In an interview with CBS News last year, Robert F. Kennedy Jr., serving as health secretary, shared a provocative perspective on American health. He remarked, “If you want to eat doughnuts all day or drink sodas, that’s your choice.” He continued by questioning whether society should bear the burden of care when such choices predictably lead to severe health issues.
This perspective was not an isolated event. During a public event in West Virginia, Kennedy criticized the governor’s weight and proposed a monthly public weigh-in until the governor lost 30 pounds. He has also offered simple solutions to complex problems like the obesity epidemic, advocating for three balanced meals a day. He disparaged evidence-based interventions such as GLP-1 medications. Kennedy suggested that the companies producing these drugs, like those behind Ozempic and Wegovy, rely on Americans being naïve and drug-dependent.
Kennedy’s statements recall an era when obesity was viewed more as an issue of self-control than a chronic disease. The notions of body positivity or the principle of “health at every size” are absent from his rhetoric. Instead, a language focused on blame and discipline has returned.
Supporters of Kennedy argue that his approach exemplifies moral honesty rather than insensitivity. However, many public health officials view it as a dangerous throwback. Allan Brandt, a historian at Harvard Medical School, observed, “We’re seeing a resurgence of stigmas that we assumed were improving.” Over recent decades, public health strategies have shifted away from judgmental messaging, moving towards understanding and destigmatization. Kennedy’s stance suggests a backlash, where compassion is seen as indulgence, and personal responsibility is overshadowed by structural factors, like food deserts.

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