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[Music] welcome tonight were going to talk about the second biggest scandal of the 1970s and we had Watergate well this one is food gate and youll see why this is as we as we go all right I think youre aware that we have a healthcare crisis in this country yes yes question is why so if you look at the causes of preventable disease on this slide here what you will notice is that a lot of the things that have to do with behavior are getting better for instance smoking down cholesterol down blood pressure down physical activity up we should be reaping a health benefit were not why because obesity is up and diabetes is through the friggin roof and the question is why is that diabetes when I started medical school diabetes was for people over 65 now its for children age 8 and the question is what in the world is going on so this paper in Lancet was written in 2000 okay and it was projecting what was going to happen around the world by the year 2010 and you look down here it says we we