The Evidence And Politics of Prevention

Here is a link to an abstract of Dr Lands indictment of our medical care system with its focus on treatment instead of prevention:

The abstract is short and simple:

Ann N Y Acad Sci. 2005 Dec;1055:179-92.
Dietary fat and health: the evidence and the politics of prevention: careful use of dietary fats can improve life and prevent disease.
Lands WE.

Every year, more young people start the slow progressive injury that eventually becomes cardiovascular disease and death. It could be prevented with nutrition education, but medical efforts focus more on treatments for older people than on preventing primary causes of disease in young people. Two avoidable risks are prevented by simple dietary interventions: (1) Eat more omega-3 and less omega-6 fats, so tissues have less intense n-6 eicosanoid action, and (2) eat less food per meal to lower vascular postprandial oxidant stress. An empirical diet-tissue relationship was developed and put into an interactive personalized software program to aid informed food choices.

He wrote another article that includes the insurance companies. Here is the abstract of that one:
Nutr Health. 2009;20(2):79-89.
False profits and silent partners in health care.
Lands B.

Traditional health care services have focused more on treatment of signs and symptoms of cardiovascular disease rather than on prevention of primary causal factors. This bias created a nation with increasing numbers of older people paying for increasing treatment costs. Treatment-oriented clinicians, drug companies and hospitals take a major proportion of ever-increasing health care dollars. Without prevention, American families gain little long-term relief from the highest health care treatment costs in the world. A lack of public accountability for valid surrogate endpoints continues to drain funds for treatments that do not remove underlying primary causes. It seems unethical and uneconomical to withhold community-wide primary prevention advice and only attend to people with clinical signs of disease. Also, treatments that remove a sign or symptom without removing the primary cause unethically set a sense of improved health while leaving unchanged the cause to continue harming future generations. A good alternative would be long-term primary prevention that removes primary causal factors and prevents the onset of signs and symptoms of disease. Health insurance companies could be effective partners with corporate and individual subscribers by diverting resources toward preventing proved primary causes of disease. A chain of molecular events that causally connects modifiable food choices to many health disorders has a measurable mediator: the proportions of omega-3 and omega-6 in tissue highly unsaturated fatty acids (HUFA). Health risk assessment can monitor the diet-based proportions of tissue HUFA which influence hundreds of vital physiologic events. Many financial losses will likely be decreased by primary prevention advice to choose foods that increase intakes of omega-3 fats, decrease intakes of omega-6 fats and include fewer calories per meal.

As I have said before, YOU are the only one with pure interest and benefit from preventing medical problems. Most people do not know about the harm they are doing to their bodies consuming high omega-6 foods. We have heard much more information about the benefits of omega-3, but our food industry simply uses that to make you think a food is healthy when they tell you “It has Omega-3”–they don’t tell you is still has 10 times as much omega-6 and that at that ratio you are still doing harm to your body. Most dietitians are trained in the UDSA guidelines, and they promote many foods that are much higher in omega-6 than omega-3 as healthy–like peanuts and peanut butter.

Look at who benefits from you not knowing this information:
Doctors–they are paid to fix problems not prevent them.
Insurance Companies–they get to keep 20% of health insurance premiums, higher premiums the more that make.
Industrial Agriculture–they grow soybeans, corn, wheat–primary sources of omega-6, they want us eating more.
Food Industry–they love advertising food as healthy without having to pay the cost of healthy food.
Drug companies–they want you to keep taking the pills that treat the problems caused by excess omega-6.

If you are reading this or already know about the harm that comes from excess omega-6, you are one of the lucky ones. The real data is clear–there is an obvious correlation between increasing proportions of omega-6 and many different diseases. Correlation studies are simple and easy to understand, but correlation doesn’t prove cause. The proof comes in the biochemistry that shows the steps in the body’s processing of the lipids and the cellular actions that result from the eicosanoid hormones that are produced from omega-6 and omega-3 lipids. That is far more difficult to understand for most people unless they have an advanced education that includes biochemistry. I do and I can tell you the link between omega-6 and the


of many diseases is clear.