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How Corporate Health Care Leaders Maintain Their Impunity: The Case of Purdue Pharma's Funding of the Washington Legal Foundation to Attempt to Weaken the Responsible Corporate Officer Doctrine

The ongoing epidemic of narcotic (opioid) abuse, and the resulting rise in the deaths due to overdoses, has focused attention on pharmaceutical companies' aggressive promotion of these drugs which minimized their substantial risk. A recent article in the Intercept showed how the leadership of one such company tried to insulate itself from responsibility for such actions even while such promotions were continuing. Background: Impunity of Top Leaders of Big Health Care Organizations For years, we have railed against the impunity of top leaders of health care organizations.  We have noted that despite numerous legal settlements made by health care organizations of alllegations like fraud , bribery , and kickbacks , almost never do top leaders who presided over these actions face any negative consequences.  Lack of deterrence caused by such impunity appears to be a major cause of  the epidemic of continuing unethical behavior, crime and corruption on the part of large health car
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Carbohydrate, Sugar, and Obesity in America

We like explanations that are simple, easy to understand, and explain everything. One example of this is the idea that eating carbohydrate, or sugar, is the primary cause of obesity. This lets us point our finger at something concrete and change our behavior accordingly. And it's true enough that it has practical value. But the world around us often turns out to be more complex than we'd like it to be.

The CDC recently released its latest data on the prevalence of obesity in the US, spanning the years 2013-2014 (1). These data come from its periodic National Health and Nutrition Examination Surveys (NHANES). Contrary to what many of us had hoped for after a slight decline in obesity in the last survey, the prevalence has once again increased. Today, roughly 38 percent of US adults have obesity. As a nation, we're continuing to gain fat, which is extremely concerning.

I decided to examine the relationship between obesity prevalence and our intake of carbohydrate and sugar over the years. The food intake data come from the USDA's Economic Research Service (2). For some reason, the data on carbohydrate don't extend beyond 2010. This probably relates to funding cuts at the USDA*.

Let's have a look at the data for carbohydrate:

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