19:11.474,0:19:13.841
corporations are not people.

0:19:14.481,0:19:18.721
Because corporations have a fiduciary[br]responsibility to their stockholders,

0:19:18.721,0:19:20.259
and people don't.

0:19:20.869,0:19:26.904
Corporations get three month profit[br]cycles, and Wall Street earning reports.

0:19:26.904,0:19:29.194
And they have to make those reports.

0:19:29.194,0:19:32.744
So I've met with the food industry,[br]and I will tell you about one story,

0:19:32.744,0:19:36.113
which will remain nameless,

0:19:36.113,0:19:40.468
They told me very straight out,[br]ten scientists, ten corporate executives,

0:19:40.468,0:19:42.558
they said, "You know, we can change.

0:19:42.558,0:19:43.588
We've changed before.

0:19:43.588,0:19:46.440
we had to change back in the 80s[br]when we went low fat,

0:19:47.350,0:19:50.330
with two provisos;

0:19:50.350,0:19:54.320
we wont go it alone,[br]and we can't lose money."

0:19:55.530,0:19:57.748
Those are two non-starters today.

0:19:57.748,0:19:59.288
So what does that mean?

0:19:59.288,0:20:01.678
That means that they[br]have to be told what to do,

0:20:01.678,0:20:03.688
and they have to do it[br]all at the same time

0:20:03.688,0:20:05.898
so that there's no[br]competitive disadvantage.

0:20:05.898,0:20:07.548
What does that mean?

0:20:07.548,0:20:09.714
That means government.

0:20:10.254,0:20:13.162
But governments are complicit[br]and complacent.

0:20:13.162,0:20:14.921
They're getting paid off.

0:20:14.921,0:20:17.891
Over half of Congress takes money[br]from the food industry.

0:20:17.891,0:20:20.945
And 6% of our exports are food.

0:20:20.945,0:20:24.085
What do you think what happen[br]if all of a sudden we told the world,

0:20:24.085,0:20:25.995
"You know, all that shit we put in food?

0:20:25.995,0:20:28.088
It really isn't so good for you."

0:20:29.064,0:20:32.631
What happened when that one downer cow[br]went from Canada to Washington state?

0:20:32.631,0:20:36.630
That was at the end of meat sales[br]to Britain and South Korea for two years.

0:20:36.870,0:20:39.870
So, they're on the other side.

0:20:40.950,0:20:45.974
But we've got a crisis,[br]because we will not have healthcare.

0:20:47.734,0:20:51.284
Here is a report that just came out[br]from an investment bank,

0:20:51.284,0:20:53.546
an international investment[br]bank, Credit Suisse,

0:20:53.546,0:20:59.862
called Sugar Consumption at a Crossroads,[br]and this is a direct quote from this tome:

0:20:59.862,0:21:05.439
"We believe higher taxation on sugary food[br]and drinks would be the best option

0:21:05.439,0:21:07.599
to reduce intake and fund[br]the healthcare costs

0:21:07.599,0:21:09.517
associated with diabetes and obesity."

0:21:09.517,0:21:13.562
An investment bank[br]is calling for taxation.

0:21:13.562,0:21:17.802
That's how big and bad[br]this problem has gotten.

0:21:20.982,0:21:26.603
I believe food should[br]confer wellness, not illness,

0:21:26.603,0:21:27.823
and it used to.

0:21:27.823,0:21:28.823
But you know what?[br]

0:21:28.823,0:21:30.907
This is a public health crisis,

0:21:30.907,0:21:35.607
and you cannot solve public health[br]crisis one person at a time.

0:21:35.607,0:21:41.494
Here is a list of diseases that were all[br]personal responsibility issues,

0:21:41.494,0:21:45.168
except for the sheer gravity[br]of each of them,

0:21:45.168,0:21:47.898
became a public health crisis.

0:21:47.898,0:21:51.976
Why don't we add sugar to the list?

0:21:53.586,0:21:56.891
Personal responsibility isn't ideology.

0:21:56.891,0:22:00.845
It's the elephant in the kitchen,[br]and we can't afford it.

0:22:01.405,0:22:05.342
What we need is a policy[br]based in biology.

0:22:05.342,0:22:06.892
And it's got a name.

0:22:06.892,0:22:08.843
It's called real food.

0:22:09.573,0:22:11.633
And the only way we can solve this

0:22:11.633,0:22:14.583
is by kicking that elephant[br]out of the kitchen.

0:22:14.583,0:22:15.841
Thank you.

0:22:15.841,0:22:17.551
(Applause)