Most deaths in the United States

美國的死因有絕大部分 不僅能預防並與營養有關

are preventable and related to nutrition.

目前最嚴謹的危險因子分析調查

According to the most rigorous analysis

是由「比爾暨梅琳達蓋茲基金會」 贊助的「全球疾病負擔研究」

of risk factors ever published -

此報告指出造成我國死亡及傷殘的元凶

The Global Burden of Disease Study, funded by the Bill and Melinda Gates Foundation-

是我們的飲食

the #1 cause of death in the United States

香菸被擊敗列居第二

and the #1 cause of disability in this country

如今吸菸每年大約害死50萬美國人

is our diet,

我們的飲食卻殺死近70萬人

which has bumped tobacco smoking to #2.

如果大部分的死傷都能避免

Smoking now only kills about a half million Americans every year,

並與營養有關

whereas our diet now kills hundreds of thousands more.

那醫學院的首要課程一定是營養學吧

So if most death and disability is preventable and related to nutrition

醫師最常跟你討論的也一定是營養吧

then obviously nutrition is the #1 thing taught in medical school. Right?

但為何醫學在理論與實際 運用上有如此嚴重的斷層

It's the #1 thing your doctor talks to you about.

現在我們來做個思想實驗

How could there be such a disconnect

假設你是身在50年代的吸菸人士

between the science and the practice of medicine?

那個年代的人一年平均吸四千根菸

Let's do a

換算一下 平均人人一天吸掉半包菸

thought experiment.

大眾媒體叫你吸菸

Imagine yourself a smoker back in the 1950s.

(我的喉嚨就決定是Luckies了) 大眾媒體叫你吸菸

See, the average per capita cigarette consumption

還有知名運動員的認證 (我的喉嚨就決定是Luckies了)

was about 4000 cigarettes a year.

還有知名運動員的認證

Think about that.

(Camels讓你呼吸暢通 運動員認證) 還有知名運動員的認證

In the 1950s the average person walking around

連聖誕老公公 (Camels讓你呼吸暢通 運動員認證)

smoked a half pack a day.

連聖誕老公公

The media was telling you to smoke

(守護喉嚨的最佳衛兵) 連聖誕老公公

and famous athletes agreed.

都關心你喉嚨的健康 叮嚀你吸菸 (守護喉嚨的最佳衛兵)

Even Santa Claus cared enough

(守護喉嚨的最佳衛兵)

about your throat to want you to smoke.

想要有苗條的好身材嗎 (守護喉嚨的最佳衛兵)

I mean, you want to keep fit, and stay slender,

想要有苗條的好身材嗎

so you make sure to smoke

(想瘦 吸lucky就對了) 想要有苗條的好身材嗎

and eat lots of hot dogs to keep trim,

想要有苗條的好身材嗎

and lots of sugar to stay slim and trim,

(想瘦 吸Lucky就對了 纖細 就靠最有效的Lucky) 想要有苗條的好身材嗎

a lot less fattening than that apple there...

吸菸就對了 (想瘦 吸Lucky就對了 纖細 就靠最有效的Lucky)

I mean, sheesh.

還有 大嗑熱狗減肥法 大嗑精緻糖減肥法 (想瘦 吸Lucky就對了 纖細 就靠最有效的Lucky)

Though apples do connote goodness and freshness,

還有 大嗑熱狗減肥法 大嗑精緻糖減肥法

reads one internal tobacco industry memo,

(兩道美食讓你 享瘦) 還有 大嗑熱狗減肥法 大嗑精緻糖減肥法

which brings up many possibilities

(Domino 最純蔗糖 更細緻) (兩道美食讓你 享瘦) 還有 大嗑熱狗減肥法 大嗑精緻糖減肥法

for making youth-oriented cigarettes.

說這些糖比角落那顆蘋果更不會讓你變胖 ㄎㄎ (兩道美食讓你 享瘦) (Domino 最純蔗糖 更細緻)

They want to make apple flavored cigarettes for kids.

說這些糖比角落那顆蘋果更不會讓你變胖 ㄎㄎ

In addition to staying fit and slender

(哪個能讓你更瘦) 說這些糖比角落那顆蘋果更不會讓你變胖 ㄎㄎ

and soothing your throat for digestion's sake

(哪個能讓你更瘦)

you smoke.

一份菸商內部的企劃書寫道 (哪個能讓你更瘦)

I mean no curative power is claimed by Phillip Morris

一份菸商內部的企劃書寫道

but hey, an ounce of prevention is worth a pound of cure.

「蘋果代表著新鮮美味 這種口味的 香菸在年輕族群中有很大的消費潛力」

Better to be safe than sorry and... smoke.

他們居然想為小孩開發蘋果口味的香菸

Like eating, smoking was a family affair.

除了能維持纖瘦的體態 舒緩喉嚨的不適

Gee, Mommy, you sure enjoy your Marlboro!

腸胃不好嗎 香菸絕對是你的好朋友

You're darn tootin'.

(為了你的腸道好 吸Camels吧) 腸胃不好嗎 香菸絕對是你的好朋友

Just one question Mom,

「雖然Philip Morris沒有療癒神力 (為了你的腸道好 吸Camels吧)

"Can you afford not to smoke Marlboro?"

「雖然Philip Morris沒有療癒神力

In the 1950s your kids were giving you cigarettes.

但是

Even your dog was giving you cigarettes.

有預防就不用療癒」

"Blow in her face and she'll follow you anywhere."

不怕一萬 只怕萬一

No woman ever says "No".

所以——用力吸

"They're so round, so firm, so fully packed."

在那個年代 用餐跟吸菸都屬於家庭活動

After all, John Wayne smoked them...

「馬麻的最愛是Marlboro」

until he got lung cancer and died.

「Marlboro超狂der」

Back then even the paleo folks were smoking,

「馬麻 好Marlboros 不抽嗎」

and so were the doctors.

在當時你的小孩會遞香菸給你

This is not to say there wasn't controversy

連你的狗也會

within the medical profession.

「深吸一口菸 輕吐她耳邊 她將死心塌地跟定你」

Yes, some doctors smoked Camels,

「只要吸Winchester 沒有女人會拒絕你」

but other physicians preferred Luckies,

「圓滾滾的身軀 裡外都實在」

so there was some disagreement.

再說電影明星John Wayne也吸菸阿

Eminent doctors on high and impartial medical authority

——直到他得肺癌掛掉為止

call for Phillip Morris.

那時後的摩登原始人也吸菸

Even the specialists couldn't agree

醫生也同樣抽很大

which cigarette was better for your throat;

(人人都愛Camels) 醫生也同樣抽很大

so best to stick to the science…

哈 並不是說吸菸在醫學界沒有爭議 (人人都愛Camels)

and more scientists smoke this brand.

當然有囉 有些醫生是Camels派 有些則是Luckies派 (人人都愛Camels)

This should not be rocket science—

當然有囉 有些醫生是Camels派 有些則是Luckies派

but even the rocket scientists had their favorite,

(醫生最愛camels) 當然有囉 有些醫生是Camels派 有些則是Luckies派

for the man who thinks for himself.

(20,679位醫師認證最溫和香菸的Luckies) 當然有囉 有些醫生是Camels派 有些則是Luckies派

We know why the AMA may have been

所以的確是有一些分歧 (20,679位醫師認證最溫和香菸的Luckies)

sucking up to the tobacco industry,

所以的確是有一些分歧

refusing to endorse the Surgeon General's report on smoking

「站在醫學權威頂端最公正 最傑出的醫師 都選擇Philip Morris」

after they were handed a $10 million check from the tobacco industry.

但這些專家甚至難以達成協議 究竟哪牌香菸對喉嚨最好

But why weren't more individual doctors speaking out?

(喉科醫師票選Old Gold是對喉嚨最佳的選擇) 但這些專家甚至難以達成協議 究竟哪牌香菸對喉嚨最好

There were a few gallant souls ahead of their time

但這些專家甚至難以達成協議 究竟哪牌香菸對喉嚨最好

writing in as there are today,

(耳喉專家領導者推薦⋯⋯) 但這些專家甚至難以達成協議 究竟哪牌香菸對喉嚨最好

standing up against industries killing millions.

所以最好還是遵照科學囉 (耳喉專家領導者推薦⋯⋯)

But why not more?

所以最好還是遵照科學囉

Maybe it's because the majority of physicians themselves...

(知識分子的唯一選擇：Kent搭配Micronite濾嘴) 所以最好還是遵照科學囉

smoked cigarettes,

而科學家——都吸這個牌子 (知識分子的唯一選擇：Kent搭配Micronite濾嘴)

just like the majority of physicians today...

這些道理不是菁英也能懂 (知識分子的唯一選擇：Kent搭配Micronite濾嘴)

continue to eat foods that are contributing

但說到菁英—— (知識分子的唯一選擇：Kent搭配Micronite濾嘴)

to our epidemics of dietary disease.

但說到菁英——

What was the AMA's rallying cry back then?

(對自己最好的男人都知道 只有Viceroy有最好的濾嘴 最好的香味) 但說到菁英——

Everything in moderation.

他們也有自己的愛牌 對自己最好的男人都吸這款 (對自己最好的男人都知道 只有Viceroy有最好的濾嘴 最好的香味)

Extensive scientific studies have proven

(對自己最好的男人都知道 只有Viceroy有最好的濾嘴 最好的香味)

smoking in moderation... oh that's fine.

美國醫學會當時跪舔菸草業 (對自己最好的男人都知道 只有Viceroy有最好的濾嘴 最好的香味)

Sound familiar?

美國醫學會當時跪舔菸草業

Eating the standard American diet today,

拒絕認可美國衛生署署長發表的菸害報告

is like being a smoker back in the 1950s.

人盡皆知是由於大菸商 用1千萬美元買通了美國醫學會

Most everyone you know eats this way.

然而 為什麼沒有更多醫生說出實情呢

It's normal—it's what they feed people in hospitals...

一直以來都有少數跑在時代前頭的醫生 有骨氣揭發這些殺害數百萬人的產業

for gosh sake!

但為什麼這麼少

But you don't have to wait until

或許是因為當時大部分的醫生自己也在吸菸

society catches up with the science, again

就像現在的醫生普遍仍舊 吃著造就飲食文明病的食物

Sometimes it takes a whole generation

美國醫學會當時怎麼狡辯的

for things to change in medicine.

「任何食物都要適量 大量的科學研究已經證實

The old guard of smoking physicians and medical school professors

適量的吸菸——沒關係啦」

die off and a new generation takes its place,

有沒有很耳熟

but how many patients need to die in the interim?

如今吃典型的美式飲食就像在50年代吸菸一樣