Sophia Bush joins Chelsea Handler to talk about her experience as a lesbian journalist and pundit, and why she thinks the U.S. should still be leading the fight for universal health care in a world that values diversity and inclusion.
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00:01:45.020This week on Dear Chelsea, with me, Chelsea Handler, Sophia Bush is here.
00:01:50.460Tell me how that feels to be a hot, considered a hot lesbian.
00:03:10.060I appreciate the opportunity because, look, all of us are reflecting on whether this is, as it feels to many of us, one of the most sort of challenging and profoundly consequential moments with health care policy in our lifetime,
00:03:25.800or perhaps putting it more perspective, more historically, even thinking back a little bit to Obamacare and their debates and the sort of fundamental shifts in health policy were taking shape there.
00:03:36.140So I thought I'd just open up, just ask you about the landscape, ask you about your perspective, particularly from the prism of not just a policy expert and a pundit, but also as a practitioner.
00:03:47.940What world are we living in as it relates to health care policy in the United States today?
00:03:54.060Well, you know, broadly speaking, I think one of, and we've been talking, thinking about this a lot, is sort of what is the United States role when it comes to science, health care science, public health, all of that.
00:04:09.300I think for 80-some years, we were sort of the world leaders, sort of post-World War II.
00:04:16.380That became part of our DNA in the United States and take great pride in it.
00:04:19.940We recruit the best scientists in the world.
00:04:22.600Some of the greatest scientific achievements over the last century have come from the United States.
00:04:26.860And I think it's been something that certainly people in the scientific community, but I think the population at large really have rallied behind, taken great pride in people coming from other countries for our medical care, new therapies coming out of the United States, all of that.
00:04:44.000And I think one of the, and I don't want to overstate this, but I think one of the worrisome things right now is, is that still the case?
00:04:52.180Do we still think that that's important? Kind of like maybe how we talked about, my parents both worked in the auto industry.
00:04:59.440And I think there was a, there was a time period where people said, should we still be building cars in the United States?
00:05:04.720And my parents both ended up leaving the auto industry in 2001, because they were fearful that the, the industry was just going to change.
00:05:11.600It did not, got bailed out, as you know, and all these things happened. And here we are today.
00:05:16.360I think it sort of feels this has some of those same tones as that.
00:05:21.000Are we going to look back 20 years from now and say, the United States is still the global leader when it comes to these things?
00:05:27.920That's, that's the thing that I worry about sort of philosophically, sort of more practically speaking.
00:05:34.820Governor is something you talk about a lot as well. We're not a healthy country.
00:05:38.880We spend four and a half trillion dollars on healthcare.
00:05:41.640And we don't have a lot to show for it in terms of outcomes, in terms of overall health.
00:05:47.160I think we saw that ripped off like a bandaid during the pandemic.
00:05:51.100People say, how could a country that spends that kind of money do so poorly with regard to patient outcomes?
00:05:56.280We walked in pretty unhealthy into that situation.
00:05:59.100So I think some of that needs to change.
00:06:01.560And frankly, most of that problem, I think, is in how we nourish ourselves.
00:06:08.340You know, the foods that we put into our body, the chemicals that we ingest.
00:06:22.540First Lady Obama used to talk about that.
00:06:24.940You know, Michael Bloomberg talked about that when he was mayor of New York.
00:06:29.420So it's not a new discussion, but I think it's one that needs to be had.
00:06:33.940So I want to get to both subjects, because I think it's interesting as you start with the larger issue, as some of us, and I'm not putting words in your mouth, but this sort of this war on knowledge, more broadly speaking.
00:06:45.480And certainly scientific expression is a part of that.
00:06:48.740And this notion of just confidence in transparency, truth, trust, we can get to mis and disinformation, and how that debate plays out differently through the lens, ideological lens, on both sides of the political prism.
00:07:03.540But the interesting thing, I think you underscored, is just this, this trend line that's been decades and decades that's, I think, growing headline in some ways because of this Maha movement.
00:07:14.140And I think if there's one sort of reckoning, it's a recognition with RFK Jr., and we can get to the more controversial aspects of it.
00:07:22.700But this whole Maha movement is interesting to me.
00:07:24.700You brought up Obama, First Lady Michelle Obama, in the Let's Move campaign, her focus on issues of chronic disease, obesity, school lunches, which was exceptional at the time.
00:07:36.500And I was exceptionally engaged in that campaign.
00:07:39.560I think it was a 2010-ish, plus or minus.
00:07:42.600But where are you in this Maha movement?
00:07:44.740Do you think it's a breakthrough in terms of consciousness, on a wellness frame, on a focus on some of these broader issues that have been under-resourced in terms of time and attention?
00:07:55.680I do think a lot more people are talking about this.
00:07:58.860You know, I wish it didn't require, you know, sort of really demeaning certain populations of people to do it.
00:08:08.000But there's no question it has struck a nerve.
00:08:10.220And I hear people talking about it from circles that I had not heard people talking about this before, just in terms of really wanting to have some autonomy over their own health.
00:08:20.140So there's a lot of kernels of truth, I think, to what is happening out of the Maha movement.
00:08:25.960It is, I think, largely based on precautionary principle, which we can talk about more because I think there's other aspects of what is happening in health care that are the opposite of precautionary principle.
00:08:37.300So this demand for more evidence and replication of evidence and it's not just be careful, it's let's prove this to the nth degree before we make any movements.
00:08:47.680But with regard to ultra-processed foods, with regard to petroleum-based dyes, some of these petroleum-based dyes, Governor, should have probably never been approved.
00:09:08.260I've worried about this for a long time.
00:09:10.540So people have been talking about it, but no one got it done.
00:09:13.280You did in California, and now it's starting to happen, I think, more at a national level.
00:09:17.660You know what's interesting, Sanjay, is some of the things we let on, I appreciate you highlighting.
00:09:22.220I mean, this has been a passion project for me going back to my mayor days when you referenced Mayor Bloomberg.
00:09:27.480He and I were very competitive in this space as mayors.
00:09:30.500He with a much larger platform in New York.
00:09:33.880I with a little smaller platform in San Francisco.
00:09:36.260But I've deeply been committed, as you have in terms of all your work, focusing not on sick care, but health care, focusing on social determinants of health, which we'll talk about in a moment in wellness and prevention.
00:09:50.080But one of the things that is really, you know, came to the fore with me through a political lens was this notion of ultra-processed food, but specifically as it relates to food dyes.
00:09:59.360And we did something that was referred to on the far right, which was the great irony and mocked.
00:10:05.340I mean, I can't tell you how many, with respect to another news network there, three-letter news network, mocked consistently called the Skittles ban because we were removing red dye and we were the first state to do that.
00:10:18.900But now it seems to be socialized in the political spectrum on the right as sort of, you know, endowed leadership from the Maha movement.
00:10:29.880But what was the movement towards all this?
00:10:33.040I mean, there's chemicals aside, but additives, there's sort of obsession.
00:10:46.060What was it, what is unique about the United States that we became overly indulgent in these additives and chemicals?
00:10:53.740I think it's more than, more than one thing, but I do think a lot of it had to do with longevity initially, increasing shelf life of food.
00:11:02.280And that really got at a lot of additives, even going back to hydrogenated corn syrup versus sugar.
00:11:09.240You know, when you're adding these types of things in there, you're not only adding sweetness to some extent, but you're adding how moist the food is and how long it's going to last on a shelf.
00:11:19.640I think trying to, I remember, you know, former President Clinton used to talk about this.
00:11:25.100You can feed a lot of people a lot of calories for cheap if you're having these ultra-processed foods.
00:11:32.080You know, feed a family at McDonald's for, you know, 25 bucks, you know, if you have ultra-processed foods.
00:11:38.160So I think it, you know, if you increase shelf life, you can decrease costs.
00:11:41.480I do think the aesthetics of the food is not an issue to be minimized, though.
00:11:47.440It's very, I don't know if you heard the story about what happened with Froot Loops, I think, back about 11 years ago, 2014 timeframe, where, you know, they basically said, all right, let's remove some of these food dyes.
00:11:59.540There was a lot of pressure to remove the food dyes.
00:12:02.300And the Froot Loops, as a result, were not as brightly colored.
00:12:07.120Or if you go to Europe and go to a, you know, hotel or something, and you go to the breakfast buffet and you get Froot Loops, they're bland colored Froot Loops.
00:12:14.300They're the same Froot Loops otherwise, but they just don't look the same.
00:12:17.480And what they found when they did that in the United States was two things.
00:12:21.620One is that people didn't buy those blandly colored Froot Loops.
00:12:25.480And two is they kind of got accused of the same thing that you were talking about, sort of nanny state, don't take away our brightly colored Froot Loops.
00:12:32.300Same thing that Mayor Bloomberg got accused of when he wanted to not sell 16-ounce sodas anymore.
00:13:38.800On the precautionary frame and the precautionary principle, I think that's fundamentally, isn't it, the difference between the EU policy, where so many of these foods just simply never make the shelf, and fundamental policy that's advanced in the United States.
00:13:50.980That is exactly, your friend, I think, Todd Wagner, who's a friend of mine as well, he talks about this a lot.
00:13:57.620He started this organization, Food Fight.
00:13:59.820And, you know, when I spent time talking to these folks and reporting on this, people will always say the same thing, which is I go to Europe, I eat the same foods, I eat pasta, I do whatever, and I feel great.
00:14:10.940I lose weight, I lose weight, all that.
00:14:14.700Now, some of that may be that you're active more over there as well.
00:14:39.980But, again, with the backdrop that those petroleum-based dyes don't have any nutritional value, not losing anything by stripping them out other than aesthetics, which, you know, may be important to people.
00:14:52.400People do like their brightly colored Froot Loops, as it turns out.
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