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[Part I] The Chronic Crisis: How Public Health Was Built to Fail
  • James Oliver
James Oliver

Corresponding Author:[email protected]

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Abstract

The modern public health crisis is not an accident—it is the inevitable outcome of a system designed for profit, not health. The food industry, optimizing for efficiency and revenue, has transformed the global diet into one dominated by ultra-processed foods. Meanwhile, the healthcare industry, financially structured around disease management, thrives on chronic illness rather than prevention. The result is not a malfunction—it is the system working exactly as it was designed to.
When any system is forced beyond its tolerances, failure is inevitable. The biological consequences—obesity, type 2 diabetes, cardiovascular disease, neurodegeneration—are not separate failures. They are the same failure state, playing out in different tissues.
This paper reveals how economic structures, financial incentives, and policy decisions have aligned to create an environment where disease is the default outcome. It systematically dismantles the idea that these conditions are a matter of personal responsibility or genetic destiny. They are not anomalies—they are engineered results.
This paper is Part 1 of a three-part series. Part 2, Metabolic Overload, details the biological consequences of this system. Part 3, Metabolic Eating, presents the necessary correction—how to realign nutrition with biological function to prevent systemic metabolic failure.