A functional medicine physician who has spent his career talking about root causes, toxins, and the food system says the Make America Healthy Again movement is borrowing his language and prescribing the wrong treatment. Shiv Goel, an internal medicine and functional medicine doctor, walks through the contradictions: RFK Jr. fought glyphosate in court, then watched the administration invoke the Defense Production Act to expand it. Vaccines undermined during a measles outbreak. Medicaid and SNAP cuts ignored while chronic disease climbs.
⏱️ Chapters:
0:00 Introduction
0:22 The diagnosis is right. The treatment is wrong.
1:24 Where MAHA and functional medicine actually agree
2:57 The contradiction that pushed him to write this
3:13 RFK Jr. sued Monsanto over glyphosate
4:05 The 2026 Defense Production Act reversal
5:54 Why opening new medical schools will not fix nutrition
7:33 You have to fix the system, not lecture the patient
7:46 Where MAHA goes silent on vaccines and measles
8:51 Why Medicaid and SNAP cuts gut the whole project
11:56 Take home messages
About this episode:
Shiv Goel is an internal medicine and functional medicine physician returning to discuss his KevinMD article, "Make America Healthy Again fails true functional medicine." He grew up in a family of nine in Italy eating whole foods because they were poor, not because it was trendy, and that vantage point shapes his critique. He argues MAHA correctly names America's chronic disease crisis and some real root causes, ultra-processed food, a broken food system, policy failure, but then prescribes the wrong treatment. He walks through the glyphosate reversal in detail, from the WHO carcinogen classification and the Monsanto verdicts RFK Jr. helped win, to the 2026 Defense Production Act order expanding the same pesticide. He pushes on the vaccine stance during a measles outbreak and on the silence around Medicaid and SNAP cuts that harm the communities most burdened by chronic disease. His closing message to physicians is to validate the diagnosis without signing off on a treatment plan that leaves the most vulnerable patients worse off.
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