What you see is what you get- no more clearly seen then in This paper titled Nutritional Analysis of Foods and Beverages Depicted in Top-Grossing US Movies, 1994-2018 In JAMA internal medicine which looked at the nutritional quality of foods and beverages depicted in the 250 top-grossing US movies from 1994 to 2018 these 250 movies sold 10 billion box office tickets and grossed $164 billion in theaters worldwide. These are popular movies we all watch or are aware of and what they put on the screen as a societal “norm” in this study- Two trained researchers viewed movies in their entirety and listed all foods and beverages depicted in each scene. they used the Nutrient Profile Index (NPI) to classify foods and beverages as healthy or not penalizes components that should be limited like sugar, sodium, and saturated fat and rewards fiber, protein, and fruit and vegetable Now I understand this is not a one size fits all and the authors admit there is not portion control on this so if the movie had a thimble full of high sugar intense soda and a whole garden of lettuce the were considered “equal” The results showed that- nutrition ratings showed that 72.7% received a less healthy food nutrition score and 90.2% received a less healthy beverage nutrition score. But did it get better with time, I mean people use to smoke and now they don’t- “We found no evidence of improvement over time in sugar, saturated fat, total fat, or sodium content of foods or in sugar content of beverages” part of the reason I bring up this article is because There were many disturbing findings like G-rated movies, nearly 1 in 5 beverages (23 of 127 [18.1%]) were alcoholic beverage and 50% of the time it was an alcoholic beverage in rated R movies! the beverage sugar content was higher in movies targeting younger audiences --- on average movies depicted 121 g (95% CI, 116-125 g) of total sugar per 2000 kcal, which is higher than the total sugar content in 3 cans of Coca-Cola. in summary- what you see is what you get and if you see your favorite actors eating junk food it makes it ok to also eat junk food. . we already live in an obese society and any opportunity we can to prvent or promote healthy eating should be done, even if that means during a movie while you stuff your face with a 120oz coke and 620ounces of buttery popcorn. But speakig of movies what do yu think of when you think of tom cruise or maybe I should say if someone says the move “Jerry maguire” what do you think of? I think “show me the money” which is a perfect segway to this paper in annals of IM titlted https://www.acpjournals.org/doi/10.7326/M20-5665 Are Financial Payments From the Pharmaceutical Industry Associated With Physician Prescribing? A Systematic Review This was a systematic review to look to see if payments from the drug industry is associated with physician prescribing practices. The results were obvious, if you got money then you prescribed the drug companies drug more often, and this was also associated with increase prescribing cost… the total cost and rates of prescribing varied BUT NONE And I repeat NONE OF THE identified studies had all null findings. The easy answer is Receiving payments from a drug company may lead a physician to prescribe more of that company's drug in the future. Or you can sit back and question medicine and look at it from a different perspective-- prescribing may cause payments: Drug companies may target payments to physicians who are already high prescribers of their drugs. Both mechanisms are plausible. The studies the look at temporal prescribing found substantial increases in prescribing immediately after receipt of each industry payment. Industry spending on drug promotion disproportionately targets drugs that are less effective or offer little therapeutic advancement BECAUSE physicians want to use effective drugs REGARDLESS OF THE PROMOTION!!! whereas margi(continued)