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Not saying I necessarily agree with a pill based solution, but if we don’t see a society crippled by heart disease and related health conditions as dystopian… then I don’t know what to tell these authors…

Ah— they come from backgrounds in “grievance studies”.

The dystopian angle comes from a willingness to resort to a pill to fix symptoms rather than dealing with finding the actual core of the disease. (Namely researching changes in gut microbiota, overall nutitive/diet changes in the last century, etc) and actually taking the bitter pill that it may be some of the industrial choices we've made that have driven the changes in overall metabolism.

There's also the angle that any act of nudge around "this is normal" is a fundamental flex of political/socio-economic might. In the United States, often originating from the insurance sector.

Hand wave their credentials if you wish, but at least approach the argument in good faith. I assure you, following the thread for any reasonable stretch of time will get you into familiar dystopia territory if you approach it with even a shred of academic integrity.

The issue is most people's value system doesn't include "manipulating large numbers of people through subtle indirection is bad".

EDIT: To address a dead poster below me:

I have no issues with the FDA. I do have issues with excessive regulatory capture and hiding of science by large food companies. The sugar industry, and a handful of other contributors to the supply chain are all on my shit list equally for actively gaslighting the public and scientific world by hiding "unfavorable" studies.