I’m not saying this doctor’s suggestion is the only or best solution, but it is nice to see the issue get noticed. Excerpts from the Op/Ed:

This 30-year-old patient told me that she had struggled with her weight for years. However, during the COVID-19 pandemic, she had finally lost weight by eating more proteins and vegetables. Her food budget was supplemented by federal food programs such as the Supplemental Nutrition Assistance Program as well as the stimulus money she received during the pandemic.

In recent years, however, as her career grew, so did her income, making her ineligible to qualify for federal assistance programs, such as SNAP. At the same time, the pandemic stimulus money disappeared. As a result of both factors, her supplementary incomes and support for food withered.

While screening for food insecurity is now a routine part of what we do in primary care, fixing the problem is impossible without also addressing the upstream causes. This patient’s food insecurity stemmed from not only the “cliff effect” of losing her supplemental benefits when her earnings pushed her out of a certain income bracket but also from the rising cost of food prices, including high-protein foods such as eggs and beef, given the rise of bird flu. The incidence of viruses able to spread from one species to another (called “viral spillover”) in the face of climate change is predicted to become more and more common in the coming years — all of which place a higher price tag on food.

I know that writing a prescription for weight-loss drugs is far easier for me and my colleagues than trying to address the real cost of rising food prices and food insecurity.

State and federal policy makers must begin by urgently addressing and mitigating the “cliff effect” for those who are making a livable wage.