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MAHA’s new food directives want you to know “food is medicine.” | Kinga Krzeminska/Getty Images If there is one universal treatment that Robert F. Kennedy Jr.’s Make America Healthy Again sees for all of the country’s medical problems, it’s food.   Borrowing a phrase that has become ubiquitous in health policy circles and the influencer ecosystem that drives so much of our discourse these days around health and wellness, Kennedy has declared: “Food is medicine.” And this month’s release of new dietary guidelines for the country portrayed better eating as the cure to America’s chronic disease crisis. “My message is clear: Eat real food,” Kennedy said when announcing his new inverted food pyramid. It is a message that resonates — and for good reason. Many chronic health problems, from hypertension to diabetes, can be the consequences of a poor diet. Ultra-processed foods have been the target of criticism not just from Kennedy but a wide range of medical and public health groups in the past few years.  But there’s a major problem with Kennedy’s vision: Simply insisting that people “eat real food” does not make it any easier for them to find or afford nutrient-rich meals in a country where most grocery stores are awash in fatty, sugary, and salty treats and over-processed foods.  Instead, he places the onus for healthy eating on the consumer rather than focusing on improving the food environment that makes it so hard for many Americans to eat healthy diets in the first place. “It’s part of the whole MAHA movement to promote individual responsibility. That’s the constant mantra. Do your own research and make your own personal decision about how you feel about these things, irrespective of the science,” said Marion Nestle, a long-time nutrition policy researcher at New York University. “But we know from decades, and decades, and decades of research that individual responsibility is not enough.” The hidden meaning in RFK Jr.’s “food is medicine” message Even though doctors and nutritionists have been clear about the negative impacts of consuming too much ultra-processed foods, Kennedy’s were the first federal guidelines to discourage eating them. He gets credit for this.  But the guidelines themselves are still a bit wacky. They overemphasize protein based on the latest nutrition science, set unrealistic expectations around a “zero sugar” diet for kids, and endorse certain foods — specifically beef tallow — that continue to befuddle even the nutrition experts who largely agree with the recommendations. Sign up for the Good Medicine newsletter Our political wellness landscape has shifted: new leaders, shady science, contradictory advice, broken trust, and overwhelming systems. How is anyone supposed to make sense of it all? Vox’s senior correspondent Dylan Scott has been on the health beat for more than a decade, and every week, he’ll wade into sticky debates, answer fair questions, and contextualize what’s happening in American health care policy. Sign up here. By adopting fairly conventional dietary advice, Kennedy has attracted widespread support for his food agenda. I spoke with a number of nutrition experts who, while uncomfortable with Kennedy’s actions on, for example, vaccines, still feel his tenure represents an opportunity to improve people’s eating habits and, as Kennedy himself would say, to address the underlying issues driving up rates of diabetes, hypertension, and more.  Ideally, they told me, we could have the best of both worlds: a healthy eating agenda that everyone from Kennedy and MAHA to the American Medical Association and American Academy of Pediatrics could get on board with, while embracing the best public health practices that have proven their value over the last half century. But there’s a very real risk here, too. The problem with labeling food as medicine, as Kennedy does, is it could be construed as meaning food instead of medicine. And…