Make America healthy again: is that helping the food as medicine movement or hurting it? And why is it so important to focus on quality food as medicine- which means nutrient density and real quality- rather than settling for simply “more fruit and vegetables”? Why would you, if you can, deny people with severe diabetes and lower incomes the best-quality food possible, especially when it has the biggest ripple effect?

A check-in conversation with Erin Martin, one of the leaders advancing the food as medicine movement in the US. It has been an exciting, interesting, and challenging few years — from speaking on the Hill in Washington, to passing a food as medicine act in her home state of Oklahoma (which has some of the worst health crises in the country), to scaling their program of prescribing produce to reverse type 2 diabetes to over 500 patients. But also: politics, making America and children healthy again, a global and local health crisis spiralling out of control, GLP-1 drugs breaking through, and somehow food and regenerative agriculture becoming polarising, a political minefield.

So much to talk about: the first social impact bond, which isn’t a bond but an outcome-based payment scheme,  is coming in early 2026 in Oklahoma. And super important: real data is showing massive savings when it comes to prescribing healthy vegetables, fruit, and cooking classes.