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Cheap Food, Expensive Healthcare

My doctor bill now exceeds my grocery bill. As a person with a more-or-less logical mind, I’m wondering lately if it’s just my family balance sheet, or do my neighbors realize this also?

At first, I thought this was a function of my age. At least until I talked to the father of a family of four down the street, and with a younger friend over coffee. I then began to think more about what I eat, where it comes from, how much it really costs. Most of my food is considerably processed. It has traveled great distances. I don’t know the people who grow it or what they put on it. I don’t know the people who manufacture my food or what they put in it, or even much about what they put my food in, except that it makes plenty of garbage and recycling on my curb. I wonder. Am I what I eat?

Meanwhile, I notice that the small farms and dairies once thick in this county vanished over many years in favor of large corn and soybean and confinement operations. (Did you hear the one about the Inside Cow and the Outside Cow?) The farmers who graced my table via Trigby’s Market just 40 years ago with a steady supply of milk, cream, butter, eggs, hens, veal and beef, mutton, wheat and barley flour, oatmeal, fresh produce and fruit in season, and much more, are, for the most part, gone. Now, some of these farmers died, and some moved away, but many retired or took jobs in the bigger towns around just to keep other food on the table. A few heard the call to “get big or get out.” They stayed in because they wanted to survive, at least as “operators.” But how do their doctor bills read? I wonder.

You may say that I am a sentimentalist, and old fool with a typewriter, but I can tell you that agriculture is no growth industry in this region. Wendell Berry, a far better writer than I, points out that our modern industrial agriculture is high cost and low profit. Where’s the growth in that for small farmers, for family farmers? Yet, there is a growth industry in this region and it’s healthcare. We have two of the finest healthcare institutions in the country within an hour or so of here. One of those is even world famous. Drive another two hours or more, and you’ll find half a dozen fine organizations dedicated to making you well, to curing what ails you, to educating you and your children about your obesity. Why some former farmers, man and woman, now work in these places. Good pay, good health insurance, good benefits.

But when was the last time you enjoyed going to the doctor? (Pregnant mothers excepted.) Do you get as much pleasure from that as from your Sunday dinner? How about the pharmacy after the doc? Is that pharmaceutical product as good as apple pie with ice cream for dessert? We have all complained about rising prices, but folks, we have been eating cheap food for years. So cheap, in fact, that it's subsidized heavily every half decade by our tax dollars in a new and ever more mammoth Farm Bill that greatly supports "agribusiness." While farmers’ profits are whittled away in the name of industrial efficiency for these agribusinesses' equipment and chemicals and interest rates and fuel (oil, for Pete’s sake) and transportation, our rich land and clean water are impoverished, blanketed, and polluted with things that apparently make us sick. But not to worry, we have great healthcare all around, and furthermore, it’s profitable and creates lots of jobs! Is this what cheap food really costs?

Nonetheless, my friends, there is a bright spot here, a bright spot there. Small farmers are coming back. They grow fine, healthy food that’s pure pleasure to prepare and eat. They live on land they love and care for greatly. You can find them if you look, ask around, talk to your neighbors about where their food comes from, and who farms up slope of your water supply. Next spring look for your doctors, nurses, and pharmacists at the Farmers’ Market. If you don’t see them, your local supermarket manager, or your county, state and federal legislators, either, find out why not. Ask them why the Conservation Security Program, that pays farmers to conserve the land, lies bottled up in Washington. Ask them why we should trust the present administration with the safety of our food, when it cannot provide us clean air and clean water.